Oncologist perceptions of racial disparity, racial anxiety, and unconscious bias in clinical interactions, treatment, and outcomes.

Alexandrina Balanean; Emily Bland; Ajeet Gajra; Yolaine Jeune-Smith; Andrew J Klink; Harlen Hays; Bruce A Feinberg

Study

Oncologist perceptions of racial disparity, racial anxiety, and unconscious bias in clinical interactions, treatment, and outcomes.

April 24, 2024

Balanean A, Bland E, Gajra A, et al. J Natl Compr Canc Netw. 2024;22(2):82-90.

View more articles from the same authors.

Racism and implicit bias can result in poorer health outcomes for patients of color. This study examined racial disparity, racial anxiety, and physician unconscious bias and adverse influence on outcomes of non-white oncology patients. Nearly two-thirds of oncologists perceived moderate to very high levels of racial disparities, and a similar proportion rarely or never perceived unconscious bias having a negative influence on patient outcomes.

PubMed citation

Available at

Related Resources From the Same Author(s)

Optimizing Pediatric Patient Safety in the Emergency Care Setting.

October 19, 2022

Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020.

September 23, 2020

Durable improvements in efficiency, safety, and satisfaction in the operating room.

May 28, 2008

Impact of barcode medication administration technology on how nurses spend their time providing patient care.

January 7, 2009

The "Seven Pillars" response to patient safety incidents: effects on medical liability processes and outcomes.

September 7, 2016

"At home, with care": lessons from New York City home-based primary care practices managing COVID-19.

December 16, 2020

Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day: observational cohort study.

November 2, 2016

Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in thoracic surgery.

March 13, 2019

Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on provider, patient, organisational, and handoff outcomes.

June 1, 2022

Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit and general ward.

August 1, 2018

Implementation of a structured hospital-wide morbidity and mortality rounds model.

May 31, 2017

Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study.

June 14, 2023

Collaborating—or "selling" patients? A conceptual framework for emergency department-to-inpatient handoff negotiations.

March 18, 2015

Evaluation of a predevelopment service delivery intervention: an application to improve clinical handovers.

October 17, 2012

Excess cost and length of stay associated with voluntary patient safety event reports in hospitals.

January 28, 2009

Evaluation of drug interaction software to identify alerts for transplant medications.

March 6, 2005

The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary of data reported to the National Healthcare Safety Network.

September 22, 2021

Interpersonal and organizational dynamics are key drivers of failure to rescue.

December 5, 2018

Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient order errors: a randomized clinical trial.

May 29, 2019

Effect of a rapid response system for patients in shock on time to treatment and mortality during 5 years.

November 7, 2007

An examination of technical efficiency, quality, and patient safety in acute care nursing units.

January 20, 2010

Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse drug events in nursing homes.

January 30, 2005

A systematic review of the effects of resident duty hour restrictions in surgery: impact on resident wellness, training, and patient outcomes.

April 16, 2014

Perceptual and interpretive error in diagnostic radiology—causes and potential solutions.

September 4, 2019

Increasing naloxone prescribing in the emergency department through education and electronic medical record work-aids.

April 21, 2021

Changes in hospital-acquired conditions and mortality associated with the hospital-acquired condition reduction program.

September 29, 2021

Video-based communication assessment of physician error disclosure skills by crowdsourced laypeople and patient advocates who experienced medical harm: reliability assessment with generalizability theory.

May 18, 2022

Changes in hospital safety following penalties in the US Hospital Acquired Condition Reduction Program: retrospective cohort study.

July 24, 2019

Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review.

December 16, 2020

Applying human factors engineering to address the telemetry alarm problem in a large medical center.

August 11, 2021

Safe practice recommendations for the use of copy-forward with nursing flow sheets in hospital settings.

July 12, 2017

Classification of patient-safety incidents in primary care.

September 26, 2018

Exploring the causes of COPD misdiagnosis in primary care: a mixed methods study.

April 10, 2024

Blame the patient, blame the doctor or blame the system? A meta-synthesis of qualitative studies of patient safety in primary care.

