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Mason JJ, Coleman L, Dawod M, Wathen K, Houston S, Waldron M, Hinds PS. Child and caregiver voices about inpatient care: What do they report as positive and as needing improvement? J Pediatr Nurs 2024; 75:213-220. [PMID: 38272712 DOI: 10.1016/j.pedn.2024.01.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Revised: 01/12/2024] [Accepted: 01/13/2024] [Indexed: 01/27/2024]
Abstract
PURPOSE In pediatric healthcare, patient satisfaction queries exclude children and solicit quantitative ratings from caregivers. We sought satisfaction perspectives from hospitalized children 7 to 17 years and their caregivers by qualitatively analyzing interview responses. DESIGN AND METHODS English and Spanish-speaking children and their parents on five inpatient units completed two open-ended questions about their satisfaction at hospital discharge (T1, face to face) and 7 to 10 days later (T2, telephone). The questions asked about what was good and what could be better at the hospital. Responses were analyzed using descriptive semantic content analysis and consensus coding methods. RESULTS Patients' mean age was 11.9 years (SD = 3.17); 51% were male. At T1, 362 patients offered 833 responses; 600 parents offered 1496 responses. At T2, 252 patients offered 552 responses; 488 parents offered 1290 responses. At T1 and T2, the most frequent patient response to what was good was 'Staff took good care of me' and for caregivers was 'Staff behaving professionally'. At T1, the most frequent patient response about what could be better was 'more activities for kids', and at T2, 'Nothing' and 'More food options and better food quality'; for caregivers at T1, 'Nothing' and 'Not liking the physical space', and at T2, 'Nothing', and 'More communication and professionalism from hospital staff'. CONCLUSIONS Pediatric patients and their caregivers are willing and able to offer perspectives about satisfaction with care, and suggestions for improvement before discharge. PRACTICE IMPLICATIONS Pediatric patients and their caregivers' perspectives about care yield actionable recommendations for hospital systems.
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Affiliation(s)
- Janice J Mason
- Department of Nursing Science, Professional Practice, and Quality, Children's National Hospital, Washington, D.C., USA; School of Medicine and Health Sciences, The George Washington University of America, The George Washington University, USA.
| | - Lael Coleman
- Child Health Advocacy Institute, Children's National Hospital, Washington, D.C., USA.
| | - Mark Dawod
- Department of Nursing Science, Professional Practice, and Quality, Children's National Hospital, Washington, D.C., USA.
| | - Kourtney Wathen
- Department of Nursing Science, Professional Practice, and Quality, Children's National Hospital, Washington, D.C., USA.
| | - Sasha Houston
- Revenue Cycle Operations & Analytics, Children's National Hospital, Washington, D.C., USA.
| | - Mia Waldron
- Department of Nursing Science, Professional Practice, and Quality, Children's National Hospital, Washington, D.C., USA; School of Medicine and Health Sciences, The George Washington University of America, The George Washington University, USA.
| | - Pamela S Hinds
- Department of Nursing Science, Professional Practice, and Quality, Children's National Hospital, Washington, D.C., USA; School of Medicine and Health Sciences, The George Washington University of America, The George Washington University, USA.
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Ghrieb Z, Walter-Petrich A, Huang J, Chevret S, Montlahuc C, Resche-Rigon M, Kiladjian JJ, Allaoua S, Abdeljalil N. [Chronology of the ISO 9001:2015 certification and satisfaction survey in the multidisciplinary Clinical Investigation Center (CIC) of the historic Saint-Louis Hospital during the COVID-19 pandemic]. Therapie 2024:S0040-5957(24)00003-9. [PMID: 38320894 DOI: 10.1016/j.therap.2023.12.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Revised: 09/13/2023] [Accepted: 12/22/2023] [Indexed: 02/08/2024]
Abstract
The main objectives of multidisciplinary clinical investigation center (CIC-P) are to facilitate the availability of new drugs for patients, to enhance the visibility and attractiveness of French clinical research, to improve the quality of early phase trials, and to enhance the value of academic research by evaluating molecules in rare diseases. Since 2017, the CIC-P has been committed to a quality approach process, launching in 2018 its first satisfaction survey on patient care and clinical trial management of all its employees. A second satisfaction survey targeted by profession type was to be launched in 2020, in view of the requirements of the ISO 9001:2015 standard, but the process was interrupted following the coronavirus diseases 2019 (COVID-19) pandemic. The successful reorganization of the CIC-P activity during the first containment of the COVID-19 pandemic was driven by the implementation of a quality management system that promotes continuous improvement through the organization and involvement of all the staff. This voluntary and participative approach motivated the CIC-P to apply for the organizational sesame. The ISO 9001:2015 certification of CIC-P aims at increasing its performance, to satisfying its customers and to fully integrate its activities in a continuous improvement process, according to the requirements of this international standard, through the deployment of quality tools such as The Deming wheel (PDCA), an indispensable tool for transformation and reorganization; the analysis of the environment by the strengths, weakness, opportunities, threats (SWOT) analysis tool; the analysis and management of risks by the FMEA method, and all with performance indicators (SMART) and precise objectives at each stage of a project/process. The implementation of satisfaction questionnaires remains the essential tool for evaluating the expectations and needs of interested parties, but also for improving the quality of CIC-P activities and services. All these tools put in place have allowed us to continuously improve the means of production and to constantly improve our organization.
