The Impact of Cognitive Stressors in the Emergency Department on Physician Implicit Racial Bias

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Tiffani J JohnsonLeslie R M Hausmann

Abstract

The emergency department (ED) is characterized by stressors (e.g., fatigue, stress, time pressure, and complex decision-making) that can pose challenges to delivering high-quality, equitable care. Although it has been suggested that characteristics of the ED may exacerbate reliance on cognitive heuristics, no research has directly investigated whether stressors in the ED impact physician racial bias, a common heuristic. We seek to determine if physicians have different levels of implicit racial bias post-ED shift versus preshift and to examine associations between demographics and cognitive stressors with bias. This repeated-measures study of resident physicians in a pediatric ED used electronic pre- and postshift assessments of implicit racial bias, demographics, and cognitive stressors. Implicit bias was measured using the Race Implicit Association Test (IAT). Linear regression models compared differences in IAT scores pre- to postshift and determined associations between participant demographics and cognitive stressors with postshift IAT and pre- to postshift difference scores. Participants (n = 91) displayed moderate prowhite/antiblack bias on preshift (mean ± SD = 0.50 ± 0.34, d = 1.48) and postshift (mean ± SD = 0.55 ± 0....Continue Reading

References

Jan 1, 1995·Psychological Review·A G Greenwald, M R Banaji
Apr 1, 1997·Social Science & Medicine·J Firth-Cozens, J Greenhalgh
Sep 18, 1999·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·G Kovacs, P Croskerry
Jan 12, 2000·The Journal of Allergy and Clinical Immunology·C S RandF Malveaux
Nov 16, 2001·Journal of Personality and Social Psychology·N Dasgupta, A G Greenwald
Nov 16, 2001·Journal of Personality and Social Psychology·I V BlairA P Lenton
Jun 12, 2002·The Medical Journal of Australia·Enrico W CoieraMax E C Thorpe
Sep 28, 2002·JAMA : the Journal of the American Medical Association·Wendy G LaneCindy W Christian
Nov 5, 2002·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Pat Croskerry
Aug 15, 2003·Journal of Personality and Social Psychology·Anthony G GreenwaldMahzarin R Banaji
Dec 2, 2004·Annals of Emergency Medicine·Michael J SchullPaul Daly
Dec 28, 2004·Personality & Social Psychology Bulletin·Brian A NosekMahzarin R Banaji
Jan 14, 2005·The New England Journal of Medicine·Laura K BargerUNKNOWN Harvard Work Hours, Health, and Safety Group
Dec 1, 2005·Journal of Experimental Psychology. General·Brian A Nosek
Feb 2, 2006·Journal of Personality and Social Psychology·Aiden P GreggMahzarin R Banaji
Sep 2, 2006·Science·Geoffrey L CohenAllison Master
Sep 7, 2006·JAMA : the Journal of the American Medical Association·Najib T AyasCharles A Czeisler
Oct 25, 2006·International Journal of Medical Informatics·Archana LaxmisanVimla L Patel
Jun 28, 2007·Journal of General Internal Medicine·Alexander R GreenMahzarin R Banaji
Jul 6, 2007·CJEM·P Croskerry, D Sinclair
Dec 7, 2007·Pediatrics·Steven E KrugKaren Frush
Jun 27, 2008·Medical Care·Janice A SabinAnthony G Greenwald
Sep 30, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Nathan L TimmJoseph W Luria
Jul 10, 2009·Journal of Personality and Social Psychology·Anthony G GreenwaldMahzarin R Banaji
Aug 4, 2009·Journal of Health Care for the Poor and Underserved·Janice SabinFrederick P Rivara
Sep 24, 2009·JAMA : the Journal of the American Medical Association·Colin P WestTait D Shanafelt
Mar 17, 2010·Journal of Experimental Social Psychology·Louis A PennerTsveti Markova
Mar 31, 2010·Pediatrics·Glenn Flores, UNKNOWN Committee On Pediatric Research
Apr 2, 2010·Journal of General Internal Medicine·Diana J BurgessMichelle van Ryn
Jun 26, 2010·Congenital Heart Disease·John T HambrookJames Cnota
Jul 31, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jesse M PinesElizabeth M Datner
Nov 3, 2010·Annals of Emergency Medicine·Marion R SillsMichael G Kahn
Apr 13, 2011·Proceedings of the National Academy of Sciences of the United States of America·Shai DanzigerLiora Avnaim-Pesso
Sep 9, 2011·JAMA : the Journal of the American Medical Association·Adil H HaiderEdward E Cornwell
Dec 16, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Stephanie Spellman KennebeckScott D Reeves
Jul 20, 2012·Journal of Health and Social Behavior·Irena Stepanikova
Nov 17, 2012·American Journal of Public Health·Irene V BlairJohn F Steiner
Jan 16, 2013·Annals of Family Medicine·Irene V BlairEdward P Havranek

