{"id":31018,"date":"2022-10-24T10:52:01","date_gmt":"2022-10-24T15:52:01","guid":{"rendered":"https:\/\/www.freestatesocialwork.com\/?p=31018"},"modified":"2024-01-12T11:47:06","modified_gmt":"2024-01-12T17:47:06","slug":"negative-patient-descriptors-documenting-racial-bias-in-the-electronic-health-record","status":"publish","type":"post","link":"https:\/\/www.freestatesocialwork.com\/?p=31018","title":{"rendered":"Negative Patient Descriptors:  Documenting Racial Bias In The Electronic Health Record (1 credit hour)"},"content":{"rendered":"<p style=\"text-align: left;\"><strong>Program Summary: \u00a0\u00a0<\/strong>This course explores potential implicit bias in healthcare by looking at stigmatizing language in the healthcare record. The course highlights a study using machine learning to analyze electronic health records using 15 different patient descriptors: \u00a0(non-) adherent, aggressive, agitated, angry, challenging, combative, (non-)compliant, confront, (non-) cooperative, defensive, exaggerate, hysterical, (un-)pleasant, refuse, and resist. \u00a0A discussion of results and recommendations are given.<\/p>\n<p><em>This course is recommended for social workers, counselors, and therapists<\/em><em>.<\/em><\/p>\n<p><!--more--><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-23633 alignnone\" src=\"https:\/\/www.freestatesocialwork.com\/wp-content\/uploads\/2022\/03\/book_1404081347.png\" alt=\"\u00e2\u20ac\u0153Book\" width=\"54\" height=\"50\" \/> \u00a0<a href=\"https:\/\/www.freestatesocialwork.com\/articles\/NegativePatientDescriptorsCourseReading.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Open the Course Reading Here.<\/a><\/p>\n<p><strong>Course Reading: \u00a0<\/strong>Negative Patient Descriptors: \u00a0Documenting Racial Bias In The Electronic Health Record<\/p>\n<p><strong>Authors:<\/strong>\u00a0 Michael Sun, Tomasz Oliwa, Monica E. Peek, Elizabeth L. Tung<\/p>\n<p><strong>Publisher:<\/strong>\u00a0 Health Affairs<\/p>\n<p><strong>Additional Reading:<\/strong> \u00a0Using A Health Equity Lense: \u00a0CDC<\/p>\n<p><strong>Course\u00a0Objectives:<\/strong>\u00a0 To enhance professional practice, values, skills and knowledge by examining stigmitizing language in the healthcare record and potential racial and implicit biases.<\/p>\n<p><strong>Learning Objectives: <\/strong>\u00a0Describe how implicit bias can negatively affect the healthcare relationship. \u00a0\u00a0Describe concerns about stigmatizing language in the healthcare record. \u00a0Give examples of negative patient descriptors.<\/p>\n<p>Review our\u00a0<a href=\"..\/?page_id=133\" target=\"_blank\" rel=\"noopener noreferrer\">pre-reading study guide.<\/a><\/p>\n\t\r\n\t\t<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/www.freestatesocialwork.com\/wp-content\/plugins\/quizzin\/style.css\" \/>\r\n\t\t<script type=\"text\/javascript\" src=\"https:\/\/www.freestatesocialwork.com\/wp-includes\/js\/jquery\/jquery.js\"><\/script>\r\n\t\t<script type=\"text\/javascript\" src=\"https:\/\/www.freestatesocialwork.com\/wp-content\/plugins\/quizzin\/script.js\"><\/script>\r\n\r\n\r\n\t\t\r\n\t\t<div class=\"quiz-area single-page-quiz\">\r\n\t\t<form action=\"?page_id=755\" method=\"post\" class=\"quiz-form\" id=\"quiz-382\">\r\n\r\n\t\t<p><strong>Course Available Until:<\/strong>  February 28, 2027.<\/p><p><strong>In order to purchase or take this course, you will need to <a href=?action=login>log in<\/a>. If you do not have an account, you will need to <a href=??action=register>register for a free account<\/a>.<p>After you log in, a link will appear here that will allow you to purchase this course. <\/p><\/strong><div class='quizzin-question' id='question-1'><div class='question-content'> 1:  Implicit bias describes the _________ attitudes and stereotypes that individuals may hold.