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Creating an Inclusive Environment: Instituting a Bias Review System in a Children's Hospital.

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  • 1Division of Hospital Medicine, Children's National Hospital, Washington, District of Columbia.

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Summary
This summary is machine-generated.

Children's National Hospital established a Bias Incidents Review Committee (BIRC) to address bias reports. The committee's work led to interventions improving hospital inclusivity and patient care.

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Area of Science:

  • Healthcare administration
  • Patient safety
  • Diversity and inclusion in medicine

Background:

  • Established in July 2020, the Bias Incidents Review Committee (BIRC) at Children's National Hospital is a multidisciplinary body.
  • The BIRC reviews and recommends actions for bias reports submitted via the hospital's safety event reporting system.

Purpose of the Study:

  • To detail the formation and structure of the BIRC.
  • To categorize submitted bias reports and identify recurring themes.
  • To outline interventions recommended by the committee.

Main Methods:

  • The BIRC, comprising physicians, nurses, social work, HR, and legal staff, met monthly to review bias reports.
  • Deidentified data from bias reports were annually presented to hospital leadership and staff.
  • Data included report categories, interventions, and common themes.

Main Results:

  • Bias reports increased over 275% from FY2021-2022, stabilizing in 2023.
  • Key themes: perceived disparate treatment of patients of color, interpreter service issues, offensive racial comments, and bias in gender-affirming care.
  • Interventions included enhanced interpreter services and staff education on their appropriate use.

Conclusions:

  • Bias report data have driven interventions to enhance hospital inclusivity and care.
  • Training initiatives were implemented to foster an environment of belonging for all.