Colleen K. Gutman|Liliana Cousins|Jesse Gritton|Eileen J. Klein|Julie C. Brown|Jack W. Scannell|K. Casey Lion
Professional Interpreter Use and Discharge Communication in the Pediatric Emergency Department
University of Washington|Emory University|University of Washington|American Cancer Society|University of Washington|University of Washington|University of Cambridge|University of Washington
h2abstracth2h3objectiveh3 families limited english proficiency lep experience communication barriers risk adverse events discharge pediatric emergency department ed sought describe characteristics ed discharge communication lep families assess whether use professional interpreter associated provider communication quality ed discharge h3methodsh3 transcripts videorecorded ed visits spanishspeaking lep families obtained larger study comparing professional interpretation modalities freestanding childrens hospital caregiverprovider communication interactions included discharge education analyzed content techniques providers used assess caregiver comprehension regression analysis used assess association professional interpreter use discharge education content assessment caregiver comprehension h3resultsh3 analyzed 101 discharge communication interactions 47 lep patient visits 31 communications use professional interpretation although patients 70 received complete discharge education content 65 received instructions medication dosing 55 given return precautions thirteen percent patient visits included openended question assess caregiver comprehension none included teachback professional interpreter use associated greater odds complete discharge education content odds ratio 71 95 confidence interval ci 14370 highquality provider assessment caregiver comprehension 61 95 ci 23159 h3conclusionsh3 professional interpreter use associated superior provider discharge communication behaviors study identifies clear areas improving discharge communication may improve safety outcomes lep children discharged ed