August 26, 2015

Physician communication when prescribing new medications.

October 11, 2006

Recommendations to improve the usability of drug–drug interaction clinical decision support alerts.

November 25, 2015

Thirty-day outcomes support implementation of a surgical safety checklist.

January 9, 2013

Connected care: reducing errors through automated vital signs data upload.

September 23, 2009

Education for the next frontier in patient safety: a longitudinal resident curriculum on diagnostic error.

January 11, 2017

Improving handoffs in the emergency department.

October 28, 2009

How often do prescribers include indications in drug orders? Analysis of 4 million outpatient prescriptions.

July 10, 2019

Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans.

July 19, 2023

Family alert: implementing direct family activation of a pediatric rapid response team.

October 28, 2009

Duty hours in emergency medicine: balancing patient safety, resident wellness, and the resident training experience: a consensus response to the 2008 Institute of Medicine resident duty hours recommendations.

August 11, 2010

Huddles and debriefings: improving communication on labor and delivery.

April 19, 2017

Complexity and challenges of the clinical diagnosis and management of Long COVID.

November 30, 2022

Using social and behavioural science to support COVID-19 pandemic response.

June 3, 2020

Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning System (NRLS) data from 2006-2008.

August 31, 2011

Declaring uncertainty: using quality improvement methods to change the conversation of diagnosis.

March 17, 2021

A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a Delphi consensus.

March 26, 2014

Association between state medical malpractice environment and postoperative outcomes in the United States.

June 21, 2017

Value of improving patient safety: health economic considerations for rapid response systems-a rapid review of the literature and expert round table.

May 3, 2023

Analysis of consistency in emergency department physician variation in propensity for admission across patient sociodemographic groups.

October 13, 2021

The relationship between hospital systems load and patient harm.

September 10, 2014

Learning from lawsuits: using malpractice claims data to develop care transitions planning tools.

August 31, 2016

Does applying technology throughout the medication use process improve patient safety with antineoplastics?

February 5, 2014

Flow disruptions in trauma care handoffs.

May 22, 2013

Retained surgical items: a problem yet to be solved.

October 31, 2012

Analysis of variations in the display of drug names in computerized prescriber-order-entry systems.

May 24, 2017

Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative.

May 18, 2022

Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths at an academic medical center.

June 21, 2023

Amid the COVID-19 pandemic, meaningful communication between family caregivers and residents of long-term care facilities is imperative.

June 24, 2020

Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network.

December 6, 2006

Using smart IV infusion pumps outside of patient rooms.

February 2, 2022

How do hospital inpatients conceptualise patient safety? A qualitative interview study using constructivist grounded theory.

October 19, 2022

Changes in prevalence of health care-associated infections in U.S. hospitals.

November 14, 2018

Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during clinical rotations.

November 30, 2016

Liquid medication errors and dosing tools: a randomized controlled experiment.

October 5, 2016

Pictograms, units and dosing tools, and parent medication errors: a randomized study.

July 19, 2017

Liquid medication dosing errors by Hispanic parents: role of health literacy and English proficiency.

May 31, 2017

Wristbands as aids to reduce misidentification: an ethnographically guided task analysis.

September 28, 2011

Aligning patient safety and stewardship: a harm reduction strategy for children.

December 22, 2021

The impact of nursing skill-mix on adverse events in intensive care: a single centre cohort study.

May 31, 2023

A systematic review of patient-report safety climate measures in health care.

May 27, 2020

Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty.

January 16, 2019

Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service.

June 13, 2018

Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review.

October 17, 2018

Attitudes and barriers to incident reporting: a collaborative hospital study.

February 22, 2006

Pediatric ADHD medication exposures reported to US poison control centers.

June 6, 2018

February 14, 2018

Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016

March 3, 2017

Virtual urgent care quality and safety in the time of Coronavirus.

January 20, 2021

A proposed approach to allegations of sexual boundary violation in health care.

December 13, 2023

Out-of-hospital medication errors among young children in the United States, 2002–2012.

October 29, 2014

Disclosure and reporting of surgical complications: a double-edged sword?

