Perspectives about racism and patient-clinician communication among black adults with serious illness.

Crystal E Brown; Arisa R Marshall; Cyndy R Snyder; Kristine L Cueva; Christina C Pytel; Sandra Y Jackson; Sherita H Golden; Georgina D Campelia; David J Horne; Kemi M Doll; J. Randall Curtis; Bessie A Young

Study

Perspectives about racism and patient-clinician communication among black adults with serious illness.

July 26, 2023

Brown CE, Marshall AR, Snyder CR, et al. JAMA Netw Open. 2023;6(7):e2321746.

View more articles from the same authors.

Minoritized patients face systemic biases that may delay access to safe and appropriate care. In this study, 25 hospitalized Black patients with serious illness described their experiences with racism within the health system, their communication with providers, and medical decision-making within a racialized health system. Study participants reported mistrusting the health system, being silenced by providers about their own knowledge and experiences, and feeling isolated as a result.

PubMed citation

Free full text

Related Resources From the Same Author(s)

Physician perspectives on responding to clinician-perpetuated interpersonal racism against Black patients with serious illness.

September 13, 2023

Physician perspectives on addressing anti-Black racism.

February 14, 2024

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

Optimizing Pediatric Patient Safety in the Emergency Care Setting.

October 19, 2022

Physician and nurse well-being and preferred interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient safety.

July 19, 2023

Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions.

August 4, 2021

Surgical safety does not happen by accident: learning from perioperative near miss case studies.

January 24, 2024

Clinical communities at Johns Hopkins Medicine: an emerging approach to quality improvement.

September 2, 2015

Preventing home medication administration errors.

March 14, 2022

A Department of Medicine infrastructure for patient safety and clinical quality improvement.

December 20, 2017

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

March 3, 2017

Decreasing handoff-related care failures in children's hospitals.

August 13, 2014

Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study.

November 16, 2022

Safety of overlapping surgery at a high-volume referral center.

January 18, 2017

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

June 3, 2020

Trends and patterns in reporting of patient safety situations in transplantation.

February 10, 2016

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

Racial and ethnic discrepancy in pulse oximetry and delayed identification of treatment eligibility among patients with COVID-19.

June 22, 2022

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

November 25, 2015

Families as partners in hospital error and adverse event surveillance.

March 8, 2017

Effect of genetic diagnosis on patients with previously undiagnosed disease.

November 7, 2018

Prevalence of adverse events in the hospitals of five Latin American countries: results of the 'Iberoamerican Study of Adverse Events' (IBEAS).

August 10, 2011

Development of an emergency department trigger tool using a systematic search and modified Delphi process.

July 13, 2016

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

August 21, 2013

National cluster-randomized trial of duty-hour flexibility in surgical training.

February 10, 2016

The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose.

February 14, 2018

Antibiotic prescribing practice in residential aged care facilities—health care providers' perspectives.

August 20, 2014

A randomized trial of a multifactorial strategy to prevent serious fall injuries.

July 29, 2020

Association between unmet nonmedication needs after hospital discharge and readmission or death among acute respiratory failure survivors: a multicenter prospective cohort study.

February 15, 2023

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

June 21, 2017

Implementation of bar-code medication administration to reduce patient harm.

February 20, 2019

Disrupting diagnostic reasoning: do interruptions, instructions, and experience affect the diagnostic accuracy and response time of residents and emergency physicians?

February 18, 2015

A multicenter collaborative approach to reducing pediatric codes outside the ICU.

March 7, 2012

A checklist to address implicit bias in healthcare settings during the COVID-19 pandemic: The PLACE Strategy.

June 8, 2022

The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question.

June 28, 2023

Crew resource management improved perception of patient safety in the operating room.

January 6, 2010

Ethical considerations and patient safety concerns for cancelling non-urgent surgeries during the COVID-19 pandemic: a review.

May 12, 2021

Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital mortality: a cohort study.

January 30, 2005

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

December 6, 2006

International evaluation of an AI system for breast cancer screening.

January 29, 2020

A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life.

February 2, 2011

Eliminating central line-associated bloodstream infections: a national patient safety imperative.

January 15, 2014

Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study.

December 19, 2018

Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review.

January 12, 2022

Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current systems.

January 28, 2015

Development and measurement of perioperative patient safety indicators.

March 18, 2015

Incidence and types of adverse events and negligent care in Utah and Colorado.

March 27, 2005

Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties.

August 12, 2015

Changes in medical errors after implementation of a handoff program.

November 12, 2014

The 2017 ACGME common work hour standards: promoting physician learning and professional development in a safe, humane environment.

January 31, 2018

Transforming the medication regimen review process using telemedicine to prevent adverse events.

December 16, 2020

Eradicating central line–associated bloodstream infections statewide: the Hawaii experience.

November 16, 2011

Do professionalism lapses in medical school predict problems in residency and clinical practice?

June 17, 2020

Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections.

August 25, 2010

A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic.

January 18, 2023

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

July 6, 2022

HIM functions in healthcare quality and patient safety.

August 10, 2011

Partnered pharmacist charting on admission in the general medical and emergency short-stay unit—a cluster-randomised controlled trial in patients with complex medication regimens.

August 17, 2016

Developing indicators of inpatient adverse drug events through nonlinear analysis using administrative data.

October 24, 2007

Incidence and trends of sepsis in US hospitals using clinical vs claims data, 2009--2014.

September 27, 2017

National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform.

July 8, 2015

Supporting doctors as healthcare quality and safety advocates: recommendations from the Association of Surgeons in Training (ASiT).

