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QuestionQuestion · 10
An unknown we want to make known — addressable by studies, experiments, or prototypes.
- Q-0001How does language support (language ‘concordance’) affect healthcare outcomes?
- Q-0002What are the effects of language concordance on the quality and cost of medical treatment?
- Q-0003How to optimize delivery of language concordance services in healthcare?
- Q-0004What is the distribution of language discordance needs in American healthcare settings?
- Q-0005How does the absence of language support (language ‘discordance’) affect healthcare outcomes?
- Q-0006How does language concordance affect medication adherence for patients with limited English proficiency
- Q-0007How does language concordance or discordance affect health outcomes in surgical and perioperative care?
- Q-0008How does the modality of a language-concordance intervention affect its efficacy?
- Q-0009What are the benefits, risks, and limitations of AI-assisted translation for surgical procedures?
- Q-0010What best practices exist for AI-assisted translation in surgery?
ClaimClaim · 243
An atomic, generalized assertion about the world that (proposes to) answer a research question.
- C-000155% of malpractice cases come from miscommunication between patients and caregivers
- C-0002Doctors spend an extra 10 to 30 minutes to initiate every interpreting session when they have to chase down a tablet on wheels, vs. using directly from the mobile phone in their pocket
- C-0003For most large HDNs, the cumulative costs of language discordance adds up to 10s of millions of dollars of wasted provider time a year
- C-0004Interpreting services increase diagnosis accuracy for patients with limited english proficiency
- C-0005Patients with limited english proficiency receive less accurate diagnoses
- C-0006Interpreting services reduce recurrence rates for patients with limited english proficiency
- C-0007Patients with limited english proficiency have shorter hospital stays when interpreting services are used
- C-0008Patients with limited english proficiency have higher likelihood of recurrences
- C-0009When accessing interpreting directly on their own, as opposed to waiting for a caregiver, patients with limited english proficiency demonstrate an increased sense of empowerment
- C-0010When accessing interpreting directly on their own, as opposed to waiting for a caregiver, patients with limited english proficiency have less frequent “no shows”
- C-0011When interpreting is used, patients with limited english proficiency are 40% more likely to adhere to their treatment
- C-0012When interpreting is used, patients with limited english proficiency are 40% more likely to trust their physician
- C-0013Patient-provider language concordance more than preferred language accounts for medication adherence differences among LEP patients
- C-0014LEP patients can achieve medication adherence comparable to or better than English-speaking patients when care is language-concordant
- C-0015LEP patients use remote medication refill systems less than English-proficient patients, risking wider adherence disparities
- C-0016Language-concordant automated telephone self-management is a valid scalable way to assess medication adherence in linguistically diverse populations
- C-0017Language accessibility and concordance, not LEP status itself, is the operative lever for medication-adherence disparities
- C-0018Providing verbal medication information can mitigate LEP patients lower medication-related self-efficacy
- C-0019LEP patients have lower medication-related self-efficacy than English-proficient patients, a modifiable adherence risk
- C-0020Patients with limited english proficiency can achieve equal or better clinical outcomes than English-proficient patients when they receive care at facilities with robust support services
- C-0021Limited english proficiency is not necessarily associated with worse treatment adherence
- C-0022A medical Spanish curriculum for resident physicians increases language-concordant encounters and reduces reliance on interpreter phones
- C-0023Bilingual-provider language concordance is associated with greater patient satisfaction and adherence among Spanish-speaking LEP ED patients
- C-0024Culturally integrated, language-concordant diabetes nutrition education improves dietary adherence for LEP Chinese American patients and is feasible within usual clinic services
- C-0025A Spanish-language adaptation of an HIV mHealth app achieves good usability and acceptability for Latinx PWH while surfacing engagement barriers for iterative design
- C-0026Integrating early-warning-score monitoring and interpreters into the rapid response system reduces post-activation mortality for patients with limited english proficiency
- C-0027Certified dual-role nurse interpreters improve the hospital experience of Spanish-speaking LEP patients by brokering communication
- C-0028Professional interpretation at admission and discharge shortens length of stay for LEP inpatients
- C-0029Professional interpretation at admission or discharge lowers 30-day readmission for LEP inpatients
- C-0030Hospitalized patients with limited English proficiency receive less numeric pain assessment and fewer opioids than English-speaking patients
- C-0031Language discordance (LEP status) is not consistently associated with longer hospital length of stay
- C-0032Providing professional interpreter access does not raise hospital cost and can yield net savings
- C-0033Language discordance (LEP status) is not associated with higher acute-care utilization (ED visits or hospital admission)
- C-0034Interpreter services are systematically under-provided relative to need for LEP patients
- C-0035Discretionary criticality triage by clinicians rations interpreter use and suppresses routine concordant communication
- C-0036Translated written materials are under-provided and constrained to common languages and simple documents
- C-0037A professional-development career ladder raises medical interpreter certification and assessed competence
- C-0038Medical interpreters function as active co-constructors of meaning rather than neutral conduits
- C-0039In-person interpreting supports higher communication quality than telephone or video interpreting
- C-0040Language concordance improves the quality of clinical communication relative to discordance
- C-0041Language discordance is associated with reduced treatment adherence
- C-0042Language-concordant care improves patient satisfaction compared with interpreter-mediated or discordant care
- C-0043Language-concordant care increases patient engagement and active participation in the clinical encounter
- C-0044Language discordance increases the time and effort providers must spend delivering care
- C-0045Interpreter access barriers push clinicians toward ad hoc workarounds and truncated communication
- C-0046Investing in dedicated interpreter capacity and bilingual-provider skills reduces provider burden and improves care coordination
- C-0047Professional interpreter use improves the quality of psychiatric care for LEP patients while evaluation in a nonprimary language degrades it
- C-0048LEP status, especially with inconsistent professional interpreter use, is a risk factor for poorer perioperative care and outcomes
- C-0049For hospitalized LEP children, professional interpreters of any mode outperform ad hoc or no interpreter, and mode matters less than using a professional at all
- C-0050A multi-component quality-improvement bundle raises appropriate interpreter use and documentation for LEP patients
- C-0051Interpreter need (language discordance) is associated with discharge to a rehabilitation facility rather than home
- C-0052Interpreter need (language discordance) is not significantly associated with postoperative complication rates
- C-0053Language-concordant preoperative video education reduces anxiety and increases satisfaction for LEP surgical patients without necessarily improving knowledge
- C-0054Children of LEP parents receive less adequate postoperative pain assessment and opioid analgesia than children of EP parents
- C-0055More frequent professional interpretation narrows the LEP-EP gap in pediatric postoperative pain management
- C-0056Language discordance is associated with higher hospital readmission after spine and orthopedic surgery
- C-0057Language discordance is not associated with longer hospital length of stay after spine surgery at institutions with readily available interpreter services
- C-0058Surgeons frequently obtain preoperative informed consent from LEP patients using ad-hoc interpreters or their own limited language skills rather than professional interpreters
- C-0059Surgeons apply discretionary scenario-dependent thresholds rather than a standard policy when deciding whether to use professional interpreters for LEP consent
- C-0060Language discordance is associated with more frequent postoperative visits after spine surgery
- C-0061A multilingual chatbot engages LEP patients as effectively as English-primary patients
- C-0062Enrolling LEP arthroplasty patients in a multilingual chatbot is associated with fewer hospital readmissions
- C-0063Enrolling LEP arthroplasty patients in a multilingual chatbot reduces emergency department visits
- C-0064Enrolling LEP arthroplasty patients in a multilingual chatbot reduces reoperations
- C-0065Increasing rapid access to professional interpreters improves informed consent for hospitalized LEP patients
- C-0066Improving interpreter access alone does not eliminate the informed-consent disparity between LEP and English-speaking patients
- C-0067Bedside interpreter phone availability increases professional interpreter utilization in the hospital
- C-0068Limited English proficiency is associated with higher postoperative pneumonia after knee arthroplasty
- C-0069Limited English proficiency is associated with increased venous thromboembolic complications after knee arthroplasty
- C-0070Limited English proficiency is associated with longer hospital length of stay after knee arthroplasty
- C-0071Language proficiency is not associated with arthroplasty-specific complications, implicating postoperative rather than intraoperative management
- C-0072Limited English proficiency is associated with lower regional anesthesia utilization for surgery
- C-0073The modality of language interpretation influences regional anesthesia utilization
- C-0074Regional anesthesia is the near-universal standard of care for total joint arthroplasty at specialized orthopedic centers
- C-0075Transitioning from paper to electronic consent improves documentation of language-concordant interpreter-mediated surgical consent for LEP patients
- C-0076Electronic consent systems with auto-populated translated templates deliver language-concordant written consent to most LEP patients whose language is supported
- C-0077Language-concordant consent delivery is lower for patients speaking less common or less-supported languages
- C-0078Language-concordant surgical consent delivery varies across surgical services
- C-0079Limited English proficiency is associated with longer hospital length of stay after total joint arthroplasty