August 18, 2010

Pediatric ADHD medication errors reported to United States poison centers, 2000 to 2021.

September 27, 2023

Work system design for patient safety: the SEIPS model.

October 12, 2011

Antidepressant and antipsychotic medication errors reported to United States poison control centers.

November 28, 2018

Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review.

May 23, 2018

Prescription opioid exposures among children and adolescents in the United States: 2000–2015.

June 14, 2017

Non–health care facility cardiovascular medication errors in the United States.

November 1, 2017

Non–health care facility medication errors resulting in serious medical outcomes.

July 26, 2017

Internally-developed online adverse drug reaction and medication error reporting systems.

June 7, 2006

Use of a safety climate questionnaire in UK health care: factor structure, reliability and usability.

November 22, 2006

Patient safety in the cardiac operating room: human factors and teamwork: a scientific statement from the American Heart Association.

August 21, 2013

Families as partners in hospital error and adverse event surveillance.

March 8, 2017

Catastrophic medical malpractice payouts in the United States.

September 10, 2014

Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility.

July 21, 2021

Children and the opioid epidemic: age-stratified exposures and harms.

October 21, 2020

A multicenter trial of aviation-style training for surgical teams.

September 15, 2010

Related Resources

Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center.

April 24, 2024

Journal Article

Study

Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program.

April 10, 2024

Exploring the causes of COPD misdiagnosis in primary care: a mixed methods study.

April 10, 2024

Patients' and doctors' views and experiences of the patient safety trajectory of breast cancer care.

March 27, 2024

All in Her Head. The Truth and Lies Early Medicine Taught Us About Women's Bodies and Why It Matters Today.

March 20, 2024

Legacy: a Black Physician Reckons with Racism in Medicine.

March 6, 2024

The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: scale development and psychometric evaluation.

February 7, 2024

Systematic workup of transfusion reactions reveals passive co-reporting of handling errors.

November 8, 2023

Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error.

September 27, 2023

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

Burden of serious harms from diagnostic error in the USA.

July 28, 2023

Breast cancer missed at screening; hindsight or mistakes?

July 26, 2023

What causes delays in diagnosing blood cancers? A rapid review of the evidence.

July 5, 2023

Developing electronic clinical quality measures to assess the cancer diagnostic process.

June 21, 2023

Stigmatizing language expressed towards individuals with current or previous OUD who have pain and cancer: a qualitative study.

June 14, 2023

"We're not taken seriously": describing the experiences of perceived discrimination in medical settings for Black women.

March 22, 2023

Using A.I. to detect breast cancer that doctors miss.

March 15, 2023

Modes of failure in venous thromboembolism prophylaxis.

September 28, 2022

Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events.

September 28, 2022

The fallacy of a single diagnosis.

September 21, 2022

Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication errors: a before-and-after study.

August 10, 2022

Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features of possible cancer: a retrospective cohort study using linked primary care records.

August 10, 2022

Multilevel factors associated with time to biopsy after abnormal screening mammography results by race and ethnicity.

July 6, 2022

Machine learning models outperform manual result review for the identification of wrong blood in tube errors in complete blood count results.

June 29, 2022

Engaging with ethnic minority consumers to improve safety in cancer services: a national stakeholder analysis.

May 25, 2022

Comparison of a focused family cancer history questionnaire to family history documentation in the electronic medical record.

March 16, 2022

Evaluating incident learning systems and safety culture in two radiation oncology departments.

February 16, 2022

Use of artificial intelligence for image analysis in breast cancer screening programmes: systematic review of test accuracy.

November 17, 2021

Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims.

November 10, 2021

Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review.

May 12, 2021

See More About The Topic

Ambulatory Care

Hematology

Medical Oncology

Clinical Misdiagnosis

Psychological and Social Complications

Oncologist perceptions of racial disparity, racial anxiety, and unconscious bias in clinical interactions, treatment, and outcomes.

Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Oncologist perceptions of racial disparity, racial anxiety, and unconscious bias in clinical interactions, treatment, and outcomes.

Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site