{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:23:49Z","timestamp":1791851029781,"version":"4.3.4"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T00:00:00Z","timestamp":1771804800000},"content-version":"vor","delay-in-days":22,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Rationale<\/jats:title>\n                    <jats:p>Language barriers pose a growing challenge in healthcare, potentially affecting the quality of care and patient safety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study quantified the prevalence and severity of language barriers in the emergency department (ED) and assess their impact on the ED consultation process and ED\u2010related outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This was a prospective, observational single\u2010centre cohort study. All patients between 18 April and 24 May 2024, presenting to the ED, were assessed for the presence of any language barrier. Demographic data and ED outcomes were collected for all patients. For patients with a language barrier, both the language barrier and its perceived impact on the consultation process (as assessed by the treating physician) were evaluated. Data were analysed using\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests, chi\u2010square tests. Regression analyses were performed to assess the impact of the severity of the language barrier on ED\u2010related outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      During the study period, 116 (7.9%) out of 1474 patients had a language barrier. These patients were younger (mean age 48.4 vs. 61.5 years,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and more often male (62.9% vs. 51.8%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.022) compared to those without a language barrier. Patients with a language barrier had shorter total treatment time (2:06 vs. 2:42\u2009h,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.009) and fewer ED revisits during the past 30 days (5.2% vs. 13.6%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004). Communication aids were used in 62% of consultations, with family or acquaintances assisting in 44%, and professional interpreters were used in 2.2% of cases. Language barriers mostly affected history taking (mean score 2.71\/5), explaining treatment plans (2.41\/5), and follow\u2010up discussions (2.32\/5).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Language barriers are frequently encountered in emergency care, mostly affecting history taking, explaining treatment plans, and discussing follow\u2010up instructions. Communication aids are inconsistently applied, and interpreter use is rare, risking loss of information and adverse outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jep.70389","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T16:20:03Z","timestamp":1772986803000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Lost in Translation: The Impact of Language Barriers in the Emergency Department"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-1628-3349","authenticated-orcid":false,"given":"T. D. De","family":"Loeij","sequence":"first","affiliation":[{"name":"Emergency Department Viecuri Medical Center Venlo the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. W. J.","family":"Kusters","sequence":"additional","affiliation":[{"name":"Emergency Department Viecuri Medical Center Venlo the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F. M. I. al","family":"Khoury","sequence":"additional","affiliation":[{"name":"Emergency Department Viecuri Medical Center Venlo the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. J.","family":"Roor","sequence":"additional","affiliation":[{"name":"Department of Medical Psychology VieCuri Medical Center Venlo the Netherlands"},{"name":"School for Mental Health and Neuroscience Maastricht University Maastricht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. G. J.","family":"Versteegen","sequence":"additional","affiliation":[{"name":"Emergency Department Viecuri Medical Center Venlo the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F. H. M. v","family":"Osch","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology VieCuri Medical Center Venlo the Netherlands"},{"name":"Department of Epidemiology, GROW\u2014Research Institute for Oncology &amp; Reproduction Maastricht University Maastricht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. G.","family":"Barten","sequence":"additional","affiliation":[{"name":"Emergency Department Viecuri Medical Center Venlo the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,23]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.12688\/wellcomeopenres.15042.1"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-023-09036-z"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.5001\/omj.2020.40"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjq.2025.02.002"},{"issue":"1","key":"e_1_2_9_6_1","article-title":"Quality and Safety Issue: Language Barriers in Healthcare, a Qualitative Study of Non\u2010Arab Healthcare Practitioners Caring for Arabic Patients in the UAE","volume":"14","author":"Al\u2010Yateem N.","year":"2024","journal-title":"BMJ Open"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-021-07348-6"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-026471"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.5811\/westjem.2018.8.39146"},{"key":"e_1_2_9_10_1","unstructured":"S.SladeandS. 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