- C-0080Limited English proficiency is associated with higher hospitalization cost after total joint arthroplasty
- C-0081Limited English proficiency is associated with increased discharge to a skilled care facility after total joint arthroplasty
- C-0082Limited English proficiency is associated with higher 30-day readmission after total joint arthroplasty
- C-0083Limited English proficiency is associated with decreased utilization of revision surgery after hip and knee arthroplasty
- C-0084Limited English proficiency is associated with longer hospital length of stay after hip and knee arthroplasty
- C-0085LEP patients present for cataract surgery with more advanced (mature) cataracts
- C-0086LEP patients undergo more complex cataract surgery with higher cumulative dissipated energy
- C-0087Limited English proficiency is not associated with intraoperative or postoperative complication rates in cataract surgery
- C-0088LEP cataract patients carry a higher diabetes and diabetic-eye-disease comorbidity burden
- C-0089LEP patients are more likely to have residents perform their cataract surgery
- C-0090LEP patients are less likely to undergo Nd-YAG laser capsulotomy after cataract surgery
- C-0091LEP patients are more likely to remain on postoperative steroid drops after cataract surgery
- C-0092LEP patients have worse preoperative vision but greater visual improvement after cataract surgery
- C-0093Limited English proficiency is associated with higher postoperative complication rates after breast reduction mammoplasty
- C-0094Limited English proficiency is associated with greater postoperative follow-up and clinic-visit utilization after breast reduction mammoplasty
- C-0095Non-English primary language is associated with higher odds of emergency versus elective surgery for diverticulitis
- C-0096The elevated emergency-surgery risk with non-English primary language is concentrated among non-Spanish-speaking patients
- C-0097The association between non-English primary language and emergency surgery for diverticulitis is not explained by insurance status
- C-0098Limited English proficiency is associated with reduced access to surgical care
- C-0099Limited English proficiency is associated with delays in receiving surgical care
- C-0100Limited English proficiency is associated with longer surgical admission length of stay
- C-0101Limited English proficiency is associated with discharge to a skilled facility rather than home after surgery
- C-0102Limited English proficiency is not consistently associated with perioperative mortality
- C-0103Limited English proficiency is not consistently associated with postoperative complications
- C-0104Limited English proficiency is not consistently associated with unplanned hospital readmissions after surgery
- C-0105Limited English proficiency is associated with less adequate perioperative pain management
- C-0106Limited English proficiency is associated with worse postoperative functional recovery
- C-0107The association of language barriers with perioperative outcomes differs between Spanish-speaking and non-Spanish-speaking patients
- C-0108Language barriers are more consistently associated with perioperative process-of-care outcomes than with clinical outcomes
- C-0109Time pressure of urgent surgical cases reduces language-concordant consent delivery
- C-0110LEP patients have low uptake of patient portals for electronic consent delivery and signing
- C-0111Children from LEP families experience a longer time to first analgesia after surgery than children from English-proficient families
- C-0112LEP is not associated with the timing or amount of postoperative opioid analgesia in hospitalized children
- C-0113LEP is not associated with the number of postoperative pain assessments in hospitalized children
- C-0114LEP is not associated with the amount of nonopioid analgesia administered to hospitalized children within 24 hours of surgery
- C-0115Patients with limited English proficiency are more likely to receive elective total joint arthroplasty than English-proficient patients
- C-0116An observed higher elective-arthroplasty rate among LEP patients does not by itself establish a language-driven treatment effect given selection bias and disease-severity confounding
- C-0117More frequent interpreting services during peri-operative admission are associated with shorter length of stay for LEP surgical patients
- C-0118Many LEP surgical patients receive infrequent interpreting services during peri-operative admission
- C-0119In-person professional interpreters reach surgical patients quickly on average but with high variability in wait time
- C-0120Telephone and video remote interpreting backups prevent surgical case cancellations when in-person interpreters are unavailable
- C-0121When comprehensive professional interpreter services are readily available most LEP patients use them rather than family or ad hoc interpreters
- C-0122In-person interpreting is the predominant modality used for LEP surgical patients with telephone and video as secondary options
- C-0123LEP surgical populations are linguistically diverse with need concentrated in a few dominant languages and a long tail
- C-0124Providing comprehensive professional interpreter services imposes substantial financial and staffing burdens on health care institutions
- C-0125Patients who need language assistance report lower postoperative pain intensity than English-proficient surgical patients
- C-0126The need for language assistance reduces the use of regional anesthesia in surgical patients
- C-0127The need for language assistance in surgical oncology patients is patterned by race and ethnicity
- C-0128Patients who need language assistance have a higher prevalence of chronic opioid use
- C-0129Patients who need language assistance have a higher prevalence of anxiety or depression
- C-0130Patients who need language assistance receive less postoperative opioid than English-proficient surgical patients
- C-0131Professional translation of written patient information yields better LEP comprehension than unsupervised machine translation
- C-0132Translated written patient information booklets alone are insufficient for most LEP patients to comprehend key cancer treatment information
- C-0133Unsupervised machine translation of medical information into low-resource languages introduces more meaning-changing errors than professional translation
- C-0134Bilingual interlinear consent forms improve LEP patient comprehension of treatment intent during interpreted consent consultations
- C-0135Bilingual interlinear consent forms increase LEP patient self-rated confidence and understanding during interpreted consent
- C-0136Language discordance is associated with fewer postoperative opioid prescription refill requests after knee arthroplasty despite similar pain
- C-0137LEP patients are less likely to be discharged home after total knee arthroplasty
- C-0138LEP patients have longer hospitalization after total knee arthroplasty (opioid-refill cohort)
- C-0139Patient language is not an independent predictor of procedural informed-consent comprehension after adjusting for education and socioeconomic factors
- C-0140Education is the strongest predictor of patient comprehension of procedural informed consent
- C-0141Many patients do not comprehend colposcopy well enough to give fully informed consent
- C-0142Among adequately interpreted LEP patients, the type of interpretive service does not significantly affect procedural consent comprehension
- C-0143Socioeconomic and demographic factors predict patient comprehension of procedural informed consent
- C-0144Family interpreter proxies are a reliable alternative to professional interpreters for administering patient-reported outcome surveys to LEP patients
- C-0145Proxy-interpreter survey agreement is higher for discrete objective events than for subjective day-to-day-variable self-report domains
- C-0146Language-concordant resources and interpreter access mitigate the surgical-access disadvantage of limited English proficiency
- C-0147Language-concordant patient education resources help lessen surgical-access disparities for LEP patients
- C-0148Untrained bilingual family or friends should not be relied on for medical interpretation because it risks misinterpretation and errors
- C-0149Professional interpreter use improves satisfaction, quality of care, and outcomes for LEP patients
- C-0150Limited English proficiency is associated with reduced access to definitive parathyroidectomy for primary hyperparathyroidism
- C-0151Language-concordant communication for LEP surgical patients is especially deficient at hospital discharge
- C-0152Documented professional interpreter use for LEP surgical inpatients is broad in reach but low in frequency and timeliness
- C-0153Preferred-language group is associated with the likelihood that LEP surgical patients receive early interpreter services
- C-0154Patient demographic and insurance characteristics are not associated with interpreter use among LEP surgical patients
- C-0155Multiple discrete factors influence whether partially bilingual physicians use their own language skills or call an interpreter
- C-0156Physician lack of knowledge about interpreter value and use is a leading modifiable risk factor for unsafe reliance on own language skills
- C-0157Cost of interpreter services is a comparatively minor driver of the interpreter-use decision
- C-0158Staff education plus language assistive technology increases clinicians' use of professional interpreter services for LEP patients
- C-0159Professional interpreters enable LEP patients to disclose clinically critical information that family or ad hoc interpreters miss
- C-0160Assistive listening devices restore effective communication for hearing-impaired perioperative patients
- C-0161Language concordance increases patient question-asking during pediatric surgery clinic visits
- C-0162Question-asking behavior is driven by language concordance rather than patients' native language or ethnicity
- C-0163Language concordance improves patient-rated communication quality in pediatric surgical care
- C-0164Language concordance does not change clinical visit length
- C-0165LEP patients prefer and value direct bilingual-provider care over interpreter-mediated care
- C-0166Patient trust and perceived discrimination track native-language and cultural background more than visit-level language concordance
- C-0167Nurse uptake of communication boards stays low even when reported satisfaction is high
- C-0168Pictorial communication boards improve nurse satisfaction with the LEP interpretation process
- C-0169Pictorial communication boards are a feasible, easy-to-adopt tool for nurse-LEP communication in perioperative care
- C-0170A pictorial communication board does not significantly change interpretation-service costs
- C-0171Pictorial communication boards improve nurses' self-perceived ability to communicate with LEP patients
- C-0172Pictorial communication boards reduce nurses' perceived time and effort to interpret routine nursing tasks
- C-0173Patients with limited English proficiency are under-represented in non-industry-sponsored clinical trials relative to industry-sponsored trials
