Patient Satisfaction Survey Research Articles

A New Daily Round and Its Impact on Patient Satisfaction despite the Shortage of Medical Staff during the COVID-19 Pandemic

Introduction: Every patient has the right to feel satisfaction with the sevice provided by the hospital. That is why patient satisfaction is considered as one of the important indicators of heathcare quality. Seven months after pandemic we found increased of incident report by staff about patient behaviors and decrease in patient satisfaction survey. Method: We develop check list including the areas would affect patient journey and support his stay which include questions about the condition of care, ability to have good sleep, the controlling pain and team response to assistance. Also they listen to nurse’s staff that is in severe shortage. On daily basis, we consider the patient and nurses needs and comments and solve it in regular basis. Result: We collect 231 patients in which 78% are female. All our parameters are improved during the 2nd and 3rd quarter of 2021. For The possibility to sleep well at night was 26.6% in the 4th quarter of 2020 and become 60% in the 3rd quarter 2021. Concerning the pain controlling, it increase from 55% in the 4th quarter 2020 to 78% in the 3rd quarter 2021. We start in the fourth quarter of 2020 with 60% of nurses respond late and reach to 30% only by the third quarter of 2021. Our Data show improvement from involving patient and his care graver from 25% in the fourth quarter 2020 till reach 40% for the third quarter 2021. Conclusion: The new daily round is a simple tool shown to identify daily complain of patients and improve the communication between patients and nurses and this lead to increase the hospital performance and hopefully be a facet contributing to enhanced patient experience and outcomes.

A Review on Kidney Stones & A Patient Satisfaction Survey of an Ayurvedic Brand to Treat Kidney Stones

Objective: Kidney stones or nephrolithiasis, is a common problem worldwide. About 12% of the Indian population is estimated to have kidney stones and out of which 50% may end up with loss of kidney functions. In the first part of this article the pathophysiology of kidney stone, its types, risk factors, signs, symptoms, diagnosis and therapy have been discussed. Furthermore, various therapeutic approaches for kidney stone management are also briefly renewed. Methods: The second part of this article discusses a herbal formulation Ren-Cit® successfully used to treat kidney stone, its usage, composition as well as the actions of each of its medicinal constituents. A survey of patients who used Ren-Cit® has been conducted. Finding: The analysis of this survey revealed that 98% of the patients were suffering from kidney stone. Out of these 78% of the patients had hypertension and diabetes. None of the participants observed any side effects from the usage of Ren-Cit®. A total of 76% patients got relief from kidney stone by using Ren-Cit®. Various types of kidney stones diagnosed in these patients had varied composition, viz.; calcium oxalate stone (52%), calcium phosphate stone (16%), uric acid stone (12%), struvite stone (12%) and cystine stone (8%). Novelty: Ren- Cit® ayurvedic formulation proved to be effective on a wide range and types of kidney Stones. Keywords: Kidney Stone; Urolithiasis; Calcium Oxalate; Uric Acid Stone; Calcium Phosphate; Ren-Cit®

Satisfaction levels of patients attending the outpatient department of a tertiary care center of India

Introduction and aim. Any hospital’s outpatient department (OPD) is regarded as the storefront of the facility, and patient satisfaction is an important measure of healthcare quality. Hence, this cross-sectional study was conducted in different OPDs at a tertiary care center. Material and methods. Two hundred patients were recruited, and structured personal interviews were conducted with questions based on the Patient Satisfaction Questionnaire Short Form (PSQ-18). T-tests and analysis of variance (ANOVA) were used to compare satisfaction scores between variables. Results. Upon analysis, 86% of the patients rated their overall experience as either ‘very good’ or ‘good’. Interpersonal manners (mean score±SD; 4.60±0.55), communication (4.39±0.66), general satisfaction (4.03±0.79), and technical qualities (3.86±0.57) were the domains in which the patients were most satisfied, while time spent with the doctor (3.77±0.89), accessibility and convenience (3.77±0.67), and financial aspects (3.37±0.83) were the areas that lagged. Conclusion. Satisfaction scores were found to vary significantly with gender, age, waiting times, and the number of visits per day. Regular patient satisfaction surveys should be conducted in all hospitals for devising interventions to provide patients with the best possible care.

