创伤幸存者回合对HCAHPS调查的影响
Jiabao Nie1, Areg Grigorian1, Robert Victor1
1Division of Trauma, Department of Surgery, University of California, Irvine, Burns and Surgical Critical Care, Orange, CA, USA.
The American surgeon
|March 5, 2026
概括
创伤幸存者回合 (TSR) 改善了患者报告的及时帮助,但并没有显著提高医院推或整体评级. 需要进一步的研究来证实对医院医疗保健提供者和系统 (HCAHPS) 医院消费者评估得分的影响.
科学领域:
- 创伤学 创伤学 创伤学
- 改善医疗保健质量 改善医疗保健质量
- 患者体验 患者体验
背景情况:
- 创伤信息化护理 (TIC) 强调患者讲故事和获得治疗资源的机会.
- 创伤幸存者回合 (TSR) 计划是为了为创伤患者提供一个讨论平台和个性化的支持而实施的.
- 评估TSR对患者报告结果的影响,特别是医院医疗保健提供者和系统 (HCAHPS) 医院消费者评估得分,至关重要.
研究的目的:
- 评估创伤幸存者回合 (TSR) 计划是否改善了创伤患者中的医院医疗保健提供者和系统 (HCAHPS) 消费者评估调查得分.
- 确定TSR实施是否导致医院推率增加.
主要方法:
- 一个单一中心的回顾性分析比较了TSR实施前 (PRE: 2021) 和之后 (POST: 2022-2023) 的住院创伤患者的HCAHPS调查反应.
- 衡量的主要结果是患者推医院的可能性,正如HCAHPS调查中报道的那样.
- 统计分析比较了PRE和POST队列之间的推率和整体医院评级.
主要成果:
- 医院推率在POST (82.9%"绝对是") 和PRE (78.3%"绝对是") 队列 (P = 0.12) 之间在统计学上相似.
- 两组医院的整体评级没有显著差异.
- 显著更高比例的POST患者报告说,他们"一旦需要"就得到了帮助 (61.4%与54.7%,P<0.001).
结论:
- 创伤幸存者回合 (TSR) 计划基于创伤知情护理原则,并没有在医院推或整体评级上取得统计学上显著的改善.
- 该倡议与报告及时援助的患者显著增加有关.
- 建议进行更大规模的研究,以确定TSR对HCAHPS分数和其他质量指标的影响.
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