- C-0174Non-industry-sponsored clinical trials are less likely than industry-sponsored trials to provide consent documents in patients' primary languages
- C-0175Availability of a translated consent document at study opening increases trial enrolment of patients who speak that language
- C-0176The cost of consent document translation is a modifiable barrier to enrolling limited-English-proficiency patients in clinical trials
- C-0177Spanish is the most frequently requested non-English language for medical interpretation and translation in US healthcare
- C-0178Language-access demand concentrates in a few dominant languages with a long regionally variable tail that is hardest to serve
- C-0179Health systems frequently rely on ad hoc family and friend interpreters for LEP patients despite guidelines against the practice
- C-0180Health systems face substantial provider- and system-level barriers to meeting the language-access needs of LEP patients
- C-0181There is substantial unmet need for patient-education materials translated into patients' preferred languages
- C-0182Pediatric-serving care settings report greater language-access service needs than adult-only settings
- C-0183Patient self-report is the predominant method by which health systems identify patients' preferred language
- C-0184Surgical patients with limited English proficiency are systematically excluded from or under-represented in patient-reported outcome data
- C-0185Even with professional interpreters information is lost in translation undermining accurate patient-provider understanding
- C-0186Collecting PROMs from LEP patients imposes additional provider time and resource burden that leads to PROMs being skipped
- C-0187Providers prefer in-person interpreters over phone or video interpreters for communicating with and collecting PROMs from LEP patients
- C-0188Using English-speaking family members as ad hoc interpreters is a double-edged practice for LEP patient care
- C-0189Institutional leadership and funding support are key facilitators for developing and implementing validated multilingual PROMs
- C-0190Word-for-word translation of PROMs without cultural and linguistic validation is not sufficient for valid measurement in LEP populations
- C-0191Availability of validated translated PROMs in the patients preferred language is the primary determinant of PROM collection for LEP patients
- C-0192Lack of multilingual electronic medical record integration is a barrier to PROM collection for LEP patients
- C-0193Neural machine translation software can feasibly assess postoperative pain and nausea for most LEP patients without an on-hand interpreter
- C-0194Patients and nurses report high satisfaction with machine translation software for postoperative symptom assessment
- C-0195Machine translation with human postediting is faster to produce than fully human translation of health materials
- C-0196Machine translation with human postediting lowers the cost of translating health materials versus fully human translation
- C-0197Unsupervised machine translation fails to meet professional-quality standards for medical safety information in most non-English languages
- C-0198Machine translation of patient-education material into Spanish preserves information and meaning as accurately as professional translation
- C-0199Unsupervised machine translation produces less grammatically fluent text than professional human translation
- C-0200Machine translation of medical text introduces more errors overall than professional translation
- C-0201Machine translation of patient-education material into a high-resource language does not introduce more clinically dangerous errors than professional translation
- C-0202Preference for professional over machine translation depends on sentence complexity
- C-0203Cost is the leading barrier to producing translated public-health materials for LEP populations
- C-0204Public-health translation is under-resourced and performed as an intermittent add-on rather than a scheduled function
- C-0205Public-health agencies lack standardized policies and clear guidelines governing when and what to translate
- C-0206Public-health professionals perceive publicly available machine translation as too low-quality to use unsupervised for health materials
- C-0207Machine translation of public-health materials should be followed by human post-editing to reach acceptable quality and be adopted
- C-0208Producing translated public-health materials follows a multi-phase workflow that MT tools must fit into
- C-0209A voice-enabled machine translation app matches professional human translators on simple patient-education sentences but makes more errors as sentence complexity increases
- C-0210Mobile translation apps improve staff-patient rapport and engagement during care for LEP patients
- C-0211Fixed-phrase translation apps cannot convey patients' spoken responses leaving communication one-directional
- C-0212Free real-time machine translation apps are unreliable for clinical communication being slow and inaccurate with accents dialects and noise
- C-0213Healthcare staff find mobile translation apps a useful and acceptable tool for basic communication with LEP patients when an interpreter is unavailable
- C-0214Human professional translation is preferred over machine translation with postediting for quality of translated public-health materials
- C-0215Raw machine translation of English public-health text into Chinese is of moderate quality and requires substantial human postediting
- C-0216Machine translation of English into Chinese is dominated by word-sense and word-order errors that are the most cognitively demanding to correct
- C-0217Postediting instructions to make all corrections needed rather than only minimal edits improve machine-translation quality
- C-0218Older LEP patients and healthcare workers view mobile translation apps as an acceptable adjunct for everyday low-risk healthcare communication
- C-0219Fixed-phrase translation apps are preferred over real-time voice-to-voice translation apps for healthcare communication
- C-0220Concerns about translation accuracy make mobile translation apps unsuitable for complex or high-risk clinical communication
- C-0221Readers of translated research documents prefer a functionalist reader-oriented translation over a literal word-for-word one
- C-0222Literal word-for-word translation of research instruments creates more comprehension problems for readers than a functionalist translation
- C-0223Limited digital literacy among older LEP patients is a barrier to adopting mobile translation technology
- C-0224An LLM voice agent can map unconstrained multilingual free-text survey responses to structured SDoH answers with high accuracy
- C-0225LLMs cannot reliably map free-text survey responses that require relational comparison of a number to a range
- C-0226A concept-based speech translation device can accurately convey spoken medication-counseling recommendations between clinicians and LEP patients
- C-0227LEP patients report high satisfaction with speech translation devices for spoken medication counseling
- C-0228A concept-based domain-tuned speech translation system is more robust to noise and disfluency than general-purpose commercial systems
- C-0229Interactive point-of-care interpretation applications are feasible and assist basic communication between providers and LLP patients
- C-0230Clinicians report overall satisfaction and ease of use with point-of-care interpretation applications
- C-0231Point-of-care interpretation applications supplement but cannot replace professional interpreters for complex clinical conversations
- C-0232Point-of-care interpretation applications are limited by small phrase libraries and a narrow range of supported languages
- C-0233The evidence base for point-of-care interpretation applications is limited to small single-site studies without standardized evaluation
- C-0234Evaluations of point-of-care interpretation applications center the provider rather than the LLP patient perspective
- C-0235A mobile application providing one-touch access to telephone interpreters increases clinician use of interpreter services
- C-0236Uptake of translation tools in care settings is governed by time, cost, and institutional policy rather than by translation quality
- C-0237Improving translation quality does not improve LEP patient comprehension, while changing the delivery format does
- C-0238Machine translation of health materials approaches professional quality in high-resource languages and degrades sharply in low-resource ones
- C-0239Machine translation with human post-editing is substantially cheaper and faster than full human translation, but reaches quality parity only under some post-editing conditions
- C-0240In voice-based translation tools the speech-recognition stage, not the translation stage, is the primary source of failure
- C-0241Machine translation of health text degrades readability before it degrades meaning, with sentence complexity as the moderator
- C-0242User satisfaction with translation technology is uniformly high and does not track its measured accuracy or usability
- C-0243Language-technology interventions increase interpreter-service utilization and process measures without demonstrated improvement in patient outcomes, and the utilization gains are not shown to persist
EvidenceEvidence · 392
A specific empirical observation from a particular study.
- E-0001Among 4,436 patients with DPN symptoms, difficulty speaking English was independently associated with not having a DPN diagnosis
- E-0002In the last 30 days of life, patients with LEP had higher odds of readmission (12% vs 8%; aOR 1.64, 95% CI 1.30-2.07; p < 0.001)
- E-0003In the last 30 days of life, patients with LEP had higher odds of ED visits (33% vs 20%; aOR 1.41, 95% CI 1.26-1.72; p < 0.001)
- E-0004Nepali-speaking LEP diabetes patients had the highest medication Adherence Ratio
- E-0005Language-group differences in medication adherence disappeared after controlling for patient-provider language concordance
- E-0006Interaction between preferred language and language concordance was non-significant for all medications and outcomes
- E-0007Maximum days of medication non-adherence were lower for Nepali- and Spanish-speakers than English-preference patients
- E-0008LEP patients had much lower odds of using any remote medication refill system than English-proficient patients
- E-0009The remote-refill disparity was driven by Internet refills while telephone refill use did not differ by LEP status
- E-0010Language-concordant ATSM assessed self-reported adherence as well as a structured interview when validated against pharmacy-claims CMG
- E-0011Optimal adherence by claims was lower among ATSM respondents reporting more missed days for blood pressure and cholesterol but not diabetes pills
- E-0012LEP patients had lower medication learning self-efficacy than English-proficient patients but equal taking self-efficacy
- E-0013Verbal medication information narrowed the LEP learning self-efficacy gap but had no effect for English-proficient patients
- E-0014Only 11 percent of LEP patients reported receiving written medication information in their preferred language
