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Us study suggests interpreters in er may limit medical errors by ferujkll sdff
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Us study suggests interpreters in er may limit medical errors |
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The study, conducted at two pediatric ERs and published in theAnnals of Emergency Medicine, found that mistakes which could have clinical consequences, like giving the wrong medication dose,were about twice as likely if there were no interpreters or if thetranslator was an amateur. The findings document that interpreter errors of potentialclinical consequence are significantly more likely to occur whenthere is an 'ad hoc' or no interpreter, compared with aprofessional interpreter, said lead researcher Glenn Flores, ofthe University of Texas Southwestern Medical Center in Dallas. An estimated 25 million U.S. residents have limited Englishproficiency that is, they say they speak the language less than very well. By law, U.S.
hospitals that receive federal funds have to offersome type of translation help for those patients. That can mean aprofessional interpreter who works for the hospital or telephone orvideo based translation services. Studies have found that patients like to have a translatoravailable, and that it may improve care and cut costs, by avoidingunnecessary tests, for instance. But it hadn't been clear how wellprofessional interpreters performed against amateurs, or nointerpreter at all. The current study was based on 57 families seen in either of twoMassachusetts pediatric emergency rooms.
All were primarilySpanish speaking and 20 families had help from a professionalinterpreter. Ten had no translation help and 27 had a non professionalinterpreter. The reasons for the differences were unclear. When trained interpreters were available, 12 percent of translationslips could have potential health risks to a child. But when theinterpreter was somebody such as a family member or a bilingualmember of the hospital staff, 20 to 22 percent of their translationerrors were potentially risky.
In one example from the study, an amateur interpreter a familyfriend told the doctor that the child was not on any medicationsand had no drug allergies. But the friend had not actually askedthe mother whether that was true. A number of questions remain about professional interpreters, suchas whether in person interpreters are more effective than phone orvideo interpreters and what are the most cost effective measures,Flores said. Another issue is training, including the question of how much isenough. Errors were least common when the interpreters had 100 hours oftraining or more.
In these cases, only 2 percent of theirtranslation slips had the potential for doing the child harm. Few training programs for medical interpreters provide at least 100hours of training, Flores said. Even when hospitals run their ownprograms, the hours involved vary widely. These findings suggest that requiring at least 100 hours oftraining for interpreters might have a major impact on reducinginterpreter errors and their consequences in health care, whileimproving quality and patient safety, the researchers wrote. I am an expert from Connectors & Terminals, usually analyzes all kind of industries situation, such as atv steel wheels , ntn roller bearing.
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