Correlation of Strabismus Surgical Outcomes Graded by Goal-Determined Metric With Patient Satisfaction Survey

PurposeWhile strabismus surgery outcomes can be objectively measured, patient perception of results may differ. We present surgical outcomes graded by a prospective, “goal-determined metric” and compare these outcomes to results of a patient satisfaction survey. DesignValidity analysis comparing a clinical “goal-determined metric” to patient satisfaction MethodsGoal-determined metric outcomes (2018-2021) for two surgeons treating esotropia or exotropia for diplopia control or reconstructive goals were collected. Inclusion required complete post-operative examination 2-6 months after surgery and a satisfaction survey. ResultsRecord review identified 275 patients; 228 (median age 41 years (IQR 13-59)) met inclusion criteria. For the entire cohort, 87% were graded as “excellent” outcomes, and 78% of patients were overall “very satisfied”. Agreement between patients’ and surgeons’ grading was 75-79% for all reconstructive surgery and for treatment of diplopia from esotropia. Agreement was lower, though not statistically different, for treatment of diplopia from exotropia (64%; 95% CI 43-80%) (P=0.184). Pre-operative risk factors, concurrent vertical or oblique surgery, and sex did not affect outcomes or satisfaction. Performance of activities requiring distance viewing improved more than performance of activities at near after esotropia-diplopia surgery (odds ratio 3.0 (95% CI: 1.5-6.4, P=0.004)). For reconstructive cases achieving “much better” eye alignment, 62% and 72% (previously esotropic and exotropic) reported enhanced self-confidence. ConclusionsOutcomes graded by goal-determined metric correlated well with many aspects of patient satisfaction. Patient-perceived improvement in appearance was important regardless of goal. Greater improvement in performance of activities requiring distance rather than near viewing characterized treatment of diplopia from esotropia.

Transgender Patients Report Lower Satisfaction with Care Received than Cisgender Patients Receiving Care in an Academic Medical Care System.

Purpose: Transgender and gender diverse (TGD) patients experience challenges in health care settings, including stigma, lack of culturally competent providers, and suboptimal gender-affirming care. However, differences in patient satisfaction between TGD patients compared with cisgender patients have been inadequately studied. This study aimed to assess such differences in patient satisfaction with care received in a large academic medical care system in Boston, Massachusetts. Methods: Routine patient satisfaction surveys were fielded from January to December 2021 and were summarized. Logistic regression models compared low net promoter scores (NPS; ≤6) between gender identity groups (cisgender women, transmasculine and nonbinary/genderqueer people assigned female at birth [AFAB], transfeminine and nonbinary/genderqueer people assigned male at birth) relative to cisgender men, adjusting for age, race, ethnicity, education, inpatient/outpatient service delivery, and distance from medical center. Results: Of 94,810 patients, 246 (0.3%) were TGD and 94,549 (99.7%) were cisgender. The mean age was 58.3 years (standard deviation = 16.6). Of the total sample, 17.0% of patients were people of color, 6.6% were Hispanic/Latinx, 48.6% were college graduates, and 2.6% had received inpatient care. In general, patient satisfaction with health care received was lower for TGD patients than for cisgender patients (7.3% vs. 4.5% reporting low NPS; adjusted odds ratio [aOR] = 1.14; 95% confidence interval [CI] = 0.70-1.85). Transmasculine and nonbinary/genderqueer patients AFAB had elevated odds of low NPS compared with cisgender men (8.8% vs. 3.6%; aOR = 1.71; 95% CI = 1.02-2.89). Conclusion: Future research is warranted to better understand factors driving lower ratings among TGD patients. Health care quality improvement efforts are needed to address gender identity inequities in care.

