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[Patient dissatisfaction with anesthetic care]
Kazuyoshi Nakahashi1, Yoshiko Motozu, Noriyuki Sasaoka
1Department of Anesthesiology, Nara Medical University, Kashihara 634-8522.
Masui. the Japanese Journal of Anesthesiology
|November 24, 2004
Summary
Patient dissatisfaction with anesthesia affects 3.9% of patients, particularly women and those receiving spinal anesthesia. Key factors include anesthesia type, postoperative pain, and nausea, highlighting areas for improved peri-anesthetic care.
Area of Science:
- Anesthesiology
- Patient Experience
- Quality Improvement
Context:
- Patient evaluation is crucial for enhancing anesthesiology services.
- Identifying factors contributing to patient dissatisfaction is essential for quality improvement.
Purpose:
- To identify factors associated with patient dissatisfaction after spinal or general anesthesia.
- To analyze patient-reported reasons for dissatisfaction with anesthetic care.
Summary:
- A retrospective study of 9974 patients revealed a 3.9% dissatisfaction rate with anesthesia.
- Dissatisfaction was higher in women, those receiving spinal anesthesia, and patients aged 20-39.
- Commonly cited reasons included spinal/epidural anesthesia, postoperative pain, nausea/vomiting, and memory of tracheal extubation.
Impact:
- Findings suggest anesthesiologists can improve patient satisfaction through better peri-anesthetic management and patient education.
- Addressing specific dissatisfactory factors like spinal anesthesia and postoperative pain is key to enhancing the quality of anesthesia care.