• Laura Re Chapman, Sara Mellow, and Hannah Coombridge.
• University of Auckland, Auckland, New Zealand.
• Med. J. Aust. 2019 Dec 1; 211 (11): 514-517.

ObjectivesTo determine whether gendered symbols on patient call bells are restricted to our hospital or are examples of an international practice that perpetuates gender stereotypes and occupational segregation.SettingMulticentre, international study of hospital equipment, 2018.Main Outcome MeasureTypes of symbols on patient call bells.ResultsWe received 56 responses from 43 hospitals in eight countries across five continents: 37 devices included female-specific images, nine included gender-neutral images, and ten did not use imagery (for example, button-only devices). No call bells included male-specific images.ConclusionFemale symbols on patient call bells are an international phenomenon. Only female or gender-neutral images are used, indicating bias in their design, manufacture, and selection. Female symbols may reinforce gender stereotypes and contribute to occupational segregation and reduced equity of opportunity. We suggest alternative symbols. Individual action with coloured marker pens may provide a pragmatic short term, albeit provocative, solution. While call bell design has only a minor impact on patients, everyday bias affects all staff and society in general.© 2019 AMPCo Pty Ltd.

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