<\/div><input type='hidden' name='question_id[]' value='6807' \/><input type='radio' name='answer-6807' id='answer-id-39333' class='answer answer-1' value='39333' onclick='saveAnswer(\"answer-6807\", \"answer-id-39333\")' disabled \/>&nbsp;<label for='answer-id-39333' id='answer-label-39333' class='answer label-1'><span>conscious<\/span><\/label><br \/><input type='radio' name='answer-6807' id='answer-id-39334' class='answer answer-1' value='39334' onclick='saveAnswer(\"answer-6807\", \"answer-id-39334\")' disabled \/>&nbsp;<label for='answer-id-39334' id='answer-label-39334' class='answer label-1'><span>unconscious<\/span><\/label><br \/><\/div><div class='quizzin-question' id='question-2'><div class='question-content'> 2:  Which of the following is a tool used to measure unconscious bias?<\/div><input type='hidden' name='question_id[]' value='6808' \/><input type='radio' name='answer-6808' id='answer-id-39339' class='answer answer-2' value='39339' onclick='saveAnswer(\"answer-6808\", \"answer-id-39339\")' disabled \/>&nbsp;<label for='answer-id-39339' id='answer-label-39339' class='answer label-2'><span>Client Satisfaction Questionnaire<\/span><\/label><br \/><input type='radio' name='answer-6808' id='answer-id-39340' class='answer answer-2' value='39340' onclick='saveAnswer(\"answer-6808\", \"answer-id-39340\")' disabled \/>&nbsp;<label for='answer-id-39340' id='answer-label-39340' class='answer label-2'><span>Working Alliance Inventory<\/span><\/label><br \/><input type='radio' name='answer-6808' id='answer-id-39341' class='answer answer-2' value='39341' onclick='saveAnswer(\"answer-6808\", \"answer-id-39341\")' disabled \/>&nbsp;<label for='answer-id-39341' id='answer-label-39341' class='answer label-2'><span>Implicit Association Test<\/span><\/label><br \/><input type='radio' name='answer-6808' id='answer-id-39342' class='answer answer-2' value='39342' onclick='saveAnswer(\"answer-6808\", \"answer-id-39342\")' disabled \/>&nbsp;<label for='answer-id-39342' id='answer-label-39342' class='answer label-2'><span>Counselor Rating Form<\/span><\/label><br \/><\/div><div class='quizzin-question' id='question-3'><div class='question-content'> 3:  Implicit bias has clear negative effects on<\/div><input type='hidden' name='question_id[]' value='6810' \/><input type='radio' name='answer-6810' id='answer-id-39347' class='answer answer-3' value='39347' onclick='saveAnswer(\"answer-6810\", \"answer-id-39347\")' disabled \/>&nbsp;<label for='answer-id-39347' id='answer-label-39347' class='answer label-3'><span>provider communication<\/span><\/label><br \/><input type='radio' name='answer-6810' id='answer-id-39348' class='answer answer-3' value='39348' onclick='saveAnswer(\"answer-6810\", \"answer-id-39348\")' disabled \/>&nbsp;<label for='answer-id-39348' id='answer-label-39348' class='answer label-3'><span>trust in medical care<\/span><\/label><br \/><input type='radio' name='answer-6810' id='answer-id-39349' class='answer answer-3' value='39349' onclick='saveAnswer(\"answer-6810\", \"answer-id-39349\")' disabled \/>&nbsp;<label for='answer-id-39349' id='answer-label-39349' class='answer label-3'><span>the delivery of health care to racially marginalized populations<\/span><\/label><br \/><input type='radio' name='answer-6810' id='answer-id-39350' class='answer answer-3' value='39350' onclick='saveAnswer(\"answer-6810\", \"answer-id-39350\")' disabled \/>&nbsp;<label for='answer-id-39350' id='answer-label-39350' class='answer label-3'><span>all of the above<\/span><\/label><br \/><\/div><div class='quizzin-question' id='question-4'><div class='question-content'> 4:  A study by Anna Goddu and colleagues found that when medical providers were shown a hypothetical chart note containing \u00a0______________ , they were more likely to have a negative perception of the patient's pain and to formulate a less aggressive pain management plan.