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改善儿科急诊室翻译人员的准入:一个质量改善倡议
Katherine E Douglas1, Miriam T Fox2, Christine C Cheston3,4
1From the Division of Emergency Medicine, Boston Children's Hospital, Boston, Mass.
Pediatric quality & safety
|July 12, 2024
概括
改善急诊室英语能力有限 (LEP) 的患者获得口译服务至关重要. 这一举措加强了文档,减少了非合格的口译员的使用,尽管患者报告的访问情况保持不变.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
- 健康 公平 卫生 公平
背景情况:
- 限定的英语水平 (LEP) 影响着越来越多的美国人口.
- 联邦资金要求医院提供口译服务,但这种服务往往不足.
- 低血压患者面临更高的不良事件风险,特别是在急诊室.
研究的目的:
- 提高儿童急诊部英语水平有限的患者的口译服务质量.
- 加强对LEP患者翻译需求和使用的文档.
- 减少对非合格口译员的依赖,并增加使用专业服务.
主要方法:
- 一个质量改进的倡议进行了14个月的第三级护理儿科急诊室.
- 实施了四个计划-做-学习-行动周期,以驱动程序图为指导.
- 数据收集涉及医疗记录审查,患者调查和员工调查,结果通过运行和控制图表进行跟踪.
主要成果:
- 对于LEP患者使用口译员的文档有了显著的改进.
- 工作人员报告的专业口译员的使用量增加,而临时口译员的使用量减少.
- 没有观察到LEP患者报告持续可用口译员的比例或总体逗留时间的显著变化.
结论:
- 质量改进计划成功提高了适当的文档,并减少了对LEP患者的非合格口译员的使用.
- 尽管改进了流程,但患者报告的对口译员的持续访问并没有改变.
- 患者的满意度没有受到干预的影响.
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