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Interpretation Accuracy between Orthopaedic Surgeons and Qualified Remote Spanish Interpreters in a Trauma Setting.
Todd Jaeblon1,2, Rubén Monarrez3, Carlos Molestina1
1University of Maryland Capital Region Medical Center, Department of Orthopaedic Traumatology, Largo, MD.
Journal of Orthopaedic Trauma
|April 28, 2026
Summary
Remote medical interpretation accuracy for Spanish speakers in orthopaedic trauma was assessed. Video interpretation significantly improved accuracy compared to telephonic methods, with less than half of all interpretations deemed acceptable.
Area of Science:
- Medical Interpretation
- Healthcare Communication
- Orthopaedic Trauma Care
Background:
- Effective communication is crucial in orthopaedic trauma care.
- Remote interpretation services are increasingly utilized.
- Assessing the accuracy of qualified medical interpreters (QMI) is essential.
Purpose of the Study:
- To evaluate the interpretation accuracy of remote QMIs in Spanish orthopaedic trauma settings.
- To determine if interpretation method (telephonic vs. video), delivery speed, or subject complexity affects accuracy.
Main Methods:
- Three vignettes (simple, moderate, complex) of orthopaedic trauma scenarios were created.
- Twenty QMIs interpreted vignettes via telephone or video to simulated patients.
- Interpretations were evaluated by orthopaedic and bilingual physician experts for fidelity.
Main Results:
- Only 46.7% of interpretations were rated acceptable; 35% were unacceptable.
- Interpretation accuracy was not significantly associated with vignette complexity or delivery speed.
- Video interpretation yielded significantly higher odds of acceptable accuracy (OR 6.21) compared to telephonic interpretation.
Conclusions:
- Less than half of remote Spanish interpretations in orthopaedic trauma settings met acceptable accuracy standards.
- Remote video interpretation demonstrated superior accuracy compared to telephonic interpretation.
- Improving remote interpretation methods is vital for patient safety and effective care in orthopaedics.
