Language and Length of Stay in the Pediatric Emergency Department

Goldman, Ran D.; Amin, Paragkumar; Macpherson, Alison

doi:10.1016/j.annemergmed.2005.06.401

Cited by 6 publications

(4 citation statements)

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“…Since the release of the IOM Report Unequal Treatment , the issue of racial/ethnic disparities in health care has come to be recognized as a quality‐of‐care issue. Research has documented that minorities have a higher mortality for conditions that are amenable to surgery (Bach et al 1999), more missed health promotion/disease prevention opportunities (American Cancer Society 2006; Goodman et al 2006; Walsh et al 2004), more tests in emergency rooms when they have limited proficiency in English (Goldman, Amin, and McPherson 2006; Hampers et al 1999; Harris, Andrews, and Elixhauser 1997; Waxman and Levitt 2000), higher rates of medical errors, and longer lengths of stay for the same clinical condition (Divi et al 2007; John‐Baptiste et al 2004). To date, the disparities agenda has been heavy on research to define the problem but light on effective, real‐world strategies to address it.…”

Section: Resultsmentioning

confidence: 99%

A Plan for Action: Key Perspectives from the Racial/Ethnic Disparities Strategy Forum

et al. 2008

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Context: Racial and ethnic disparities in health care in the United States have been well documented, with research largely focusing on describing the problem rather than identifying the best practices or proven strategies to address it. Methods:In 2006, the Disparities Solutions Center convened a one-and-a-halfday Strategy Forum composed of twenty experts from the fields of racial/ethnic disparities in health care, quality improvement, implementation research, and organizational excellence, with the goal of deciding on innovative action items and adoption strategies to address disparities. The forum used the Results Based Facilitation model, and several key recommendations emerged. Findings:The forum's participants concluded that to identify and effectively address racial/ethnic disparities in health care, health care organizations should: (1) collect race and ethnicity data on patients or enrollees in a routine and standardized fashion; (2) implement tools to measure and monitor for disparities in care; (3) develop quality improvement strategies to address disparities; (4) secure the support of leadership; (5) use incentives to address disparities; and (6) create a messaging and communication strategy for these efforts. This article also discusses these recommendations in the context of both current efforts to address racial and ethnic disparities in health care and barriers to progress. Conclusions:The Strategy Forum's participants concluded that health care organizations needed a multifaceted plan of action to address racial and ethnic

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Section: Resultsmentioning

confidence: 99%

A Plan for Action: Key Perspectives from the Racial/Ethnic Disparities Strategy Forum

et al. 2008

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“…Variables considered likely to impact on ED length of stay and to vary over time were collected as potential confounders. The variables were selected by clinical opinion and previous research and included age and sex, access to ward beds, acuity as measured by triage category, presentations per day and admissions per day. Access was defined as the percentage of patients admitted from ED who were transferred to a ward bed within 8 h…”

Section: Methodsmentioning

confidence: 99%

Improvement in emergency department length of stay using a nurse‐led ‘emergency journey coordinator’: A before/after study

Asha

Ajami

2014

Emerg Medicine Australasia

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“…Language-concordant providers promote better patient comprehension and satisfaction when compared with simultaneous remote interpreters, hospital interpreter services or telephone interpreters [30]. Patient-provider language discordance has been associated with increased lengths of stay in the ED [31]. Shorter ED visits are associated with on-site interpreters (116 min) rather than telephonic interpreters (141 min) or bilingual providers (153 min) [32].…”

Section: Interpreter Servicesmentioning

confidence: 96%

The impact of race and ethnicity on care in the pediatric emergency department

Riera

Walker

2010

Current Opinion in Pediatrics

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Recent research demonstrates that healthcare disparities exist in several areas affecting the delivery of quality pediatric emergency care. These disparities are shaped by a complex interaction of social, cultural, behavioral, educational, and financial factors. More research is needed to increase the body of knowledge as to why disparities exist. The success of this future research may require an interdisciplinary approach incorporating experts from multiple scientific fields.

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Language and Length of Stay in the Pediatric Emergency Department

Cited by 6 publications

References 0 publications

A Plan for Action: Key Perspectives from the Racial/Ethnic Disparities Strategy Forum

A Plan for Action: Key Perspectives from the Racial/Ethnic Disparities Strategy Forum

Improvement in emergency department length of stay using a nurse‐led ‘emergency journey coordinator’: A before/after study

The impact of race and ethnicity on care in the pediatric emergency department

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