以单位为基础的途径,以减少不平等的家庭说英语以外的语言 (UPRISE)
Jennie N Magana-Soto1, Monica O Ruiz2, Daniel S Tawfik3
1Center for Professional Excellence & Inquiry.
Hospital pediatrics
|August 21, 2024
概括
这项研究改善了儿科重症监护室 (PICU) 的西班牙语家庭在人身口译员 (IPI) 的使用. 增加IPI的使用增强了沟通,并解决了非英语发言者的医疗保健不平等问题.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 医学沟通 医学沟通
- 健康 公平 卫生 公平
背景情况:
- 对于英语水平有限 (LEP) 的个人来说,医疗保健不平等仍然存在.
- 儿科重症监护室 (PICU) 的家庭更喜欢亲自翻译 (IPI) 进行医疗更新.
- 西班牙语家庭代表了这个PICU中最大的LEP人口.
研究的目的:
- 增加在PICU中医疗更新的西班牙语口译员的使用率.
- 解决西班牙语家庭在重症监护机构所面临的沟通障碍.
主要方法:
- 在一个拥有36张床位的PICU中实施了一项质量改善计划.
- 关键干预措施包括增加一个专门的西班牙语IPI,开发沟通工具,教育员工,优化LEP家庭识别和创建语言仪表板.
- 多个计划-做-研究-行动周期指导了这一倡议.
主要成果:
- 西班牙IPI用于每日工作日医疗更新的使用率从基线中位数的39.4%增加到51.9%.
- 在研究期间的最后六个月,利用率达到66.3%.
- 持续的增长与基于PICU的IPI,员工教育和EHR优化有关.
结论:
- 质量改进计划成功地增加了西班牙IPI的使用率,用于PICU的日常医疗更新.
- 未来的努力将专注于将这些干预措施适用于其他语言和医院单位.
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