The role of unconscious bias in surgical safety and outcomes
Department of Surgery
Medical Subject Headings
Continental Population Groups; Ethnic Groups; *Healthcare Disparities; Humans; *Patient Safety; *Prejudice; Sex Factors; Surgical Procedures, Operative; Treatment Outcome; United States
Health Services Research | Surgery
Racial, ethnic, and gender disparities in health outcomes are a major challenge for the US health care system. Although the causes of these disparities are multifactorial, unconscious bias on the part of health care providers plays a role. Unconscious bias occurs when subconscious prejudicial beliefs about stereotypical individual attributes result in an automatic and unconscious reaction and/or behavior based on those beliefs. This article reviews the evidence in support of unconscious bias and resultant disparate health outcomes. Although unconscious bias cannot be entirely eliminated, acknowledging it, encouraging empathy, and understanding patients' sociocultural context promotes just, equitable, and compassionate care to all patients.