Abstract
BackgroundAcross surgery, marginalized individuals experience worse postoperative outcomes. These disparities stem from the interplay between multiple factors. MethodsWe 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. ResultsAccess 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. ConclusionsImplementation of the CHI-CS framework to discuss bias and access to care positively impacted the way providers view, discuss, and process health inequities.
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