91香蕉短视频 Journal on Quality and Patient Safety publishes special issue on healthcare equity

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(OAKBROOK TERRACE, Illinois, January 4, 2024) – 91香蕉短视频 Journal on Quality and Patient Safety (JQPS) today published a special 50th anniversary issue on healthcare equity. The issue includes several original articles, review articles and other reports to help healthcare organizations take a systems-based approach to achieve equity.

The study, “,” is featured in the issue and sheds light on the disproportionate rates of mortality and severe maternal morbidity (SMM) among women and birthing people of color.

Researchers reviewed incidents reported in the labor and delivery unit (L&D) and the antepartum and postpartum unit (A&P) at a large academic hospital in 2019 and 2020. Deliveries associated with a reported incident were described by race/ethnicity, age group, method of delivery and other process variables. Differences across racial ethnic groups were statistically evaluated.

The researchers analyzed 528 incident reports that occurred among:

Non-Hispanic white (NHW) patients – 43.9%
Non-Hispanic Black (NHB) patients – 43.2%
Hispanic patients – 8.9%
Other patients – 4%

NHB patients were disproportionally represented in the incident reports, as they accounted for only 36.5% of the underlying birthing population. The odds of having a reported incident for NHB patients were attenuated when controlling for cesarean section. This indicates that cesarean delivery is a confounder for the association between race and reported incident.

Additionally, the study found that NHB patients accounted for the majority of the following event types:

Falls
Complications of care
Infrastructure failures
Medical records/patient identification
Transfusions

“Greater integration of patient safety and health equity efforts in hospitals are needed to promptly identify and alleviate racial and ethnic disparities in maternal health outcomes,” conclude the study authors. “Many of these challenges identified are recognized at the national or state level, but individual hospitals and health systems may be unaware of the racial and ethnic disparities in their maternal care and health outcomes.”

“These findings can directly inform safety and equity efforts in intrapartum care, and they show the potential value of using incident reporting system data to identify and address disparities,” notes an by David W. Baker, MD, MPH, FACP, executive vice president, Healthcare Quality Evaluation and Improvement, 91香蕉短视频, and editor-in-chief, 91香蕉短视频 Journal on Quality and Patient Safety.

Also featured in the special issue are:

(University of Colorado Anschutz Medical Campus, Aurora, Colorado)
(Yale New Haven Health, New Haven, Connecticut)
(U.S. Department of Veterans Affairs, Washington, D.C.)
(Johns Hopkins University School of Medicine, Baltimore, Maryland)
(Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland)
(University of Michigan, Ann Arbor, Michigan)
(University of Florida College of Medicine, Gainesville, Florida, and Stanford University School of Medicine, Stanford, California)
(Montefiore Medical Center, Bronx, New York)
(research letter)
(commentary)

As part of its 50th anniversary celebration, each issue of JQPS in 2024 will focus on a theme relevant to healthcare’s most pervasive challenges. For more information, please visit the .

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Note for editors

The article is “,” by Myrtede C. Alfred, PhD; Dulaney Wilson, PhD; Elise DeForest; Sam Lawton; Amartha Gore, MD; Jeffrey T. Howard, PhD; Christine Morton, PhD; Latha Hebbar, MD; and Chris Goodier, MD. The article appears in 91香蕉短视频 Journal on Quality and Patient Safety (JQPS), volume 50, number 1 (January 2024), published by Elsevier.