TDARS: Translated Document Assembly and Retrieval System

描述（由申请人提供）：在第一阶段，我们建议开发一个Web原型，用于生产，管理，打印和翻译成外语的重要医疗保健文件。所提出的系统将包含帮助医疗保健组织从一系列文档组件组装连贯文档的方法，根据组织的需求定制文档（例如，包括公司标识和本地地址），组织它们，然后检索这些文档用于打印和与他们的患者交谈。虽然市场上有许多预翻译的材料，但许多医疗机构不愿意使用它们。在我们与高管和管理人员的讨论中，有三个问题对于预翻译文档的采用至关重要：1）文档必须看起来来自组织，2）文档必须具有灵活性，以适应其本地术语偏好和国家法规要求，以及3）组织必须对翻译材料的质量有最高的信心。我们的制度和程序将努力克服这些障碍。此外，我们不知道有任何现有的文件翻译服务，以目标外语的文件，以解决文盲患者的需求。在第一阶段，我们将使用两个示例来探索创建一个系统来开发可定制的预翻译文档的挑战 预先指示和一般性知情同意。将通过与医疗保健管理人员（包括风险管理和法律的部门的人员）进行访谈，使用定性措施对结果进行评价。公共卫生相关性：一个国家级的高质量预翻译文档库可以极大地提高提供给英语水平有限的患者的信息质量。目前翻译文件的方法是随意的，造成各组织的翻译费用多余，而且对翻译质量的核查不可靠。医疗保健研究和质量机构（AHRQ）和少数民族健康办公室（OMH）都表示优先需要创建这样的存储库。

DESCRIPTION (provided by applicant): During Phase I, we propose to develop a web prototype to produce, manage, print, and speak vital healthcare documents translated into foreign languages. The proposed system will contain methods to help healthcare organizations assemble a coherent document from a series of document components, customize the document to the needs of the organization (e.g., inclusion of corporate logos and local addresses), organize them, and then retrieve these documents for printing and speaking to their patients. Although many pre-translated materials exist in the marketplace, there has been reluctance on the part of many healthcare organizations to use them. In our discussions with executives and administrators, three issues were critical for pre-translated document adoption: 1) the documents must appear to have originated from the organization, 2) the documents must have flexibility to accommodate its local terminology preferences and state regulatory requirements, and 3) the organization must have the highest confidence in the quality of the translated materials. Our system and processes will attempt to overcome these barriers. In addition, we are unaware of any existing document translation service that speaks the document in the target foreign language to address the needs of the illiterate patient. During Phase I, we will explore the challenges of creating a system to develop customizable, pre-translated documents using two examples advance directives and generic informed consent. The results will be evaluated using qualitative measures through interviews with healthcare administrators including those positioned in risk management and legal departments. PUBLIC HEALTH RELEVANCE: A national repository of quality, pre-translated documents that speak to the patient can dramatically improve the quality of information provided to our limited-English speaking patients. Current methods of translating documents are haphazard resulting in redundant translation costs by organizations and unreliable verification of the quality of translations. Both the Agency for Healthcare Research and Quality (AHRQ) and the Office of Minority Health (OMH) has expressed a priority need to creating such a repository.