Disseminating Information Using an Anesthesiology Consultant Report: Impact on Patient Perceptions of Quality of Care

Fleisher, Lee A.; Mark, Lynette; Lam, Janet; Pearlman, Adam; Fisher, Quentin A.; Snyder, Douglas S.; Michelson, James D.; Parker, Stephen

doi:10.1097/00132586-200010000-00003

Cited by 4 publications

(7 citation statements)

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“…Others have reported much higher levels of patient satisfaction with anesthesia services. 8,10,[16][17][18][19][20][21][22][23][24][25][26][27] Such high levels have been postulated to reflect the patients' absence of concern on this issue 19 or the use of improper methodology to measure patient satisfaction. 2 8 Our results would tend to show that patients do care about the quality of the services provided by anesthesiologists and that the latter explanation (improper methodology) may be more likely.…”

Section: Discussionmentioning

confidence: 99%

Les perceptions de patients sur l’anesthésie cardiaque: une étude pilote

et al. 2001

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Section: Discussionmentioning

confidence: 99%

Les perceptions de patients sur l’anesthésie cardiaque: une étude pilote

et al. 2001

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“…[6][7][8][9] The others used convenience or consecutive samples. With regards to methods of data collection, three studies used interviews only, [10][11][12] six either mailed or handed questionnaires to patients, 6,7,9,[13][14][15] and five used a combination of interviews and a paper-and-pencil questionnaire. 8,[16][17][18][19] Almost all the authors developed their own questionnaire (or questions) for measuring patient satisfaction with anesthesia services.…”

Section: General Characteristics Of the Studiesmentioning

confidence: 99%

“…9,11,13,15,16,19 Main results on patient satisfaction and psychometrics The majority of studies, whether from group A or B, reported high levels of patient satisfaction with anesthesia. However, when patients were given an opportunity to express themselves freely, they noted certain unsatisfactory elements in the care received from anesthesiologists.…”

Section: General Characteristics Of the Studiesmentioning

confidence: 99%

“…To establish convergent validity, the authors compared patients' overall scores to those predicted by their anesthesia provider ( R 2 = 0.23, P > 0.01). Fleisher et al 9 relied on the correlation between the question regarding quality of care and the one regarding satisfaction with pain management to verify the internal consistency of their instrument. A Cronbach's Alpha of 0.62 was obtained.…”

Section: General Characteristics Of the Studiesmentioning

confidence: 99%

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Patient satisfaction with anesthesia services

et al. 2001

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Purpose: The evaluation of services by patients is an essential component of continuous quality improvement in anesthesiology. Little is known, however, about how to achieve this objective. Our goal was to conduct a systematic review of all available studies on patient satisfaction with anesthesia services, thereby ascertaining the present level of knowledge in this field and suggesting ways of improving current measurement methodologies.Source: We reviewed relevant major data banks -Medline, Dissertation Abstract, Psyclit and Cochranebetween 1980 and 2000 and bibliographies from primary sources. We used the following keywords for our search: quality improvement, anesthesia, quality, patient perceptions, consumer satisfaction, continuous quality improvement, outcome measures.Principal findings : The review yielded 14 pertinent studies. Studies were divided into two groups (A & B), according to the quality of the psychometric evaluation (tests performed to verify the reliability and validity of an instrument). While all studies reported high levels of patient satisfaction with anesthesia services, many used methods of questionable value. None of the 14 studies controlled for any confounding variables, such as social desirability. Four studies had seriously biased their data collection and the majority of the studies lacked rigour in the development of the instrument used to measure patient satisfaction. Only one study presented a definition of the concept measured, and none provided a conceptual model of patients' satisfaction with anesthesia services. Conclusion:The currently available studies of patient satisfaction are of questionable value. Only rigorous methods and reliable instruments will yield valid and clinically relevant findings of this important issue in anesthesiology.Objectif : L'évaluation de la qualité des services, par les patients, est une composante essentielle de l'améliora-tion de la qualité des services en anesthésiologie. Cependant, nos connaissances dans ce domaine sont limitées. Nous proposons une évaluation systématique de la littérature sur ce sujet dans le but d'améliorer la méthodolo-gie reliée à la mesure de ce concept.Source des références : Nous avons procédé à une revue systématique de plusieurs banques de données -Medline, Dissertation Abstract, Psyclit, et Cochrane -pour la période de 1980 à 2000 ainsi que les bibliographies des références primaires. Les mots-clés suivants ont été utilisés : amélioration de la qualité, anesthésie, qualité, perceptions des patients, satisfaction de la clientèle, amélioration continue de la qualité, mesure des résultats.Principaux résultats : La revue systématique de la littérature a permis de recenser 14 études pertinentes. Elles ont été divisées en deux groupes (A & B) selon la qualité de l'évaluation psychométrique (vérification de la fidé-lité et de la validité des instruments). Toutes ces études présentent des taux élevés de satisfaction des patients à l'égard des services anesthésiques. Cependant, les méthodes choisies pour l'évaluation de l...

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“…Measuring the patient's satisfaction with anaesthesia is a complex process, however, the benefits of the analysis and its influence on the quality of care make this difficult task being challenged and constantly improved [11]. The available data show that there are several scales for measuring patient's satisfaction with anaesthesia [4,5,12,13,14,15,16]. After a detailed analysis it was determined that there are no available publications or questionnaires that are specific and compliant with psychometric criteria that could be used as tools for assessing patient's satisfaction with anaesthesia.…”

Section: Introductionmentioning

confidence: 99%

Polish adaptation of the Iowa Satisfaction with Anaesthesia Scale

Dyk

Ozga

Gutysz-Wojnicka

et al. 2016

Pielegniarstwo XXI Wieku / Nursing in the 21st Century

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Introduction. The paper presents the adaptation of the Iowa Satisfaction with Anesthesia Scale to the conditions in Polish hospitals.Methods. The process of cultural adaptation of the Iowa Satisfaction with Anesthesia Scale was divided into three stages. The first stage was to formulate the Polish version of the ISAS. Secondly, the scale was used in the group of patients who were diagnosed with a maxillofacial injury and underwent surgical procedure. The final stage evaluated the psychometric features of the Polish version of the ISAS.Results. 195 questionnaires were completed correctly and they were subject to further analysis. The questionnaires were collected from patients residing at the Maxillofacial Surgery Clinical Ward who were operated under a general anaesthesia due to a maxillofacial trauma. The average result of the satisfaction with anaesthesia in a studied group was 0.77 (scale from -3 to +3) M=2, SD=2.41. The Cronbach’s alpha coefficient calculated for 11 multiple choice questions was 0.598. It would be possible to increase the Cronbach’s alpha coefficient if question no. 1 (I vomited or felt nauseous) was eliminated from the test (maximum 0.601). Every item on the scale had significant influence on the general result (p=0.0001).Conclusions. Polish version of the Iowa Satisfaction with Anesthesia Scale meets the criteria of the psychometric equivalence with the original version. It is necessary to continue research using Polish version of the ISAS to provide a constant verification of reliability and accuracy of the research tool.

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Disseminating Information Using an Anesthesiology Consultant Report: Impact on Patient Perceptions of Quality of Care

Cited by 4 publications

References 0 publications

Les perceptions de patients sur l’anesthésie cardiaque: une étude pilote

Les perceptions de patients sur l’anesthésie cardiaque: une étude pilote

Patient satisfaction with anesthesia services

Polish adaptation of the Iowa Satisfaction with Anaesthesia Scale

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