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Development and evaluation of a multilingual caregiver electronic rounds summary
Alexander F Glick1, Nicholas C Kuzma2, Glenn Rosenbluth3
1Department of Pediatrics, NYU Grossman School of Medicine, New York, New York, USA.
Journal of Hospital Medicine
|February 25, 2026
Summary
A new electronic summary of hospital rounds improves patient and caregiver understanding by addressing language and health literacy barriers. This multilingual tool enhances communication during inpatient care.
Area of Science:
- Health Communication
- Patient Education
- Health Equity
Background:
- Health literacy-informed and language-concordant materials can improve caregiver understanding of care plans.
- These materials are not commonly utilized during inpatient rounds.
- Addressing these gaps is crucial for effective patient-centered care.
Purpose of the Study:
- To develop and evaluate a health literacy-informed, multilingual electronic real-time summary of hospital rounds (Rounds eSummary).
- To enhance communication and understanding between healthcare providers and patients/caregivers.
- To overcome language and health literacy barriers in inpatient settings.
Main Methods:
- A multidisciplinary team developed the Rounds eSummary using best practices in health literacy, communication, and language equity.
- Clinicians used a link with closed-ended options to generate a PDF summary in up to 15 languages.
- Descriptive statistics analyzed 437 eSummaries; a subset of 12 English summaries were assessed for readability, understandability, and actionability.
Main Results:
- Rounds eSummaries were generated in eight languages, with English being the most common (89%).
- 61% of eSummaries were accessed by patients/caregivers, with an average engagement time of 29.1 seconds.
- The average reading grade level was 6.8, with understandability at 87% and actionability at 60%.
Conclusions:
- A usable Rounds eSummary was successfully designed and implemented.
- The tool effectively addressed language and health literacy barriers in inpatient rounds.
- This electronic summary shows promise for improving patient and caregiver comprehension of care plans.
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