Cohen Tara N, Anger Jennifer T, Barton Hanna, Blumenthal Jill, Gosman Amanda, Kanji Falisha, Khamisa Rai, Koola Jejo, Lewis Priya, Marinkovic Maja, Marino-Kibbee Bixby, Moore Maxwell, Okamuro Kyle, Sidhu Shanaya, Trasvina Victor, Vaida Florin, Card Alan J
Department of Surgery, Cedars-Sinai Medical Center, Los Angeles.
Department of Urology, San Diego, UC San Diego Health, CA.
J Patient Saf. 2025 Jun 25. doi: 10.1097/PTS.0000000000001383.
This study aims to advance patient safety science by identifying and addressing the systemic causes of psychosocial harm among transgender and gender nonbinary (TGNB) individuals. The 4-year TRANS-SAFE patient safety learning laboratory (PSLL) will follow a 6-phase systems engineering approach to study ways to improve the safety of TGNB patients.
This study involves conducting a systematic scoping review, interviews with patients, providers, and community members, and observations of TGNB patient and provider experiences to identify determinants of avoidable patient suffering. In addition, the PSLL will provide financial support for pre-doctorate and post-doctorate research scholars in the TGNB community. Human-centered solutions will be co-designed to mitigate psychosocial harm among TGNB individuals. Interventions will be developed through engagement with stakeholders in an iterative process of co-design and evaluation.
Interventions will be evaluated in real and simulated clinical environments for effectiveness, acceptability, usability, feasibility of implementation, and sustainability. A structural innovation of this PSLL is its focus on sustainment and dissemination, which will be facilitated through the development of a TRANS-SAFE certification process for health care organizations in partnership with the World Professional Association for Transgender Health (WPATH).
This PSLL will address a fundamental gap in the science and practice of patient safety by assessing and addressing psychosocial patient harm in a high-risk population that has been too often neglected in the patient safety literature.
本研究旨在通过识别和解决跨性别及性别非二元（TGNB）个体心理社会伤害的系统性原因来推动患者安全科学发展。为期4年的跨性别安全患者安全学习实验室（PSLL）将采用六阶段系统工程方法来研究改善TGNB患者安全的方法。
本研究包括进行系统的范围审查、对患者、医疗服务提供者和社区成员进行访谈，以及观察TGNB患者和医疗服务提供者的经历，以确定可避免患者痛苦的决定因素。此外，PSLL将为TGNB社区的博士前和博士后研究学者提供资金支持。将共同设计以人为主的解决方案，以减轻TGNB个体的心理社会伤害。干预措施将通过与利益相关者在共同设计和评估的迭代过程中合作来制定。
将在真实和模拟临床环境中对干预措施的有效性、可接受性、可用性、实施可行性和可持续性进行评估。该PSLL的一项结构创新是其对维持和传播的关注，这将通过与世界跨性别健康专业协会（WPATH）合作，为医疗保健组织开发跨性别安全认证过程来促进。
该PSLL将通过评估和解决患者安全文献中经常被忽视的高风险人群中的心理社会患者伤害，来弥补患者安全科学与实践中的一个基本差距。