- E-0015Adults with LEP and diagnosed HIV were more virally suppressed than EP adults (77.5% vs 69.6%)
- E-0016Adults with LEP were more likely to be prescribed ART than EP adults (89.7% vs 83.5%) but ART adherence did not differ
- E-0017Adults with LEP were more likely than EP adults to receive care at RWHAP-funded facilities (79.0% vs 67.0%)
- E-0018Residents trained in a medical Spanish curriculum spoke Spanish with more LEP patients and used translator phones less
- E-0019Patients rated visit satisfaction and resident Spanish ability higher for curriculum-trained residents
- E-0020Among LEP patients who followed medical recommendations after a Spanish-spoken encounter, most were seen by curriculum-trained residents
- E-0021Dietary adherence (adapted Mediterranean diet score) significantly improved with culturally integrated nutrition counseling but worsened with usual DSME
- E-0022Culturally integrated nutrition counseling was feasible to deliver within an existing clinic and 100% of intervention participants rated the bilingual booklet as helping their learning
- E-0023Dietary self-efficacy, weight, and HbA1c trended better with integrative counseling but no clinical or attitudinal outcome reached significance
- E-0024Spanish-language HIV mHealth app ConexionesPositivas scored 75 on the System Usability Scale (good usability)
- E-0025CP users perceived positive impacts of the app on medication-adherence self-monitoring, mood-stress check-ins, and provider communication
- E-0026CP users identified engagement barriers (privacy, low literacy, lack of personal connection, repetitiveness) and requested more interactivity and personalization
- E-0027Post-RR activation mortality among LEP patients decreased from 7.42% to 6.09% with special cause variation after the intervention
- E-0028Process measures, length of stay, and escalation of care showed no special cause variation after the intervention
- E-0029Disease severity (DI score) at RR activation rose slightly post-intervention with special cause variation
- E-0030Dual-role nurses observed Spanish-speaking patients show visible relief and ease once an interpreter brokered communication
- E-0031Without qualified interpretation Spanish-speaking patients experienced miscommunication confusion and anger during hospital stays
- E-0032Concentrating Spanish-speaking patient assignments on dual-role nurses added time-consuming interpreting burden and frustration
- E-0033LEP inpatients without a professional interpreter on both admission and discharge had a 0.75-1.47 day longer length of stay
- E-0034Adjusted mean length of stay was 5.06 days with no interpreter vs 2.57 days with interpreters on both admission and discharge
- E-0035LEP inpatients with no interpreter on admission or discharge had a higher 30-day readmission rate (24.3% vs 14.9%)
- E-0036Only 39% of LEP inpatients received professional interpretation on both admission and discharge while 13.8% received none on either day
- E-0037Patients with LEP had the lowest adjusted odds of numeric pain ratings (OR 0.61, 95% CI 0.58-0.65)
- E-0038English-speaking patients received substantially more daily opioids (MMEs) than patients with LEP across all pain assessments
- E-0039Patients with LEP had the highest proportion receiving behavioral pain tools, suggesting interpreter underutilization
- E-0040LEP patients perceived inferior care and described concrete harms when interpretation was inadequate or absent
- E-0041No LEP psychiatric inpatients received a personality disorder diagnosis versus 19% of English-proficient patients
- E-0042Barriers to professional interpretation led LEP patients to delay care or proceed without assistance, limiting communication
- E-0043LEP patients reported providers overestimate their English comprehension and do not check for understanding
- E-0044LEP psychiatric inpatients received more consultant reviews (median 4 vs 3) but not after adjusting for length of stay
- E-0045LEP patients described interpreter unavailability causing delays that lengthen outpatient and emergency visits
- E-0046Median psychiatric inpatient length of stay was higher for LEP patients (12 vs 8 days) but not statistically significant
- E-0047For LEP patients medical interpreters actively completed communicative tasks beyond verbatim translation
- E-0048Three-quarters of surveyed children's hospitals (74%) reported translating discharge instructions
- E-0049Telephone-based interpreters faced challenges completing communicative tasks versus in-person interpreters due to lost information and lack of visual cues
- E-0050Operational complexity from mismatched discharge and translation time frames was the most cited barrier to translating discharge instructions
- E-0051Hospitals rely on interpreters to act as translators despite differing training, limited to short or simple documents
- E-0052Every institutional policy mentioning machine translation forbade using it alone, calling it inaccurate and unsafe
- E-0053Standardized translated document libraries and EHR templates were the main strategy but were limited to common languages and could not be personalized
- E-0054No significant difference in length of stay after bariatric surgery between LEP and EP patients (adjusted IRR 0.94)
- E-0055LEP patients visited the ED less than EP patients within one year of bariatric surgery (adjusted OR 0.65)
- E-0056No significant difference in one-year readmission after bariatric surgery between LEP and EP patients (adjusted OR 0.94)
- E-0057Interpreters enacted active collaborator and co-constructor roles rather than neutral conduits
- E-0058Interpreter's unstated assumption created an unrepaired misinterpretation of who served as informal interpreter
- E-0059Provider's use of a colloquialism (blood thinner) created interpretation confusion rather than aiding comprehension
- E-0060Collaborative co-construction among interpreter, provider, and patient achieved mutual understanding (intersubjectivity)
- E-0061Interpreters experienced role dissonance between conduit training and the collaborative demands of actual encounters
- E-0062Audiologists were significantly less confident testing speech discrimination in non-English non-Spanish speakers than Spanish speakers (3.65 vs 2.35)
- E-0063Providers reported significantly greater effort treating non-English non-Spanish speakers than Spanish speakers
- E-0064Most clinicians reported inability to accurately assess hearing loss in LEP patients hindered treatment (93 percent)
- E-0065Interpretation resources were the most frequently cited ideal resource with in-person interpreters preferred (72 and 62 percent)
- E-0066Clinicians improvised on validated speech-perception testing or used non-speech evaluation for CI candidacy in LEP patients (59 and 52 percent)
- E-0067Adjusted ED length of stay was negligibly different (0.77%, ~1.2 min) between interpreter-requested and English-speaking pediatric patients
- E-0068Adjusted odds of 7-day ED readmission were only 3% higher and non-significant for interpreter-requested pediatric patients
- E-0069Adjusted odds of hospital admission or transfer were only 6% higher for interpreter-requested pediatric patients, a reversed trend from prior gaps
- E-0070Interpreters were requested for 12.1% of pediatric ED patients in 2016, up from ~2% in 2002
- E-0071Interpreter use was documented for only 62% of LEP cholecystectomy patients despite the Section 1557 mandate
- E-0072Only 31% of LEP cholecystectomy patients received language-concordant documentation
- E-0073Documented interpreter use was not significantly associated with LOS, ED revisits, readmission, or surgical follow-up after cholecystectomy
- E-0074Language-concordant documentation was not significantly associated with LOS, ED revisits, readmission, or surgical follow-up after cholecystectomy
- E-0075Interpreter or bilingual-provider access was offered to only 24% of postpartum couplets at admission and 14% for daily rounds
- E-0076Median wait for an in-person interpreter after clinician request was 17 minutes (range 0-75)
- E-0077Long unpredictable interpreter wait times led clinicians to get by with hand gestures broken Spanish and phone apps
- E-0078Clinicians triaged encounters as noncritical and withheld interpreters reserving them for consents
- E-0079Clinicians strongly preferred in-person interpreters over phone and video for engagement and continuity
- E-0080Bedside interpreter telephone access lowered LEP 30-day readmission during intervention (OR 0.64)
- E-0081Bedside interpreter telephone access had no significant effect on length of stay
- E-0082Averted LEP readmissions during intervention yielded estimated $161,404 monthly hospital savings
- E-0083Time constraints led ad hoc interpreters to pressure psychiatric patients into short answers, cutting off their narratives
- E-0084Ad hoc interpreters acted as gatekeepers, answering on patients' behalf and controlling what reached the clinician
- E-0085In cultural-broker role, ad hoc interpreters' own interpretations took precedence, risking dilution of the patient's explanatory model
- E-0086As clinician and ad hoc interpreter negotiated roles, the patient's voice was lost in interpreter-mediated psychiatric consultations
- E-0087Interpreter use was the strongest predictor of LOS after TSA, adding 0.88 days per patient
- E-0088Interpreter-cohort TSA patients were 454 percent more likely to be discharged to a rehabilitation facility
- E-0089No significant association between interpreter need and 30- or 90-day complication rates after TSA
- E-0090Interpreter career-ladder restructuring was followed by large reductions in service-delay, encounter-quality, and unable-to-provide complaints
- E-0091All interpreter staff became nationally certified and mean assessment scores rose after the career-ladder intervention
- E-0092Inpatient excellent-satisfaction ratings for understandable nurse explanations rose over seven points post-intervention
- E-0093Staff satisfaction with interpreter timeliness was lower in inpatient settings than in clinics and the ED
- E-0094Embedding interpreters in inpatient care teams expanded their role to proactive care coordination and problem-solving
- E-0095QI bundle raised appropriate interpreter use and documentation for Spanish-speaking LEP ED patients from 35.7% to 64.5%
- E-0096Improving interpreter use and documentation did not reduce the 48-hour ED return-visit rate for LEP patients (3.1%)
- E-0097The interpreter-use QI bundle did not significantly change balancing measures of ED length of stay (186 min) or VRI encounter time (16.5 min)
- E-0098No significant difference in length of stay between LEP patients who did and did not receive an interpreter after casemix adjustment
- E-0099No significant difference in hospital cost between LEP patients who did and did not receive an interpreter after casemix adjustment
- E-0100About half (54.4%) of admitted LEP patients requiring an interpreter received one
- E-0101Female LEP patients were more likely than males to receive an interpreter (65.1% vs 41.7%)
- E-0102LEP children wore hearing aids far less per day than English-proficient peers (1.30 vs 5.19 hr)
- E-0103Nearly half of LEP children wore hearing aids 15 min or less per day versus 10 percent of English-proficient children
