Patient perspectives of the climate of diversity, equity, and inclusion in the emergency department
dc.contributor.author | Davuluri, Kavya | |
dc.contributor.author | Goyal, Nikhil | |
dc.contributor.author | Gomez Acevedo, Harold | |
dc.contributor.author | Folt, Jason | |
dc.contributor.author | Jayaprakash, Namita | |
dc.contributor.author | Slezak, Michelle | |
dc.contributor.author | Caldwell, Martina T. | |
dc.date.accessioned | 2022-10-05T15:54:14Z | |
dc.date.available | 2023-11-05 11:54:12 | en |
dc.date.available | 2022-10-05T15:54:14Z | |
dc.date.issued | 2022-10 | |
dc.identifier.citation | Davuluri, Kavya; Goyal, Nikhil; Gomez Acevedo, Harold; Folt, Jason; Jayaprakash, Namita; Slezak, Michelle; Caldwell, Martina T. (2022). "Patient perspectives of the climate of diversity, equity, and inclusion in the emergency department." Journal of the American College of Emergency Physicians Open 3(5): n/a-n/a. | |
dc.identifier.issn | 2688-1152 | |
dc.identifier.issn | 2688-1152 | |
dc.identifier.uri | https://hdl.handle.net/2027.42/174976 | |
dc.description.abstract | ObjectiveAssessing the diversity, equity, and inclusion (DEI) climate of emergency departments (EDs) can inform organizational change to provide equitable, inclusive, and high-quality care to their diverse patient populations. The purpose of this project was to investigate patient perspectives on the climate of DEI in an urban ED.MethodsThis was a cross-sectional survey study conducted in a large-volume, urban ED in Detroit, MI, from November 2018 to January 2019. The survey was developed by an experienced ED DEI committee via an iterative process and broad consensus.ResultsDuring their care in the ED, 849 patients completed an anonymous survey about their perspectives and experiences of DEI in that ED. Overall, the responses were favorable as most respondents reported that the ED staff treated patients from all races equally (75.8%) and made patients feel accepted (86%). However, some respondents felt that the ED staff’s treatment of populations with greater complexity, such as patients who are mentally ill (16.8%) or lower income (14.3%), needs the most improvement.ConclusionsThis DEI climate assessment survey of ED patients’ perspectives revealed important insights that could guide strategic initiatives to advance DEI in the ED. This assessment may serve as a model for continuous evaluation of DEI over time and in multiple healthcare settings to help guide organizational change efforts. | |
dc.publisher | National Academies Press | |
dc.publisher | Wiley Periodicals, Inc. | |
dc.title | Patient perspectives of the climate of diversity, equity, and inclusion in the emergency department | |
dc.type | Article | |
dc.rights.robots | IndexNoFollow | |
dc.subject.hlbsecondlevel | Emergency Medicine | |
dc.subject.hlbtoplevel | Health Sciences | |
dc.description.peerreviewed | Peer Reviewed | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/174976/1/emp212798_am.pdf | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/174976/2/emp212798.pdf | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/174976/3/emp212798-sup-0001-Appendix.pdf | |
dc.identifier.doi | 10.1002/emp2.12798 | |
dc.identifier.source | Journal of the American College of Emergency Physicians Open | |
dc.identifier.citedreference | Burgess DJ. Are clinicians more likely to contribute to healthcare disparities under high levels of cognitive load? How features of the healthcare setting may lead to biases in medical decision making. Med Decis Mak. 2009; 30 ( 2 ): 246 - 257. https://doi.org/10.1177/0272989X09341751 | |
dc.identifier.citedreference | Stoermer S, Bader AK, Froese FJ. Culture matters: the influence of national culture on inclusion climate. Cross Cult Strateg Manag. 2016; 23 ( 2 ): 287 - 305. | |
dc.identifier.citedreference | Mello MJ, Merchant RC, Clark MA. Surveying emergency medicine. Academic Emergency Medicine. 2013; 20 ( 4 ): 409 - 412. https://doi.org/10.1111/acem.12103 | |
dc.identifier.citedreference | Sullivan GM. How to create a bad survey instrument. J Grad Med Educ. 2017; 9 ( 4 ): 411 - 415. https://doi.org/10.4300/JGME-D-17-00375.1. PMID: 28824750; PMCID: PMC5559231. | |
