Handoffs in healthcare settings are crucial moments where doctors and nurses exchange vital patient information. A recent study published in JAMA Network Open sheds light on how the language used during these handoffs can impact patient care. The study, titled “Biased Language in Simulated Handoffs and Clinician Recall and Attitudes,” reveals that negatively biased language can lead to a decrease in empathy towards patients and a lower accuracy in recalling critical health details.
Lead author Dr. Austin Wesevich, a hematologist and health services researcher at the University of Chicago Medicine, highlights the cognitive impact of biased language on clinicians. When clinicians hear patients described in a negative light, it can cloud their judgment and affect the care they provide. The study builds on previous research that found negative or biased language was present in 23% of real-life handoffs, particularly when discussing certain patient groups like Black patients or those with obesity.
To assess the impact of biased language on listeners, the researchers conducted a survey-based experiment where clinicians listened to recorded handoffs. Each handoff scenario had two versions – a neutral one and a biased one containing negative stereotypes, blame, or doubt about the patient. The results showed that biased language led to a decrease in positive attitudes towards patients and hindered the recall of essential medical details.
The study emphasizes the importance of avoiding bias in handoffs, as racially minoritized patients are at a higher risk of medical errors. Standardizing handoffs by sticking to neutral, medically relevant information can help prevent bias from influencing patient care. Health care institutions are encouraged to implement guidelines that streamline handoffs and provide training to counteract bias.
Dr. Wesevich notes that patients and their families can also play a role in mitigating bias by advocating for themselves, asking questions, and ensuring important details are communicated during handoffs. By actively participating in their care, patients can help counteract the effects of stereotyping, blame, and doubt.
In conclusion, the study underscores the importance of language in healthcare communication and its impact on patient outcomes. By promoting unbiased and standardized handoffs, health care providers can enhance patient safety and well-being. Patients, in turn, can contribute to better care by being proactive and engaged in their treatment.