Enrollees’ satisfaction with health service provision under the formal sector Social Health Insurance Scheme in South Eastern Nigeria

Introduction : Healthcare financing is a critical global issue, particularly in low and middle-income countries (LMICs) grappling with underfunded health systems. Various financing approaches, such as fee-for-service, private insurance, general taxation, social insurance, community financing, loans, and grants, have been explored to bridge the funding gap. Health insurance, a mechanism involving resource pooling and risk sharing, plays a pivotal role in achieving Universal Health Coverage (UHC) and delivering quality healthcare. This study aimed to assess enrollees' satisfaction with the Formal Sector Social Health Insurance Scheme (FSSHIS) at the University of Nigeria Teaching Hospital (UNTH), with a focus on the registration process, waiting time, drug availability, and willingness to continue using the scheme.
 Methods : A descriptive cross-sectional study was conducted at UNTH, Enugu, involving 470 enrollees. Data were collected using a pretested Patient Satisfaction Survey Questionnaire and analyzed using descriptive statistics. Enrollees' satisfaction was assessed on a 5-point Likert scale, a score of ≥ 3 signified enrollees’ satisfaction.
 Results : Respondents were satisfied with the processes of registration (4.10±0.95), getting an identity card (3.50±0.72) and interest shown by the providers (3.80±0.83). They were dissatisfied with the referral process (2.7±0.41), level of their involvement in decision making (2.8±0.44), long waiting time (2.5±0.45), non-availability of drugs (1.8±0.24) and diagnostic facilities (1.5±0.22). The overall satisfaction was poor (43%) while 59% would not recommend a health insurance scheme in the facility for family or friends.
 Conclusions : Enrollees' dissatisfaction with the FSSHIS suggests a need for immediate intervention and improvement in healthcare service delivery. Addressing these concerns can foster increased utilization of health services and contribute to the scheme's success in achieving its objectives.

Application of checklist-based nursing care process in patients undergoing intervention for coronary chronic total occlusions: a quasi-randomized study

BackgroundCoronary chronic total occlusion (CTO) interventions are more complex than general percutaneous coronary intervention (PCI) procedures. However, only a few nursing methods are specifically applied to patients undergoing CTO interventions. And the conventional nursing effect is not ideal, urgent need to explore more effective nursing methods. The checklist is a simple and effective tool for error management and performance improvement that has been widely used in many fields. But there have been no reports of the checklist being used to improve care for CTO patients.ObjectiveThis study aimed to investigate the effectiveness of a checklist-based nursing care process in patients undergoing Coronary chronic total occlusion (CTO) interventions, including duration of care, patient anxiety, improved patient satisfaction, and occurrence of adverse events.MethodsA total of 120 CTO patients undergoing percutaneous coronary intervention (PCI) were selected at our hospital and divided into an intervention group (n = 60, adopted the checklist-based nursing care process for patient care) and a control group (n = 60, adopted nursing care according to the existing workflow) according to different nursing interventions. After surgery, the nurse in charge of the patient completed the nursing according to the “List of postoperative care for CTO patients” filled in by the patient within 24 h after surgery, conducted a doctor satisfaction survey, recorded adverse events, and completed the postoperative Self-Rating Anxiety Scale (SAS) score and patient satisfaction survey before the patient was discharged. Subsequently, the Qc team checks the completion of the patient’s checklist for safety and the completion of the questionnaire. Finally, the differences between the two groups in preoperative nursing time, incidence of adverse events caused by nurses’ omission or inadequate guidance, patient anxiety, and doctor and patient satisfaction were compared.ResultsThe intervention grouphad significantly shorter preoperative nursing care time and significantly lower the total number of adverse events than the control group (P < 0.05).The postoperative Self-Rating Anxiety Scale (SAS) score of the intervention group was significantly lower than that of the control group (P < 0.05).The satisfaction of doctors and patients in the intervention groupwas significantly higher than that in the control group (P < 0.05).ConclusionThe application of the checklist-based nursing care process in patients with CTO intervention can significantly reduce the preoperative nursing care time, reduce patient anxiety, improve patients’ and doctors’ satisfaction with nursing care, and effectively reduce the occurrence of adverse events caused by nurses’ omissions or inadequate instructions.Trial registrationThe protocol of the trial was registered retrospectively of Chinese Clinical Trial Registry (registration number ChiCTR2200056804, reg date17/02/2022).