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Affiliation(s)
- Zineb Ghrieb
- Centre d'investigation cliniques (Inserm CIC-1427), université de Paris Cité, AP-HP, hôpital Saint-Louis, 75010 Paris, France.
| | - Anouk Walter-Petrich
- Service de biostatistique et d'information médicale (SBIM), université de Paris cité, AP-HP, hôpital Saint-Louis, 75010 Paris, France
| | - Jin Huang
- Centre d'investigation cliniques (Inserm CIC-1427), université de Paris Cité, AP-HP, hôpital Saint-Louis, 75010 Paris, France
| | - Sylvie Chevret
- Service de biostatistique et d'information médicale (SBIM), université de Paris cité, AP-HP, hôpital Saint-Louis, 75010 Paris, France
| | - Claire Montlahuc
- Service de biostatistique et d'information médicale (SBIM), université de Paris cité, AP-HP, hôpital Saint-Louis, 75010 Paris, France
| | - Matthieu Resche-Rigon
- Service de biostatistique et d'information médicale (SBIM), université de Paris cité, AP-HP, hôpital Saint-Louis, 75010 Paris, France
| | - Jean-Jacques Kiladjian
- Centre d'investigation cliniques (Inserm CIC-1427), université de Paris Cité, AP-HP, hôpital Saint-Louis, 75010 Paris, France
| | - Souhil Allaoua
- Centre d'investigation cliniques (Inserm CIC-1427), université de Paris Cité, AP-HP, hôpital Saint-Louis, 75010 Paris, France
| | - Nabil Abdeljalil
- Centre d'investigation cliniques (Inserm CIC-1427), université de Paris Cité, AP-HP, hôpital Saint-Louis, 75010 Paris, France
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Dasso N, Catania G, Zanini M, Rossi S, Aleo G, Signori A, Scelsi S, Petralia P, Watson R, Hayter M, Sasso L, Bagnasco A. Informal carers' experiences with their children's care during hospitalization in Italy: Child HCAHPS results from RN4CAST@IT-Ped cross-sectional study. J Pediatr Nurs 2024; 74:10-16. [PMID: 37980795 DOI: 10.1016/j.pedn.2023.11.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Revised: 11/01/2023] [Accepted: 11/04/2023] [Indexed: 11/21/2023]
Abstract
PURPOSE To examine informal carers' experiences during their child's hospitalization and evaluate the associations with care received and care context. DESIGN AND METHODS What is described in this article is only a part of the larger study, RN4CAST@IT-Ped, a multicenter cross-sectional study, with multi-level data collection through convenience sampling, the Child Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey was used to collect data from informal carers of pediatric patients, applying the "top box" approach. RESULTS Nine hospitals, 1472 nurses, and 635 children's parents were involved. A correlation was found between patient safety and satisfaction outcomes and nursing staff characteristics. Adequate workloads for nurses improved carers' assessment of their experience in the hospital. CONCLUSION Adequate staffing management could significantly improve informal carers' satisfaction with the care provided to their children during hospitalization. PRACTICE IMPLICATIONS Children's informal carers greatly value the care they receive in pediatric hospitals. Adequate workloads for nurses improve carers' overall evaluation of the care their children receive during hospitalization. Nursing management should consider improving these aspects to ensure high-quality care in children's hospitals.
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Affiliation(s)
- Nicoletta Dasso
- Health Professional Direction, IRCCS Istituto Giannina Gaslini, Via Gerolamo Gaslini 5, 16147 Genoa, Italy.
| | - Gianluca Catania
- Department of Health Sciences, University of Genoa, Via Pastore, 1, 16132 Genoa, Italy.
| | - Milko Zanini
- Department of Health Sciences, University of Genoa, Via Pastore, 1, 16132 Genoa, Italy.
| | - Silvia Rossi
- Health Professional Direction, IRCCS Istituto Giannina Gaslini, Via Gerolamo Gaslini 5, 16147 Genoa, Italy.
| | - Giuseppe Aleo
- Department of Health Sciences, University of Genoa, Via A. Pastore, 1, 16132 Genoa, Italy; Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin, Ireland..
| | - Alessio Signori
- Department of Health Sciences, Biostatistics, Via A. Pastore 1, I-16132 Genoa, Italy.
| | - Silvia Scelsi
- Health Professional Direction, IRCCS Istituto Giannina Gaslini, Via Gerolamo Gaslini 5, 16147 Genoa, Italy.
| | - Paolo Petralia
- Italian Association of Paediatric Hospitals (AOPI), General Director, ASL 4 S.S.R. Ligure, Via G. Gaslini 5, 16147 Genoa, Italy
| | | | - Mark Hayter
- Faculty of Health and Education, Manchester Metropolitan University, Manchester, United Kingdom.
| | - Loredana Sasso
- Department of Health Sciences, University of Genoa, Via Pastore, 1, 16132 Genoa, Italy.
| | - Annamaria Bagnasco
- Department of Health Sciences, University of Genoa, Via Pastore, 1, 16132 Genoa, Italy.
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Su J, Liu Q, Zhou D, Yang X, Jia G, Huang L, Tang X, Fang J. The status of low anterior resection syndrome: data from a single-center in China. BMC Surg 2023; 23:110. [PMID: 37149588 PMCID: PMC10164312 DOI: 10.1186/s12893-023-02008-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Accepted: 04/15/2023] [Indexed: 05/08/2023] Open
Abstract
AIM The incidence and risk factors of low anterior resection syndrome (LARS) largely variate in different studies. In addition, there is lack of study on how patients evaluate the therapeutic effect of LARS. This single-center retrospective study aims to investigate the status of LARS in Chinese patients undergoing laparoscopic low anterior resection (LAR). METHODS Consequent patients undergoing laparoscopic LAR and free from disease recurrence from January 2015 to May 2021 were issued with both LARS questionnaire and satisfaction survey. Related data were collected and analyzed. RESULTS Both LARS questionnaires and self-made satisfaction survey were received from 261 eligible patients. The overall incidence of LARS was 47.1% (minor in 19.5%, major in 27.6%), decreased with the passage of postoperative time (64.7% within 12 months, and 41.7% within 12-36 months), and became stable 36 months later (39.7%). The most common symptoms were defecation clustering (n = 107/261, 41.0%) and defecation urgency (n = 101/261, 38.7%). According to the multivariable regression analysis, risk factors of major LARS were: 1 year increase in age (OR 1.035, 95% CI 1.004-1.068), protective stoma (OR 2.656, 95% CI 1.233-5.724) and T3 - 4 stage (OR 2.449, 95% CI 1.137-5.273). Most patients complained defecation disorder (87.3%) to doctors and 84.5% got suggestions or treatments for it. However, only 36.8% patients thought the treatments worked for them. CONCLUSIONS LARS frequently occurs after laparoscopic LAR, while the therapeutic effect is not satisfying. Elder, advanced T-stage and protective stoma were risk factors for postoperative major LARS.
