%0 Journal Article
%T Effectiveness of the uChicago Health Inequity Classification System on surgical morbidity and mortality conference: A pilot study.
%A Vigneswaran J
%A Ogunnowo S
%A Millis JM
%A Roggin KK
%A Posner MC
%A Matthews JB
%A Dorsey C
%J Am J Surg
%V 0
%N 0
%D 2024 Jul 6
%M 38991911
%F 3.125
%R 10.1016/j.amjsurg.2024.115834
%X <B>BACKGROUND: </B>Across surgery, marginalized individuals experience worse postoperative outcomes. These disparities stem from the interplay between multiple factors.<BR><B>METHODS: </B>We introduced a novel framework to assess the role of barriers to access and bias in surgical complications (the uChicago Health Inequity Classification System, CHI-CS) in the setting of morbidity and mortality conference and assessed impact through pre and post implementation surveys.<BR><B>RESULTS: </B>Access and bias were related to surgical complications in 14 ​% of cases. 97 ​% reported enhanced M&M presentations with the grading system, and 47 ​% reported a change in decision-making or practice style. Although post-implementation response rate was low, there were improvements in self-reported confidence and comfort in recognizing and discussing these issues.<BR><B>CONCLUSIONS: </B>Implementation of the CHI-CS framework to discuss bias and access to care positively impacted the way providers view, discuss, and process health inequities.