An Implementation Science Approach Improves Language Access in the Emergency Department.
Background: The underuse of interpreters for limited English proficiency (LEP) patient encounters is pervasive, particularly in the emergency department (ED). Objective: To measure the outcome of strategies to improve the use of interpreters by ED providers. Methods: Pre- and post- intervention eval...
| Publicado en: | Journal of Immigrant & Minority Health Vol. 23; no. 6; pp. 1214 - 1223 |
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| Autores principales: | , , , , , |
| Formato: | clinical trial research tables/charts Journal Article |
| Publicado: |
Springer Nature
Dec2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=153624600&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 153624600 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15571912 1UWU jtl: Journal of Immigrant & Minority Health issn: 15571912 maglogo: N pubinfo: dt: Dec2021 vid: 23 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 153624600 147869735 153624600 153624600 10.1007/s10903-020-01127-x 153624600 ppf: 1214 ppct: 9 formats: tig: atl: An Implementation Science Approach Improves Language Access in the Emergency Department. aug: au: Taira, Breena R. Onofre, Laura Yaggi, Catherine Orue, Aristides Thyne, Shannon Kim, Hyung affil: Department of Emergency Medicine, Olive View-UCLA Medical Center, 14445 Olive View Drive, North Annex, 91342, Sylmar, CA, USA sug: subj: Implementation Science Emergency Service Interpreter Services Utilization Communication Barriers Prevention and Control Quality Improvement Outcomes (Health Care) Human Clinical Trials Pretest-Posttest Design Pilot Studies Multilingualism Communication Skills Documentation Record Review Descriptive Statistics Confidence Intervals kappa Statistic Conceptual Framework Adult Adult: 19-44 years ab: Background: The underuse of interpreters for limited English proficiency (LEP) patient encounters is pervasive, particularly in the emergency department (ED). Objective: To measure the outcome of strategies to improve the use of interpreters by ED providers. Methods: Pre- and post- intervention evaluation of the unmet need for language assistance (LA) in a public ED. Informed by the Behavior Change Wheel (BCW), strategies included: education, training, technology-based facilitators, local champions and environmental cues. Results: Pre-intervention, of the 110 patient charts with interpreter requests, 17 (15.5%) had documentation of an interpreter-mediated encounter or were seen by a certified bilingual provider (unmet need = 84.5%). Post intervention, of the 159 patient charts with interpreter requests, 47 (29.6%) had documentation of an interpreter-mediated encounter or were seen by a certified bilingual provider (unmet need = 70.4%), difference + 0.14 (95% CI = 0.03-0.23). Conclusion: In this pilot study, we found a statistically significant increase in the met need for language assistance. pubtype: Academic Journal doctype: clinical trial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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