Spanish and English Video-Assisted Informed Consent for Intravenous Contrast Administration in the Emergency Department: A Randomized Controlled Trial
Annals of Emergency MedicinePublished 29 September 2006
Ethan Cowan, Yvette Calderon, Paul Gennis, Ruth Macklin, Carlos Ortíz, Stephen P. Wall
Citations47
SJR quartileQ1
SJR score0.84
SNIP1.55
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TL;DR
Using Spanish and English educational videos for informing emergency department patients about risks, benefits, and alternatives to receiving intravenous contrast for computed tomography yielded higher intravenous Contrast knowledge scores compared with routine informed consent procedures.
Abstract
Using Spanish and English educational videos yielded higher intravenous contrast knowledge scores compared with routine informed consent procedures.
Keywords
Health Professions
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The Journal of the American Medical Association (JAMA) Network (American Medical Association)Informed Consent: Legal Theory and Clinical Practice
737 Citations1987Paul S. Appelbaum, Charles W. Lidz +1 more
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The report highlights new items on the continuity of care provided at ED visits, initial vital sign measurements, whether the patient's residence was a nursing home or institution, and duration of the ED visit, as well as selected trends in ED utilization from 1992 through 2001.
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Journal of General Internal MedicineImpact of interpreter services on delivery of health care to limited-English-proficient patients
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American Journal of Public HealthEducating patients with limited literacy skills: the effectiveness of printed and videotaped materials about colon cancer.
219 Citations1994Cathy D. Meade, W. Paul McKinney +1 more
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Psychiatric ServicesThe Problem With Interpreters: Communicating With Spanish-Speaking Patients
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Clinicians should observe the behaviors of both the patient and the interpreter for indications of errors that might distort or obscure the communication, including omission, addition, condensation, substitution, and role exchange.
American Journal of PsychiatryEffects of interpreters on the evaluation of psychopathology in non- English-speaking patients
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RadiologyAdverse events with radiographic contrast agents: results of the SCVIR Contrast Agent Registry.
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JAMACross-cultural communication. The special case of interpreters in health care
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RadiologyNonionic low-osmolality versus ionic high-osmolality contrast material for intravenous use in patients perceived to be at high risk: randomized trial.
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RadiologyInteractive method of informing patients of the risks of intravenous contrast media.
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