Smartphone-based safety plan for suicidal crisis: The SmartCrisis 2.0 pilot study

Here we present the findings of the pilot phase of the SmartCrisis 2.0 Randomized Clinical Trial. This pilot study aimed to explore the feasibility and acceptability of a safety plan contained in a smartphone app. Our sample consisted patients with a history of recent suicidal behaviour who installed a smartphone-based safety plan. To explore the satisfaction with of the safety plan, two patient satisfaction surveys were conducted: one qualitative and one quantitative. To explore the objective use of the safety plan, we gained access to texts contained in the safety plans completed by the patients. Participation rate was 77%, while 48.9% patients completed both satisfaction surveys at the end of the pilot phase. N = 105 successfully installed the safety plan. In a scale from 1 to 10, users rated the usefulness of the security plan at 7.4, the usability at 8.9, the degree to which they would recommend it to others at 8.6 and the overall satisfaction with the project including evaluations at 9.6. The most widely completed tab was warning signs. Feeling sad or lonely was the warning sign most commonly reported by patients. The second most completed tab was internal coping strategies. Walking or practicing any other exercise was the strategy most commonly resorted to. Our smartphone-based safety plan appears to be a feasible intervention. Data obtained from this pilot study showed high participation rates and high acceptability by patients. This, together with the general satisfaction with the project, supports its implementation in the clinical practice.

It takes more than rainbows: Supporting sexual and gender minority patients with trauma-informed cancer care.

The American Society of Clinical Oncology has called for an increased priority to improve cancer care for sexual and gender minority (SGM) populations because of heightened risk of receiving disparate treatment and having suboptimal experiences, including perceived discrimination. We demonstrate how integrating trauma-informed care (TIC) principles across the cancer continuum is a key strategy to improving care delivery and outcomes among SGM populations. This empirically informed perspective expands on the concepts generated through the American Society of Clinical Oncology position statement and uses the Substance Abuse and Mental Health Services Association's "Four Rs" Toward Trauma Informed Care: Realize, Recognize, Response, and Resist Traumatization. Recommendations for each component of TIC include: (1) Realize: Implement SGM cultural humility training, including modules on SGM-specific trauma, discrimination, harassment, and violence; (2) Recognize: Routinely screen for emotional distress using methods to ensure privacy, and/or normalize mental health screenings to cancer patients; (3) Respond: Create and widely disseminate policies and patients' rights that prohibit discrimination and ensure access to gender-neutral clinical environments; and (4) Resist Traumatization: Establish and respond to quality metrics (e.g., standardized patients, patient satisfaction surveys) that are informed by a community advisory board with the purpose of ensuring and maintaining quality care. Integrating TIC principles into cancer care for SGM populations is crucial to address disparities in treatment and clinical outcomes. Our recommendations offer practical approaches for oncology teams to implement TIC care and ensure equitable and inclusive cancer care for patients and their families.

Association between empathy levels in physicians and patient satisfaction scores in a cardiovascular clinic

Abstract Introduction A good doctor-patient relationship is crucial to medical practice. A fundamental element that drives this relationship is the empathy of the treating physician, which has also been validated as a predictor of clinical competence and patient results. Purpose We conducted an original study to correlate empathy values of our physicians and patient satisfaction surveys. In this subanalysis, we evaluated whether age, sex or time since qualifying as specialist had an impact on empathy values. Methods In our originaly study we sought to correlate the empathy values of our physicians in our cardiovascular clinic with the results of outpatient satisfaction surveys, measured with HCAPS, using a linear regression model. The Jefferson Empathy scale is a self reported 20 question survey, answered through a 1-7 Likert scale, with a maximum score of 140 points. It is further subclassified into 3 categories: "Perspective", "Care with compassion" and "Stepping into patient's shoes". The HCAPS survey is a patient satisfaction query, with 5 items that inquire as to the patient's perception of being treated with respect by the physician, the interest shown in their problems, the time dedicated to the consult, and the quality of the explanation of their chief concern and treatment options. It is anwered through a Likert scale from "Totally diasgree" to "Totally agree". There is also a final question that asks for a global impression. Results 65 doctors answered the Empathy survey, 30.8% of them women. Mean age was 48.8 years, and over half were under 50 years old. 81% had been practicing for over 5 years. 61671 HCAPS surveys were analyzed, corresponding to those 65 practitioners. Mean Empathy score was 120.7 (DS 11.1). We found that patients perceived greater respectful treatment (p=0.03) and had their treatment options better explained to them (p=0.02) by physicians with higher levels of empathy. The other HCAPS queries had a positive, though non statistically significant, relationship with Empathy scores. Doctors with higher scores in the subcategory "stepping into patient's shoes" had a significant increase in patient's perception of the interest shown in their concerns (p=0.01). There were no differences in physicians' empathy levels according to their age, gender, or time since qualifying as a specialist. Discussion These results validate empathy as a key skill in the doctor-patient relationship, and show that high levels of this personality attribute lead to better patient satisfaction results. Our results differ from other published work in that we found no difference in empathy levels according to gender or practice time, whereas most previous literature found that women and longer practice time were positively associated with empathy levels.

