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我们应当如何在学术健康中心讨论不公平和医源性伤害?

How Should We Discuss Inequity and Iatrogenic Harm in Academic Health Centers?

机构信息

General surgery resident at Oregon Health and Science University in Portland.

Practitioner of trauma surgery, acute care surgery, and surgical critical care at the Ohio State University in Columbus.

出版信息

AMA J Ethics. 2022 Aug 1;24(8):E748-752. doi: 10.1001/amajethics.2022.748.

DOI:10.1001/amajethics.2022.748
PMID:35976931
Abstract

Discussing errors and quality improvement is a tradition in academic health centers, particularly in morbidity and mortality conferences embedded in surgical training and during teaching rounds. Little, if any, attention is typically given to iatrogenic harms from structural racism, however. This article canvasses ways in which training programs recognize and address health care-generated harm from inequity and identifies areas for improvement.

摘要

在学术医疗中心,讨论错误和质量改进是一种传统,特别是在嵌入外科培训中的发病率和死亡率会议以及教学查房期间。然而,通常很少关注结构性种族主义造成的医源性伤害。本文探讨了培训计划如何认识和解决医疗保健带来的不平等造成的伤害,并确定了改进的领域。

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