Racial bias among emergency providers: strategies to mitigate its adverse effects.

Camille Brockett-Walker; Michelle Lall; Dian Dowling Evans; Sheryl Heron

Commentary

Racial bias among emergency providers: strategies to mitigate its adverse effects.

May 26, 2021

Brockett-Walker C, Lall M, Evans DD, et al. Adv Emerg Nurs J. 2021;43(2):89-101.

View more articles from the same authors.

This review critiques a 2016 article (link below) which found unconscious, implicit bias can negatively impact patient care when emergency department providers are under increased cognitive stress. The authors propose strategies for educators and institutions to combat implicit bias including self-awareness, stress reduction, and respectful communication.

PubMed citation

Free full text

Related study

Related Resources From the Same Author(s)

Education initiatives in cognitive debiasing to improve diagnostic accuracy in student providers: a scoping review.

November 11, 2020

Effective strategies to increase reporting of medication errors in hospitals.

January 25, 2006

The relationship between resident physician burnout and its’ effects on patient care, professionalism, and academic achievement: a review of the literature.

October 5, 2022

Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children.

June 30, 2021

Implicit bias in healthcare: clinical practice, research and decision making.

April 21, 2021

Factors influencing medication errors in the prehospital paramedic environment: a mixed method systematic review.

July 27, 2022

Examining causes and prevention strategies of adverse events in deceased hospital patients: a retrospective patient record review study in the Netherlands.

June 16, 2021

Mitigating the July effect.

July 7, 2021

Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration.

November 17, 2021

Debrief it all: a tool for inclusion of Safety-II.

April 14, 2021

Implicit racial bias in pediatric orthopaedic surgery.

June 15, 2022

State of science: evolving perspectives on ‘human error’.

March 16, 2022

Understanding the second victim experience among multidisciplinary providers in obstetrics and gynecology.

May 19, 2021

Enhancing high alert medication knowledge among pharmacy, nursing, and medical staff.

June 2, 2021

Mitigating racial bias in machine learning.

June 22, 2022

May 5, 2021

Estimating the economic cost of nurse sensitive adverse events amongst patients in medical and surgical settings.

June 16, 2021

Postdischarge adverse events among neonates admitted to the neonatal intensive care unit.

September 7, 2022

Implicit racial/ethnic bias among health care professionals and its influence on health care outcomes: a systematic review.

October 16, 2015

Implicit racial bias, health care provider attitudes, and perceptions of health care quality among African American college students in Georgia, USA.

January 18, 2023

Towards conceptualizing patients as partners in health systems: a systematic review and descriptive synthesis.

March 8, 2023

The effects of leadership curricula with and without implicit bias training on graduate medical education: a multicenter randomized trial.

May 18, 2022

Burnout, engagement, and dental errors among U.S. dentists.

December 22, 2021

"Saying sorry": some strategies for effective apology within the workplace.

January 23, 2019

Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare improvement.

April 28, 2021

Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit.

December 8, 2021

Safety of elderly fallers: identifying associated risk factors for 30-day unplanned readmissions using a clinical data warehouse.

April 20, 2022

Burnout and its relationship to self-reported quality of patient care and adverse events during COVID-19: a cross-sectional online survey among nurses.

June 9, 2021

Detach yourself: the positive effect of psychological detachment on patient safety in long-term care.

September 29, 2021

Improving safety recommendations before implementation: a simulation-based event analysis to optimize interventions designed to prevent recurrence of adverse events.

July 7, 2021

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

March 3, 2017

Perceptions of nurses who are second victims in a hospital setting.

December 22, 2021

Provider bias in prescribing opioid analgesics: a study of electronic medical records at a hospital emergency department.

September 8, 2021

Understanding and confronting our mistakes: the epidemiology of error in radiology and strategies for error reduction.

November 11, 2015

The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients.

March 10, 2021

Coping strategies in health care providers as second victims: a systematic review.

August 4, 2021

Preventable morbidity and mortality among non-trauma emergency surgery patients: the role of personal performance and system flaws in adverse events.

May 12, 2021

Understanding the "Swiss cheese model" and its application to patient safety.

