在模拟的交换和临床医生回忆和态度中偏见的语言
Austin Wesevich1, Erica Langan2, Ilona Fridman3,4
1Section of Hematology/Oncology, Department of Medicine, The University of Chicago, Chicago, Illinois.
JAMA network open
|December 17, 2024
概括
患者交换中的偏见语言减少了医疗学员对临床信息的回忆和同理心,可能会加剧健康差异. 标准化交接对于患者安全和公平至关重要.
科学领域:
- 医疗教育 医学教育
- 患者安全 患者安全
- 健康 公平 卫生 公平
背景情况:
- 质量差的患者交接可能导致医疗错误.
- 转让中的偏见语言可能会加剧这些错误,并导致医疗保健差距.
研究的目的:
- 为了比较临床信息回忆准确度和患者态度,在模拟的患者移交中,在接受过偏向与中立语言的实习生中进行回忆准确度和患者态度.
主要方法:
- 实习生 (居民和医学学生) 接受了模拟的口头交接,随机选择偏见 (刻板印象,责怪,怀疑) 或中立的语言.
- 评估临床信息的回忆,患者的态度 (使用PASS尺度),以及在散发后的关键信息.
主要成果:
- 偏见的移交,特别是基于指责的移交,显著降低了信息回忆准确度 (77%与93%相比) 和患者态度 (22.9与25.2).
- 报告偏差作为一个外卖与更低的回忆准确性相关.
- 积极的患者态度与更高的回忆准确性有关.
结论:
- 偏见的移交损害了临床信息传输,减少了同情心,给患者带来了风险,加剧了健康差异.
- 标准化交付对于减轻种族偏见和提高患者安全至关重要.
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