Long-term cosmetic outcomes of the slit-slide procedure for umbilical hernia repair in children.

To assess the long-term cosmetic outcomes of the "slit-slide procedure", designed to provide a more natural appearance for umbilical hernia repair, as perceived by the patients and their parents. A total of 149 patients with umbilical hernia underwent the slit-slide procedure at our hospital. The slit-slide procedure allows for the creation of an umbilicus with a more natural and integrated appearance. The patient satisfaction survey questionnaire was mailed to the families (n = 139), and there were 74 (53.2%) respondents. A questionnaire survey on postoperative appearance was also distributed to pediatric surgeons. The median age at the time of operation was 2.5years (range, 2months to 14years) and the average median age at the time of answering the questionnaire was 6.25years old (range, 2.5-14.8years). The average median period of observation was 3.2years (range, 4months to 8.97years). Most patients (89.2%) and parents (93.2%) were satisfied with the appearance of the umbilicus. Twenty-seven patients reported improved satisfaction after surgery (36.2%). Surgeons tended to score the elongated-oval shape highly; however, there was no difference in satisfaction among the shapes. The slit-slide procedure is not only effective and safe, but it achieves a satisfactory aesthetic outcome.

Impact of Secure Messaging Telehealth Service on the Quality of Health Care

Importance: Secure messaging is the only rapidly growing virtual care in the telehealth ecosystem; it is a cost-effective way to get medical advice and an alternative to an in-person, video, or telephone visit. Secure messaging has been shown to positively affect patients manage chronic diseases, improve health awareness and literacy, and improve communication and care coordination. However, providers have seen a 200% increase in secure messages in the past few years with some that are associated with medical visit avoidance and providers’ burnout. Such paradoxical tension raises questions about the value of secure messages and whether it impacts the quality of health care outcomes.&#x0D; Objective: Conduct an empirical assessment and evaluate the extent to which and for whom secure messages improve the quality of health care.&#x0D; Methods: Electronic health records of adult patients with type 2 diabetes mellitus with an active patient portal account who visited the Academic Medical Center between 2015-2020 were included in the analysis. Patients must have also initiated a secure message, made a follow-up in-person appointment, and completed the CAHPS (Consumer Assessment of Healthcare Providers and Systems) patient satisfaction survey.&#x0D; Results: The final regression analysis included 1,332 patients with no missing data. The results reveal a negative relationship between patients who discuss their secure messages during their encounters and patient satisfaction even after controlling for patient-specific (age, gender, insurance), provider-specific (responsiveness), and medical conditions (average blood sugar, mean arterial pressure). The results also show a stronger negative effect for the underrepresented minorities (Blacks and Hispanics).&#x0D; Discussion: The negative relationship between secure message exchanges and patient satisfaction may stem from different mental models between patients and providers as stocks of prior knowledge. Providers with their subject matter expertise have mental models that are incongruent with patients’ general health knowledge suggesting that the patients may struggle to recognize the value of new information, assimilate it, and apply it. On the other hand, effective communication is fundamental to patient satisfaction, and providers may be challenged to instill greater understanding during their average 18-minute encounters. The proliferation of digital divide research in health care indicates that Blacks and Hispanics are at a disadvantage; therefore, it is not unreasonable to suggests that the rate of health literacy differs possibly creating greater uncertainty and ambiguity. More research is needed that probes into the role and value of secure messaging as health care providers begin to charge patients for this telehealth service.