<\/div><input type='hidden' name='question_id[]' value='6811' \/><input type='radio' name='answer-6811' id='answer-id-44287' class='answer answer-4' value='44287' onclick='saveAnswer(\"answer-6811\", \"answer-id-44287\")' disabled \/>&nbsp;<label for='answer-id-44287' id='answer-label-44287' class='answer label-4'><span>patient demographics<\/span><\/label><br \/><input type='radio' name='answer-6811' id='answer-id-44288' class='answer answer-4' value='44288' onclick='saveAnswer(\"answer-6811\", \"answer-id-44288\")' disabled \/>&nbsp;<label for='answer-id-44288' id='answer-label-44288' class='answer label-4'><span>subjective findings<\/span><\/label><br \/><input type='radio' name='answer-6811' id='answer-id-44289' class='answer answer-4' value='44289' onclick='saveAnswer(\"answer-6811\", \"answer-id-44289\")' disabled \/>&nbsp;<label for='answer-id-44289' id='answer-label-44289' class='answer label-4'><span>objective findings<\/span><\/label><br \/><input type='radio' name='answer-6811' id='answer-id-44290' class='answer answer-4' value='44290' onclick='saveAnswer(\"answer-6811\", \"answer-id-44290\")' disabled \/>&nbsp;<label for='answer-id-44290' id='answer-label-44290' class='answer label-4'><span>stigmatizing language<\/span><\/label><br \/><\/div><div class='quizzin-question' id='question-5'><div class='question-content'> 5:  Patients coded with ____________ were excluded from the study<\/div><input type='hidden' name='question_id[]' value='6813' \/><input type='radio' name='answer-6813' id='answer-id-39357' class='answer answer-5' value='39357' onclick='saveAnswer(\"answer-6813\", \"answer-id-39357\")' disabled \/>&nbsp;<label for='answer-id-39357' id='answer-label-39357' class='answer label-5'><span>dementia<\/span><\/label><br \/><input type='radio' name='answer-6813' id='answer-id-39358' class='answer answer-5' value='39358' onclick='saveAnswer(\"answer-6813\", \"answer-id-39358\")' disabled \/>&nbsp;<label for='answer-id-39358' id='answer-label-39358' class='answer label-5'><span>substance use disorders<\/span><\/label><br \/><input type='radio' name='answer-6813' id='answer-id-39359' class='answer answer-5' value='39359' onclick='saveAnswer(\"answer-6813\", \"answer-id-39359\")' disabled \/>&nbsp;<label for='answer-id-39359' id='answer-label-39359' class='answer label-5'><span>mental health conditions<\/span><\/label><br \/><input type='radio' name='answer-6813' id='answer-id-39360' class='answer answer-5' value='39360' onclick='saveAnswer(\"answer-6813\", \"answer-id-39360\")' disabled \/>&nbsp;<label for='answer-id-39360' id='answer-label-39360' class='answer label-5'><span>all of the above<\/span><\/label><br \/><\/div><div class='quizzin-question' id='question-6'><div class='question-content'> 6:  The most commonly used descriptors in any contexts were<\/div><input type='hidden' name='question_id[]' value='6816' \/><input type='radio' name='answer-6816' id='answer-id-39418' class='answer answer-6' value='39418' onclick='saveAnswer(\"answer-6816\", \"answer-id-39418\")' disabled \/>&nbsp;<label for='answer-id-39418' id='answer-label-39418' class='answer label-6'><span>refused, (not) adherent, (not) compliant, and agitated<\/span><\/label><br \/><input type='radio' name='answer-6816' id='answer-id-39419' class='answer answer-6' value='39419' onclick='saveAnswer(\"answer-6816\", \"answer-id-39419\")' disabled \/>&nbsp;<label for='answer-id-39419' id='answer-label-39419' class='answer label-6'><span>aggressive, angry, and challenging<\/span><\/label><br \/><input type='radio' name='answer-6816' id='answer-id-39420' class='answer answer-6' value='39420' onclick='saveAnswer(\"answer-6816\", \"answer-id-39420\")' disabled \/>&nbsp;<label for='answer-id-39420' id='answer-label-39420' class='answer label-6'><span>combative, confront, (non) cooperative, and defensive<\/span><\/label><br \/><input type='radio' name='answer-6816' id='answer-id-39421' class='answer answer-6' value='39421' onclick='saveAnswer(\"answer-6816\", \"answer-id-39421\")' disabled \/>&nbsp;<label for='answer-id-39421' id='answer-label-39421' class='answer label-6'><span>exaggerate, hysterical, (un-) pleasant, and resist<\/span><\/label><br \/><\/div><div class='quizzin-question' id='question-7'><div class='question-content'> 7:  Which group had a higher adjusted odds of a negative descriptor?