The impact of medical interpretation method on time and errors
The impact of medical interpretation method on time and errors
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DOI：
10.1007/s11606-007-0361-7
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发表时间：
2007-11-01
影响因子：
5.7
通讯作者：
Gonzalez, Javier
中科院分区：
文献类型：
--
作者：
Gany, Francesco;Kapelusznik, Luciano;Gonzalez, Javier
背景：2200万美国人的英语水平有限。为英语水平有限的患者提供口译服务旨在加强沟通和提供优质的医疗服务。目的：关于各种口译方法对口译速度和错误的影响知之甚少。这项调查解决了这个重要的gap.Design：四个脚本的临床遭遇，使相当的临床内容的比较。这些脚本在四种口译方法中运行，包括远程同声传译，远程连续传译，近距离连续传译和近距离特别传译。前3种方法利用专业的，训练有素的口译员，而特设的方法利用未经培训的staff.Measurements：录音记录的遭遇编码，使用预先指定的算法来确定医疗错误和语言错误，由编码器盲的解释方法。结果：远程同传医疗口译（RSMI）遇到平均12.72比18.24分钟的下一个最快的模式（接近特设）（p=0.002）。有12倍以上的医疗错误的中度或更大的临床意义之间的话语在非RSMI遭遇相比，RSMI遭遇（p=0.0002）。结论：虽然有限的口译员人数少，我们的研究发现，RSMI导致较少的医疗错误，比非RSMI的方法解释。
Background: Twenty-two million Americans have limited English proficiency. Interpreting for limited English proficient patients is intended to enhance communication and delivery of quality medical care.Objective: Little is known about the impact of various interpreting methods on interpreting speed and errors. This investigation addresses this important gap.Design: Four scripted clinical encounters were used to enable the comparison of equivalent clinical content. These scripts were run across four interpreting methods, including remote simultaneous, remote consecutive, proximate consecutive, and proximate ad hoc interpreting. The first 3 methods utilized professional, trained interpreters, whereas the ad hoc method utilized untrained staff.Measurements: Audiotaped transcripts of the encounters were coded, using a prespecified algorithm to determine medical error and linguistic error, by coders blinded to the interpreting method. Encounters were also timed.Results: Remote simultaneous medical interpreting (RSMI) encounters averaged 12.72 vs 18.24 minutes for the next fastest mode (proximate ad hoc) (p=0.002). There were 12 times more medical errors of moderate or greater clinical significance among utterances in non-RSMI encounters compared to RSMI encounters (p=0.0002).Conclusions: Whereas limited by the small number of interpreters involved, our study found that RSMI resulted in fewer medical errors and was faster than non-RSMI methods of interpreting.