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Affiliation(s)
- Jing Su
- Department of Nursing, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
| | - Qianhui Liu
- Department of Gastrointestinal Surgery, the Third Affiliated Hospital of Sun Yat- sen University, Tianhe Road 600, 510630, Guangzhou, China
| | - Dagui Zhou
- Department of Gastrointestinal Surgery, the Third Affiliated Hospital of Sun Yat- sen University, Tianhe Road 600, 510630, Guangzhou, China
| | - Xiaofeng Yang
- Department of Gastrointestinal Surgery, the Third Affiliated Hospital of Sun Yat- sen University, Tianhe Road 600, 510630, Guangzhou, China
| | - Guiru Jia
- Department of Gastrointestinal Surgery, the Third Affiliated Hospital of Sun Yat- sen University, Tianhe Road 600, 510630, Guangzhou, China
| | - Lijun Huang
- Department of Gastrointestinal Surgery, the Third Affiliated Hospital of Sun Yat- sen University, Tianhe Road 600, 510630, Guangzhou, China
| | - Xiao Tang
- Department of Gastrointestinal Surgery, the Third Affiliated Hospital of Sun Yat- sen University, Tianhe Road 600, 510630, Guangzhou, China
| | - Jiafeng Fang
- Department of Gastrointestinal Surgery, the Third Affiliated Hospital of Sun Yat- sen University, Tianhe Road 600, 510630, Guangzhou, China.
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Haas BM, Zhang L, Nichols H, Orwig N, Hess CP, Kolli KP. What referring clinicians value most: Accuracy of radiology results and personal interactions with radiologists. Clin Imaging 2023; 97:72-77. [PMID: 36907042 DOI: 10.1016/j.clinimag.2023.02.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Revised: 01/28/2023] [Accepted: 02/06/2023] [Indexed: 02/17/2023]
Abstract
PURPOSE We sought to identify which aspects of the referring clinician experience are most strongly correlated with overall satisfaction, and hence of greatest relevant importance to referring clinicians. METHODS A survey instrument assessing referring clinician satisfaction throughout 11 domains of the radiology process map was distributed 2720 clinicians. The survey contained sections assessing each process map domain, with each section including a question about satisfaction overall in that domain and multiple more granular questions. The final question on the survey was overall satisfaction with the department. Univariate logistic regression and multivariate logistic regression were performed to assess the association between individual survey questions and overall satisfaction with the department. RESULTS 729 referring clinicians (27%) completed the survey. Using univariate logistic regression nearly every question was associated with overall satisfaction. Amongst the 11 domains of the radiology process map multivariate logistic regression identified the following as mostly strongly associated with overall satisfaction: results/reporting overall (odds ratio 4.71; 95% confidence interval 2.15-10.23), section with which work most closely overall (3.39; 1.28-8.64), and inpatient radiology overall (2.39; 1.08-5.08). Other survey questions associated with overall satisfaction on multivariate logistic regression were attending radiologist interactions (odds ratio 3.71; 95% confidence interval 1.54-8.69), timeliness of inpatient radiology results (2.91; 1.01-8.09), technologist interactions (2.15; 0.99-4.40), appointment availability for urgent outpatient studies (2.01; 1.08-3.64), and guidance for selecting correct imaging study (1.88; 1.04-3.34). CONCLUSION Referring clinicians value most the accuracy of the radiology report and their interactions with attending radiologists, particularly within the section they work most closely.
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Affiliation(s)
- Brian M Haas
- University of California San Francisco, 1001 Potrero Ave 1X57, San Francisco, CA 94110, United States of America.
| | - Li Zhang
- University of California San Francisco, United States of America.
| | - Heather Nichols
- University of California San Francisco, United States of America.
| | - Nathan Orwig
- University of California Berkeley, United States of America.
| | | | - K Pallav Kolli
- University of California San Francisco, United States of America.
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Carmen Marcén G, López Pisón J, Samper Villagrasa P, Molina Herranz D, Moreno Sanchez A, Salinas Salvador B. [Telematic attention in a neuropediatrics consultation during the COVID-19 alarm state. Cross-sectional study and satisfaction survey]. J Healthc Qual Res 2023; 38:43-49. [PMID: 35739039 PMCID: PMC9850115 DOI: 10.1016/j.jhqr.2022.05.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2022] [Revised: 03/31/2022] [Accepted: 05/11/2022] [Indexed: 02/01/2023]
Abstract
INTRODUCTION Crisis caused by the SARS-CoV-2 virus limit face-to-face consultation to the minimum necessary, this was a change toward telephone activity. OBJECTIVE To analyze the experience of a neuropediatric consultation, INRPC, and satisfaction survey with the telephone consultation during COVID-19 crisis. MATERIAL AND METHODS Observational, cross-sectional, descriptive and analytical study of healthcare activity, as well as user satisfaction, during the State of Alarm in a neuropediatric consultation in a regional referral hospital. To measure satisfaction, a survey is conducted with parents and guardians. RESULTS 416 children were attended by telephone. Most frequent diagnoses: neurodevelopmental disorder (27.8%), isolated ADD/ADHD (26.8%), and epilepsy (9.2%). 32.2% responded to the survey: 66.6% prior satisfaction. Global satisfaction with telephone consultation 59.9%; 77% would return to make the telephone consultation. CONCLUSIONS User satisfaction with the telephone consultation, in a crisis situation, is similar to that perceived with the face-to-face consultation. 32% respond to the survey, and 60% are satisfied.
