Avoiding racism and institutional bias in child health — formative SAQs · Paeds SAQs

Prompt

Avoiding racism and institutional bias in child health: definition, escalation and equity

SAQ 1 (10)

Staff repeatedly label a Pacific family as non-compliant after missed appointments caused by transport failure and interpreter absence. [1] [2]

a) Define the problem in one sentence and state the first safety priorities. (3 marks) [1]

b) Classify the situation using urgency, setting and equity axes. (3 marks) [1] [2]

c) List red flags that force immediate escalation or retrieval. (2 marks) [1]

d) Document the handover elements you would include in an SBAR call. (2 marks) [2]

Local capability is limited and the family faces transport and cultural barriers. [1] [3]

a) Explain how you adapt the pathway honestly to local resources without delaying essentials. (3 marks) [1]

b) Describe cultural safety and interpreter actions you would take. (3 marks) [2]

c) Outline the stay-versus-go decision framework. (2 marks) [1]

d) Give safety-net and follow-up instructions for the family. (2 marks) [3]

[1]Darville JA et al. Unmasking obstetric care providers' empathy and color evasion in maternal health disparities: a causal attribution, mixed-methods study with an ideal-type analysis. BMC Public Health, 2026.PMID 42426700
[2]Ostfeld-Johns S et al. Establishing Neonatal Toxicology Testing Protocols to Prioritize Clinical Utility Reduces Racial and Socioeconomic Bias. NEJM Catal Innov Care Deliv, 2026.PMID 42418540
[3]Raphael-Grimm T et al. International Learning Initiative Part 1: A Protocol for Developing a Collaborative Online International Learning (COIL) Module on Racism in Healthcare. Scand J Caring Sci, 2026.PMID 42171406
[4]Wijesuriya R et al. Roadmap for systematic identification and analysis of multiple biases in causal inference. Am J Epidemiol, 2026.PMID 42463233
[5]Rush M et al. Racial and Ethnic Disparities in Length of Stay for Pediatric Bacterial Tracheostomy-Associated Infections. Hosp Pediatr, 2026.PMID 42457193
[6]Brown CA et al. Patient Sociodemographic and Provider Characteristic Predictors of Echocardiogram Ordering in Pediatric Patients: A Retrospective Analysis. Pediatr Cardiol, 2026.PMID 42360426