<\/div><input type='hidden' name='question_id[]' value='6819' \/><input type='radio' name='answer-6819' id='answer-id-39422' class='answer answer-7' value='39422' onclick='saveAnswer(\"answer-6819\", \"answer-id-39422\")' disabled \/>&nbsp;<label for='answer-id-39422' id='answer-label-39422' class='answer label-7'><span>Black patients<\/span><\/label><br \/><input type='radio' name='answer-6819' id='answer-id-39423' class='answer answer-7' value='39423' onclick='saveAnswer(\"answer-6819\", \"answer-id-39423\")' disabled \/>&nbsp;<label for='answer-id-39423' id='answer-label-39423' class='answer label-7'><span>patients with Medicaid <\/span><\/label><br \/><input type='radio' name='answer-6819' id='answer-id-39424' class='answer answer-7' value='39424' onclick='saveAnswer(\"answer-6819\", \"answer-id-39424\")' disabled \/>&nbsp;<label for='answer-id-39424' id='answer-label-39424' class='answer label-7'><span>patients with Medicare<\/span><\/label><br \/><input type='radio' name='answer-6819' id='answer-id-39425' class='answer answer-7' value='39425' onclick='saveAnswer(\"answer-6819\", \"answer-id-39425\")' disabled \/>&nbsp;<label for='answer-id-39425' id='answer-label-39425' class='answer label-7'><span>unmarried patients<\/span><\/label><br \/><input type='radio' name='answer-6819' id='answer-id-39426' class='answer answer-7' value='39426' onclick='saveAnswer(\"answer-6819\", \"answer-id-39426\")' disabled \/>&nbsp;<label for='answer-id-39426' id='answer-label-39426' class='answer label-7'><span>all of the above<\/span><\/label><br \/><\/div><div class='quizzin-question' id='question-8'><div class='question-content'> 8:  Records suggest that outpatient encounters were associated with ______________ adjusted odds of having a negative descriptor in the EHR.<\/div><input type='hidden' name='question_id[]' value='6821' \/><input type='radio' name='answer-6821' id='answer-id-39404' class='answer answer-8' value='39404' onclick='saveAnswer(\"answer-6821\", \"answer-id-39404\")' disabled \/>&nbsp;<label for='answer-id-39404' id='answer-label-39404' class='answer label-8'><span>higher<\/span><\/label><br \/><input type='radio' name='answer-6821' id='answer-id-39405' class='answer answer-8' value='39405' onclick='saveAnswer(\"answer-6821\", \"answer-id-39405\")' disabled \/>&nbsp;<label for='answer-id-39405' id='answer-label-39405' class='answer label-8'><span>lower<\/span><\/label><br \/><\/div><div class='quizzin-question' id='question-9'><div class='question-content'> 9:  In a mixed-methods analysis of oncologists' notes, Jordan Alpert and colleagues found that note text<\/div><input type='hidden' name='question_id[]' value='6822' \/><input type='radio' name='answer-6822' id='answer-id-39406' class='answer answer-9' value='39406' onclick='saveAnswer(\"answer-6822\", \"answer-id-39406\")' disabled \/>&nbsp;<label for='answer-id-39406' id='answer-label-39406' class='answer label-9'><span>changed significantly between pre- and postimplementation of OpenNotes software<\/span><\/label><br \/><input type='radio' name='answer-6822' id='answer-id-39407' class='answer answer-9' value='39407' onclick='saveAnswer(\"answer-6822\", \"answer-id-39407\")' disabled \/>&nbsp;<label for='answer-id-39407' id='answer-label-39407' class='answer label-9'><span>did not significantly vary between pre- and postimplementation of OpenNotes software<\/span><\/label><br \/><\/div><div class='quizzin-question' id='question-10'><div class='question-content'> 10:  <em>For the following question, please refer to the 2nd article, Using a Health Equity Lens<\/em>: A health equity lens means _____________ looking at the potential positive and negative impacts of proposed messages.