Needle-free electronically controlled jet injection with corticosteroids in recalcitrant keloid scars: a retrospective study and patient survey

First-line treatment of keloids consists of intralesional needle injections with corticosteroids, but generally entails multiple painful sessions, resulting in variable clinical outcomes. Novel needle-free jet injectors may facilitate more effective and patient-friendly dermal drug delivery. Here, we evaluated the effectiveness, tolerability and patient satisfaction of intralesional triamcinolone-acetonide (TCA) treatment in recalcitrant keloids using an electronically controlled pneumatic injector (EPI). A retrospective study was conducted in recalcitrant keloid patients with a history of severe pain during needle injections who received three sessions of EPI + TCA. Outcome measures included Patient and Observer Scar Assessment Scale (POSAS), Global Aesthetic Improvement Scale (GAIS), treatment-related pain (NRS), adverse effects, and patient satisfaction (survey). Ten patients with in total 283 keloids were included. The POSAS score significantly improved at follow-up and GAIS was reported as ‘(very) improved’ for all patients. EPI + TCA was well-tolerated with a significantly lower NRS pain score compared to needle + TCA (pilot treatment). Only minor adverse effects occurred, and 90% of patients preferred EPI over needle treatment. EPI + TCA is an effective and tolerable treatment for patients with recalcitrant keloids. The minimal treatment-related pain and high patient satisfaction makes it a promising treatment for patients with needle-phobia and/or severe pain during needle injections.

Impact of an embedded oncology clinical pharmacist in an outpatient oncology center.

424 Background: Oncology pharmacists are uniquely positioned to improve the quality of care provided to patients with cancer within the team-based setting. Some benefits include providing information that supports safe and cost-effective use of medications relative to supportive care management, drug-drug interaction evaluation, patient counseling, answering drug information questions, and reducing physician workload. The primary objective of this study is to evaluate the benefit of a full-time clinical pharmacist in the ambulatory oncology setting through documenting pharmacist-driven clinical interventions, correspondence of those interventions with cost avoidance, and perceived benefit from provider and patient satisfaction surveys. Methods: Pharmacists were in clinic Monday through Thursday, covering three medical oncologists each day. Interventions were documented through EPIC i-Vents. The categories included: adverse events, drug interactions, lab monitoring, medication reconciliation, order clarification, patient education/counseling, drug information, and supportive care. Pharmacist interventions correlated with cost avoidance benefits based on values from prior publications. Weekly surveys were sent to the providers to assess satisfaction of the program and to improve workflow. Results: The data from this pilot program reflects the study period starting January 9, 2023 through June 1, 2023. The financial impact, as calculated from the pharmacist interventions, cost avoidance values and time spent resulted in the estimated cost avoidance of $169,321.10 based on a total of 839 interventions. Other interventions were made that were not given a cost value. Thus, the estimated cost savings is likely an under-estimation of the true cost savings provided from this service during this five-month study period. Extended providers (n = 5) and medical oncologists (n = 3) surveys indicated an overall strong agreement to the benefits of an oncology pharmacist’s involvement in clinic. The pilot program is currently working on a method to gather patient surveys to assess patient satisfaction. Conclusions: This study demonstrates the clinical and financial benefit of an embedded oncology pharmacist in the outpatient oncology clinic. As we move into an era with increasing approvals of oncology medications, coupled with increasing complexity of care, this service may help address some of the unmet gaps to improve collaborative and comprehensive patient-centered care.

Clearing the path: Leveraging operational optimization strategies to enhance patient access.

