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Combating Disparities in Clinical Encounters (Part II): Protecting Patients from Social Identity Threat & Racial Trauma

A prerequisite for universally high quality, equitable care is understanding and addressing how societal/structural inequities affect quality and patient safety in clinical encounters. Yet the ways in which these inequities can permeate and undermine patient care are not always apparent to health care staff and providers.

In Part I of this series, The Impact of Bias on Quality and Patient Safety, participants learned about the contribution of staff/providers’ implicit biases to inequities in quality of care, along with specific evidence-based strategies for preventing biases. 

This webinar will further equip participants with knowledge and strategies for preventing another set of potentially invisible yet significant barriers to quality and safety of care. Specifically, participants will learn about the nature and impact of social identity threat and racial trauma, and become equipped with evidence-based strategies for preventing them Understanding and preventing the deleterious impact of these often overlooked but powerful manifestations of structural inequities is a necessary component of an effective, comprehensive approach to eliminating inequities in health care.

The Impact of Bias on Quality and Patient Safety

Patient Safety Awareness Week 2020

Despite decades of evidence and thousands of studies demonstrating racial and ethnic inequalities in health care quality and safety, there has been limited progress towards correcting this problem. The lack of progress is especially disturbing in light of the fact that clinicians, providers and health care organizations deeply and sincerely want to provide high quality and safe care to all their patients. This talk focuses on the overlooked factors that are at the root of our lack of progress. Many of our approaches fail to take into account the way we, as humans, actually think about and respond to each other and our world.

Fortunately, there is a large body of scientific evidence regarding the complex interplay of human motives and information processing – and the way they are influenced by social and organizational factors – that can be used to inform interventions and accelerate progress. This presentation will increase participant understanding of the evidence regarding factors that support vs. undermine the ability of health care professionals and organizations to provide unbiased and equally high-quality and safe care to all their patients.

Addressing Racial Inequity in Healthcare Outcomes with a Focus on Cherished Futures for Black Moms and Babies

Patient Safety Awareness Week 2022

Addressing racial inequity in healthcare requires focused attention and concerted action. A new initiative in Los Angeles County (now in its third year) is doing just that. Cherished Futures for Black Moms and Babies helps participating hospitals evaluate their data, collaborate with community partners, and implement institutional changes to improve care for Black women, birthing people, and families.

Transgender Healthcare: Safety Considerations for Both Patient and Institution

Patient Safety Awareness Week 2022

In this presentation we will discuss who transgender patients are, and review relevant epidemiologic information about this diverse patient population. We will then discuss the treatments and care plans that many patients undergo in the course of care. This discussion will include a brief overview of surgeries, and what these surgeries require from both patients and the institutions who provide care. We will then reflect on how transcare actually contributes to – and improves, care quality for all (i.e. cis-gender) adult and pediatric patients at an institution. Lastly, we will spend time focusing on how culturally sensitive care is, in fact, a safety issue for trans patients that come to our institutions, and, how not delivering culturally competent care should be a concern for institutions.

HQIP Resources

Getting Started / Summary HQIP User Instructions – last updated June 2022 HQIP Comparison Group Matrix – last updated May 2024 HQIP Measure Data Dictionary – need to update Encounter Data SIERA Data Historical Data HQIP Report Methodology and Codesets Adverse Drug Events – last updated June 2021 AHRQ’s Quality Indicators – last updated August […]