About 94% of supported-language LEP patients received a written consent in their preferred language via eConsent
Source
Karen Trang (2024). The Impact of Using Electronic Consents on Documentation of Language-Concordant Surgical Consent for Patients with Limited English Proficiency. The Joint Commission Journal on Quality and Patient Safety.
Description #
Among patients whose preferred language corresponded to one of the five languages with a translated written consent template, approximately 94% received their eConsent form in the correct written language via the A-0007ArtifactA-0007Initial AI draftEpic eConsent with auto-translated consent templates and mandatory interpreter documentationTo improve language-concordant surgical informed consent for patients with limited English proficiency (LEP) by replacing paper consent forms with an EHR-integrated electronic consent (eConsent) that both delivers the wr…, and the remaining 6% received their consent form in written English. The abstract reports this as 94.1% and lists the supported templates as "Spanish, Chinese, Russian, Arabic," whereas the Methods lists five templates (Spanish, Chinese-Traditional, Chinese-Simplified, Arabic, Russian) — Chinese is counted as two templates in Methods but named once in the abstract.
"Approximately 94% of patients whose preferred language corresponded to one of the five supported languages received their eConsent form in the correct written language. The remaining 6% received their consent form in written English." (Trang, 2024, p. 529)
"Most patients (94.1%) whose preferred language had an associated translated written consent template (Spanish, Chinese, Russian, Arabic), received a language-concordant written consent." (Trang, 2024, p. 528)
Methods Context #
What? #ⓘ
The observable: whether the written eConsent form was provided in the patient's recorded preferred language (correct written language) versus in English.
"the provision of the correct eConsent form in the patient's preferred language" (Trang, 2024, p. 529)
How? #ⓘ
The translated consent form stored in the EHR was automatically populated in the patient's recorded preferred language when a template existed for it, on the A-0007ArtifactA-0007Initial AI draftEpic eConsent with auto-translated consent templates and mandatory interpreter documentationTo improve language-concordant surgical informed consent for patients with limited English proficiency (LEP) by replacing paper consent forms with an EHR-integrated electronic consent (eConsent) that both delivers the wr…; the proportion receiving the correct-language form was tabulated from the eConsent encounters.
"The form, translated into Spanish, Chinese-Traditional, Chinese-Simplified, Arabic, and Russian by medical interpreter services, was also available in the EHR and automatically populated in the patient's recorded preferred language if their preferred language was not English." (Trang, 2024, p. 529)
Who? #ⓘ
Patients among the 1,016 LEP eConsent encounters whose preferred language was one of the five languages with a translated written consent template, at an urban academic medical center.
"During the study period, patients with a preferred language other than English signed 1,016 eConsents." (Trang, 2024, p. 529)
Other Notes #
The written-consent outcome is distinct from the interpreter-mediated verbal-consent documentation outcome; a supported-language patient could receive a correct written form while the verbal discussion's interpreter documentation is separately assessed.