dc.identifier.citedreference | Phillips AW, Artino AR Jr. Lies, damned lies, and surveys. J Grad Med Educ. 2017; 9 ( 6 ): 677 - 679. https://doi.org/10.4300/jgme-d-17-00698.1. PMID: 29270252; PMCID: PMC5734316. | |
dc.identifier.citedreference | Institute of Medicine Committee on U, Eliminating R, Ethnic Disparities in Health C. No Title. In: Smedley BD, Stith AY, Nelson AR, eds. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. National Academies Press (US)Copyright 2002 by the National Academy of Sciences. All rights reserved.; 2003. https://doi.org/10.17226/12875 | |
dc.identifier.citedreference | Moll J, Krieger P, Heron SL, Joyce CML. Attitudes, behavior, and comfort of emergency medicine residents in caring for LGBT patients: what do we know? AEM Educ Train. 2019; 3 ( 2 ): 129 - 135. https://doi.org/10.1002/aet2.10318 | |
dc.identifier.citedreference | Burke SE, Dovidio JF, Przedworski JM, et al. Do contact and empathy mitigate bias against gay and lesbian people among heterosexual first-year medical students? A report from the medical student CHANGE study. Acad Med. 2015; 90 ( 5 ): 645 - 651. https://doi.org/10.1097/acm.0000000000000661 | |
dc.identifier.citedreference | Doran KM, Vashi AA, Platis S, et al. Navigating the boundaries of emergency department care: addressing the medical and social needs of patients who are homeless. Am J Public Heal. 2013; 103 (Suppl 2 ): S355 - S360. https://doi.org/10.2105/ajph.2013.301540 | |
dc.identifier.citedreference | Heron SL, Lovell EO, Wang E, Bowman SH. Promoting diversity in emergency medicine: summary recommendations from the 2008 Council of Emergency Medicine Residency Directors (CORD) Academic Assembly Diversity Workgroup. Acad Emerg Med. 2009; 16 ( 5 ): 450 - 453. https://doi.org/10.1111/j.1553-2712.2009.00384.x | |
dc.identifier.citedreference | Delphin-Rittmon ME, Andres-Hyman R, Flanagan EH, Davidson L. Seven essential strategies for promoting and sustaining systemic cultural competence. Psychiatr Q. 2013; 84 ( 1 ): 53 - 64. https://doi.org/10.1007/s11126-012-9226-2 | |
dc.identifier.citedreference | Brooks KC. A silent curriculum. J Am Med Assoc. 2015; 313 ( 19 ). | |
dc.identifier.citedreference | Kazi W. A system-wide improvement of healthcare utilization by people experiencing homelessness to ensure a useful emergency department visit and to reduce repeated emergency department visits for non-urgent health conditions. EC Emerg Med Crit Care. 2019. Published online. | |
dc.identifier.citedreference | West CP, Dyrbye LN, Erwin PJ, Shanafelt TD. Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Lancet. 2016; 388 ( 10057 ): 2272 - 2281. https://doi.org/10.1016/s0140-6736(16)31279-x | |
dc.identifier.citedreference | Shanafelt TD, Noseworthy JH. Executive leadership and physician well-being: nine organizational strategies to promote engagement and reduce burnout. Mayo Clin Proc. 2017; 92 ( 1 ): 129 - 146. https://doi.org/10.1016/j.mayocp.2016.10.004 | |
dc.identifier.citedreference | Paul-Emile K, Smith AK, Lo B, Fernández A. Dealing with racist patients. N Engl J Med. 2016; 374 ( 8 ): 708 - 711. | |
dc.identifier.citedreference | Gill GK, McNally MJ, Berman V. Effective diversity, equity, and inclusion practices. Heal Manag Forum. 2018; 31 ( 5 ): 196 - 199. https://doi.org/10.1177/0840470418773785 | |
dc.identifier.citedreference | Lie D, Boker J, Cleveland E. Using the tool for assessing cultural competence training (TACCT) to measure faculty and medical student perceptions of cultural competence instruction in the first three years of the curriculum. Acad Med. 2006; 81 ( 6 ): 557 - 564. https://doi.org/10.1097/01.Acm.0000225219.53325.52 | |
dc.identifier.citedreference | Weech-Maldonado R, Elliott MN, Pradhan R, Schiller C, Dreachslin J, Hays RD. Moving towards culturally competent health systems: organizational and market factors. Social Science & Medicine. 2012; 75 ( 5 ): 815 - 822. ISSN 0277–9536. | |
dc.identifier.citedreference | LaVeist TA, Nuru-Jeter A. Is doctor-patient race concordance associated with greater satisfaction with care? J Heal Soc Behav. 2002; 43 ( 3 ): 296 - 306. | |
