Factors impacting parental and child satisfaction in the perioperative setting

Abstract

Previously, the medical community held the view that the only 'real' patient-related outcomes are those that have direct impact on morbidity and mortality. This view has changed significantly over the last decade, and currently, issues such as patient satisfaction and quality of life are often considered as important as clinical morbidity. 1 This shift is echoed in recent studies in the anesthesia literature that suggest that patient satisfaction should serve as an important endpoint and indicator of overall quality of anesthesia care. 2,3 Previous research on patient experience in medical and surgical settings has primarily focused on adult patients, whereas little data exist on satisfaction among children and their parents. 4 Previously, our center reported that the themes of modifiable and non-modifiable factors for adult surgical patients include satisfaction from clinician communication skills, information provision to patients, organization aspects of the unit, and demographic and health status predictors. 3 This follow-up special interest article focuses on modifiable and non-modifiable factors in children undergoing surgical procedures and their parents. A summary of articles included in this review is shown in Tables 1-3. | ME A SURING PEDIATRIC PERI OPER ATIVE PATIENT SATIS FAC TI ONIt is important to appreciate that developmental factors such as age and verbal and cognitive ability impact assessment of patient satisfaction in pediatric populations. Research suggests that children as young as four years old can express their opinion on their hospital

Error traps in Pediatric Patient Blood Management in the Perioperative Period

“…Informed consent; a process by which a clinician provides information about the risks, benefits, and alternatives of a medical procedure (in this case blood transfusion) involves shared decision‐making with the patient and parent (s)/guardian (s). This process brings best practices and evidence together with consideration for the patient's and families' personal values, and, when done in a respectful and clear manner, improves patient and parental satisfaction 16 . A unique aspect of pediatric informed consent is the inclusion of the child as a decision‐maker.…”

Quality improvement in New Zealand pediatric anesthesia: National quality direction, patient experience, equity, and collaboration

“…Patient experience is impacted by both modifiable and unmodifiable factors 21 . Key domains that are modifiable and important to children and families include clinician–patient communication and coping skills 21 .…”

“…Patient experience is impacted by both modifiable and unmodifiable factors 21 . Key domains that are modifiable and important to children and families include clinician–patient communication and coping skills 21 . The EPIC (Effective peri‐procedural communication in children) group, a binational (Australia and New Zealand) subsidiary of the society of pediatric anesthesia of New Zealand and Australia (SPANZA), has developed a program to teach skills in periprocedural communication and anxiety management.…”

Enhancing the learning and transfer of preprocedural communication skills during clerkship using audio-visual material: a prospective case-controlled study over 2 years

“…Open access and increase satisfaction with the medical procedure and care. [3][4][5] The Accreditation Council for Graduate Medical Education and the American Board of Medical Specialties have jointly identified communication skills as one of the six core competencies for physicians. [6][7][8] Moreover, the Institute of Medicine also specifies communication skills as one of the six essential competencies for effective patient care.…”