RTN1605_B3_Quick Safety: Implicit Bias

Posted May 19th, 2016 | Comments (0)

PR: New Quick Safety Focuses on Implicit Bias (PDF) [REF: HR, LD, StEd] Perspectives May 2016, Vol 36, #4, Pg 4 JCp1605_B3

“On the eve of the 15th anniversary of two seminal reports from the Institute of Medicine (IOM) – Crossing the Quality Chasm and Unequal Treatment  – we find that racial and socioeconomic inequity persists in health care.” The April Issue of Quick Safety reviews the issue of implicit bias also known as hidden bias, unconscious or subconscious bias. It is a bias that may be involuntarily activated and outside of our awareness or intentional control. The article reports research that shows such bias is pervasive in health care and that it effects the quality of patient care and safety. Examples of the problem are given and recommended resources and actions are provided to help combat bias. For example, skills recommended for lowering racial bias included Perspective-taking, Emotional regulation and Partnership-building (see comments for more details).  Specific actions for health care providers included:

• Having a basic understanding of the cultures from which your patients come.
• Avoiding stereotyping your patients; individuate them.
• Understanding and respecting the magnitude of unconscious bias.
• Recognizing situations that magnify stereotyping and bias.
• Knowing the National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care (the National CLAS Standards).
•Performing “teach back (e.g., the National Patient Safety Foundation’s “Ask Me 3” educational program).
• Assiduously practicing “evidenced-based medicine.”
•Using techniques to de-bias patient care, which include training, intergroup contact, perspective-taking, emotional expression, and counter-stereotypical exemplars.

Tip1: Read Quick Safety 23: Implicity bias in health care for more details on skills needed to overcome bias and organization level actions.  and at least consider implementing the monitoring and awareness increasing strategies it suggests.
Tip2: If you have more specific concerns about bias in your organization, consider further assessing it with the Implicit Association Test (IAT) a tool created under Project Implicit.
See also: Comment section of this review for more details/resources.

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RTN1604_B1_2015 Top Standards Compliance Issues

Posted April 22nd, 2016 | Comments (0)
Recommended Readings, Tips & Pearls
PR: Top Standards Compliance Data Announced for 2015 (PDF)[REF:EOC, RN, SFT] Perspectives, September 2016, Vol 36, #4, Pg 1 JCp1604_B1

     The most frequently cited standards for all of 2015 have not changed much from the listing for the first half of that year.  It is valuable for survey preparation to be familiar with this list since what is most frequently cited is also likely to reflect what surveyors most frequently look for. However, be aware that the most frequent findings for the psychiatric hospital members of our collaborative reveal a different listing that may warrant even greater attention. Here is the comparison:

#    SPHCC                 TJC            In Top 10
01    LS.02.01.30    EC.02.06.01    x 4/5 yrs
02    EC.02.06.01    IC.02.01.01    x 5/5 yrs
03    EC.02.03.05    EC.02.05.01    x 3/5 yrs
04    LS.02.01.35    LS.02.01.20    x 5/5 yrs
05    HR.01.06.01    LS.02.01.30    x 5/5 yrs
06    LS.02.01.20    RC.01.01.01    x 5/5 yrs
07    IC.02.01.01     LS.02.01.35    x 5/5 yrs
08    EC.02.05.01    LS.02.01.10    x 5/5 yrs
09    RC.01.01.01    PC.02.01.03    x 1/5 yr
10    HR.01.02.05    EC.02.02.01    x 2/5 yrs
11    IC.02.02.01

     Note that he top 4 standards cited in hospitals retained their order and ranking from the first half of last year. 4 additional standards, LS.02.01.30, RC.01.01.01, LS.02.01.35 and LS.02.01.10) continue in the top 10 with slightly different rankings. EC.02.02.01 remains as #10 but EC.02.03.05 dropped from the listing and was replaced by PC.02.01.03 in 9th position.
      For those organizations with BHC components, the top 5 standards continue (in order) to be CTS.03.01.03, HRM.01.02.01, NPSG.15.01.01, IC.02.04.01 and HRM.01.06.01. There were some minor shifts in rank among the lower 5 resulting in the following order: CTS.02.01.11, CTS.02.01.09, EC.02.03.05, EC.02.06.01 and CTS.02.01.05.
Tip1: BHC should note that 3 of the 10 top citations involve the screening process.
Tip2: Hospitals should pay  particular attention to PC.02.01.03 as it enters the Top 10 for the first time in the last 5 years and was cited in 40% of hospitals.

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