一项质量改善倡议,以改善西班牙语患者的出院过程
Chloe Kupelian1,2, Begem Lee1,2, Sarah Gray1,2
1Rady Children's Hospital, San Diego, California.
Hospital pediatrics
|August 11, 2025
概括
这项研究通过将翻译文件的数量从65.5%增加到88%,改善了西班牙语患者 (SSP) 的医院出院说明. 这项质量改进倡议确保了SSP的更好的沟通和公平的护理.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者沟通 患者沟通
- 健康 公平 卫生 公平
背景情况:
- 讲西班牙语的患者 (SSPs) 在出院时经常得到不公平的护理.
- 国家质量指标强调语言一致性,以实现有效的口头和书面沟通.
研究的目的:
- 在五个月内,将西班牙语患者在翻译文件后出院的比例从65.5%提高到82%.
主要方法:
- 一个跨学科的质量改进团队使用过程映射和石川图来识别工作流的差距.
- 干预措施包括员工教育和电子病历 (EMR) 修改.
- 追踪的关键指标包括翻译的清算文件,翻译订单,提供商订单率和停留时间 (LOS).
主要成果:
- 收到翻译的放电说明的SSP的百分比从基线65.5%增加到88%.
- 对SSP的翻译订单的比例从54%上升到82%.
- 提供者对翻译的订单从11%大幅增加到75%,对LOS没有影响.
结论:
- 改进模式框架成功地增加了SSP的翻译放电文件的提供.
- 未来的努力应该探索EMR集成,以提高自动文档翻译的可靠性.
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