- E-0104Direct-Spanish care raised primary-endpoint general satisfaction over interpreter services (4.45 vs 4.09) in an RCT
- E-0105Direct-Spanish care raised satisfaction with overall-care domains (technical quality, interpersonal manner, communication, time spent)
- E-0106Direct-Spanish care raised satisfaction with physician communication (disclosure, empathy, confidence, general)
- E-0107Direct-Spanish consultations had more physician history-verification and partnering utterances
- E-0108Patients in direct-Spanish consultations asked more questions and gave more unprompted speech
- E-0109Satisfaction benefit of direct-Spanish care attenuated to nonsignificance at later treatment timepoints
- E-0110Initial consultation length did not differ between direct-Spanish and interpreter-services arms (37 vs 33 min)
- E-0111No difference in ED length of stay between LEP and English-speaking patients
- E-0112Among LEP ED patients interpreter use was associated with significantly longer length of stay
- E-0113Spanish instructional video reduced preoperative anxiety vs no video (median reduction 2 vs 0) in Spanish-speaking surgical patients
- E-0114Spanish instructional video increased preoperative satisfaction vs no video (median increase 2 vs 0) in Spanish-speaking surgical patients
- E-0115Spanish instructional video did not improve reported knowledge scores vs no video (3.5 vs 4, P=.908) in Spanish-speaking surgical patients
- E-0116Children of LEP parents received fewer daily pain assessments than children of EP parents (7.3 vs 9.3 per day)
- E-0117Children of LEP parents had higher recorded pain before receiving opioid analgesics than children of EP parents
- E-0118Within the LEP group, children with ≥2 interpretations per day had lower post-medication pain scores (0.7 vs 1.6)
- E-0119Within the LEP group, more frequent interpretation was associated with receiving opioids at any recorded pain level (not statistically significant)
- E-0120NES patients had higher readmission rates than ES (4.43% vs 0.96%) after spine surgery
- E-0121NES status independently predicted increased readmission (OR 4.22) on multivariable analysis after spine surgery
- E-0122Postoperative-visit counts differed significantly between NES and ES groups (2.19 vs 1.73) after spine surgery
- E-0123Length of stay did not differ between NES and ES groups (69.91 vs 67.8 hours) after spine surgery
- E-0124Surgeons not fluent in non-English languages often used their limited skills to obtain preoperative informed consent from LEP patients
- E-0125Many surgeons reported relying on bilingual staff and adult family members as ad-hoc interpreters for preoperative consent
- E-0126Surgeons reported they would use minors as ad-hoc interpreters to obtain surgical consent, contravening hospital policy
- E-0127When a professional interpreter was not available in a timely manner surgeons more frequently used ad-hoc interpreters or their own nonfluent skills
- E-0128Surgeons reported deferring to patient and family preferences when deciding whether to use a professional interpreter
- E-0129Surgeons applied their own variable thresholds across clinical scenarios rather than a standard policy for professional interpreter use
- E-0130LEP and English-primary patients engaged equally with the multilingual chatbot (12.3 vs 12.2 responses, P=.959)
- E-0131LEP patients enrolled in the chatbot had fewer 90-day readmissions than non-enrolled LEP controls (0% vs 8.3%)
- E-0132Chatbot-enrolled LEP patients had a non-significant reduction in 90-day ED visits vs controls (0.9% vs 8.0%, P=.085)
- E-0133Reoperation rates did not differ between chatbot-enrolled and non-enrolled LEP patients (0% vs 1.5%, P=1.000)
- E-0134Adequately informed consent was higher post- vs pre-bedside interpreter phone implementation (54% vs 29%) among LEP patients
- E-0135Post-implementation LEP patients had higher propensity-adjusted odds of adequately informed consent (AOR 2.56)
- E-0136Each individual informed consent element improved post-implementation among LEP patients (adjusted ORs 2.39-14.1)
- E-0137Post-implementation LEP patients still had lower adequately informed consent than English speakers (AOR 0.38)
- E-0138Professional interpreter use at consent signing rose non-significantly post-implementation (29.8% to 39.7%)
- E-0139Hospital-wide professional telephone interpreter utilization increased 14% post-implementation
- E-0140LEP status independently predicted increased 30-day DVT (aOR 2.84) after knee arthroplasty
- E-0141LEP patients had higher unadjusted 30-day DVT rates than EP (2.5% vs 0.8%) after knee arthroplasty
- E-0142LEP patients had longer length of hospital stay than EP (2.8 vs 2.3 days) after knee arthroplasty
- E-0143LEP patients had higher unadjusted 30-day VTE rates than EP (3.8% vs 1.9%) after knee arthroplasty
- E-0144LEP and EP patients had similar rates of surgical site infection, sepsis, and encephalopathy after knee arthroplasty
- E-0145LEP and EP patients had similar arthroplasty-specific complication rates after knee arthroplasty
- E-0146LEP status independently predicted increased 30-day VTE (aOR 2.10) after knee arthroplasty
- E-0147LEP was not an independent predictor of 7-day pneumonia (aOR 2.77, CI 0.57-13.51) after knee arthroplasty
- E-0148LEP patients had higher unadjusted 7-day pneumonia rates than EP (1.3% vs 0.3%) after knee arthroplasty
- E-0149Preferred language was not associated with regional anesthesia utilization on univariate analysis for total joint arthroplasty
- E-0150Preferred language was not associated with regional anesthesia use after multilevel multivariable adjustment (OR 0.93) for total joint arthroplasty
- E-0151Language was not associated with regional anesthesia use in a propensity-score-matched sensitivity analysis (OR 1.23) for total joint arthroplasty
- E-0152Interpreter use was not associated with regional anesthesia utilization for total joint arthroplasty
- E-0153Interpreter modality (in-person, phone, video) was not associated with regional anesthesia utilization for total joint arthroplasty
- E-0154Regional anesthesia was near-universal (98.8%) for total joint arthroplasty at a specialized orthopedic hospital
- E-0155Documented language-concordant interpreter-mediated consent rose from 56.9% to 83.9% after paper-to-eConsent transition
- E-0156About 94% of supported-language LEP patients received a written consent in their preferred language via eConsent
- E-0157Documented consent concordance was lower for less commonly spoken languages (Spanish 89.2% vs Tagalog 47.6%)
- E-0158Documented consent concordance varied across surgical services (Ophthalmology 94.5% vs Cardiothoracic 77.6%)
- E-0159Very urgent (under 6h) cases had lower documented consent concordance (57.1%) than elective (84.2%)
- E-016096% of eConsents documented the presence of a certified medical interpreter
- E-0161Only 5.1% of LEP patients signed their eConsent via the patient portal (73.2% signed on in-unit iPads)
- E-0162LEP was associated with longer length of stay (adjusted IRR 1.15) after total joint arthroplasty
- E-0163LEP was associated with higher hospitalization cost (adjusted IRR 1.08) after total joint arthroplasty
- E-0164LEP was associated with increased discharge to a skilled care facility (adjusted OR 1.41) after total joint arthroplasty
- E-0165LEP was not associated with 30-day readmission (adjusted OR 0.80, 95% CI 0.49-1.28) after total joint arthroplasty
- E-0166LEP patients were less likely than EP to undergo revision surgery within 1 year (1.4% vs 3.2%) after arthroplasty
- E-0167LEP patients were less likely than EP to undergo revision surgery within 2 years (1.7% vs 3.9%) after arthroplasty
- E-0168LEP status independently predicted decreased 1-year revision surgery (aOR 0.45) after arthroplasty
- E-0169LEP status independently predicted decreased 2-year revision surgery (aOR 0.44) after arthroplasty
- E-0170LEP patients had longer hospital length of stay than EP (3.4 vs 2.6 days) after arthroplasty
- E-0171LEP patients' cataract surgeries were more likely to be complex (27.8% vs 15.3%)
- E-0172More LEP patients remained on steroid drops 4 weeks after cataract surgery (14.6% vs 10.1%)
- E-0173LEP cataract patients had higher type 2 diabetes prevalence than EP patients (44.9% vs 21.5%)
- E-0174LEP patients were more likely to have residents perform their cataract surgery (9.4% vs 5.8%)
- E-0175LEP patients had greater visual acuity improvement after cataract surgery (change 0.366 vs 0.254)
- E-0176Higher complex-surgery and CDE rates in LEP persisted after adjustment for mature cataract
- E-0177LEP patients were less likely to undergo Nd-YAG capsulotomy after cataract surgery (7.3% vs 12.8%)
- E-0178LEP cataract surgeries used higher cumulative dissipated energy (mean 9.5 vs 7.2)
- E-0179No significant difference in operative time between LEP and EP cataract surgery (21.7 vs 20.5 min)
- E-0180LEP patients had worse preoperative visual acuity (logMAR 0.566 vs 0.366) before cataract surgery
- E-0181No significant difference in intraoperative complications between LEP and EP cataract surgery (2.0% vs 1.6%)
- E-0182No significant difference in postoperative complications between LEP and EP cataract surgery
- E-0183LEP patients were more likely to have mature cataracts (5.1% vs 2.3%) at cataract surgery
- E-0184LEP status was not associated with postoperative complication rates (21.93% vs 23.36%, P>0.05) after breast reduction
- E-0185LEP status did not differ between low and high postoperative follow-up groups (20.0% vs 22.4%, P=0.35) after breast reduction
- E-0186Interpreter use was not associated with number of postoperative clinic visits (beta 0.029, P=0.37) after breast reduction
- E-0187Interpreter use was not associated with incidence of any complication (OR 1.105, P=0.60) after breast reduction
- E-0188NEPL patients had a higher unadjusted rate of emergency surgery than EPL (60.3% vs 48.6%) for diverticulitis
- E-0189NEPL independently predicted increased odds of emergency surgery (OR 1.35) on multivariable analysis for diverticulitis
- E-0190Spanish NEPL was not associated with increased odds of emergency surgery (OR 0.80, P=0.077) for diverticulitis
- E-0191Non-Spanish NEPL had increased odds of emergency surgery (OR 2.29) for diverticulitis
- E-0192NEPL retained increased odds of emergency surgery (OR 1.59) among commercially insured diverticulitis patients
- E-0193LEP children were less likely to receive any analgesia within 12h after surgery (86% vs 97%)
- E-0194LEP was associated with longer time to first analgesia after surgery (adjusted HR 0.68)
- E-0195LEP was not significantly associated with time to first opioid after surgery (adjusted HR 0.76)
- E-0196LEP was not associated with proportion receiving opioids within 12h after surgery (17% vs 23%)
- E-0197LEP was not associated with proportion given opioids at 24h after surgery (31% vs 32%)
- E-0198LEP was not associated with cumulative 24h opioid dose after surgery (0.05 vs 0.06 mEq per kg)
- E-0199LEP was not associated with number of nonopioid analgesic doses within 24h after surgery (4.8 vs 4.7)
- E-0200LEP was not associated with number of postoperative pain assessments (6 vs 5)
