Journal of clinical nursing · 2025
Enhancing Paediatric Deterioration Assessment Across Diverse Skin Tones: Insights and Future Directions.
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Zhou Tianji, Dong Xiangling, Su Hanyang
Аннотация
BACKGROUND: Skin tone can affect clinical signs and device accuracy in paediatric anaemia and deterioration detection, creating risks of inequity.
KEY ISSUES: Studies show disparities in diagnostic accuracy across different skin tones, supported by community-based evidence.
RECOMMENDATIONS: (1) Build multicenter networks with standardised skin-tone data. (2) Validate devices across varied skin tones. (3) Train clinicians in dark-skin sign recognition. (4) Include equity metrics in paediatric quality indicators.
CONCLUSION: Reducing skin-tone bias is essential for equitable paediatric care. Collaborative research across diverse regions is needed.
KEY ISSUES: Studies show disparities in diagnostic accuracy across different skin tones, supported by community-based evidence.
RECOMMENDATIONS: (1) Build multicenter networks with standardised skin-tone data. (2) Validate devices across varied skin tones. (3) Train clinicians in dark-skin sign recognition. (4) Include equity metrics in paediatric quality indicators.
CONCLUSION: Reducing skin-tone bias is essential for equitable paediatric care. Collaborative research across diverse regions is needed.