July 21, 2021

Multispecialty physician online survey reveals that burnout related to adverse event involvement may be mitigated by peer support.

May 18, 2022

Frontiers in measuring structural racism and its health effects.

September 21, 2022

Influence of socioeconomic bias on emergency medicine resident decision making and patient care.

August 19, 2020

SECUre: a multicentre survey of the safety of emergency care in UK emergency departments.

November 24, 2021

Rates of adverse events in hospitalized patients after summer-time resident changeover in the United States: is there a July effect?

August 25, 2021

Health disparities: impact of health disparities and treatment decision-making biases on cancer adverse effects among black cancer survivors.

November 10, 2021

Adverse events among emergency department patients with cardiovascular conditions: a multicenter study.

March 10, 2021

Development of a multicomponent intervention to decrease racial bias among healthcare staff.

July 27, 2022

Benefits of reporting and analyzing nursing students' near-miss medication incidents.

March 9, 2022

The patients' perspective: hematological cancer patients' experiences of adverse events as part of care.

August 18, 2021

Pediatric transport safety collaborative: adverse events with parental presence during pediatric critical care transport.

November 10, 2021

Examining the effect of quality improvement initiatives on decreasing racial disparities in maternal morbidity.

May 4, 2022

New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation.

November 24, 2021

Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis.

July 7, 2021

Hospital nurse staffing and patient mortality, emotional exhaustion, and job dissatisfaction.

October 26, 2005

Nurse work environment and its impact on reasons for missed care, safety climate, and job satisfaction: a cross-sectional study.

April 21, 2021

Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events.

September 29, 2021

Modifications to medical emergency team activation criteria and implications for patient safety: a point prevalence study.

March 24, 2021

Staffing, teamwork and scope of practice: analysis of the association with patient safety in the context of rehabilitation.

December 15, 2021

The perception of patient safety in an alternate site of care for elective surgery during the first wave of the novel coronavirus pandemic in the United Kingdom: a survey of 158 patients.

March 24, 2021

Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation.

December 15, 2021

Systematic review of the impact of physician implicit racial bias on clinical decision making.

May 5, 2017

"Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerations.

February 1, 2023

A safe practice standard for barcode technology.

June 3, 2015

Effect of burnout among physicians on observed adverse patient outcomes: a literature review.

June 16, 2021

Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department.

August 10, 2022

Optimizing situation awareness to reduce emergency transfers in hospitalized children.

October 20, 2021

Root causes of adverse drug events in hospitals and artificial intelligence capabilities for prevention.

May 5, 2021

The effect of implementing bar-code medication administration in an emergency department on medication administration errors and nursing satisfaction.

October 21, 2020

Using participatory design to engage physicians in the development of a provider-level performance dashboard and feedback system.

February 2, 2022

Painting a picture of nurse presenteeism: a multi-country integrative review.

July 22, 2020

Pediatric musculoskeletal radiographs: anatomy and fractures prone to diagnostic error among emergency physicians.

August 3, 2022

Impact of pharmacist interventions provided in the emergency department on quality use of medicines: a systematic review and meta-analysis.

March 8, 2023

Recognizing our biases, understanding the evidence, and responding equitably: application of the socioecological model to reduce racial disparities in the NICU.

March 8, 2023

A review of adverse event reports from emergency departments in the Veterans Health Administration.

March 18, 2020

MEDMARX 5th Anniversary Data Report: A Chartbook of 2003 Findings and Trends 1999-2003.

March 27, 2005

What do we really know about crew resource management in healthcare?: An umbrella review on crew resource management and its effectiveness.

March 2, 2022

Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019.

April 27, 2022

Incidence of prescription errors in patients discharged from the emergency department.

September 22, 2021

Root cause analysis using the prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic literature review.

June 8, 2022

Allergic adverse drug events after alert overrides in hospitalized patients.

September 21, 2022

Adverse events related to accidental unintentional ingestions from cough and cold medications in children.

August 26, 2020

Analysis of risk factors for patient safety events occurring in the emergency department.

October 7, 2020

Disaster ergonomics: human factors in COVID-19 pandemic emergency management.