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Citations

Nov 20, 2016·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Ana Castaneda-GuarderasLynne D Richardson
Jan 20, 2018·Journal of Addiction Medicine·Cecelia Kathleen MendiolaMichael Fingerhood
Apr 24, 2018·Journal of Midwifery & Women's Health·Elizabeth A HowellWilliam A Grobman
Apr 24, 2018·Obstetrics and Gynecology·Elizabeth A HowellWilliam A Grobman
Apr 20, 2017·International Journal of Emergency Medicine·Henry W YoungLinda B Cottler
Nov 8, 2019·Obstetrics and Gynecology·Jasmine D JohnsonAlison M Stuebe
Nov 15, 2019·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·James A Feldman
May 10, 2020·Journal of Athletic Training·Christine M BaughWilliam P Meehan
Aug 4, 2020·Perspectives on Psychological Science : a Journal of the Association for Psychological Science·Paul Connor, Ellen R K Evers
Jul 24, 2020·Academic Medicine : Journal of the Association of American Medical Colleges·David A AcostaDavid J Skorton
May 5, 2017·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Erin DehonSarah Sterling
Feb 20, 2020·AEM Education and Training·Bisan A SalhiBernard L Lopez
Jul 12, 2020·Nature Human Behaviour·Uraina S Clark, Yasmin L Hurd
Jan 27, 2019·AEM Education and Training·Amy J ZeidanBernard L Lopez
Nov 13, 2019·Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry·Matthew C FadusLindsay M Squeglia
Nov 26, 2019·Obstetrics and Gynecology·Jasmine D JohnsonAlison M Stuebe
Sep 6, 2020·Journal of Developmental and Behavioral Pediatrics : JDBP·Adiaha I A Spinks-Franklin
Jul 17, 2020·Journal of Perinatology : Official Journal of the California Perinatal Association·Kimberly B GlazerElizabeth A Howell
Jan 2, 2021·Chest·Viren KaulNeha S Dangayach
Feb 27, 2021·Annals of the American Thoracic Society·Barbara E JonesTom H Greene
Mar 22, 2021·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Morgan CongdonTiffani J Johnson
Apr 30, 2021·Advanced Emergency Nursing Journal·Camille Brockett-WalkerSheryl Heron
May 13, 2021·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Rowen O JinRohini J Haar
Jul 21, 2021·The Journal of Pediatrics·Kavita ParikhMarion R Sills
Aug 7, 2021·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Sheri-Ann O KaltisoMichelle D Lall
Sep 9, 2021·Irish Journal of Medical Science·Bahman AhadinezhadAilar Hashtroodi
Sep 18, 2021·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jossie A Carreras TartakWendy L Macias-Konstantopoulos
Feb 6, 2020·Pediatric Emergency Care·Katherine A NashRomain Guedj
Mar 4, 2020·Pediatric Clinics of North America·Tiffani J Johnson
Sep 15, 2019·Pediatrics·Jenny RamanFran Balamuth

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