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Related Experiment Video

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Determining The Electromyographic Fatigue Threshold Following a Single Visit Exercise Test
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Visiting Black Patients: Racial Disparities in Security Standby Requests.

Carmen R Green1, Wayne R McCullough2, Jamie D Hawley3

  • 1University of Michigan Departments of Anesthesiology, Obstetrics and Gynecology, and Health Management and Policy (Schools of Medicine and Public Health), United States.

Journal of the National Medical Association
|March 8, 2018
PubMed
Summary

Black patients and their visitors are disproportionately affected by hospital security standby requests (SSRs), indicating racial disparities in healthcare security interventions. Further research is needed to address these "security intervention errors in healthcare environments."

Keywords:
Health and healthcare disparities and inequitiesMedical errorsRacial disparities and inequitiesSecurity intervention errors in healthcare environments

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Area of Science:

  • Healthcare disparities
  • Medical errors
  • Health services research

Background:

  • Structural inequalities persist within healthcare systems.
  • Racial disparities in hospital security standby requests (SSRs) have not been previously examined.
  • Hypothesized that SSRs disproportionately impact Black patients and their visitors.

Purpose of the Study:

  • To investigate racial disparities in hospital SSRs.
  • To determine if SSRs vary based on patient race.
  • To explore the implications for patient care and safety.

Main Methods:

  • Retrospective analysis of 8-year hospital security dispatch data.
  • Examined demographic and service location patterns for SSRs involving patients and visitors.
  • Compared observed SSRs to expected rates based on hospital census data; statistical significance set at p < 0.05.

Main Results:

  • Of 1023 SSRs, most involved White, female, or young patients' visitors.
  • SSRs significantly differed by patient race: Black patients' visitors were over twice as likely to trigger an SSR (27%) compared to White/other patients' visitors (10%).
  • Black patients comprise 12% of the hospital population but accounted for a disproportionately higher percentage of SSRs.

Conclusions:

  • This study is the first to document racial disparities in SSRs for Black patients and their visitors.
  • Introduces the concept of "security intervention errors in healthcare environments."
  • Highlights the need for new metrics and quality improvement initiatives to eliminate racial/ethnic disparities in SSRs.