dc.identifier.citedreference | Landry AM, Stevens J, Kelly SP, Sanchez LD, Fisher J. Under-represented minorities in emergency medicine. J Emerg Med. 2013; 45 ( 1 ): 100 - 104. https://doi.org/10.1016/j.jemermed.2012.11.064 | |
dc.identifier.citedreference | Smith-Coggins R, Baren JM, Beeson MS, et al. American board of emergency medicine report on residency training information (2013-2014), American Board of Emergency Medicine. Ann Emerg Med. 2014; 63 ( 5 ): 637 - 645. https://doi.org/10.1016/j.annemergmed.2014.03.008 | |
dc.identifier.citedreference | Tunson J, Boatright D, Oberfoell S, et al. Increasing resident diversity in an emergency medicine residency program: a pilot intervention with three principal strategies. Acad Med. 2016; 91 ( 7 ): 958 - 961. https://doi.org/10.1097/acm.0000000000000957 | |
dc.identifier.citedreference | LaVeist TA, Pierre G. Integrating the 3Ds–social determinants, health disparities, and health-care workforce diversity. Public Heal Rep. 2014; 129 (Suppl 2 ): 9 - 14. https://doi.org/10.1177/00333549141291s204 | |
dc.identifier.citedreference | Congress. Emergency Medical Treatment & Labor Act.; 1984. | |
dc.identifier.citedreference | FitzGerald C, Hurst S. Implicit bias in healthcare professionals: a systematic review. BMC Med Ethics. 2017; 18 ( 1 ): 19. https://doi.org/10.1186/s12910-017-0179-8 | |
dc.identifier.citedreference | Burgess D, van Ryn M, Dovidio J, Saha S. Reducing racial bias among health care clinicians: lessons from social-cognitive psychology. J Gen Intern Med. 2007; 22 ( 6 ): 882 - 887. https://doi.org/10.1007/s11606-007-0160-1 | |
dc.identifier.citedreference | Morley T. Making the business case for diversity and inclusion. Strateg HR Rev. 2018; 17 ( 1 ): 58 - 60. https://doi.org/10.1108/shr-10-2017-0068 | |
dc.identifier.citedreference | Hwang U, Weber EJ, Richardson LD, et al. A research agenda to assure equity during periods of emergency department crowding. Acad Emerg Med. 2011; 18 ( 12 ): 1318 - 1323. https://doi.org/10.1111/j.1553-2712.2011.01233.x | |
dc.identifier.citedreference | Myers D. Mutual benefits and equity amid racial diversity. J Plan Educ Res. 2015; 35 ( 3 ): 369 - 375. https://doi.org/10.1177/0739456X15596579 | |
dc.identifier.citedreference | Zestcott CA, Blair IV, Stone J, Examining the presence, consequences, and reduction of implicit bias in health care: a narrative review. Gr Process Intergr Relat. 2016; 19 ( 4 ): 528 - 542. https://doi.org/10.1177/1368430216642029 | |
dc.identifier.citedreference | Johnson TJ, Hickey RW, Switzer GE, et al. The impact of cognitive stressors in the emergency department on physician implicit racial bias. Acad Emerg Med. 2016; 23 ( 3 ): 297 - 305. https://doi.org/10.1111/acem.12901 | |
dc.identifier.citedreference | Pines JM. What cognitive psychology tells us about emergency department physician decision-making and how to improve it. Acad Emerg Med. 2017; 24 ( 1 ): 117 - 119. https://doi.org/10.1111/acem.13110 | |
dc.identifier.citedreference | Enard KR, Ganelin DM. Exploring the value proposition of primary care for safety-net patients who utilize emergency departments to address unmet needs. J Prim Care Community Heal. 2017; 8 ( 4 ): 285 - 293. https://doi.org/10.1177/2150131917721652 | |
dc.identifier.citedreference | Mannion R, Davies H. Understanding organisational culture for healthcare quality improvement. Bmj. 2018; 363: k4907. https://doi.org/10.1136/bmj.k4907 | |
dc.identifier.citedreference | Scott T, Mannion R, Marshall M, Davies H. Does organisational culture influence health care performance? A review of the evidence. J Heal Serv Res Policy. 2003; 8 ( 2 ): 105 - 117. | |
dc.identifier.citedreference | Parmelli E, Flodgren G, Schaafsma ME, Baillie N, Schaafsma ME, Eccles MP. The effectiveness of strategies to change organisational culture to improve healthcare performance. Cochrane Database Syst Rev. 2010. Published online. | |
dc.identifier.citedreference | Parker RB, Stack SJ, Schneider SM. ACEP diversity summit 2016 attendees. why diversity and inclusion are critical to the American College of Emergency Physicians’ Future Success. Ann Emerg Med. 2017; 69 ( 6 ): 714 - 717. | |
dc.working.doi | NO | en |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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