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Affiliation(s)
| | - J López Pisón
- Hospital Universitario Miguel Servet , Zaragoza, España
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Tung EL, Dibble EH, Jindal G, Movson JS, Swenson DW. Survey of radiologists and emergency department providers after implementation of a global radiology report categorization system. Emerg Radiol 2020; 28:65-75. [PMID: 32725602 DOI: 10.1007/s10140-020-01824-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Accepted: 07/20/2020] [Indexed: 10/23/2022]
Abstract
PURPOSE Breakdown in communication of important imaging results threatens patient safety and risks malpractice claims. To facilitate closed-loop communication, our institution developed a unique radiology report categorization (RADCAT) system employing automated alert notification systems. This study aimed to understand users' initial experiences with the RADCAT system and obtain feedback. METHODS Web-based surveys were distributed to radiologists and emergency department (ED) providers at our hospital system within 1 year of institution-wide RADCAT implementation. Survey designs differed based on clinical setting. Most prompts utilized declarative statements with 5-point agreement Likert scales. Closed-response data was analyzed with descriptive statistics. RESULTS Response rates among radiologists and ED providers were 59.4% (63/106) and 38.4% (69/211), respectively. 78.0% (46/59) of radiologists and 60.9% (42/69) of ED providers agreed that RADCAT improves patient care. Of radiologists, 84.1% (53/63) agreed that RADCAT design is intuitive, and 57.6% (34/59) agreed that RADCAT improves efficiency. Of ED providers, 69.6% (48/69) agreed that RADCAT appropriately differentiates urgent and non-urgent findings, and 65.2% (45/69) agreed that auto-population of discharge documents with imaging results containing follow-up recommendations protects them from liability. Only 35.6% (21/59) of radiologists and 21.7% (15/69) of ED providers agreed that RADCAT implementation decreased reading room visits by ordering providers. Open-response feedback showed that some ED providers find RADCAT too complex while some radiologists desire improved transparency regarding imaging study communication status. CONCLUSION Since its implementation, RADCAT has been well received among radiologists and ED providers with agreement that it improves patient care and effectively distinguishes and communicates important imaging findings.
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Affiliation(s)
- Eric L Tung
- Department of Diagnostic Imaging, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, 3rd floor Main Building, 593 Eddy Street, Providence, RI, 02903, USA.
| | - Elizabeth H Dibble
- Department of Diagnostic Imaging, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, 3rd floor Main Building, 593 Eddy Street, Providence, RI, 02903, USA
| | - Gaurav Jindal
- Department of Diagnostic Imaging, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, 3rd floor Main Building, 593 Eddy Street, Providence, RI, 02903, USA
| | - Jonathan S Movson
- Department of Diagnostic Imaging, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, 3rd floor Main Building, 593 Eddy Street, Providence, RI, 02903, USA
| | - David W Swenson
- Department of Diagnostic Imaging, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, 3rd floor Main Building, 593 Eddy Street, Providence, RI, 02903, USA
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Soubieux A, Chenailler C, Lattard C, Banse C, Kozyreff-Meurice M, Gondé H, Lequerré T, Vittecoq O, Varin R. The impact of an in-department pharmacist on the prevention of drug iatrogenesis in a rheumatology department. Clin Rheumatol 2021; 40:359-68. [PMID: 32519050 DOI: 10.1007/s10067-020-05138-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2019] [Revised: 04/17/2020] [Accepted: 05/01/2020] [Indexed: 10/24/2022]
Abstract
INTRODUCTION/OBJECTIVES The primary objective was to evaluate the impact of an in-department pharmacist on the prevention of drug iatrogenesis in a rheumatology department. Secondary objectives were to determine (i) if medication history discrepancies were detected more frequently in the elderly or not, and (ii) if the mean number of treatments at admission had an impact on the number of medication history discrepancies. METHODS Implementation of a clinical-pharmacy program based on medication reconciliation and medication review of prescription for all patients admitted to a rheumatology department between January and June 2017. The analytical approach was mainly descriptive and data were expressed as mean ± standard deviation (i.e., number of treatments at admission, number of medication reconciliations) and as proportions (i.e., acceptance rate, impact). Chi-squared tests and Student's test were performed to determine if there was a significant difference in outcomes. RESULTS Three hundred twelve patients were included in the study, 517 medication history discrepancies in 243 (77.8%) patients and 196 pharmaceutical interventions in 133 (42.6%) patients. A significant difference was found in the number of medication history discrepancies and pharmaceutical interventions between the two age groups and in the mean number of treatments at admission between patients with or without medication history discrepancies. 15.4% of study patients had major medication history discrepancies and major pharmaceutical interventions. All patients and practitioners reported the usefulness of an in-department pharmacist. CONCLUSION This program was found effective in terms of safety and improvement in the continuity of care. Key Points • This clinical-pharmacy program with an in-department pharmacist had a positive impact on the prevention of drug iatrogenesis in one rheumatology department. • 15.4% (n = 48) of study patients had major medication history discrepancies and major pharmaceutical interventions. • All practitioners and patients were satisfied with this clinical-pharmacy program.
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Coleman LN, Wathen K, Waldron M, Mason JJ, Houston S, Wang Y, Hinds PS. The Child's Voice in Satisfaction with Hospital Care. J Pediatr Nurs 2020; 50:113-120. [PMID: 31812854 DOI: 10.1016/j.pedn.2019.11.007] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/19/2019] [Revised: 11/15/2019] [Accepted: 11/15/2019] [Indexed: 11/29/2022]
Abstract
PURPOSE Patient satisfaction is a quality improvement indicator used to evaluate care. Ratings of patient satisfaction in pediatrics exclude the child voice. We tested the feasibility and acceptability of a new model that included both child and parent satisfaction ratings. DESIGN AND METHODS We executed a randomized, two-arm, unblinded cohort study comparing child (aged 7-17 years) and parent reports (Arm 1) to parent report only (Arm 2) among a convenience sample of inpatients at a single urban pediatric medical center. The primary (feasibility and acceptability) and secondary outcomes were assessed at the time of discharge (T1) and approximately 10 days following discharge (T2) (standard timing). RESULTS Of 672 screened families, 89.3% (n = 600) enrolled in the study; 362 children and parents were randomized to Arm 1 and 238 parents to Arm 2. Patients (98.6%) and parents (99.8%) indicated preference for providing satisfaction ratings at the time of discharge. Seventy-five percent of families (n = 488) completed T1 and T2; neither child nor parent ratings differed significantly between T1 and T2 nor did parent ratings differ between the two study arms. Nurse friendliness, courtesy, and feeling well cared for were among the highest rated items at T1 and T2 by both children and parents. CONCLUSIONS Children 7 to 17 years of age and their parents are willing and like to provide satisfaction with care ratings prior to hospital discharge. PRACTICE IMPLICATIONS This measurement model could yield valid findings representative of hospitalized children and their parents, and could become the basis for a new and needed measurement approach for pediatric satisfaction with hospital care.
