• J Natl Med Assoc · Feb 2018

    Multicenter Study

    Visiting Black Patients: Racial Disparities in Security Standby Requests.

    • Carmen R Green, Wayne R McCullough, and Jamie D Hawley.
    • University of Michigan Departments of Anesthesiology, Obstetrics and Gynecology, and Health Management and Policy (Schools of Medicine and Public Health), United States. Electronic address: carmeng@umich.edu.
    • J Natl Med Assoc. 2018 Feb 1; 110 (1): 37-43.

    BackgroundStructural inequalities exist within healthcare. Racial disparities in hospital security standby requests (SSRs) have not been previously explored. We speculated hospital SSRs varied based upon race with black patients and their visitors negatively impacted.MethodsAn 8-year retrospective study of hospital security dispatch information was performed. Data were analyzed to determine demographic information, and service location patterns for SSRs involving patients and their visitors. The race of the patient's visitors was imputed using the patient's race. The observed and expected (using hospital census data) number of patients impacted by SSRs was compared. Descriptive statistics were computed. Categorical data were analyzed using chi-square or Fisher exact test statistic. A p < 0.05 was statistically significant.ResultsThe majority of the 1023 SSRs occurred for visitors of patients who were white (N = 642; 63%), female (56%), or < 21 years old (50.7%). However, SSRs differed significantly based upon the patient's race. Although Black patients represent 12% of the hospital population, they and their visitors were more than twice as likely (p < 0.0001) to have a SSR generated (N = 275; 27%) when compared to the visitors of both White and other (i.e., race unknown) patients (N = 106; 10%) combined (p < 0.0001).ConclusionThis study adds to the medical errors and healthcare disparities literature by being the first to describe racial disparities in SSRs for Black patients and their visitors. It also introduces the concept of "security intervention errors in healthcare environments." New metrics and continuous quality improvement initiatives are needed to understand and eliminate racial/ethnic based disparities in SSRs.Copyright © 2018 National Medical Association. Published by Elsevier Inc. All rights reserved.

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