Ned Kinnear1, Matheesha Herath2, Samantha Jolly2, Jennie Han2, Minh Tran2, Dominic Parker2, Michael O'Callaghan3,4,5, Derek Hennessey6, Christopher Dobbins2, Tarik Sammour3,2, James Moore3,2. 1. Adelaide Medical School, University of Adelaide, Adelaide, SA, 5000, Australia. ned.kinnear@adelaide.edu.au. 2. Department of Surgery, Royal Adelaide Hospital, Adelaide, Australia. 3. Adelaide Medical School, University of Adelaide, Adelaide, SA, 5000, Australia. 4. South Australian Prostate Cancer Clinical Outcomes Collaborative, Urology Unit, Flinders Medical Centre, Adelaide, Australia. 5. Flinders Centre for Innovation in Cancer, Adelaide, Australia. 6. Department of Urology, Mercy University Hospital, Cork, Ireland.
Abstract
BACKGROUND: The importance of the patient experience is increasingly being recognised. However, there is a dearth of studies regarding factors affecting patient-reported outcomes in emergency general surgery (EGS), including none from the Southern Hemisphere. We aim to prospectively assess factors associated with patient satisfaction in this setting. METHODS: In this prospective cross-sectional study, all consecutive adult patients admitted to an acute surgical unit over four weeks were invited to complete a validated Patient-Reported Experience Measures questionnaire. These were completed either in person when discharge was imminent or by telephone <4 weeks post-discharge. Responses were used to determine factors associated with overall patient satisfaction. RESULTS: From 146 eligible patients, 100 (68%) completed the questionnaire, with a mean overall satisfaction score of 8.3/10. On multivariate analyses, eight factors were significantly associated with increased overall satisfaction. Five of these were similar to those previously prescribed by other like studies, being patient age >50 years, sufficient analgesia, satisfaction with the level of senior medical staff, important questions answered by nurses and confidence in decisions made about treatment. Three identified factors were new: sufficient privacy in the emergency department, sufficient notice prior to discharge and feeling well looked after in hospital. CONCLUSIONS: Factors associated with patient satisfaction were identified at multiple points of the patient journey. While some of these have been reported in similar studies, most differed. Hospitals should assess factors valued by their EGS population prior to implementing initiatives to improve patient satisfaction.
BACKGROUND: The importance of the patient experience is increasingly being recognised. However, there is a dearth of studies regarding factors affecting patient-reported outcomes in emergency general surgery (EGS), including none from the Southern Hemisphere. We aim to prospectively assess factors associated with patient satisfaction in this setting. METHODS: In this prospective cross-sectional study, all consecutive adult patients admitted to an acute surgical unit over four weeks were invited to complete a validated Patient-Reported Experience Measures questionnaire. These were completed either in person when discharge was imminent or by telephone <4 weeks post-discharge. Responses were used to determine factors associated with overall patient satisfaction. RESULTS: From 146 eligible patients, 100 (68%) completed the questionnaire, with a mean overall satisfaction score of 8.3/10. On multivariate analyses, eight factors were significantly associated with increased overall satisfaction. Five of these were similar to those previously prescribed by other like studies, being patient age >50 years, sufficient analgesia, satisfaction with the level of senior medical staff, important questions answered by nurses and confidence in decisions made about treatment. Three identified factors were new: sufficient privacy in the emergency department, sufficient notice prior to discharge and feeling well looked after in hospital. CONCLUSIONS: Factors associated with patient satisfaction were identified at multiple points of the patient journey. While some of these have been reported in similar studies, most differed. Hospitals should assess factors valued by their EGS population prior to implementing initiatives to improve patient satisfaction.
Authors: Zacharia T Bazzi; Ned Kinnear; Ciara S Bazzi; Derek Hennessey; Maciej Henneberg; Greg Otto Journal: ANZ J Surg Date: 2018-09-11 Impact factor: 1.872
Authors: Kristin DeGirolamo; Patrick B Murphy; Karan D'Souza; Jacques X Zhang; Neil Parry; Elliott Haut; W Robert Leeper; Ken Leslie; Kelly N Vogt; S Morad Hameed Journal: Am Surg Date: 2017-12-01 Impact factor: 0.688
Authors: Silke Apers; Adrienne H Kovacs; Koen Luyckx; Luis Alday; Malin Berghammer; Werner Budts; Edward Callus; Maryanne Caruana; Shanthi Chidambarathanu; Stephen C Cook; Mikael Dellborg; Junko Enomoto; Katrine Eriksen; Susan M Fernandes; Jamie L Jackson; Bengt Johansson; Paul Khairy; Shelby Kutty; Samuel Menahem; Gwen Rempel; Maayke A Sluman; Alexandra Soufi; Corina Thomet; Gruschen Veldtman; Jou-Kou Wang; Kamila White; Philip Moons Journal: Int J Cardiol Date: 2014-11-08 Impact factor: 4.164