July 25, 2018

Prevalence of inappropriate antibiotic prescriptions among US ambulatory care visits, 2010–2011.

May 25, 2016

Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors.

July 11, 2012

Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19.

April 12, 2023

Racial differences in antibiotic prescribing by primary care pediatricians.

March 20, 2013

Disclosing harmful mammography errors to patients.

December 16, 2009

Readiness of US general surgery residents for independent practice.

October 4, 2017

Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017.

May 10, 2017

Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events in surgical patients.

April 22, 2009

Failure to debrief after critical events in anesthesia is associated with failures in communication during the event.

March 20, 2019

Association between hospital safety culture and surgical outcomes in a statewide surgical quality improvement collaborative.

May 15, 2019

Helping patients simplify and safely use complex prescription regimens.

March 16, 2011

The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues.

November 12, 2014

5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data.

September 24, 2014

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

June 14, 2023

Contamination of health care personnel during removal of personal protective equipment.

October 28, 2015

Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general surgery interns.

January 30, 2013

Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients.

August 20, 2008

Discrepant perceptions of communication, teamwork and situation awareness among surgical team members.

March 23, 2011

Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug events and health care expenditures.

June 8, 2022

Errors during the preparation of drug infusions: a randomized controlled trial.

August 22, 2012

We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptations.

March 17, 2021

Natural history of retained surgical items supports the need for team training, early recognition, and prompt retrieval.

September 24, 2014

Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture.

June 10, 2015

ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery.

October 28, 2009

Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study.

July 13, 2016

Education outcomes from a duty-hour flexibility trial in internal medicine.

March 28, 2018

Patient safety indicators during the initial COVID-19 pandemic surge in the United States.

March 27, 2024

ASHP guidelines: minimum standard for ambulatory care pharmacy practice.

July 22, 2015

The impact of the medical emergency team on the resuscitation practice of critical care nurses.

February 23, 2011

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

August 1, 2018

Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention.

February 9, 2011

The etiology of diagnostic errors: a controlled trial of System 1 versus System 2 reasoning.

January 29, 2014

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

March 17, 2021

Drug-induced hypoglycaemia--new insight into an old problem.

October 25, 2006

Assessment of incorrect surgical procedures within and outside the operating room. A follow-up study from US Veterans Health Administration medical centers.

December 5, 2018

Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study.

March 10, 2010

Accuracy of practitioner estimates of probability of diagnosis before and after testing.

May 5, 2021

A look into the nature and causes of human errors in the intensive care unit.

March 27, 2005

Related Resources

Associations between organizational communication and patients' experience of prolonged emotional impact following medical errors.

April 17, 2024

Responding to medical errors — implementing the modern ethical paradigm.

January 31, 2024

Rapid expansion of the Healing Emotional Lives of Peers program during COVID-19: a second victim peer support program for healthcare professionals.

January 31, 2024

Reconceptualizing patient safety beyond harm: insights from a mixed-methods qualitative inquiry.

January 24, 2024

Key factors for effective implementation of healthcare workers support interventions after patient safety incidents in health organisations: a scoping review.

January 10, 2024

Validation and use of the Second Victim Experience and Support Tool questionnaire: a scoping review.

December 20, 2023

Drivers of unprofessional behaviour between staff in acute care hospitals: a realist review.

December 20, 2023

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

December 13, 2023

When mistakes multiply: how inadequate responses to medical mishaps erode trust in American medicine.

December 6, 2023

Unequal Treatment Revisited: A Workshop Series.

September 26, 2023 - September 27, 2023

Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis.

November 15, 2023

Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders.

November 1, 2023

Interview

In Conversation with... Cheryl Jones about Addressing Workplace Violence and Creating a Safer Workplace

October 31, 2023

Perspectives on Safety

Addressing Workplace Violence and Creating a Safer Workplace

October 31, 2023

WebM&M Cases

“Copy and Paste” Notes and Autopopulated Text in the Electronic Health Records

October 31, 2023

Improving patient safety by shifting power from health professionals to patients.

October 25, 2023

How different countries respond to adverse events whilst patients' rights are protected.

September 27, 2023

Improving Patient Safety Culture – A Practical Guide.

August 2, 2023

Patient, carer and family experiences of seeking redress and reconciliation following a life-changing event: systematic review of qualitative evidence.

August 2, 2023

Lessons for Work-Life Wellness in Academic Medicine: Parts 1-3.

July 26, 2023

Mitigating bias in AI at the point of care.

July 26, 2023

Sociotechnical work system approach to occupational fatigue.

July 26, 2023

Physician and nurse well-being and preferred interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient safety.

July 19, 2023

Health literacy and systemic racism—using clear communication to reduce health care inequities.

July 12, 2023

Disclosing medical errors: prioritising the needs of patients and families.

July 5, 2023

Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms.

June 21, 2023

'Speaking Up' for patient safety and staff well-being: a qualitative study.

June 7, 2023

Managing near-miss reporting in hospitals: the dynamics between staff members’ willingness to report and management’s handling of near-miss events.

June 7, 2023

Measuring team hierarchy during high-stakes clinical decision making: development and validation of a new behavioral observation method.

April 12, 2023

CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse event.

April 5, 2023

See More About The Topic

Hospitals

Medicine

Nurse Care

Psychological and Social Complications

Perspectives about racism and patient-clinician communication among black adults with serious illness.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Perspectives about racism and patient-clinician communication among black adults with serious illness.

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