beplayer下载大众普通大海医生呼吁消除临床医学中的有害语言

在发表的新观点New England Journal of Medicine那physicians from Mass General Brigham and Johns Hopkins Medicine say it is time to eliminate the use of racist and harmful terms such as “Red Man Syndrome” and encourage improvements in drug-allergy documentation that recognize the diversity of patient populations.

该文章侧重于用于描述对万古霉素的药物反应的术语，这是美国医院中最常用的抗生素。接受万古霉素的一半患者具有这种反应，自1959年以来，临床医生被临床称为“红人综合征”。

Similar to “redskin,” which wasrecently removed as the name of Washington DC’s NFL team经过多年的抗议，“红人”呼吁历史叙述，以谴责和加强对美国印第安人和土着人民的歧视表示这项研究的作者。

“We can move beyond “Red Man Syndrome” just as we have changed problematic references to avoid Nazi associations and have confronted race ‘corrections’ in clinical practice,” says Kimberly Blumenthal, MD, MSc the study’s senior author, who is an allergy specialist and researcher at Massachusetts General Hospital. “Additionally, the current use of this term causes inequities beyond its original racist implications. It is centered around the reaction of a white male and perpetuates biases and racial norms that may undermine prompt and equitable diagnoses and treatment for patients of color.”

这在先前的研究中证明了这一点学习that demonstrated that “Red Man Syndrome” documentation was more likely for males (odds ratio, 1.30; 95% CI, 1.17-1.44) and less likely for blacks (odds ratio, 0.59; 95% CI, 0.47-0.75). Santiago Alvarez‑Arango, MD, allergy specialist and Clinical Pharmacology Fellow at Johns Hopkins School of Medicine, was the first author of both that prior study and this perspective.

除了共同作者，S.Michelle Ogunwole，MD，Johns D. Hopkins Medical，MD，MP，MP，MP，Caitlin，Caitlin大众遗传学经历和股票官员beplayer下载马萨诸塞州综合医院和金伯利G.Blumenthal，MSC临床流行病学计划中的Kimberly G.Blumenthal，MSC的临床流行病学计划中的临床流行病学计划和Mandachusetts综合医院的蒙南学院这是时候使用增强的性别和种族的方法来重命名反应，而不是破坏健康股权。他们提出了实现这一目标的五个关键步骤：

• 医生需要停止教学“红人综合征” and using it in clinical practice. The authors recommend using the term “vancomycin infusion reaction” for this reaction moving forward and “infusion reaction” for other nonallergic reactions that occur during drug infusions.
• Clinicians can combat racial and ethnic bias by providing and broadening dermatologic findings and images from drug allergies in diverse patients. Availability of more diverse images of dermatologic findings can help prevent cognitive biases, which lead clinicians to estimate disease probability based on comparisons to available images.
• Hospitals and health systems should institute multidisciplinary training on best practices for drug-allergy documentation.
• 过敏专家可以帮助改善抗生素过敏文件，澄清药物过敏诊断，并优化抗生素选择。
• Finally, race-based reporting of clinical research examining racial differences needs to be challenged. Researchers should acknowledge that race is a social construct and explore how racism, rather than race, contributes to racial inequities.

作者州“实施这些建议”意味着不仅意味着从我们的专业词汇中引人注目的种族主义术语，而且还改善了对提高临床精度和患者安全性的所有过敏药物反应的诊断和记录。它将让我们更接近安全，公正和公平的医疗保健系统。“

消除像“红人综合征”这样的有害术语是符合大众的大众布里格姆beplayer下载“United Against Racism” strategic initiative那致力于消除种族主义对患者和群众普通布里格姆系统内的员工的许多影响。beplayer下载系统范围的计划包括特定的时间表和指标，以衡量领导力，员工和文化的改善;病人护理;和社区健康和政策倡导。

媒体联系人

beplayer下载批量普通广场：
Bridget Perry[email protected]

About Mass General Brigham

beplayer下载大众一般布里格姆是一家综合的学术医疗保健系统，在医学中占有巨大的思想，为我们的社区和世界各地的人们对患者进行改变的影响。beplayer下载大众普通百国百国广告队在学术医疗中心，社区和专业医院，健康保险计划，医生网络，社区保健中心，家庭护理和长期护理服务中连接完整的关注。beplayer下载大众一般Brigham是一个非营利组织，致力于对社区的耐心关怀，研究，教学和服务。此外，大众将军，Brighbeplayer下载am是全国领先的生物医学研究组织之一，以及哈佛医学院的主要教学联盟。有关更多信息，请访问massgeneralbrigham.org。