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Affiliation(s)
- Lael N Coleman
- Department of Nursing Science, Professional Practice, and Quality, Children's National Hospital, Washington, D.C. United States of America
| | - Kourtney Wathen
- Department of Nursing Science, Professional Practice, and Quality, Children's National Hospital, Washington, D.C. United States of America
| | - Mia Waldron
- Department of Nursing Science, Professional Practice, and Quality, Children's National Hospital, Washington, D.C. United States of America
| | - Janice J Mason
- Department of Nursing Science, Professional Practice, and Quality, Children's National Hospital, Washington, D.C. United States of America
| | - Sasha Houston
- Patient Care Services, Children's National Hospital, Washington, D.C. United States of America
| | - Yunfei Wang
- Department of Biostatistics Children's National Hospital, Washington, D.C. United States of America; School of Medicine and Health Sciences, the George Washington University, United States of America
| | - Pamela S Hinds
- Department of Nursing Science, Professional Practice, and Quality, Children's National Hospital, Washington, D.C. United States of America; School of Medicine and Health Sciences, the George Washington University, United States of America.
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10
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Constanzo F, Aracena-Sherck P, Hidalgo JP, Muñoz M, Vergara G, Alvarado C. Validation of a patient satisfaction survey of the Teleneurology program in Chile. BMC Res Notes 2019; 12:359. [PMID: 31238956 PMCID: PMC6593588 DOI: 10.1186/s13104-019-4358-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2019] [Accepted: 06/05/2019] [Indexed: 11/10/2022] Open
Abstract
OBJECTIVE Telemedicine arises as an attractive intervention for reducing the waiting time for appointments with medical specialists in Chile. Successful implementation of this technology requires safeguarding the patient/clinician trust relationship; however, no studies have been conducted to evaluate quality perception of a telemedicine program in Chile. To assess patient satisfaction with the Teleneurology program at the Hospital Higueras Talcahuano (HHT), addressing patient/clinician trust relationship. RESULTS A perception survey was constructed with 23 questions, distributed into 5 key areas (items) of user satisfaction. Its face validity was performed by five neurology specialists from the Teleneurology unit of HHT. The survey was applied to 167 patients of the HHT, recruited between 2018 and 2019, for conducting a pilot cross-sectional descriptive study to assess internal consistency (Cronbach alpha) and reliability (factorial analysis of main components). The survey showed an internal consistency of 0.88. Removing any of the items maintained its reliability in values over 0.8. All items showed point biserial correlations greater than 0.30. Overall, the survey constructed and evaluated in this study showed high internal consistency and reliability values, which will allow its application in further studies of quality assessment of the Teleneurology unit of HHT.
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Affiliation(s)
- Freddy Constanzo
- Neurology Unit, Hospital Las Higueras, Alto Horno 777, Talcahuano, Chile. .,Medical Program in Adult Neurology, School of Medicine, Universidad Católica de la Santísima Concepción, Concepción, Chile.
| | - Paula Aracena-Sherck
- Department of Science, School of Medicine and Science, Universidad San Sebastián, Concepción, Chile
| | - Juan Pablo Hidalgo
- Department of Statistics, School of Sciences, Universidad del Bío-Bío, Concepción, Chile
| | - Maritza Muñoz
- Department of Public Health, School of Medicine, Universidad Católica de la Santísima Concepción, Concepción, Chile
| | - Gerardo Vergara
- Unit of Teleprocesses, Hospital Las Higueras, Talcahuano, Chile
| | - Cristóbal Alvarado
- Department of Science, School of Medicine and Science, Universidad San Sebastián, Concepción, Chile.,Department of Basic Sciences, School of Medicine, Universidad Católica de la Santísima Concepción, Concepción, Chile
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Ii M, Niu B. Are Japanese people satisfied with their health care system and services? Empirical evidence from survey data. Health Policy 2018; 123:345-352. [PMID: 30795885 DOI: 10.1016/j.healthpol.2018.11.008] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2018] [Revised: 11/13/2018] [Accepted: 11/16/2018] [Indexed: 10/27/2022]
Abstract
BACKGROUND Japan's universal health care system provides many advantages for its users, including affordable health coverage with free and equal access to medical institutions. However, the Japanese population's satisfaction with the health care system is among the lowest internationally. This paper investigates the extent and determinants of satisfaction toward Japan's health care system and services, and compares the results with those of eleven other high-income countries. METHODS We collected data from Japanese respondents of a 2014 survey based on the 2010 Commonwealth Fund International Health Policy Survey. We analyzed survey data to explore the determinants of the respondents' overall satisfaction with the health care system, and quantified satisfaction using various dimensions. RESULTS Almost 17% of respondents were "not sure" of their opinion of Japan's health care system. Overall satisfaction in Japan was much lower than that of other high-income countries. Older respondents (≥65 y) evaluated the system more than twice as favorably as younger respondents. Also, the respondents' overall satisfaction with the health care system was intrinsically related to their assessments of health services actually received. DISCUSSION The higher satisfaction of older persons may be influenced by their higher care needs and use of health services than younger respondents. The promotion of community-based preventive services involving well-trained professionals may improve the use of health care and increase satisfaction levels.
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Affiliation(s)
- Masako Ii
- Hitotsubashi University, Asian Public Policy Program, School of International and Public Policy, 2-1-2, Hitotsubashi, Chiyoda-ku, Tokyo 101-8439, Japan.
| | - Bing Niu
- Osaka Prefecture University, Graduate School of Economics, 1-1, Gakuen-cho, Naka-ku, Sakai-shi, Osaka 599-8531, Japan.