- E-0201Unadjusted median peri-operative LOS fell monotonically from 11 to 1 day across ascending interpreting-frequency quartiles
- E-0202Highest interpreting-frequency quartile had 4.6-day shorter adjusted peri-operative LOS vs lowest
- E-0203Third interpreting-frequency quartile had 4.2-day shorter adjusted peri-operative LOS vs lowest
- E-0204Second interpreting-frequency quartile showed no significant adjusted LOS difference vs lowest (P=0.37)
- E-0205Shorter LOS in top two interpreting-frequency quartiles was robust across five operative-complexity adjustment models
- E-0206About half of LEP surgical patients received fewer than one interpreting event per day
- E-0207Mean in-person interpreter arrival time was 19 min but highly variable (range 0-100) in a surgical and procedural practice
- E-0208No surgical cases were cancelled and no LEP patient underwent a procedure without interpretive assistance
- E-020997 percent of LEP surgical patients used hospital interpreter services rather than family or acquaintances
- E-0210In-person interpreting was the predominant modality (79 percent) over telephone (18 percent) and VRI (3 percent)
- E-0211LEP surgical patients spanned 18 primary languages led by Arabic Spanish and Somali
- E-0212Telephone and VRI were chosen over in-person interpreters mainly for unstaffed languages long waits or known unavailability
- E-0213Institutional interpreter services cost 5.85 million dollars in 2016 requiring 43 FTE in-person interpreters
- E-0214Need for language assistance was not associated with total perioperative opioid use (33 vs 30 MEDD, p=0.099) after matching
- E-0215Need for language assistance was not associated with regional anesthesia use after matching (47.4% vs 52.6%, p=0.16)
- E-0216Patients needing language assistance reported lower average PACU pain (2.3 vs 2.6, p=0.046) after matching
- E-0217Need for language assistance was not an independent predictor of PACU pain 3 or higher (OR 1.40, p=0.06)
- E-0218Patients needing language assistance reported lower average POD 1 pain (2.4 vs 2.8, p=0.004) after matching
- E-0219Chronic opioid use was more frequent among patients needing translation services (p=0.001)
- E-0220Anxiety or depression was more frequent among patients needing translation services (p=0.011)
- E-0221Patients needing language assistance had lower PACU opioid consumption (median 5 vs 10 MEDD, p=0.021) after matching
- E-0222Asian and Hispanic-Latino patients needed translation services in higher proportion (22% vs 2%, p under 0.0001)
- E-0223Machine and professional booklet translation did not differ in understanding of treatment intent (multivariate OR 0.99) among LEP adults
- E-0224Machine translation of a SACT booklet introduced 11 critical errors vs 1 and failed CIoL assessment (51 vs 73 of 100)
- E-0225Bilingual consent form raised understanding of non-curative treatment intent vs English-only (60.0% vs 34.8%, multivariate OR 3.73)
- E-0226Only 15.7% of LEP adults understood treatment intent after reading a translated SACT booklet regardless of translation method
- E-0227Bilingual consent form raised Total Comprehension Score (median 4 vs 3) significantly in univariate but not multivariate models
- E-0228Bilingual consent form increased self-rated confidence during interpreted SACT consent among LEP adults
- E-0229LEP patients requested fewer opioid refills than EP within 90 days (54.0% vs 62.9%) after knee arthroplasty
- E-0230Preoperative and postoperative pain levels did not differ between LEP and EP knee arthroplasty patients
- E-0231LEP patients requested fewer opioid refills than EP within 60 days (48.7% vs 61.0%) after knee arthroplasty
- E-0232LEP was not independently associated with 60- or 90-day opioid refill requests after knee arthroplasty
- E-0233LEP patients requested fewer opioid refills than EP within 30 days (35.3% vs 52.4%) after knee arthroplasty
- E-0234LEP independently predicted lower odds of a 30-day opioid refill request (aOR 0.61) after knee arthroplasty
- E-0235Prior opioid use did not differ between LEP and EP knee arthroplasty patients
- E-0236LEP patients were less likely than EP to be discharged home (72.0% vs 82.4%) after knee arthroplasty
- E-0237LEP patients had longer length of hospitalization than EP (2.79 vs 2.29 days) after knee arthroplasty
- E-0238Colposcopy patients answered only 72% of consent-comprehension questions correctly on average
- E-0239English speakers scored higher than Spanish speakers on colposcopy consent comprehension in unadjusted analysis (8.50 vs 6.21)
- E-0240Language was not associated with colposcopy consent comprehension after adjustment (b=-0.44, p=.46)
- E-0241Education was the strongest predictor of colposcopy consent comprehension (b=0.61, p<.001)
- E-0242Younger age predicted greater colposcopy consent comprehension (b=-0.06, p=.003)
- E-0243More years living in the US predicted greater colposcopy consent comprehension (b=0.05, p=.006)
- E-0244Private insurance predicted greater colposcopy consent comprehension (b=-1.05 for non-private, p=.005)
- E-0245Interpretive service type did not affect comprehension among Spanish-speaking colposcopy patients
- E-0246Interpreter proxies and healthcare interpreters showed substantial-to-almost-perfect agreement across most arthroplasty PROMs
- E-0247Oxford hip-knee score showed almost perfect proxy-interpreter agreement (kappa-ICC 0.87, CCC 0.86) after arthroplasty
- E-0248EQ-VAS overall-health score showed substantial proxy-interpreter agreement (ICC-CCC 0.78) after arthroplasty
- E-0249EQ-5D-5L domain agreement varied from 0.57 (anxiety-depression) to 0.81 (mobility) between proxy and interpreter
- E-0250Satisfaction and success PROMs showed substantial proxy-interpreter agreement (kappa 0.75 and 0.70) after arthroplasty
- E-0251Readmission and reoperation responses showed perfect proxy-interpreter agreement (kappa 1.00) after arthroplasty
- E-0252Complication responses showed lower proxy-interpreter agreement (kappa 0.69) attributed to an ambiguous complication definition
- E-0253Mean differences between proxy and interpreter scores were small with negligible group-level bias and no significant Wilcoxon differences
- E-0254Hip arthroplasty patients showed higher proxy-interpreter agreement than knee patients across outcomes
- E-0255Stratified by interview order only EQ-VAS with healthcare-interpreter-first differed significantly between methods (p 0.04)
- E-025688% of LEP surgical inpatients had a professional interpreter documented at least once during admission
- E-0257LEP surgical inpatients had a median of 1 documented interpreter use during their stay
- E-0258Only 53% of LEP surgical inpatients had an interpreter documented within the first 24 hours
- E-0259Only 3.4% of LEP surgical inpatients had an interpreter documented at discharge
- E-0260Only 12% of LEP surgical patients received language-concordant discharge forms
- E-0261Spanish-speaking LEP patients were ~3x more likely than other-language patients to have an interpreter in the first 24 hours
- E-0262Chinese-speaking LEP patients were ~3x more likely than other-language patients to have an interpreter in the first 24 hours
- E-0263Race-ethnicity, gender, age, and insurance status were not associated with interpreter use among LEP surgical patients
- E-0264Primary language other than English independently predicted lower odds of signing consent (OR 0.74) for non-industry studies
- E-0265Primary-language-other-than-English patients were 8.1% of consent events in industry vs 4.4% in non-industry cancer trials
- E-0266Limited English proficiency independently predicted lower odds of signing consent (OR 0.74) for non-industry studies
- E-0267LEP patients were 5.5% of consent events in industry vs 2.8% in non-industry cancer trials
- E-0268Spanish-speaking patients had higher odds (OR 5.7) of signing consent for studies with Spanish consent available at study opening
- E-0269LEP patients signed consent in a non-primary language in 65.9% of non-industry vs 31.9% of industry events
- E-0270Among 18 patients consenting to both sponsor types in discordant languages 16 signed non-primary for the non-industry study (McNemar P=0.002)
- E-0271Patients with a primary language other than English or Spanish did not have higher odds (OR 0.9) of signing consent for studies with Spanish consent at opening
- E-0272Limited English proficiency independently predicted lower odds of signing consent in primary language (OR 0.35) for non-industry studies
- E-0273Median initial English consent document was 7,491.5 words at an estimated US$1,498 per translation
- E-0274Primary-language-other-than-English patients signed consent in a non-primary language in 72.6% of non-industry vs 43.8% of industry events
- E-0275Primary language other than English independently predicted lower odds of signing consent in primary language (OR 0.38) for non-industry studies
- E-0276Industry-sponsored studies had higher translated-consent availability (51.4% vs 23.9% of events; OR 3.4) than non-industry studies
- E-0277HFMEA expert panel identified nine failure modes driving reliance on own language skills over an interpreter
- E-0278Physician lack of knowledge about interpreter value and use ranked highest priority (RPN 2418)
- E-0279Clinical risk-complexity and interpreter access ranked next-highest priority (RPN 2244, 2047)
- E-0280Cost of interpreter services ranked lowest priority (RPN 1296) despite high importance
- E-0281Audio interpreter call volume rose from 2 calls (20 min) at baseline to 20 calls (257 min) in the final project month
- E-0282Video interpreter sessions rose to 29-33 per month after the wheeled-tablet introduction, where none existed before
- E-0283Professional interpreter use surfaced a Creole-speaking blind patient's suicidal ideation that family and aides had missed
- E-0284An amplifier and earpiece restored auditory communication for a hearing-impaired presurgical patient
- E-0285Patient-initiated questions differed across the three language-concordance groups and were lowest for discordant-interpreter visits (7.63 vs 6.98 vs 4.43, p=0.002)
- E-0286English-concordant and Spanish-concordant families asked a similar number of questions (0.65 difference, p=0.9)
- E-0287Both concordant groups asked more questions than the discordant-interpreter group on pairwise comparison (3.21 and 2.56 more, p=0.002 and p=0.001)
- E-0288Language discordance independently predicted fewer patient-initiated questions after adjustment (beta=-2.48, p=0.02)
- E-0289Clinical visit length did not differ across language-concordance groups (8.65 vs 10.06 vs 9.29 min, p=0.351)
- E-0290Language concordance predicted higher patient-rated communication scores (beta=-0.182, p=0.03)
- E-0291Spanish-speaking families reported higher trust than English-speaking families independent of concordance (beta=0.453, p less than 0.001)
- E-0292Spanish-speaking families reported lower perceived discrimination than English-speaking families independent of concordance (beta=0.255, p=0.002)
- E-0293Both language concordance and speaking Spanish predicted greater stated preference for language-concordant care (p=0.03 and p less than 0.001)
- E-0294Concordant and Spanish-speaking families more strongly agreed that discordance worsens quality of care (beta=-0.46, p=0.01)
