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Patient Satisfaction in Emergency General Surgery: A Prospective Cross-Sectional Study
Ned Kinnear1, Matheesha Herath2, Samantha Jolly2
1Adelaide Medical School, University of Adelaide, Adelaide, SA, 5000, Australia. ned.kinnear@adelaide.edu.au.
World Journal of Surgery
|May 14, 2020
Summary
Patient satisfaction in emergency general surgery is influenced by factors like age, pain management, and communication. New findings highlight the importance of privacy and discharge notice for a better patient experience.
Area of Science:
- Surgical Patient Experience
- Healthcare Quality Improvement
- Emergency Medicine Outcomes
Background:
- Growing recognition of patient experience's importance in healthcare.
- Limited research on factors influencing patient-reported outcomes in emergency general surgery (EGS), especially from the Southern Hemisphere.
- Need for prospective studies to identify key satisfaction drivers in EGS.
Purpose of the Study:
- To prospectively assess factors associated with patient satisfaction in emergency general surgery.
- To identify specific elements contributing to positive patient experiences in this setting.
- To provide data for improving EGS patient care.
Main Methods:
- Prospective cross-sectional study design.
- Inclusion of consecutive adult patients admitted to an acute surgical unit over four weeks.
- Utilized a validated Patient-Reported Experience Measures questionnaire, administered in-person or via telephone post-discharge.
Main Results:
- 100 out of 146 eligible patients (68%) completed the survey, reporting a mean satisfaction score of 8.3/10.
- Eight factors significantly correlated with higher overall patient satisfaction.
- Key factors included patient age >50, adequate analgesia, satisfaction with senior medical staff, nurse communication, treatment decision confidence, ED privacy, discharge notice, and feeling well cared for.
Conclusions:
- Patient satisfaction in EGS is influenced by various factors throughout the care journey.
- Identified factors, including privacy and discharge notice, offer novel insights beyond previously reported elements.
- Hospitals should evaluate specific patient-valued factors within their EGS population to tailor satisfaction improvement initiatives.
