Advanced search options

Advanced Search Options 🞨

Browse by author name (“Author name starts with…”).

Find ETDs with:

in
/  
in
/  
in
/  
in

Written in Published in Earliest date Latest date

Sorted by

Results per page:

You searched for id:"handle:1773/42058". One record found.

Search Limiters

Last 2 Years | English Only

No search limiters apply to these results.

▼ Search Limiters


University of Washington

1. Hartford, Emily Altick. Factors affecting interpreter use in a pediatric emergency department.

Degree: 2018, University of Washington

Approximately 9% of the US population has limited English proficiency (LEP) and this group experiences significant inequities in health care including access to care, diagnostic work ups, missed diagnoses, adverse events, difficulties with communication and education, and differential treatment of pain. Professional interpretation can improve these disparities, but its use varies in clinical settings. The objective of this study was to describe patterns of interpreter use in an academic pediatric emergency department and determine factors associated with use of an interpreter as well as differences in patient outcomes between LEP and English proficient (EP) populations. A retrospective cohort study was completed for over 51,000 ED encounters between October 2015 and December 2016. Overall interpreter use for families with LEP was 45.4%. Interpretation was less likely to be utilized during high volume times of the day (OR 0.85, 95% CI 0.78-0.93) and with lower acuity ESI (OR 0.66, 95% CI 0.62-0.70). The odds of receiving interpretation also decreased by 3% (OR 0.97, 95% CI 0.96-0.98) with each increasing year of patient age. In a comparison of LEP and EP patients, those with LEP were more likely to be assigned a lower acuity ESI level of 4 or 5 (p<0.001), less likely to be admitted than EP patients (OR 0.69, 0.62-0.78); those who did not receive interpretation were less likely to be admitted than those who did (OR 0.62, 0.53-0.71). However, LEP patients were more likely to be admitted to the ICU within 24 hours of admission (OR 1.43, 1.03-2). Professional interpretation is currently underutilized in this ED for patients with LEP. We identified important differences in patient outcomes between EP and LEP families and multiple factors where improvement efforts may be focused. Advisors/Committee Members: Klein, Eileen J (advisor).

Subjects/Keywords:

Record DetailsSimilar RecordsGoogle PlusoneFacebookTwitterCiteULikeMendeleyreddit

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Hartford, E. A. (2018). Factors affecting interpreter use in a pediatric emergency department. (Thesis). University of Washington. Retrieved from http://hdl.handle.net/1773/42058

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16th Edition):

Hartford, Emily Altick. “Factors affecting interpreter use in a pediatric emergency department.” 2018. Thesis, University of Washington. Accessed October 21, 2018. http://hdl.handle.net/1773/42058.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7th Edition):

Hartford, Emily Altick. “Factors affecting interpreter use in a pediatric emergency department.” 2018. Web. 21 Oct 2018.

Vancouver:

Hartford EA. Factors affecting interpreter use in a pediatric emergency department. [Internet] [Thesis]. University of Washington; 2018. [cited 2018 Oct 21]. Available from: http://hdl.handle.net/1773/42058.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Hartford EA. Factors affecting interpreter use in a pediatric emergency department. [Thesis]. University of Washington; 2018. Available from: http://hdl.handle.net/1773/42058

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

.