Translating Discharge Instructions for Limited English-Proficient Families: Strategies and Barriers

Abstract results

Each result the abstract reports — is it captured as evidence?

• Most survey respondents (81%) reported having a written translation policy at their hospital, and all reported translating a subset of hospital documents, for example, consent forms.

  suggested · 23% In a survey of 31 children's hospital language-services contacts, all respondents reported translating a subset of hospital docume

  Covered Promote Not a result

• Most but not all reported translating discharge instructions (74%).

  Covered Promote Not a result

• When asked how inpatient staff typically provide translated discharge instructions, most reported use of pretranslated documents (87%) or staff interpreters (81%).

  Covered Promote Not a result

• Reported barriers included difficulty translating uncommon languages, mismatched discharge and translation time frames, and inconsistent clinical staff use of translation services.

  Covered Promote Not a result

• Strategies to address barriers included document libraries, pretranslated electronic health record templates, staff-edited machine translations, and sight translation.

  Covered Promote Not a result

• Institutional policies differed regarding the appropriateness of allowing interpreters to assist with translation.

  Covered Promote Not a result

• Respondents agreed that machine translation should not be used alone.

  Covered Promote Not a result

• Children's hospitals experience similar operational and organizational barriers in providing language-concordant discharge instructions.

  Covered Promote Not a result

• Current strategies focus on translating standardized documents; collaboration and innovation may encourage provision of personalized documents.

  Covered Promote Not a result

Tables & figures

Map each object to the evidence it grounds (one object can ground several), add anything missed, or flag a gap.

• Figure 1

  p12
  • Every institutional policy mentioning machine translation forbade using it alone, calling it inaccurate and unsafe
  • Hospitals rely on interpreters to act as translators despite differing training, limited to short or simple documents
  • Operational complexity from mismatched discharge and translation time frames was the most cited barrier to translating discharge instructions
  • Standardized translated document libraries and EHR templates are the main strategy but are limited to common languages and cannot be personalized
  • Three-quarters of surveyed children's hospitals (74%) reported translating discharge instructions
  Add evidence Flag gap Nothing to capture

• Table 1

  p13
  • Every institutional policy mentioning machine translation forbade using it alone, calling it inaccurate and unsafe
  • Hospitals rely on interpreters to act as translators despite differing training, limited to short or simple documents
  • Operational complexity from mismatched discharge and translation time frames was the most cited barrier to translating discharge instructions
  • Standardized translated document libraries and EHR templates are the main strategy but are limited to common languages and cannot be personalized
  • Three-quarters of surveyed children's hospitals (74%) reported translating discharge instructions
  Add evidence Flag gap Nothing to capture
• 

  Table 2

  p16
  • Every institutional policy mentioning machine translation forbade using it alone, calling it inaccurate and unsafe
  • Hospitals rely on interpreters to act as translators despite differing training, limited to short or simple documents
  • Operational complexity from mismatched discharge and translation time frames was the most cited barrier to translating discharge instructions
  • Standardized translated document libraries and EHR templates are the main strategy but are limited to common languages and cannot be personalized
  • Three-quarters of surveyed children's hospitals (74%) reported translating discharge instructions
  Add evidence Flag gap Nothing to capture
• 

  Table 3

  p17
  • Every institutional policy mentioning machine translation forbade using it alone, calling it inaccurate and unsafe
  • Hospitals rely on interpreters to act as translators despite differing training, limited to short or simple documents
  • Operational complexity from mismatched discharge and translation time frames was the most cited barrier to translating discharge instructions
  • Standardized translated document libraries and EHR templates are the main strategy but are limited to common languages and cannot be personalized
  • Three-quarters of surveyed children's hospitals (74%) reported translating discharge instructions
  Add evidence Flag gap Nothing to capture
• 

  Table 4

  p19
  • Every institutional policy mentioning machine translation forbade using it alone, calling it inaccurate and unsafe
  • Hospitals rely on interpreters to act as translators despite differing training, limited to short or simple documents
  • Operational complexity from mismatched discharge and translation time frames was the most cited barrier to translating discharge instructions
  • Standardized translated document libraries and EHR templates are the main strategy but are limited to common languages and cannot be personalized
  • Three-quarters of surveyed children's hospitals (74%) reported translating discharge instructions
  Add evidence Flag gap Nothing to capture