Unconscious bias a factor in Gisborne ED death

Making Education Easy

Authors:

Boynton J

November 20, 2024

Summary:

Te Whatu Ora have acknowledged that decision-making around the treatment of a 30-year Māori woman who died at Gisborne Hospital’s emergency department (ED) in August 2023 may have been influenced by unconscious bias. The woman had a history of medical issues, including a heart condition, and presented to the ED with dizziness and pain. However, her observations were not taken due to the volume of other patients, despite her Māori partner repeatedly trying to seek support as she deteriorated. The women collapsed an hour after arriving, and was unable to be resuscitated. Commenting on the case, Dr Elana Curtis quoted published research showing that the mortality rate for Māori within 10 days of presenting to the ED is significantly higher than for non-Māori. “There’s no excuse for racism in health care”, she said.

Comment:

A heart-breaking story which demonstrates the power of whānau aroha, in telling their account; the importance of Kaupapa Māori research in explaining inequities; and the role we play as health leaders to reflect, apologise and do better.

Reference: The Hui.

Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

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