Human Factors Approaches to Improving Health Equity – Where have we been and where should we go next?

Benda, Natalie C.; Thomas, Angela; Montague, Enid; Valdez, Rupa S.; Wesley, Deliya B.

doi:10.1177/2327857918071047

Cited by 2 publications

(3 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Previous studies have described the interacting sociotechnical factors that contribute to patient falls, 34 and identifying the contribution of the language barrier may be difficult to connect. Our findings parallel other studies that have also described difficulties in identifying the specific role of specific social determinants of health in PSEs 35 …”

Section: Discussionsupporting

confidence: 90%

“…Our findings parallel other studies that have also described difficulties in identifying the specific role of specific social determinants of health in PSEs. 35 Second, most event reports (76%) did not mention addressing issues related to the language barrier in the event resolution. This finding is significant because potential dangers related to some SDOH, such as language barriers, can be mitigated early when correctly identified.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Social Determinants of Health and Patient Safety: An Analysis of Patient Safety Event Reports Related to Limited English-Proficient Patients

Benda¹,

Wesley²,

Nare

et al. 2022

J Patient Saf

View full text Add to dashboard Cite

Background: Racial and ethnic disparities in healthcare safety have persisted for decades, particularly for patients with language barriers. Previous studies have investigated the frequency and nature of safety events impacting patients with language barriers; others have proposed solutions to fix them. A gap analysis, however, of how we are currently addressing safety issues and why these efforts have not been effective is lacking.Method: This analysis uses reports from a patient safety event reporting system. Reports contain information regarding no-harm (near miss) events and events where harm may have reached the patient. Reports occurring with patients with a preferred language other than English were extracted and analyzed to determine whether the language barrier contributed to the safety event, the language barrier was mentioned in the resolution, and themes were mentioned for addressing language barriers.Results: A subset of 1553 events pertaining to non-English-speaking patients were first categorized as "likely" (3%), "plausibly" (10%), or "unlikely" (87%) related to the patient's language barrier. Second, events related to the patient's language barrier were categorized as directly addressing (19%), indirectly addressing (3%), not mentioning (69%) the language barrier, or containing insufficient information to determine whether the language barrier was addressed (7%). Third, thematic analysis revealed that the most common methods for addressing language barriers included presenting issues to interpreter services and subsequent use of interpreter services. Conclusions:This study found that it is challenging to determine the direct role of certain social determinants of health (e.g., language barriers) in safety events. In many cases, the language barrier was not addressed in the event report. Furthermore, when the language barrier was addressed, solution themes typically involved weaker, less sustainable suggested actions.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Social Determinants of Health and Patient Safety: An Analysis of Patient Safety Event Reports Related to Limited English-Proficient Patients

Benda¹,

Wesley²,

Nare

et al. 2022

J Patient Saf

View full text Add to dashboard Cite

show abstract

“…Some work outside of these formal settings has been initiated in our field. For example, this work has examined how HFE can be applied to healthcare in home and community settings (Valdez & Holden, 2016), advancing diversity and social justice (Roscoe et al, 2019), and addressing health equity (Benda et al, 2018). Although there is acknowledgement and movement to use HFE in untraditional spaces, it is still nascent in this field as we are still trying to comprehend what it looks like to scale our impact.…”

Section: Discussionmentioning

confidence: 99%

Scaling Our Impact: Emerging Human Factors Applications Addressing Societal Challenges

Rogers

Valdez

Gilbert

et al. 2020

Proceedings of the Human Factors and Ergonomics Society Annual

View full text Add to dashboard Cite

There is an increasing need and interest for Human Factors and Ergonomics (HFE) professionals to apply our discipline to a larger context. HFE researchers are starting to conduct research outside of traditional settings, focusing their efforts on complex societal challenges; however, this type of work is still in its infancy and there is a need to define how HFE can be used in broader contexts, outside of formal institutions. In this panel, we begin a formalized conversation of how our field can scale its impact. Each panelist will introduce a societal challenge they are addressing and discuss how HFE can be adapted to this context. The topics of this panel will span elections technology, sustainability and climate change, universal access to mental healthcare, social isolation in older adults, and food insecurity. This session will conclude with a moderated discussion between the panelists and audience to brainstorm specific societal challenges that HFE can address as well as how methods can be adapted to this context.

show abstract

Human Factors Approaches to Improving Health Equity – Where have we been and where should we go next?

Cited by 2 publications

References 3 publications

Social Determinants of Health and Patient Safety: An Analysis of Patient Safety Event Reports Related to Limited English-Proficient Patients

Social Determinants of Health and Patient Safety: An Analysis of Patient Safety Event Reports Related to Limited English-Proficient Patients

Scaling Our Impact: Emerging Human Factors Applications Addressing Societal Challenges

Contact Info

Product

Resources

About