Evidence map›Paper›PMID 39856756›Full record

ArticleBMC health services research2025

Using artificial intelligence based language interpretation in non-urgent paediatric emergency consultations: a clinical performance test and legal evaluation.

Julia Brandenberger, Ian Stedman, Noah Stancati, Karen Sappleton, Sarathy Kanathasan, Jabeen Fayyaz, Devin Singh

Abstract read
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
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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

7 authors.

Julia BrandenbergerDivision of Paediatric Emergency Medicine, Department of Paediatrics, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland. Julia.brandenberger@insel.ch.
Ian StedmanSchool of Public Policy and Administration, York University, Toronto, Canada.
Noah StancatiDivision of Pediatric Emergency Medicine, Hospital for Sick Children, Toronto, Canada.
Karen SappletonLanguage Interpretation Services, Hospital for Sick Children, Toronto, Canada.
Sarathy KanathasanDivision of Pediatric Emergency Medicine, Hospital for Sick Children, Toronto, Canada.
Jabeen FayyazDivision of Pediatric Emergency Medicine, Hospital for Sick Children, Toronto, Canada.
Devin SinghDivision of Pediatric Emergency Medicine, Hospital for Sick Children, Toronto, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the accuracy of Google Translate (GT) in translating low-acuity paediatric emergency consultations involving respiratory symptoms and fever, and to examine legal and policy implications of using AI-based language interpretation in healthcare.

methodsBased on the methodology used for conducting language performance testing routinely at the Interpreter Services Department of the Hospital for Sick Children, clinical performance testing was completed using a paediatric emergency scenario (child with respiratory illness and fever) on five languages: Spanish, French, Urdu, Arabic, and Mandarin. The study focused on GT's translation accuracy and a legal and policy evaluation regarding AI-based interpretation in healthcare was conducted by legal scholars.

resultsGT demonstrated strong translation performance, with accuracy rates from 83.5% in Urdu to 95.4% in French. Challenges included dialect sensitivity and pronoun misinterpretations. Legal evaluation indicated inconsistent access to language interpretation services across healthcare jurisdictions and potential risks involving data privacy, consent, and malpractice when using AI-based translation tools.

conclusionsGoogle Translate can effectively support communication in specific non-critical paediatric emergency scenarios. However, its use necessitates careful monitoring, understanding of its limitations, and attention to dialect and literal translation risks along with equity considerations. Establishing legal and policy frameworks for language interpretation in healthcare is crucial, alongside addressing funding and data security concerns, to optimize the use of AI-based translation tools in healthcare contexts.

Indexed as

Artificial IntelligenceLanguagePediatricsReferral and ConsultationTranslatingChildHumansArtificial intelligenceMinor health visitsNon-urgent health visitsPediatric emergency medicinePediatric migrant healthPediatrics

Identifiers

PMID39856756
PMCPMC11762056

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.