دورية أكاديمية
Unit-based Pathways to Reduce InequitieS for familiEs speaking languages other than English (UPRISE).
| العنوان: | Unit-based Pathways to Reduce InequitieS for familiEs speaking languages other than English (UPRISE). |
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| المؤلفون: | Magana-Soto JN; Center for Professional Excellence & Inquiry., Ruiz MO; Department of Pediatrics, Emergency Medicine, University of California San Diego, San Diego, California., Tawfik DS; Department of Pediatrics, Critical Care Medicine, Stanford University School of Medicine, Palo Alto, California., Rey-Ardila D; Stanford Medicine Children's Health, Palo Alto, California., Bonillas A; independent investigator, formerly: Department of Pediatrics, Critical Care Medicine, Stanford University School of Medicine, Palo Alto, California., Persoglia-Bell M; Department of Interpreter Services., Su F; Department of Pediatrics, Critical Care Medicine, Stanford University School of Medicine, Palo Alto, California., Anand KJS; Department of Pediatrics, Critical Care Medicine, Stanford University School of Medicine, Palo Alto, California.; Department of Anesthesiology, Perioperative & Pain Medicine, Stanford Child Wellness Lab, Maternal & Child Health Research Institute, Palo Alto, California. |
| المصدر: | Hospital pediatrics [Hosp Pediatr] 2024 Sep 01; Vol. 14 (9), pp. 773-781. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: American Academy of Pediatrics Country of Publication: United States NLM ID: 101585349 Publication Model: Print Cited Medium: Internet ISSN: 2154-1671 (Electronic) Linking ISSN: 21541671 NLM ISO Abbreviation: Hosp Pediatr Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: July 2011- : Elk Grove Village : American Academy of Pediatrics Original Publication: Elk Grove Village, IL : American Academy of Pediatrics/Section on Hospital Medicine |
| مواضيع طبية MeSH: | Quality Improvement* , Intensive Care Units, Pediatric* , Communication Barriers* , Translating*, Humans ; Healthcare Disparities ; Child ; Language ; Hispanic or Latino/statistics & numerical data ; Male ; Female |
| مستخلص: | Objective: Health care inequities are common among individuals who speak languages other than English (LOE). Within our PICU, LOE families prefer communication via in-person interpreters (IPI). Spanish-speaking patient families are our largest LOE population; therefore, we sought to increase Spanish IPI utilization for medical updates in the PICU. Methods: A quality improvement initiative in a 36-bed PICU included: the addition of a dedicated weekday Spanish-speaking IPI, the creation of communication tools, staff education, optimized identification of LOE families, and development of a language dashboard across multiple Plan, Do, Study, Act cycles. The primary outcome was IPI utilization rates for daily medical updates. Results: Spanish IPI utilization for daily weekday medical updates among 442 Spanish-speaking patient families increased from a median of 39.4% at baseline to a new centerline median of 51.9% during implementation, exhibiting 66.3% (465 of 701) utilization in the final 6 months of implementation. The greatest sustained increases in Spanish IPI utilization occurred after PICU-based IPI implementation, staff education, electronic health record optimization, and a split work week between 2 PICU-based IPIs. Conclusions: This quality improvement initiative increased Spanish IPI utilization for daily weekday medical updates in the PICU across multiple Plan, Do, Study, Act cycles. Future work will adapt these interventions to other languages and other hospital-based units. (Copyright © 2024 by the American Academy of Pediatrics.) |
| معلومات مُعتمدة: | R01 HD099296 United States HD NICHD NIH HHS |
| تواريخ الأحداث: | Date Created: 20240821 Date Completed: 20240831 Latest Revision: 20240831 |
| رمز التحديث: | 20240901 |
| مُعرف محوري في PubMed: | PMC11358596 |
| DOI: | 10.1542/hpeds.2023-007569 |
| PMID: | 39165244 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2154-1671 |
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| DOI: | 10.1542/hpeds.2023-007569 |