450 Background: The complexities of navigating the healthcare system for an oncology patient can be extensive and overwhelming. Prioritizing ease of access to care is essential. The time and effort required to coordinate visits, treatments, and other appointments can result in time toxicity, limiting the patient’s ability to engage in activities that enhance their quality of life. Minnesota Oncology, a practice within The US Oncology Network, is a large community oncology practice in Minneapolis, MN with 90 providers and 14 sites of care. The leadership team at Minnesota Oncology recognized challenges with patient scheduling as a priority. This was based on patient and staff feedback which included patient satisfaction surveys, significant telephone hold times for scheduling, and missed appointments due to a delay in order processing time. Methods: The quality improvement initiative followed a methodological framework that includes identifying the root causes of challenges patients face related to access to care and the subsequent development and execution of effective improvement solutions. The primary objective of the improvement initiative was to address telephone wait times for scheduling, overall patient satisfaction with scheduling and access, and order processing time. To identify the necessary focus for interventions, a ‘Kaizen’ event was hosted involving front line scheduling and clinical staff. The team aimed to identify workflow redundancies, bottlenecks, and inefficiencies via workflow mapping and root cause analysis methodologies. Leveraging the insights gained from these approaches, the following strategies for improvement were executed: Regionalized resource utilization to maximize productivity; strategic redistribution of workload to improve efficiency; workflow redesign to streamline processes and eliminate waste; and redefinition of key performance indicators for business unit performance management. Results: Through the methodological identification of root cause analyses and a tailored execution approach, results were achieved (table.). Conclusions: The improvements in the identified categories were achieved through strategic operational optimization, without the need for additional resources. This underscores the importance of adopting a culture of methodological continuous improvement in the management of clinic operations and highlights the importance of ongoing improvement efforts in delivering efficient care and achieving favorable business and patient experience outcomes.[Table: see text]

Care utilization and satisfaction among patients with cancer with neutropenic fever managed by a remote patient monitoring (RPM) program.

572 Background: The DEFeNDR (Decreasing the burden of Febrile Neutropenia through Dynamic RPM) program leverages in-home technology and centralized nurse monitoring to facilitate ambulatory management as an alternative to hospital-based care for cancer patients with neutropenic fever (NF). The objective of this study is to assess 30-day care utilization outcomes and patient satisfaction at 12 months after program implementation. Methods: Adult cancer patients hospitalized with NF were assessed daily for DEFeNDR program eligibility including MASCC score ≥21 (per ASCO guidelines) and no cellular therapy (CAR-T, BMT) in the prior 100 days. Patients agreeing to participate in the 30-day program received a cellular-enabled tablet with pre-connected devices for twice-daily vital signs and symptom assessments. Patient generated data were EHR-integrated in real-time. Embedded decision trees facilitated alerts for adverse trends. Virtual RPM nurses responded to alerts and utilized predefined care pathways. The primary endpoint was the mean proportion of evaluable days spent inpatient (mPEDI) within 30 days of eligibility comparing those who participated in the program (RPM) with those who declined (no RPM). Results: Of 85 eligible patients, 62 were offered DEFeNDR participation. Of those, 34 (54.8%) participated and 28 (45.2%) declined. Baseline characteristics and care utilization outcomes are summarized in Table 1. RPM patients experienced significantly lower mPEDI compared with unmonitored patients [5.1% (Standard Error [SE], 1.9%) vs 12.4% (SE, 2.1%); Wilcoxon Rank Sums p-value, 0.032]. RPM patients also experienced a trend toward fewer total hospital days and lower 30-day readmission rate, as well as shorter mean length of stay and lower rate of ICU utilization when readmitted. Non-visit care activities (EHR clinical communications, documentation, and patient messaging) were decreased from pre-hospital baseline for 58.8% of RPM patients versus 46.6% of those unmonitored. All RPM patients completing a patient satisfaction survey (n=9) indicated that they would recommend the program to patients with a similar condition. Conclusions: Cancer patients with NF participating in the DEFeNDR program experienced a significant reduction in mPEDI and care utilization compared with those who declined. Further studies are warranted to assess comparative effectiveness of this model vs usual care.[Table: see text]

Quality of anaesthesia care in elective surgery at a Western Cape academic hospital in South Africa: a perioperative patient satisfaction survey

Quality of anaesthesia care in elective surgery at a Western Cape academic hospital in South Africa: a perioperative patient satisfaction survey

Comparative Analysis of Patient Satisfaction Surveys-A Crucial Role in Raising the Standard of Healthcare Services.