- E-0295Spanish-speaking families reported less comfort using an interpreter (beta=-0.659, p=0.005)
- E-0296Language-discordant families more often reported their question-asking was limited by a language barrier (beta=0.892, p=0.001)
- E-0297Nurses reported difficulty using the board when the English word was absent under the translation
- E-0298Communication board was used for only 36.4% of eligible LEP patients over 3 months
- E-0299Post-implementation nurses rated the communication board highly usable and effective (86-93% agreement)
- E-0300Communication board increased nurses' self-perceived ability to communicate with LEP patients (2.07 to 3.50, p=0.0001)
- E-0301Communication board produced no significant change in telephone-interpretation costs (balancing measure)
- E-0302Communication board increased nurse satisfaction with the interpretation process (2.27 to 3.57, p=0.0007) in a pediatric surgery center
- E-0303Communication board decreased nurses' perceived time to interpret nursing tasks (2.13 to 3.29, p=0.002)
- E-0304Spanish was the most frequently requested non-English language across all US regions (over 90 percent) at BMT centers
- E-0305After Spanish, Chinese (29 percent) and Arabic (23 percent) were the most requested non-English languages with significant regional variation at BMT centers
- E-0306Chinese, Arabic, Vietnamese, and Creole were most often ranked among the top-3 hardest language needs to meet at BMT centers
- E-0307Nearly one third of BMT centers relied on family and friends to interpret for LEP patients
- E-0308Preferred language was self-reported by the patient at 68 percent of BMT centers
- E-0309Translated transplant-process information and telephone interpreting were the most often-needed language resources at BMT centers
- E-0310Nearly 43 percent of BMT centers did not develop their own educational resources in a non-English language
- E-0311Inability to locate education resources for a specific language (43 percent) was the most common provider-level barrier at BMT centers
- E-0312Lack of a formal centralized language tracking system (20 percent) was the most common system-level barrier at BMT centers
- E-0313Need for in-person interpreters and caregiver-translated materials was significantly associated with pediatric BMT centers
- E-0314Collecting PROMs from LEP patients imposed additional time and resource burden and PROMs were often skipped
- E-0315Financial burden of translating and validating PROMs into many languages was a barrier for low-capital health systems
- E-0316When translated PROMs were unavailable, PROMs completion rates among LEP patients were lower than English-speaking counterparts
- E-0317Institutional and departmental leadership advocacy was a key facilitator to implementing multilingual PROMs
- E-0318English-speaking family members were used as ad hoc interpreters as a double-edged facilitator and barrier
- E-0319Providers preferred in-person interpreters over phone-video for reading emotion forms and PROMs with LEP patients
- E-0320Providers reported either systematic exclusion of LEP patients from PROMs or significant barriers to collection
- E-0321Even with an interpreter present providers felt information was lost in translation undermining mutual understanding
- E-0322Availability of valid translated PROMs in the patients preferred language was the most consistent facilitator and barrier
- E-0323Providers viewed simple word-for-word translation without cultural validation as not a valid PROM
- E-0324English-only EMR and lack of multilingual EMR integration was a barrier to PROM completion for LEP patients
- E-0325Machine translation assessed both pain and nausea every time in 76.7% of LEP PACU patients
- E-032696.7% of LEP PACU patients used machine translation successfully at least once with no need for human interpreters
- E-032783.3% of LEP PACU patients were assessed successfully on the first machine-translation attempt
- E-032896.6% of LEP patients were satisfied with machine translations ability to assess their symptoms
- E-032983.3% to 86.7% of nurses were satisfied with the speed and ability of machine translation for patient assessment
- E-0330Human translation of public health documents took 17 hours to 6 days and up to 35 days end-to-end
- E-0331Machine-translation postediting was 2 to 10 times faster than human-translation postediting (11.76 vs 3.30 WPM)
- E-0332Human translation of public health documents cost $130 to $1220 per document while MT added no cost
- E-0333Bilingual raters preferred postedited MT and HT equivalently (37 vs 36 votes)
- E-0334Google Translate met the professional translation standard for only Spanish among 20 non-English languages
- E-0335Nearly half of non-Spanish machine-translated safety statements were deficient or minimally useful
- E-0336Machine translation was least accurate for South and Southeast Asian languages (Bengali Hindi Punjabi Vietnamese)
- E-0337Google Translate scored lower on fluency than professional translation of a Spanish warfarin brochure (3.4 vs 4.7)
- E-0338Google Translate and professional translation did not differ in adequacy (information preservation) of a Spanish warfarin brochure
- E-0339Google Translate and professional translation did not differ in meaning (connotation) preservation of a Spanish warfarin brochure
- E-0340Google Translate sentences contained more errors of any severity than professional translation (39% vs 22%)
- E-0341Google Translate and professional translation did not differ in frequency of serious clinically impactful errors (4% vs 2%)
- E-0342Evaluators had no overall preference between Google Translate and professional Spanish translation
- E-0343Sentence complexity predicted preference for professional over Google Translate translation (3.6 vs 2.6 for complex vs simple)
- E-0344Cost was the most frequently reported barrier to translating public-health materials
- E-0345Public-health translation work divided into four workflow phases
- E-0346Translation was an intermittent ad hoc side job with no established time
- E-0347Lack of clear guidelines on when and what to translate prevented translation
- E-0348Most interviewees rated machine translation quality as relatively poor and used it only for gist
- E-0349About half of interviewees saw machine translation as viable only if post-edited by a native speaker
- E-0350Staff feared inaccurate machine translation of health messages could harm health and community credibility
- E-0351iTranslate matched human Spanish translators on the two simpler sentences but scored lower on the most difficult sentence
- E-0352iTranslate and human Chinese translations differed only slightly with all sentences reaching excellent-to-perfect fluency
- E-0353The leading reason staff did not use a translation app was that a family member was available (16 of 24, 66.6%)
- E-0354Nearly two-thirds of aged-care staff would use translation apps again (15 of 24, 65.2%)
- E-0355Translation apps were most commonly used for identifying pain and allied-health phrases in aged-care wards
- E-0356Google Translate was slow and difficult to use requiring repeated attempts to convey a message
- E-0357Patient dialects and accents degraded translation-app accuracy in aged-care wards
- E-0358Translation apps improved staff-patient rapport and engagement in aged-care wards
- E-0359A majority of aged-care staff rated translation apps useful (18 of 24, 75%)
- E-0360Phrasebook apps' single translation direction prevented staff from understanding patient responses
- E-0361Word sense (40%) and word order (22%) were the most common English-to-Chinese machine translation errors
- E-0362Posteditors corrected English-to-Chinese machine translations at about 37.8 characters per minute
- E-0363Posteditors rated raw English-to-Chinese machine translation adequacy 3.32 and fluency 3.0 out of 5
- E-0364Blinded quality raters preferred human translation over MT-plus-postediting for all 20 Chinese public-health documents
- E-0365An expert public-health translator did not close the MT-plus-postediting quality gap with human translation
- E-0366Instructions to make all necessary corrections moved MT-plus-postediting toward quality equivalence with human translation
- E-0367Older CALD participants and healthcare staff perceived translation technology as having a role in facilitating communication
- E-0368Fixed-phrase translation apps were preferred over real-time voice-to-voice apps by both older people and staff
- E-0369Participants were cautious about translation accuracy and viewed apps as unsuitable for complex or important communication
- E-0370Unfamiliarity with technology was the major barrier to app use for older CALD participants
- E-0371Healthcare staff reported already using translation apps on personal devices to overcome language barriers
- E-0372Nurses reported being generally discouraged from booking interpreters due to time and cost
- E-0373Real-time voice-to-voice translation sometimes failed to recognise words due to background noise or dialects
- E-0374Staff felt patients appreciated the effort and it helped build rapport even when the app failed
- E-0375Both groups rated the three demonstrated apps as moderately to highly easy to use and satisfactory
- E-037675% of bilingual readers preferred the functionalist over the word-for-word survey translation
- E-0377Readers raised significantly more comprehension issues about the literal than the functionalist survey translation
- E-0378Greater English language dominance predicted a higher likelihood of preferring the word-for-word translation
- E-0379Readers described the functionalist translation as natural and native-authored and the literal one as awkward and foreign
- E-0380Readers associated the functionalist translation with professionalism and trust in a healthcare setting
- E-0381Cloud-based VERAA mapped English voice survey responses to structured SDoH answers at 100% median accuracy
- E-0382Cloud-based VERAA mapped Spanish voice survey responses at 90% median accuracy, below English
- E-0383On-device VERAA mapped English voice responses at 85% median accuracy, below the cloud pipeline
- E-0384VERAA's LLM mapped numerical income-range responses least accurately (B1 income 70-75%)
- E-0385S-MINDS translated the full English-Spanish-English medication-counseling string with ~98% adjusted accuracy
- E-0386LEP diabetes patients rated S-MINDS highly across satisfaction domains (means 4.7-4.9 on 5-point Likert)
- E-0387S-MINDS had lower speech-recognition word error rates than three commercial systems across quiet noisy and disfluent conditions
- E-0388S-MINDS scored higher translation accuracy than commercial speech translation systems across sound environments
- E-0389Mobile app increased mean weekly OPI interpreter calls from 4.3 to 12.8 during intervention
- E-0390Elevated OPI interpreter-call frequency was not sustained after the intervention period
- E-0391Mobile app became the predominant OPI-call modality during intervention (65% of calls)
- E-0392Most clinicians rated the mobile app easy to use and that it made calling interpreters easier
MethodMethod · 0
SourceSource · 76
A published research source — a journal article, conference paper, or book.
