{Reference Type}: Journal Article
{Title}: Effectiveness of the uChicago Health Inequity Classification System on surgical morbidity and mortality conference: A pilot study.
{Author}: Vigneswaran J;Ogunnowo S;Millis JM;Roggin KK;Posner MC;Matthews JB;Dorsey C;
{Journal}: Am J Surg
{Volume}: 0
{Issue}: 0
{Year}: 2024 Jul 6
{Factor}: 3.125
{DOI}: 10.1016/j.amjsurg.2024.115834
{Abstract}: <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.