TDARS: Translated Document Assembly and Retrieval System (Phase II)

描述(由申请人提供)：在美国，提供给有限英语水平(LEP)患者的重要医疗文件存在显著差异。2007年，联合委员会对全国医院进行的一项调查发现，只有50%的医院翻译了知情同意文件。即使在那时，这些翻译往往也只有西班牙语版本。其他类型的文件的翻译频率甚至更低。由于语言服务的预算有限，医院正在努力分配资源，为患者创造高质量的翻译文件。在2005年健康差距与信息技术圆桌会议期间，医疗保健研究和质量机构(AHRQ)和少数民族健康办公室(OMH)确定建立一个国家翻译文件储存库是减少由于语言沟通错误造成的医疗差错的高度优先需要。在这笔赠款的第一阶段，我们开发并评估了一个新的可在线访问的文档平台，该平台展示了创建、管理、共享、打印和向患者使用外语演讲文档的可行性。这个名为TDARS(已翻译文档汇编和检索系统)的平台允许医疗保健组织快速汇编连贯的重要医疗文档，即时创建可打印的高质量翻译版本，然后指示计算机向患者读取翻译文档。TDARS在为每个组织定制文件方面提供了高度的灵活性，使文件能够在各机构之间共享，提供了一种符合联合委员会文件访问标准的方法，并且可以以低于将一份文件翻译成一种语言的平均成本完成所有这些--使即使是最小的医院也可以经济地访问文件库。在第二阶段，我们的目标是为医院和其他医疗保健组织开发通过订阅定价模式提供的商业软件即服务(SaaS)产品。我们将扩大TDARS，将第一阶段评估期间被确定为最需要的核心文件集包括在内，使其以被确定为全国最常用和最具挑战性的语言(西班牙语、普通话、广东话、越南语、俄语、阿拉伯语、韩语和索马里)提供。将招募30个参与网站，代表我们的目标市场人群-中小型医院。 与公共卫生相关：一个全国性的高质量、预先翻译的文档存储库，可以向患者朗读这些文档，可以极大地减少向我们有限的英语熟练患者提供的信息的差距。目前翻译文件的方法昂贵，翻译质量参差不齐，而且多家医院正在重复努力。卫生保健研究和质量机构(AHRQ)和少数民族健康办公室(OMH)都表示，创建这样一个储存库是国家优先事项。

DESCRIPTION (provided by applicant): In the United States, significant disparity exists in the vital healthcare documents being provided to limited English-proficient (LEP) patients. In 2007, a nationwide survey of hospitals by The Joint Commission found that only 50 percent of hospitals had translated informed consent documents. Even then, the translations were often only available in Spanish. Other types of documents were translated even less frequently. Hospitals, with limited budgets for language services, are struggling to allocate resources to create quality, translated documents for their patients. During the 2005 Roundtable on Health Disparity and Information Technology, the Agency for Healthcare Research and Quality (AHRQ) and the Office of Minority Health (OMH) identified a national repository of translated documents as a high priority need to reduce medical errors due to language miscommunication. During Phase I of this grant, we developed and evaluated a new web-accessible platform for documents that demonstrated feasibility in creating, managing, sharing, printing, and speaking documents to patients in foreign languages. This platform, called TDARS (Translated Document Assembly and Retrieval System), allows healthcare organizations to quickly assemble coherent vital healthcare documents, instantly create quality, translated versions that can be printed, and then instruct a computer to read the translated documents to the patients. TDARS offers a high degree of flexibility in customizing documents for each organization, enables documents to be shared among institutions, provides a method to comply with The Joint Commission's document access standards, and can do all this for less than the average cost of translating one document in one language - making a library of documents economically accessible to even the smallest hospitals. During Phase II, our objective is to develop a commercial Software-as-a-Service (SaaS) product for hospitals and other healthcare organizations offered through a subscription-pricing model. We will expand TDARS to include a core set of documents identified as being of greatest need during our Phase I evaluation, making them available in the languages identified as being most common and challenging nationwide (Spanish, Mandarin, Cantonese, Vietnamese, Russian, Arabic, Korean, and Somali). Thirty participating sites will be recruited that represent our target market population of small and medium-sized hospitals. PUBLIC HEALTH RELEVANCE: A national repository of quality, pre-translated documents that can speak the documents to patients could dramatically reduce the disparity of information provided to our limited English proficient patients. Current methods of translating documents are expensive, the quality of translations is inconsistent, and efforts are being duplicated by multiple hospitals. Both the Agency for Healthcare Research and Quality (AHRQ) and the Office of Minority Health (OMH) have indicated that creating such a repository is a national priority.