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Making the experience of elective surgery better.
Tajinere Fregene1, Sarah Wintle2, Vishal Venkat Raman1
1Royal Free Perioperative medicine and Anaesthesia Quality Group (RoFPAQ), Royal Free London NHS Foundation Trust, London, UK.
Improving elective surgery patient experience is crucial for healthcare quality. This project enhanced patient satisfaction from 65% to 96% through targeted interventions and improved communication.
Area of Science:
- Healthcare Quality Improvement
- Patient Experience Research
- Surgical Care Optimization
Background:
- Patient experience is a critical component of overall healthcare quality.
- Enhancing patient experience in elective surgery settings is a key objective for healthcare providers.
- Previous assessments indicated areas for improvement in patient satisfaction, communication, and pre-operative fasting.
Purpose of the Study:
- To implement and evaluate a quality improvement project focused on enhancing the patient experience in elective surgery.
- To identify key factors negatively impacting patient satisfaction during elective surgical procedures.
- To develop and test strategies for improving patient communication, reducing fasting times, and managing waiting periods.
Main Methods:
- Utilized a mixed-methods approach including patient surveys, semistructured interviews, and questionnaires.
- Collected data on overall satisfaction, fasting duration, and staff communication.
- Implemented changes through 'Plan, Do, Study, Act' cycles, focusing on arrival times, communication points, and patient information.
Main Results:
- Patients undergoing later-day operations reported significantly lower satisfaction due to prolonged waits, poor communication, and extended fasting.
- Implemented strategies included staggering arrival times, establishing a single point of contact, and revising patient information.
- Post-intervention, the percentage of patients reporting an 'Excellent' or 'Good' experience increased from 65% to 96%.
Conclusions:
- The quality improvement project successfully enhanced patient experience in elective surgery.
- Key outcomes included a significant increase in patient satisfaction, reduced waiting times, and improved information dissemination.
- The project demonstrated the effectiveness of structured interventions in addressing patient needs and improving surgical care quality.
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