(1) Background: The study aimed to assess the patients' perception of the quality of the medical staff's care, the hotel's services, and the hospital's overall impression as well as to determine the best rating scale through a comparative analysis of patient satisfaction questionnaires. (2) Methods: A retrospective study was performed based on satisfaction questionnaires addressed to the patients hospitalized in the Orthopedics and Traumatology departments of the County Clinical Emergency Hospital Oradea between 2015 and 2019. Three different types of questionnaires were used during the study period, with the number of questions varying between 30 (variant A) and 37 (variant C). The evaluation was done using the Likert scales with three, four, or five answer variables. (3) Results: The items that we found to be present in all three categories of surveys and for which at least two different questionnaire variants used the Likert scales with various answer variables were chosen. In terms of the treatment given by the medical staff, hotel services, and the overall perception of the hospital, the patients perceive a higher level of quality. (4) Conclusions: The level of patient overall satisfaction or general impression about the hospital is strongly dependent on the quality of medical care provided by the doctors and the specific hotel conditions of the hospital. The quality assessment using the Likert rating scale with five binary variables is more accurate.

Facilitating quality improvement by implementing quality accreditation standards at primary health care centre in Panvel taluka of Raigad district Maharashtra

Background: The Indian public health standard and Kayakalp guidelines are the main driver for continuous improvement in quality and bench mark for assessing the functional and cleanliness status of health facilities. Objectives were to assess PHC on IPHS and Kayakalp standard for continuous quality improvement. To conduct baseline and peer assessment of quality parameters using Indian public health standards and Kayakalp standard at primary health centre. To perform gap analysis and suggest quality improvement measures for meeting accreditation standards. To establish public private partnership for strengthening health services at PHC level. Methods: Descriptive observational study was conducted from September 2022 to June 2023 at Ajiwali PHC-Panvel taluka was selected using simple random sampling technique. Sample size of 83 patients was calculated as per the monthly case load of PHC. IPHS and Kayakalp assessment checklist, patient satisfaction forms were used for the survey. Various statistical tests like frequency, mean, percentage, S.E of difference between two proportions and two means were applied. Results: Kayakalp checklist baseline assessment score was 52.5% while post assessment score 72.5% showing significant improvement. Patient satisfaction survey pre and post assessment shows significant improvement where p value was &lt;0.001 which was highly significant. IPHS survey shows partial improvement in training and quality parameters while other indicator remained the same. Conclusions: Regular quality assessment and accreditation leads to continuous quality improvement. Training and capacity building of PHC staff should be undertaken at regular intervals. Public private partnership modelling for various departments or service delivery components should be undertaken.

Patient and multidisciplinary health professional perceptions of an Australian geriatric evaluation and management and rehabilitation hospital in the home service.

Hospital in the Home models are rapidly expanding in response to increasing bed pressures. This study examined patient and multidisciplinary health professional perceptions of a new geriatric evaluation and management and rehabilitation hospital in the home service in Australia. The service was unique, as adults of all ages with a variety of rehabilitation or geriatric evaluation and management needs were within scope. A qualitative descriptive approach was used with a consumer co-researcher and a consumer advisor being integral to decision-making. Patient feedback was collected via a paper-based patient satisfaction survey between August 2020 and February 2022. Additionally, interviews with current and past staff were conducted from July to November 2021. Reflexive thematic analysis was conducted for qualitative data and descriptive statistics used for quantitative data. Patient surveys were analysed (n = 199, 42.2% response rate) with 60.8% of participants aged 75years or over and 26.6% speaking a language other than English. High satisfaction was expressed. Feelings of comfort, familiarity, convenience, and reassurance were voiced. A person-centred approach enhanced involvement in care. Challenges included carer burden and clear communication. Sixteen staff (33% response rate) were interviewed. In general, staff said the service was inclusive and responsive, and the home environment beneficial, particularly for patients from culturally diverse backgrounds. A strong hospital partnership and comprehensive multidisciplinary approach were vital. Challenges included fragmentation due to part-time roles and combining with a pre-existing acute hospital in the home service. This qualitative exploration of staff and patients' perceptions of a geriatrician-led, multidisciplinary geriatric evaluation and management and rehabilitation hospital in the home service demonstrated that it was person-centred and optimised patients' control and ownership of care. The inclusive service parameters ensured responsiveness to diverse needs whilst allowing earlier return home from hospital, both of which are vital for quality patient care.