August 19, 2020

Medication reconciliation in the geriatric unit: impact on the maintenance of post-hospitalization prescriptions.

October 13, 2021

Adverse events and burnout: the moderating effects of workgroup identification and safety climate.

July 1, 2020

Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality.

February 16, 2022

Healthcare failure mode and effect analysis in the chemotherapy preparation process.

November 17, 2021

January 25, 2023

Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence.

June 2, 2021

Improving infusion pump safety through usability testing.

May 31, 2017

Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events. Final Report.

May 25, 2016

Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019.

January 4, 2021

Institutional COVID-19 protocols: focused on preparation, safety, and care consolidation.

September 30, 2020

Preferences and perceptions of medical error disclosure among marginalized populations: a narrative review.

August 10, 2022

Emergency physician perceptions of electronic health record usability and safety.

May 12, 2021

Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists.

October 13, 2021

Health care providers’ negative implicit attitudes and stereotypes of American Indians.

March 31, 2021

How to mitigate the effects of cognitive biases during patient safety incident investigations.

September 28, 2022

A leadership challenge: staff nurse perceptions after an organizational TeamSTEPPS initiative.

October 17, 2012

National Partnership for Maternal Safety: consensus bundle on support after a severe maternal event.

January 27, 2021

Better nurse staffing is associated with survival for Black patients and diminishes racial disparities in survival after in-hospital cardiac arrests.

December 9, 2020

Related Resources

WebM&M Cases

Walking Out of a Hospital After Attempted Suicide

September 27, 2023

WebM&M Cases

Delayed Evaluation of Abdominal Pain in an Elderly Patient.

September 27, 2023

"You just want to feel safe when you go to a healthcare professional:" intimate partner violence and patient safety.

August 2, 2023

In situ simulation as a quality improvement tool to identify and mitigate latent safety threats for emergency department SARS-CoV-2 airway management: a multi-institutional initiative.

June 28, 2023

The influence of personality on psychological safety, the presence of stress and chosen professional roles in the healthcare environment.

June 21, 2023

Patient safety in emergency departments: a problem for health care systems? An international survey.

June 21, 2023

WebM&M Cases

The One That Got Away—Elopement of a Suicidal Patient in the Emergency Department.

June 14, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law.

May 31, 2023

I like what you are saying, but only if I feel safe: psychological safety moderates the relationship between voice and perceived contribution to healthcare team effectiveness.

May 24, 2023

Qualitative perspectives of emergency nurses on electronic health record behavioral flags to promote workplace safety.

May 17, 2023

Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023.

May 10, 2023

WebM&M Cases

The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department.

April 26, 2023

Person-first treatment strategies: weight bias and impact on mental health of people living with obesity.

April 19, 2023

Crisis in the Lakeshore Hospital ER.

March 8, 2023

Diagnostic delays among COVID-19 patients with a second concurrent diagnosis.

February 22, 2023

Misdiagnosis in the emergency department: time for a system solution.

February 8, 2023

"Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerations.

February 1, 2023

Patient and hospital characteristics associated with delayed diagnosis of appendicitis.

February 1, 2023

January 25, 2023

ER doctors misdiagnose patients with unusual symptoms.

January 18, 2023

Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings.

December 7, 2022

Patient Safety Innovations

Journal Article

Study

Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings.

November 16, 2022

Optimizing Pediatric Patient Safety in the Emergency Care Setting.

October 19, 2022

Barcode medication administration software technology use in the emergency department and medication error rates.

August 31, 2022

Inequity and Iatrogenic Harm.

August 31, 2022

Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department.

August 17, 2022

Tackling implicit bias in health care.

August 17, 2022

Assessing quality of older persons' emergency transitions between long-term and acute care settings: a proof-of-concept study.

May 18, 2022

Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019.

April 27, 2022

See More About The Topic

Emergency Departments

Health Care Executives and Administrators

Emergency Medicine

Public Health

Emergency Nursing

Racial bias among emergency providers: strategies to mitigate its adverse effects.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Racial bias among emergency providers: strategies to mitigate its adverse effects.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings.

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