Division of Hospital Medicine (GL Dixon), Children's National Hospital, George Washington University School of Medicine and Health Sciences, Washington, DC.
Division of Neonatology (M-M Peña), Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, Ga.
Acad Pediatr. 2024 Sep-Oct;24(7S):S184-S188. doi: 10.1016/j.acap.2024.01.026.
There are well-documented inequities in the quality of care and health outcomes of minoritized youth. Patient safety and quality improvement (QI) work with an equity focus has been identified as an important strategy to remedy these existing inequities. In this article, we will present evidence of inequities in pediatric hospital-based care, describe root causes with a focus on structural racism, highlight existing frameworks for applying equity principles to patient safety and QI, and provide best practices and recommendations on evaluating patient safety and QI data towards advancing equity in pediatric hospital-based care.
少数族裔青年在医疗质量和健康结果方面存在着有据可查的不平等现象。以公平为重点的患者安全和质量改进(QI)工作已被确定为纠正这些现有不平等现象的重要策略。在本文中,我们将介绍儿科医院护理中存在的不平等现象的证据,描述以结构性种族主义为重点的根本原因,强调将公平原则应用于患者安全和 QI 的现有框架,并提供关于评估患者安全和 QI 数据以促进儿科医院护理公平的最佳实践和建议。