23 Indigenous racism reporting and review process for addressing harm to indigenous patients

<h3>Description</h3> To eliminate Indigenous-specific racism and discrimination (ISRD) and make our system safer for Indigenous Peoples, we have developed a process to report and review ISRD events, with a goal to use Indigenous-led restorative approaches for resolution and effect system-level change. This project is aligned with Provincial Health Service Authority’s Integrated Quality and Safety Strategy goal of achieving a culturally safe and anti-racist environment and the foundational documents/obligations from British Columbia’s In Plain Sight Report and Declaration on the Rights of Indigenous Peoples Act. The work included launching Indigenous Self-Identification in patient safety event reporting, forming a Health System wide ISRD response committee (with responsibility to intake events, initiate program-led reviews, approve review reports, and track recommendation implementation), establishing a process for event reviews (protocol), developing resources to support resolution approaches, and creating an evaluation plan. The new ISRD reporting and review process was created to align with the Coast Salish teachings that were gifted to the health authority, and developed through significant engagement and input from leaders, staff and providers across the organization through the formation of an advisory council. Early findings show engagement with Indigenous Health leaders in all ISRD case reviews as well as any patient safety events involving Indigenous patients, increased confidence of leaders in how to review ISRD cases, appreciation from staff for having a way to report ISRD that they witness as a patient safety event, and that many of the reported ISRD events have led to well received resolution and learning through participation in healing circles.