Patients have rights but so do healthcare workers. We can't continue to facilitate patient bias. MedTwitter
, even if no physical contact is involved.
Incidents of bias occur regularly and are clearly on the rise. In most cases the request for a different healthcare worker is granted to honor the rights of the patient. The healthcare worker is left alone and emotionally wounded; the healthcare institutionsThis bias is mostly racial but can also be based on religion, sexual orientation, age, disability, body size, accent, or gender.was devoted to this topic.
But having a zero-tolerance policy is not enough. We must have procedures in place to discourage and mitigate the impact of patient bias. A clear definition of what constitutes a bias incident is essential. All team members must be made aware of the procedures for reporting such incidents and the chain of command for escalation. Reporting should be encouraged, and resources must be made available to impacted team members. Surveillance, monitoring, and review are also essential as is clarification on when patient preferences should be honored.
The healthcare setting should be a bias-free zone for both patients and healthcare workers. I have been a strong advocate of patients' rights and worked hard to guard against bias and eliminate disparities in care, but healthcare workers have rights as well.The views expressed by the author are those of the author alone and do not represent the views of the Inova Health System.
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