Calling on the Patient's Perspective in Emergency Medicine: Analysis of 1 Year of a Patient Callback Program.

communication emergency medicine empathy patient feedback patient satisfaction qualitative methods wait times

Journal

Journal of patient experience
ISSN: 2374-3735
Titre abrégé: J Patient Exp
Pays: United States
ID NLM: 101688338

Informations de publication

Date de publication:
Dec 2019
Historique:
entrez: 20 12 2019
pubmed: 20 12 2019
medline: 20 12 2019
Statut: ppublish

Résumé

Patient-centered approaches in the evaluation of patient experience are increasingly important priorities for quality improvement in health-care delivery. Our objective was to investigate common themes in patient-reported data to better understand areas for improvement in the emergency department (ED) experience. A large urban, tertiary-care ED conducted phone interviews with 2607 patients who visited the ED during 2015. Patients were asked to identify one area that would have significantly improved their visit. Transcripts were analyzed using content analysis, and the results were summarized with descriptive statistics. The most commonly cited themes for improvement in the patient experience were wait time (49.4%) and communication (14.6%). Related, but more nuanced, themes emerged around the perception of ED crowding and compassionate care as additional important contributors to the patient experience. Other frequently cited factors contributing to a negative experience were the discharge process and inability to complete follow-up plan (8.0%), environmental factors (7.9%), perceived competency of providers in the evaluation or treatment (7.4%), and pain management (7.4%). Wait times and perceptions of ED crowding, as well as provider communication and compassionate care, are significant factors identified by patients that affect their ED experience.

Sections du résumé

BACKGROUND BACKGROUND
Patient-centered approaches in the evaluation of patient experience are increasingly important priorities for quality improvement in health-care delivery. Our objective was to investigate common themes in patient-reported data to better understand areas for improvement in the emergency department (ED) experience.
METHODS METHODS
A large urban, tertiary-care ED conducted phone interviews with 2607 patients who visited the ED during 2015. Patients were asked to identify one area that would have significantly improved their visit. Transcripts were analyzed using content analysis, and the results were summarized with descriptive statistics.
RESULTS RESULTS
The most commonly cited themes for improvement in the patient experience were wait time (49.4%) and communication (14.6%). Related, but more nuanced, themes emerged around the perception of ED crowding and compassionate care as additional important contributors to the patient experience. Other frequently cited factors contributing to a negative experience were the discharge process and inability to complete follow-up plan (8.0%), environmental factors (7.9%), perceived competency of providers in the evaluation or treatment (7.4%), and pain management (7.4%).
CONCLUSIONS CONCLUSIONS
Wait times and perceptions of ED crowding, as well as provider communication and compassionate care, are significant factors identified by patients that affect their ED experience.

Identifiants

pubmed: 31853488
doi: 10.1177/2374373518805542
pii: 10.1177_2374373518805542
pmc: PMC6908991
doi:

Types de publication

Journal Article

Langues

eng

Pagination

318-324

Informations de copyright

© The Author(s) 2018.

Déclaration de conflit d'intérêts

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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Auteurs

Shaw Natsui (S)

Harvard Affiliated Emergency Medicine Residency Program, Harvard Medical School, Boston, MA, USA.

Emily L Aaronson (EL)

Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Lawrence Center for Quality and Safety, Massachusetts General Hospital and Massachusetts General Physicians' Organization, Boston, MA, USA.

Tony A Joseph (TA)

Harvard Affiliated Emergency Medicine Residency Program, Harvard Medical School, Boston, MA, USA.

Andrew J Goldsmith (AJ)

Harvard Affiliated Emergency Medicine Residency Program, Harvard Medical School, Boston, MA, USA.

Jonathan D Sonis (JD)

Harvard Affiliated Emergency Medicine Residency Program, Harvard Medical School, Boston, MA, USA.

Ali S Raja (AS)

Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Benjamin A White (BA)

Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Ines Luciani-Mcgillivray (I)

Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Elizabeth Mort (E)

Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Lawrence Center for Quality and Safety, Massachusetts General Hospital and Massachusetts General Physicians' Organization, Boston, MA, USA.

Classifications MeSH