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Frías VM, Colom F, Bulbena A, Aceña R, Pratdesava A, Zendjidjian XY, Perez-Sola V. Spanish translation and analysis of the metric properties of inpatient satisfaction scale in psychiatry: The Satispsy-22-E. Psychiatry Res 2018; 268:8-14. [PMID: 29986179 DOI: 10.1016/j.psychres.2018.06.054] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/15/2018] [Revised: 06/14/2018] [Accepted: 06/21/2018] [Indexed: 11/23/2022]
Abstract
The Satispsy-22 scale is an instrument created for the specific evaluation of psychiatric inpatient satisfaction. Therefore, the study aims to carry out the Satispsy-22 scientific translation to Spanish and to learn its psychometric properties. The Satipsy-22-E was administered to discharged patients from four units of acute psychiatric admission, a unit of dual pathology and two units of subacute psychiatric admission (N = 268). Cronbach's alpha was 0.886, which can be interpreted as good internal reliability. All the dimensions showed a good internal consistency with scores from 0.722 to 0.919. Test-retest offered scores of 0.752-0.951 showing good stability. Confirmatory factor analysis showed that all elements load in the estimated dimensions of the original scale and these were significant and the adjustment measures showed, in general, a rather good adjustment, Root Mean Square Error (RMSE) showed that the error between observations and actual data is small and acceptable. Satispsy-22-E is a specific scale in Spanish language for the assessment of psychiatric inpatient satisfaction. It is an easy to use tool that offers good psychometric properties. The availability of a validated survey in Spanish may help to improve the care provided by psychiatric wards in Spanish-speaking countries.
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Sabel BO, Plum JL, Czihal M, Lottspeich C, Schönleben F, Gäbel G, Schinner R, Schoeppe F, Meinel FG. Structured Reporting of CT Angiography Runoff Examinations of the Lower Extremities. Eur J Vasc Endovasc Surg 2018; 55:679-687. [PMID: 29627139 DOI: 10.1016/j.ejvs.2018.01.026] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2017] [Accepted: 01/27/2018] [Indexed: 12/19/2022]
Abstract
OBJECTIVES The aim was to evaluate the effect of structured reporting of computed tomography angiography (CTA) runoff studies on clarity, completeness, clinical relevance, usefulness of the radiology reports, further testing, and therapy in patients with known or suspected peripheral arterial disease. METHODS Conventional reports (CRs) and structured reports (SRs) were generated for 52 patients who had been examined with a CTA runoff examination of the lower extremities. The sample size was based on power calculations with a power of 95% and a significance level of .007 (adjusted for multiple testing). CRs were dictated in a free text form; SRs contained a consistent ordering of observations with standardised subheadings. CRs were compared with SRs. Two vascular medicine specialists and two vascular surgeons rated the reports regarding their satisfaction with clarity, completeness, clinical relevance, and usefulness as well as overall satisfaction. Additionally, they made hypothetical decisions on further testing and therapy. Median ratings were compared using the Wilcoxon signed rank test and generalised linear mixed effects models. RESULTS SRs received higher ratings for satisfaction with clarity (median rating 9.0 vs. 7.0, p < .0001) and completeness (median rating 9.0 vs. 7.5, p < .0001) and were judged to be of greater clinical relevance (median rating 9.0 vs. 8.0, p < .0001) and usefulness (median rating 9.0 vs. 8.0, p < .0001). Overall satisfaction was also higher for SRs (median rating 9.0 vs. 7.0, p < .0001) than CRs. There were no significant differences in further testing or therapy. CONCLUSION Referring clinicians perceive SRs of CTA runoff examinations of the lower extremities as offering superior clarity, completeness, clinical relevance, and usefulness than CRs. Structured reporting does not appear to alter further testing or therapy in patients with known or suspected peripheral arterial disease.
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Affiliation(s)
- Bastian O Sabel
- Department of Radiology, University Hospital, LMU Munich, Germany.
| | - Jessica L Plum
- Department of Radiology, University Hospital, LMU Munich, Germany
| | - Michael Czihal
- Division of Vascular Medicine, Medical Clinic and Policlinic IV, Hospital of the Ludwig-Maximilians-University, Munich, Germany
| | - Christian Lottspeich
- Division of Vascular Medicine, Medical Clinic and Policlinic IV, Hospital of the Ludwig-Maximilians-University, Munich, Germany
| | - Frank Schönleben
- Department of Vascular and Endovascular Surgery, Ludwig-Maximilians-University, Munich, Germany
| | - Gabor Gäbel
- Department of Vascular and Endovascular Surgery, Ludwig-Maximilians-University, Munich, Germany
| | - Regina Schinner
- Department of Radiology, University Hospital, LMU Munich, Germany
| | | | - Felix G Meinel
- Department of Radiology, University Hospital, LMU Munich, Germany; Department of Diagnostic and Interventional Radiology, Rostock University Medical Centre, Rostock, Germany
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Boyer P, Lefebvre F, Siraudin C, Montjean D, Le Coz P, Gervoise-Boyer M. [ Satisfaction survey on the use of autologous oocyte vitrification in Assisted Reproductive Technologies]. ACTA ACUST UNITED AC 2018; 46:514-517. [PMID: 29622407 DOI: 10.1016/j.gofs.2018.03.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2017] [Accepted: 03/05/2018] [Indexed: 11/19/2022]
Abstract
OBJECTIVES We organized a survey for in-vitro fertilization couples who beneficiated on self-preservation of part of the oocyte cohort. The main objective was to measure couples' satisfaction. Secondary objectives were; to identify how patients had been informed; to verify that the use of the ART technique met their expectations, and how they felt about oocyte or embryo freezing. METHODS The data were collected by a questionnaire sent electronically to couples who had undergone partial vitrification of the oocyte cohort and at least one warming cycle. The questionnaire consisted of 2 components; one for the women and another one for their husband. RESULTS Eighty-eight women and 62 men responded to the survey respectively, representing 50.86% and 35.84% of the targeted patients. They were satisfied with a 90% rate, men and women combined. The information we give in the center is heard by couples and is part of the trust in the medical staff. Men are more worried than women about the risks of stimulation or ovarian pick-up and are not displeased to be called upon for sperm recovery for every attempt at oocyte warming. The ambiguity of the answers on the representation of the embryo confirms what is already described, but is independent of the acceptance of freezing whether it is oocyte or embryo. CONCLUSION In the same way as evaluating the results, the evaluation of patient satisfaction is useful for the implementation of therapeutic strategies and care pathways.
