在夜班到达急诊室的患者满意度得分较低
Tony Zitek1,2, Luke Weber1, Tatiana Nuñez1
1Mount Sinai Medical Center, Department of Emergency Medicine, Miami Beach, Florida.
The western journal of emergency medicine
|December 3, 2024
概括
与日班相比,夜班急诊室 (ED) 护理的患者满意度得分在夜班较低. 这项研究发现,在一夜之间接受治疗的患者中",促进者"较少,这凸显了在满意度评估中考虑访问时间的必要性.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健的质量 医疗保健的质量
- 患者体验 患者体验
背景情况:
- 患者满意度得分越来越多地被用来评估紧急医生的表现.
- 对患者满意度的潜在差异存在担忧,这取决于急诊室 (ED) 访问的时间.
- 这项研究调查了ED患者的满意度是否在白天和夜间班次之间有所不同.
研究的目的:
- 为了确定患者满意度得分是否较低,对于夜班在ED治疗的个人,与日班相比.
- 分析ED到达时间和患者推该设施的可能性之间的关联.
主要方法:
- 2022年,佛罗里达州三个急救中心对1000项患者满意度调查进行了横截面分析.
- 数据包括患者报告的推可能性 (0-10级),分数为9-10被定义为"促进者".
- 在白天 (7 AM-7 PM) 和夜间 (7 PM-7 AM) 班次之间的促销者百分比的比较,使用多变量逻辑回归.
主要成果:
- 在分析的1000项调查中,夜班员工占33.7%.
- 在昼班治疗的患者的促进率为79.2%,而夜班的患者为67.7% (11.5%的差异,P<0.001).
- 多变量分析证实,夜班的到来与成为推动者的可能性较低有显著的相关性 (调整后的赔率比率为0.60,P = 0.003).
结论:
- 与白天参观ED的患者相比,在夜班期间到ED的患者不太可能成为该设施的"推动者".
- 患者满意度评估应纳入访问时间和其他操作因素.
- 研究结果表明,需要探索夜班工作满意度较低的原因,并实施有针对性的改进.
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