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Enhancing the Patient Experience in Cardiac Procedures: A Mixed-Methods Quality Improvement Study
Sarah Daoudi1, Christina Jewell, Michael Carlozzi
1Division of Cardiology, Beth Israel Deaconess Medical Center, Boston, MA.
This pilot study found patients are satisfied with pain management but concerned about communication and wait times after cardiac procedures. Recommendations focus on improving communication and scheduling for better patient experience.
Area of Science:
- Cardiology
- Patient Experience Research
- Quality Improvement Science
Background:
- Patient experience is crucial in cardiac procedural settings.
- Identifying specific patient concerns is key for quality improvement.
- Existing literature highlights communication and wait times as common issues.
Purpose of the Study:
- To identify patient experience gaps in Interventional Cardiology and Electrophysiology units.
- To generate hypotheses for future quality improvement initiatives.
- To inform evidence-based recommendations for enhancing patient care.
Main Methods:
- Pilot study involving 104 patients via follow-up phone surveys.
- Utilized an unvalidated survey instrument to gather patient feedback.
- Qualitative responses were independently coded to identify key themes (Cohen's κ = 0.80).
Main Results:
- High patient satisfaction reported for pain management and procedural comfort.
- Persistent concerns identified regarding postprocedural communication and wait times.
- Differences in satisfaction noted between electrophysiology and catheterization/structural intervention patients.
Conclusions:
- Targeted communication and scheduling improvements are recommended.
- Addressing physician-patient communication and perceived wait times is essential.
- Findings contribute to the broader understanding of patient experience in cardiac procedures.
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