- S-0001Communication Barriers and the Clinical Recognition of Diabetic Peripheral Neuropathy in a Diverse Cohort of Adults: The DISTANCE Study
- S-0002Pain Assessment Disparities by Race, Ethnicity, and Language in Adult Hospitalized Patients
- S-0003End-of-life healthcare utilization and palliative care use among older adults with limited English proficiency
- S-0004The impact of English proficiency on outcomes after bariatric surgery
- S-0005Lost in translation: A qualitative analysis of facilitators and barriers to collecting patient reported outcome measures for surgical patients with limited English proficiency
- S-0006Clinician Perspectives on the Management of Hearing Loss in Patients With Limited English Proficiency
- S-0007The active role of interpreters in medical discourse - An observational study in emergency medicine
- S-0008Patient Perspectives on the Need for and Barriers to Professional Medical Interpretation
- S-0009Assessment of the efficiency of language interpreter services in a busy surgical and procedural practice
- S-0010Machine or Human? Evaluating the Quality of a Language Translation Mobile App for Diabetes Education Material
- S-0011Increasing Frequency of Interpreting Services is Associated With Shorter Peri-operative Length of Stay
- S-0012The effect of limited English proficiency and interpreter service use on clinical outcomes in psychiatric inpatient units
- S-0013Research Documents for Populations with Limited English Proficiency: Translation Approaches Matter
- S-0014Dangers of Machine Translation: The Need for Professionally Translated Anticipatory Guidance Resources for Limited English Proficiency Caregivers
- S-0015Translating Discharge Instructions for Limited English-Proficient Families: Strategies and Barriers
- S-0016A conversation analysis of verbal interactions and social processes in interpreter-mediated primary care encounters
- S-0017A Reversed Trend: Care for Limited English Proficiency Patients in the Pediatric Emergency Department
- S-0018Pilot Cluster Randomized Controlled Trial of Integrative Nutritional Counseling Versus Standard Diabetes Self-Management Education for Chinese Americans with Type 2 Diabetes
- S-0019Testing the use of translation apps to overcome everyday healthcare communication in Australian aged-care hospital wards-An exploratory study
- S-0020Pilot study of provider adherence to language services for surgical patients with limited English proficiency
- S-0021Access to Linguistically Appropriate Information for Blood and Marrow Transplant Patients: Results from Transplant Center Staff Survey
- S-0022The Hispanic Clinic for Pediatric Surgery: A model to improve parent-provider communication for Hispanic pediatric surgery patients
- S-0023Evaluation of Patient Access to Spanish-Language-Concordant Care on a Postpartum Unit
- S-0024Use of Professional Interpreters for Patients With Limited English Proficiency Undergoing Surgery
- S-0025Postoperative pain management in children, parental English proficiency, and access to interpretation
- S-0026A Multilingual Chatbot Can Effectively Engage Arthroplasty Patients Who Have Limited English Proficiency
- S-0027Understanding Medication Adherence in Patients with Limited English Proficiency
- S-0028Use of Neural Machine Translation Software for Patients With Limited English Proficiency to Assess Postoperative Pain and Nausea
- S-0029The Impact of the Need for Language Assistance Services on the Use of Regional Anesthesia, Postoperative Pain Scores and Opioid Administration in Surgical Oncology Patients
- S-0030The Impact of Using Electronic Consents on Documentation of Language-Concordant Surgical Consent for Patients with Limited English Proficiency
- S-0031Convenient Access to Professional Interpreters in the Hospital Decreases Readmission Rates and Estimated Hospital Expenditures for Patients With Limited English Proficiency
- S-0032Limited English proficiency correlates with postoperative complications after knee arthroplasty
- S-0033Patients Who Have Limited English Proficiency Have Decreased Utilization of Revision Surgeries After Hip and Knee Arthroplasty
- S-0034Performance of an online translation tool when applied to patient educational material
- S-0035Facilitating Communication in a Pediatric Surgery Center: Implementation of an Interactive Communication Board
- S-0036When roles within interpreter-mediated psychiatric consultations speak louder than words
- S-0037Patient predictors of colposcopy comprehension of consent among English- and Spanish-speaking women
- S-0038Optimizing usability of a mobile health intervention for Spanish-speaking Latinx people with HIV through user-centered design: a post-implementation study
- S-0039Association Between Limited English Language Proficiency and Disparities in Length of Stay and Discharge Disposition After Total Shoulder Arthroplasty: A Retrospective Cohort Stud
- S-0040Dual-role nurse interpreter perceptions of language barriers and Spanish-speaking patients: A qualitative study
- S-0041A Quality Improvement Project to Reduce Rapid Response System Inequities for Patients with Limited English Proficiency at a Quaternary Academic Medical Center
- S-0042Increased Access to Professional Interpreters in the Hospital Improves Informed Consent for Patients with Limited English Proficiency
- S-0043Improving Communication for Surgical Patients With Cancer With Limited English Proficiency
- S-0044Professional language interpretation and inpatient length of stay and readmission rates
- S-0045Association of English Language Proficiency With Hospitalization Cost, Length of Stay, Disposition Location, and Rea
- S-0046Consent document translation expense hinders inclusive clinical trial enrolment
- S-0047Creating a Professional Ladder for Interpreters for Improvement of Care
- S-0048Improving Equity of Care for Patients with Limited English Proficiency Using Quality Improvement Methodology
- S-0049Using a risk assessment approach to determine which factors influence whether partially bilingual physicians rely on their non-English language skills or call an interpreter
- S-0050Non-English Primary Language is Associated with Emergency Surgery for Diverticulitis
- S-0051Disparities in the Use of Internet and Telephone Medication Refills among Linguistically Diverse Patients
- S-0052Factors associated with utilisation of health care interpreting services and the impact on length of stay and cost: A retrospective cohort analysis of audit dat
- S-0053The Use of a Mobile Application to Increase Access to Interpreters for Cancer Patients With Limited English Proficiency: A Pilot Study
- S-0054Pediatric Hearing Aid Daily Wear Time Is Significantly Impacted by Clinician-Family Language Discordance
- S-0055Limited English proficiency among adults with HIV in the United States - Medical Monitoring Project, 2015-2018
- S-0056The perceptions of translation apps for everyday health care in healthcare workers and older people: A multi-method study
- S-0057Preoperative consent for patients with limited English proficiency
- S-0058Association Between English Proficiency and Timing of Analgesia Administration After Surgery
- S-0059Language-concordant automated telephone queries to assess medication adherence in a diverse population: a cross-sectional analysis of convergent validity with pharmacy claims
- S-0060Voice-Enabled Response Analysis Agent (VERAA): Leveraging Large Language Models to Map Voice Responses in SDoH Survey
- S-0061The Influence of Patient-Provider Language Concordance in Cancer Care: Results of the Hispanic Outcomes by Language Approach (HOLA) Randomized Trial
- S-0062Performance of a new speech translation device in translating verbal recommendations of medication action plans for patients with diabetes
- S-0063Does Spanish instruction for emergency medicine resident physicians improve patient satisfaction in the emergency department and adherence to medical recommendations?
- S-0064Spine Surgery Outcomes in Patients With Limited English Proficiency
- S-0065Machine Translation of Public Health Materials From English to Chinese: A Feasibility Study
- S-0066A comparison of human and machine translation of health promotion materials for public health practice: time, costs, and quality
- S-0067Modeling workflow to design machine translation applications for public health practice
- S-0068Limited English Proficiency Is Not Associated With Poor Postoperative Outcomes or Follow-Up Rates in Patients Undergoing Breast Reduction Mammoplasty – A Single Institution Retrospective Cohort Study
- S-0069The effects of preoperative, video-assisted anesthesia education in Spanish on Spanish-speaking patients' anxiety, knowledge, and satisfaction: a pilot study
- S-0070Interpreter proxy versus healthcare interpreter for administration of patient surveys following arthroplasty: a pilot study
- S-0071Comparison of cataract surgery outcomes in English proficient and limited English proficiency patients
- S-0072Medication Related Self- efficacy among Linguistically Diverse Patients with Chronic Illnesses
- S-0073No difference in emergency department length of stay for patients with limited proficiency in English
- S-0074Association Between Limited English Proficiency and Regional Anesthesia Utilization for Total Joint Arthroplasty: A Retrospective Single-Institution Study.
- S-0075Language barriers and postoperative opioid prescription use after total knee arthroplasty.
- S-0076Translation approaches to support systemic anti-cancer therapy consent for individuals with limited English proficiency.
ArtifactArtifact · 20
A concrete system (prototype, standard, intervention) that instantiates a pattern or method.
- A-0001Language-concordant automated telephone self-management (ATSM, SMARTSteps)
- A-0002ConexionesPositivas (CP) Spanish-language mHealth platform for Latinx people with HIV
- A-0003Preoperative Spanish-language anesthesia instructional video
- A-0004StreaMD multilingual orthopaedic SMS chatbot
- A-0005Bedside interpreter phone system
- A-0006HSS perioperative Language Service program
- A-0007Epic eConsent with auto-translated consent templates and mandatory interpreter documentation
- A-0008Mayo Clinic tri-modal professional language services (in-person, telephone, VRI)
- A-0009Interpreter proxy survey administration (family or carer, 2-way telephone)
- A-0010ACORN Arthroplasty Clinical Outcomes Registry National
- A-0011Bilingual English-Bengali interlinear SACT consent form
- A-0012MSKCC perianesthesia LEP communication initiative (staff education + language assistive technology)
- A-0013The Hispanic Clinic for Pediatric Surgery
- A-0014Interactive pictorial communication board (pediatric surgery center)
- A-0015iTranslate voice-enabled mobile language translation app
- A-0016Google Translate
- A-0017Talk To Me translation app
- A-0018CALD Assist translation app
- A-0019VERAA (Voice-Enabled Response Analysis Agent)
- A-0020S-MINDS concept-based speech translation system