Evaluating the Feasibility of Incorporating In-Person Interpreters on Family-Centered Rounds: A QI Initiative

Hospital Pediatrics
Christine C ChestonJames M Moses

Abstract

No best practice has been defined for incorporating in-person interpreters into family-centered rounds (FCRs) for patients with limited English proficiency (LEP). We hypothesized that addressing barriers to scheduling in-person interpreters would make FCR encounters more likely, and thus ensure more equitable care for LEP patients. A quality improvement initiative was conducted from October 2014 to March 2016 to arrange in-person interpreters for LEP patients during FCRs on the inpatient pediatric service of a large, urban, tertiary care center in Boston. Main interventions included establishing a protocol for scheduling interpreters for rounds and the implementation of a form to track process adherence. Our primary outcome was the percentage of FCR encounters with LEP patients with an interpreter present. Our balancing measures were patient satisfaction, which was assessed using validated surveys administered weekly by nonphysician team members through convenience sampling of families present on the wards, and rounds duration. There were 614 encounters with LEP patients during the intervention, 367 of which included in-person interpreters. The percentage of encounters with LEP patients involving interpreters increased from 0% ...Continue Reading

References

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Citations

Oct 20, 2020·JAMA Pediatrics·Alisa KhanUNKNOWN Patient and Family Centered I-PASS Health Literacy Subcommittee
May 23, 2021·Hospital Pediatrics·Ashley K FernandesStephanie Lauden
Sep 29, 2021·Hospital Pediatrics·Prabi RajbhandariElizabeth Smith

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