<\/div><input type='hidden' name='question_id[]' value='6824' \/><input type='radio' name='answer-6824' id='answer-id-53096' class='answer answer-10' value='53096' onclick='saveAnswer(\"answer-6824\", \"answer-id-53096\")' disabled \/>&nbsp;<label for='answer-id-53096' id='answer-label-53096' class='answer label-10'><span>intentionally<\/span><\/label><br \/><input type='radio' name='answer-6824' id='answer-id-53097' class='answer answer-10' value='53097' onclick='saveAnswer(\"answer-6824\", \"answer-id-53097\")' disabled \/>&nbsp;<label for='answer-id-53097' id='answer-label-53097' class='answer label-10'><span>unintentionally<\/span><\/label><br \/><\/div><p><strong>In order to purchase or take this course, you will need to <a href=?action=login>log in<\/a>. If you do not have an account, you will need to <a href=?action=register>register for a free account<\/a>.<p>After you log in, a link will appear here that will allow you to purchase this course. <\/p><\/strong><\/form><\/div><\/font>\n<p>G.M. Rydberg-Cox, MSW, LSCSW is the Continuing Education Director at Free State Social Work and responsible for the development of this course. \u00a0She received her Masters of Social Work in 1996 from the Jane Addams School of Social Work at the University of Illinois-Chicago and she has over 20 years of experience. \u00a0She has lived and worked as a social worker in Chicago, Boston, and Kansas City. She has practiced for many years in the area of hospital\/medical social work. \u00a0The reading materials for this course were developed by another organization.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Program Summary: \u00a0\u00a0This course explores potential implicit bias in healthcare by looking at stigmatizing language in the healthcare record. The course highlights a study using machine learning to analyze electronic health records using 15 different patient descriptors: \u00a0(non-) adherent, aggressive, agitated, angry, challenging, combative, (non-)compliant, confront, (non-) cooperative, defensive, exaggerate, hysterical, (un-)pleasant, refuse, and resist. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[88,18,4,48],"tags":[],"class_list":["post-31018","post","type-post","status-publish","format-standard","hentry","category-anti-racism-anti-discrimination","category-cultural-competence","category-healthcare","category-implicit-bias"],"_links":{"self":[{"href":"https:\/\/www.freestatesocialwork.com\/index.php?rest_route=\/wp\/v2\/posts\/31018","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.freestatesocialwork.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.freestatesocialwork.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.freestatesocialwork.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.freestatesocialwork.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=31018"}],"version-history":[{"count":0,"href":"https:\/\/www.freestatesocialwork.com\/index.php?rest_route=\/wp\/v2\/posts\/31018\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.freestatesocialwork.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=31018"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.freestatesocialwork.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=31018"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.freestatesocialwork.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=31018"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}