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Affiliation(s)
- P Boyer
- Service de médecine et biologie de la reproduction, hôpital Saint-Joseph, 26, boulevard de Louvain, 13008 Marseille, France
| | - F Lefebvre
- Service de médecine et biologie de la reproduction, hôpital Saint-Joseph, 26, boulevard de Louvain, 13008 Marseille, France
| | - C Siraudin
- Service de médecine et biologie de la reproduction, hôpital Saint-Joseph, 26, boulevard de Louvain, 13008 Marseille, France
| | - D Montjean
- Service de médecine et biologie de la reproduction, hôpital Saint-Joseph, 26, boulevard de Louvain, 13008 Marseille, France
| | - P Le Coz
- UMR n(o)7268 ADES, CNRS, EFS Aix-Marseille Université, 13385 Marseille cedex 5, France
| | - M Gervoise-Boyer
- Service de médecine et biologie de la reproduction, hôpital Saint-Joseph, 26, boulevard de Louvain, 13008 Marseille, France.
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Shabashev S, Fouad Y, Huncke TK, Roland JT. Cochlear implantation under conscious sedation with local anesthesia; Safety, Efficacy, Costs, and Satisfaction. Cochlear Implants Int 2017; 18:297-303. [PMID: 28934019 DOI: 10.1080/14670100.2017.1376423] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
OBJECTIVE To evaluate the safety, efficiency, cost effectiveness, and satisfaction of patients undergoing cochlear implantation under conscious sedation versus general anesthesia. STUDY DESIGN Retrospective case review of 20 patients who underwent cochlear implantation under conscious sedation which was compared to 20 age-matched patients where surgery was performed under general anesthesia. METHODS Perioperative times, length of stay, anesthesia drug costs, postoperative complications, and patient satisfaction were compared between the two groups. RESULTS Conscious sedation was associated with decreased drug costs, surgery time, and anesthesia time. Length of stay was significantly longer for patients undergoing general anesthesia. Patient satisfaction was superior with conscious sedation. Perioperative morbidity was not significantly different between the two groups. CONCLUSION Conscious sedation for cochlear implantation is a safe, efficient, and cost-effective alternative to general anesthesia. The efficacy of conscious sedation for cochlear implant surgery may expand the treatment of profound hearing loss to the elderly who are deemed too sick for general anesthesia or are fearful of the cognitive or medical consequences of general anesthesia.
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Affiliation(s)
- Samion Shabashev
- a NYU Department of Anesthesiology, Perioperative Care, and Pain Medicine , NYU Langone Medical Center , New York , NY , USA
| | - Yasser Fouad
- b Otlaryngology Department, Faculty of Medicine , Zagazig University , Zagazig , Egypt
| | - T Kate Huncke
- a NYU Department of Anesthesiology, Perioperative Care, and Pain Medicine , NYU Langone Medical Center , New York , NY , USA
| | - J Thomas Roland
- c Department of Otolaryngology-Head and Neck Surgery , NYU Langone Medical Center , New York , NY , USA
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Codron P, Roux T, Le Guennec L, Zuber M. Are the French neurology residents satisfied with their training? Rev Neurol (Paris) 2015; 171:787-91. [PMID: 26318896 DOI: 10.1016/j.neurol.2015.07.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2015] [Revised: 06/05/2015] [Accepted: 07/01/2015] [Indexed: 11/22/2022]
Abstract
BACKGROUND There have been dramatic changes in neurology over the past decade; these advances require a constant adaptation of residents' theoretical and practical training. The French Association of Neurology Residents and the College of Neurology Teachers conducted a national survey to assess the French neurology residents' satisfaction about their training. METHODS A 16-item questionnaire was sent via e-mail to French neurology residents completing training in 2014. Data were collected and processed anonymously. RESULTS Of eligible respondents, 126 returned the survey, representing approximately 40% of all the French neurology residents. Most residents (78%) rated their clinical training favorably. Seventy-two percent reported good to excellent quality teaching of neurology courses from their faculty. However, many residents (40%) felt insufficient their doctoral thesis supervision. All residents intended to enter fellowship training after their residency, and most of them (68%) planned to practice in a medical center. CONCLUSION French neurology residents seemed satisfied with the structure and quality of their training program. However, efforts are required to improve management of the doctoral thesis and make private practice more attractive and accessible during the residency. In the future, similar surveys should be scheduled to regularly assess neurology residents' satisfaction and the impact of the forthcoming national and European reforms.
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Cordero Torres JA, Caballero Oliver A. [The Moodle platform: A useful tool for training in life support. Analysis of satisfaction questionnaires from students and instructors of the semFYC advanced life support courses]. Aten Primaria 2015; 47:376-84. [PMID: 25934346 PMCID: PMC6983694 DOI: 10.1016/j.aprim.2015.02.006] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2014] [Revised: 02/07/2015] [Accepted: 02/10/2015] [Indexed: 11/30/2022] Open
Abstract
Objetivo Medir la utilidad del método semipresencial en la formación en soporte vital. El uso de Moodle para implementar una fase no presencial previa a la fase presencial «clásica» en la metodología docente es su principal novedad. Diseño Analizamos encuestas de satisfacción a alumnos e instructores de cursos semipresenciales de soporte vital avanzado del programa de Enseñanza de Soporte Vital en Atención Primaria (ESVAP). Emplazamiento : plataforma Moodle. Aula Virtual de semFYC. Participantes y/o contextos Alumnos e instructores del curso de soporte vital avanzado del programa ESVAP de semFYC. Método Análisis cualitativo. Resultados A la mayoría de los alumnos les parece muy útil (50%) o útil (45,37%) el hecho de que haya una fase no presencial previa y considera que esta fase les ha ayudado mucho (42,20%) o bastante (48,62%) a aprovechar la fase presencial. Los instructores consideraron que la fase no presencial había resultado muy útil (89%) o útil (11%) para el desarrollo de la fase presencial. Discusión De los resultados se concluye que: 1) para los alumnos resulta muy útil una fase no presencial previa y consideran que ayuda bastante/mucho a aprovechar la fase presencial, y 2) los instructores consideran que la fase no presencial ha ayudado bastante en el aprovechamiento y eficiencia de los talleres en la fase presencial.
