A multi-component quality-improvement bundle raises appropriate interpreter use and documentation for LEP patients
Related Claims #
CLMs this claim informs (→ CLM—informs→CLM by sync_relations.py). The under-provision claim motivates this intervention claim: closing the documented gap is what a QI bundle attempts.
- C-0034ClaimC-0034Initial AI draftInterpreter services are systematically under-provided relative to need for LEP patientsAcross distinct settings and countries — US postpartum inpatient (Jensen), US surgical (Rosenthal), Australian general inpatient (Morris), and US pediatric emergency (Greenky) — measured interpreter offer/use for LEP pat…
Narrative synthesis #
This is an intervention-contrast process claim: a structured quality-improvement program can lift the rate of appropriate interpreter use and documentation (AIUD) for LEP patients well above baseline. In a pediatric ED, a multi-component bundle (an electronic tracking-board LEP icon, a standardized 3-click LEP documentation form, and icon color changes for situational awareness, over three PDSA cycles) raised mean AIUD for Spanish-speaking LEP patients from a 35.7% baseline to 64.5% (Martinez 2021EvidenceE-0100Initial AI draftQI bundle raised appropriate interpreter use and documentation for Spanish-speaking LEP ED patients from 35.7% to 64.5%  A multi-component quality-improvement bundle in a pediatric emergency department (an electronic tracking-boa…). The outcome is a process/documentation measure — it confirms that an appropriate professional interpreter was recorded as used, not that every conversation was interpreted, and the gain followed sequential PDSA cycles with a Hawthorne-effect contribution the authors note. As a single-site QI project, this is directional evidence that the under-provision gapClaimC-0034Initial AI draftInterpreter services are systematically under-provided relative to need for LEP patientsAcross distinct settings and countries — US postpartum inpatient (Jensen), US surgical (Rosenthal), Australian general inpatient (Morris), and US pediatric emergency (Greenky) — measured interpreter offer/use for LEP pat… is movable rather than a generalizable effect size; the certainty/GRADE appraisal is left for expert review.
</content>"The mean of LEP-SS patients with AIUD improved from 35.7% to 64.5% without significant changes in balancing measures." (Martinez, 2021, p. 1)