创造一个包容的环境:在儿童医院建立一个偏见审查系统
Gabrina Dixon1,2, Olanrewaju Falusi2,3,4,5, Rebecca Cady6
1Division of Hospital Medicine, Children's National Hospital, Washington, District of Columbia.
Hospital pediatrics
|October 16, 2025
概括
儿童国家医院成立了一个偏见事件审查委员会 (BIRC) 来处理偏见报告. 该委员会的工作导致了改善医院包容性和患者护理的干预措施.
科学领域:
- 医疗保健管理的管理.
- 患者安全 患者安全
- 在医学中的多样性和包容性.
背景情况:
- 成立于2020年7月,儿童国家医院的偏见事件审查委员会 (BIRC) 是一个多学科机构.
- BIRC审查并建议采取行动,通过医院的安全事件报告系统提交的偏见报告.
研究的目的:
- 详细介绍BIRC的形成和结构.
- 将提交的偏见报告分类,并识别反复出现的主题.
- 概述委员会推的干预措施.
主要方法:
- 由医生,护士,社会工作,人力资源和法律工作人员组成的BIRC每月举行一次会议,审查偏见报告.
- 从偏见报告中取消身份的数据每年向医院领导和工作人员提交.
- 数据包括报告类别,干预措施和共同的主题.
主要成果:
- 偏见报告比2021-2022财年增加了超过275%,在2023年稳定下来.
- 关键主题:对有色人种患者的不同待遇,口译服务问题,冒犯性种族评论和性别肯定护理中的偏见.
- 干预措施包括加强口译服务和员工教育,以适当使用它们.
结论:
- 偏见报告数据推动了加强医院包容性和护理的干预措施.
- 实施了培训计划,以促进所有人的归属环境.
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