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Affiliation(s)
- Juan Antonio Cordero Torres
- Unidad de Emergencias de Badajoz, Servicio Extremeño de Salud, España; Ciencias de la Salud en Emergencias, Universidad de Extremadura, Badajoz, España.
| | - Antonio Caballero Oliver
- Unidad de Urgencias, Hospital General Universitario Virgen del Rocío de Sevilla, Servicio Andaluz de Salud, Sevilla, España
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Bletzer KV. Visualizing the qualitative: making sense of written comments from an evaluative satisfaction survey. J Educ Eval Health Prof 2015; 12:12. [PMID: 25959652 PMCID: PMC4427856 DOI: 10.3352/jeehp.2015.12.12] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/01/2014] [Accepted: 04/12/2015] [Indexed: 05/22/2023]
Abstract
PURPOSE Satisfaction surveys are common in the field of health education, as a means of assisting organizations to improve the appropriateness of training materials and the effectiveness of facilitation-presentation. Data can be qualitative of which analysis often become specialized. This technical article aims to reveal whether qualitative survey results can be visualized by presenting them as a Word Cloud. METHODS Qualitative materials in the form of written comments on an agency-specific satisfaction survey were coded and quantified. The resulting quantitative data were used to convert comments into "input terms" to generate Word Clouds to increase comprehension and accessibility through visualization of the written responses. RESULTS A three-tier display incorporated a Word Cloud at the top, followed by the corresponding frequency table, and a textual summary of the qualitative data represented by the Word Cloud imagery. This mixed format adheres to recognition that people vary in what format is most effective for assimilating new information. CONCLUSION The combination of visual representation through Word Clouds complemented by quantified qualitative materials is one means of increasing comprehensibility for a range of stakeholders, who might not be familiar with numerical tables or statistical analyses.
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Rodríguez Ramírez M, del Barrio Manso MI, Martín Sánchez MD. Intravitreal injections: what do patients prefer? Analysis of patient's satisfaction and preferences about where to perform intravitreal injections. Arch Soc Esp Oftalmol 2014; 89:477-483. [PMID: 25176313 DOI: 10.1016/j.oftal.2014.05.010] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/26/2013] [Revised: 04/23/2014] [Accepted: 05/28/2014] [Indexed: 06/03/2023]
Abstract
OBJECTIVE To analyse satisfaction and patient preferences on the location where they receive an intravitreal injection. METHOD A survey was conducted with the intention of analysing these patients who attended the macula clinic and have been intervened using an intravitreal injection at least once in the day hospital or in the theatre setting, comparing both locations. RESULTS The majority of the interviewed patients preferred the day hospital (50.0 versus 37.5%), mostly because of the comfort and the quick service. In patients with severe age-related macular degeneration (AMD) the option is reversed. The overall satisfaction level was positive in both cases (with 87.5% of patients satisfied or very satisfied in the day hospital and 91.1% in the theatre setting). Through the analysis of different aspects of clinical care the assessment was the same or superior for 75.0% of these patients, except in the waiting time. There were no cases of endophthalmitis. CONCLUSION In general, patients prefer the clinical intervention in the consulting room than in the theatre setting because of the quicker service. There are several characteristics that can influence this choice and should be taken into account.
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Affiliation(s)
- M Rodríguez Ramírez
- Servicio de Oftalmología, Hospital Universitario Infanta Cristina, Parla, Madrid, España.
| | - M I del Barrio Manso
- Servicio de Oftalmología, Hospital Universitario Infanta Cristina, Parla, Madrid, España
| | - M D Martín Sánchez
- Servicio de Oftalmología, Hospital Universitario Infanta Cristina, Parla, Madrid, España
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Hyppönen H, Reponen J, Lääveri T, Kaipio J. User experiences with different regional health information exchange systems in Finland. Int J Med Inform 2013; 83:1-18. [PMID: 24200753 DOI: 10.1016/j.ijmedinf.2013.10.002] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2013] [Revised: 10/09/2013] [Accepted: 10/09/2013] [Indexed: 10/26/2022]
Abstract
PURPOSE The interest in cross-organizational Health Information Exchange (HIE) is increasing at regional, national and cross-European levels. The purpose of our study was to compare user experiences (usability) of different regional health information exchange system (RHIE) types as well as the factors related to the experienced level of success of different RHIE system types. METHODS A web-based questionnaire was sent to 95% of Finnish physicians aged between 25 and 65 years of age. RHIE systems were mainly available in the public sector and only in certain regions. Those 1693 physicians were selected from the 3929 respondents of the original study, who met these criteria. The preferred means (paper/fax vs. electronic) of cross-organizational HIE, and replies to the 11 questions measuring RHIE success were used as the main dependent variables. RESULTS Two thirds (73%) of the primary care physicians and one third (33%) of the specialized care physicians replied using an electronic RHIE system rather than paper or fax as a primary means of cross-organizational HIE. Respondents from regions where a regional virtual EHR (type 3) RHIE system was employed had used electronic means rather than paper HIE to a larger extend compared to their colleagues in regions where a master patient index-type (type 1) or web distribution model (type 2) RHIE system was used. Users of three local EHR systems preferred electronic HIE to paper to a larger extend than users of other EHR systems. Experiences with an integrated RHIE system (type 3) were more positive than those with other types or RHIE systems. CONCLUSIONS The study revealed User preferences for the integrated virtual RHIE-system (type 3) over the master index model (type 1) or web distribution model (type 2). Success of individual HIE tasks of writing, sending and reading were impacted by the way these functionalities were realized in the EHR systems. To meet the expectations of increased efficiency, continuity, safety and quality of care, designers of HIE systems also need to take into account the different HIE needs of primary care clinicians and their secondary care colleagues in hospitals. Both national legislation and local interpretations of data protection possibly hinder the full use of any RHIE systems. These findings should be taken into account when designing usable HIE systems. More qualitative research is needed on specific features of those local systems that are associated with positive or negative user experience.
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Affiliation(s)
- Hannele Hyppönen
- National Institute for Health and Welfare (THL), Information Department, P.O. Box 30, FI-00271 Helsinki, Finland.
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