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PO504a / #1986: IMPROVING COMMUNICATION WITH LIMITED ENGLISH PROFICIENCY FAMILIES IN THE PICU

AIMS & OBJECTIVES: Children and families with Limited English Proficiency (LEP) have been reported to have worse healthcare outcomes as a result of communication barriers The objective of this quality improvement study was to increase the frequency and quality of communication with LEP families in the PICU through improved access and functionality of video interpreters METHODS: Interpretation data from our tertiary PICU were obtained and monitored starting in 2019 A key driver diagram was utilized to develop potential interventions Multiple PDSA cycles were completed to evaluate interventions including providing written instructions on video interpreter use, obtaining new standardized video interpreter devices, designating standard locations and staff education around effective interpretation Statistical process control was employed to analyze the number of interpretations per LEP patient per day based on hospital billing data RESULTS: There were 82 encounters requiring interpretation during the study period, with an average of seven LEP families in the PICU on any given day During the preimplementation phase (September-December 2019), LEP families received an average of 1 5 interpretations per patient day After implementation (January-May 2020), LEP families received an average of 2 1 interpretations per patient day CONCLUSIONS: Targeted efforts towards using interpretation services with LEP families can be an effective way to increase frequency of communication Technology standardization alone did not increase interpreter use, however standardization along with improved accessibility correlated with an increase in interpreter use This project was limited by a delay in data of interpretations due to billing processing, and disruption of overall patient census during the COVID19 pandemic