在儿科急诊室的首选语言和诊断错误
Jeremiah T Lowe1, Jan Leonard2, Fidelity Dominguez3
1University of Colorado School of Medicine, Aurora, CO, USA.
Diagnosis (Berlin, Germany)
|October 5, 2023
概括
非英语主要语言 (NEPL) 并没有增加儿科急诊室诊断错误 (DxE) 的风险. 这项研究在英语熟练和NEPL群体中发现了类似的DxE率.
科学领域:
- 儿科急救医学 儿科急救医学
- 医疗保健服务研究 医疗服务研究
- 患者安全 患者安全
背景情况:
- 诊断错误 (DxE) 是儿科急诊室 (ED) 的一个重大问题.
- 护理人员的语言能力可能会影响沟通和诊断的准确性.
- 了解语言障碍对于提高患者安全至关重要.
研究的目的:
- 检查护理人员的主要语言与儿科ED中DxE发生的相关性.
- 为了比较英语熟练 (EP) 和非英语主要语言 (NEPL) 群体之间的DxE率.
主要方法:
- 对从2018年1月到2022年2月的ED遭遇进行了回顾性审查.
- 电子触发器在指数ED访问的10天内识别出未计划的入院.
- 修订后的Safer Dx仪器用于确认DxE,根据语言能力对照护理人员进行分类.
主要成果:
- 在3,551个触发遭遇中,有806个经过审查,其中172个 (21.3%) 确认了DxE.
- 在EP (21.5%) 和NEPL (21.7%) 两组中,DxE的比例相似 (p=0.97).
- 年龄较大 (≥12岁) 和较少的先前入院预测了更高的DxE概率;NEPL不是预测因素.
结论:
- 护理人员非英语的主要语言与诊断错误的风险增加,导致意外入院的风险没有关联.
- 这些发现表明,在这种儿科ED环境中,语言能力不是DxE的显著独立风险因素.
- 进一步的研究可能会探索在不同语言群体中导致DxE的其他因素.
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