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Transmission of negative biases through social commentary included in neonatal intensive care unit progress notes
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Transmission of negative biases through social commentary included in neonatal intensive care unit progress notes
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Transmission of negative biases through social commentary included in neonatal intensive care unit progress notes
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Journal Article
Transmission of negative biases through social commentary included in neonatal intensive care unit progress notes
2023
Overview
ObjectiveTo determine how the perception of families elicited after reading progress note social commentary differs by patient race.Study designWe retrospectively performed content analysis of social commentary in physician progress notes for neonatal intensive care unit patients hospitalized from 2018–2019. Neonatologists blinded to patient race rated how commentary impacted their perception of the patient’s family on a 5-point Likert scale. Frequency of negative ratings was compared across reported race using chi-squared tests.ResultsWe reviewed charts of 460 neonates. In total, 225 (49%) contained social commentary beyond parents’ names. Twelve neonatologists rated how commentaries impacted their perception of the patient’s family; 79%, 18%, and 3% were rated neutrally, negatively, and positively, respectively. Frequency of negative ratings was significantly greater among American Indian/Alaska Native than other patients (35% vs. 22%, p < 0.001).ConclusionsPhysician documentation of social commentary in patient notes may reflect and perpetuate implicit biases that contribute to race-based healthcare disparities.
Publisher
Nature Publishing Group
Subject
