Doctors’ perspectives on factors contributing to patient safety incidents in patients with limited English proficiency in
an Irish hospital
Presenter: Dr Orla Mongan, Clinical Science Institute, National University of Ireland (NUI) Galway
Other Authors: C. Curran, NUI Galway; D. Gallagher, Galway University Hospitals; K. Lambe, Health Research Board
Introduction
Outcomes for patients with Limited English Proficiency (LEP) attending hospital are worse than for those without a
language barrier. To improve patient safety, the use of trained interpreters is recommended when caring for patients
with LEP. The aim of this study is to explore the perceptions and experiences of hospital doctors of caring for patients
with LEP in an Irish hospital, identify the factors that contribute to patient safety incidents in this group and from this,
to identify factors that are amenable to training or other intervention.
Method
Critical incident technique interviews were carried out with 13 hospital doctors about a Patient Safety Incident (PSI)
with which they were involved, in relation to a patient with LEP. The Yorkshire Contributory Factors Framework was
used to classify the contributory factors in order to fully understand the lived experience of the interviewee.
Results
Communication, situational factors and organisational factors were the most frequently identified contributory
factors. Barriers to interpreter use include time pressure, lack of training and logistical challenges. Online translation
software and ad hoc interpreting is widely used particularly for routine conversations.
Discussion
Many of the factors contributing to PSIs in patients with LEP are amenable to training and the role of simulation
based training, in particular, needs further research. In addition to training, the role of virtual interpreting and online
software warrant further investigation and adaptation. Finally, implementation science has a role to play in ensuring
patients with LEP receive safe and equitable healthcare.
Contact email: orla.mongan@nuigalway.ie
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