Evidence map›Paper›PMID 34551712›Full record

ArticleInternational journal of emergency medicine2021

Language diversity and challenges to communication in Indian emergency departments.

Katherine Douglass, Lalit Narayan, Rebecca Allen, Jay Pandya, Zohray Talib

Open access · goldAbstract read
In one paragraph

Article in International journal of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Do Large Language Models Perform Equally Across Languages? A Comparison of Responses to Frequently Asked Questions in Anesthesiology.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Katherine DouglassDepartment of Emergency Medicine, The George Washington University School of Medicine & Health Sciences, 2120 L St., NW Suite 450, Washington, DC, 20037, USA. kdouglass@mfa.gwu.edu.ORCID http://orcid.org/0000-0003-4730-571X
Lalit NarayanDepartment of Internal Medicine, The George Washington University School of Medicine & Health Sciences, 2150 Pennslyvania Ave, NW, Suite 8-416, Washington, DC, 20037, USA.
Rebecca AllenPresent Address: The George Washington University School of Medicine & Health Sciences, 2300 I St, NW, Washington, DC, 20052, USA.
Jay PandyaPresent Address: The George Washington University School of Medicine & Health Sciences, 2300 I St, NW, Washington, DC, 20052, USA.
Zohray TalibDepartment of Internal Medicine, The George Washington University School of Medicine & Health Sciences, 2150 Pennslyvania Ave, NW, Suite 8-416, Washington, DC, 20037, USA.
George Washington University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCommunication in emergency departments (ED) in India is complicated by the country's immense language diversity. Prior research has revealed challenges in language and communication as barriers to care. Our objective was to quantify language diversity among clinicians in Indian EDs and better understand issues related to clinician-clinician and clinician-patient communication. METHODOLOGY: A cross-sectional survey of ED clinicians was conducted. Survey participants were recruited in-person and through email at six partner sites in India. ANOVA and binary logistic regression were used for subgroup analysis. Semi-structured interviews were conducted with ED clinicians. Interview data was analyzed using the rapid assessment process to determine predominant themes.

results106 clinicians completed the survey. On average, clinicians spoke 3.75 languages. Seventy-one percent used a non-English language to speak to fellow clinicians most of the time, and 53% reported at least one critical incident over the last year where poor communication played a part. Interviews revealed challenges including low health literacy, high patient volume, and workplace hierarchy.

conclusionsThis study is the first to document the impact of language diversity and communication barriers in Indian EDs. The results highlight the need for effective strategies to improve communication between the multiple languages spoken by clinicians and patients.

Indexed as

CommunicationEmergency CareIndiaLanguage

Identifiers

PMID34551712
PMCPMC8459521
OpenAlexW3200430925

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.