Patient satisfaction with anesthesia care: information alone does not lead to improvement

Heidegger, Thomas; Nuebling, Matthias; Germann, R.; Borg, H.; Flückiger, Katrin; Coi, T.; Husemann, Y.

doi:10.1007/bf03018452

Cited by 32 publications

(21 citation statements)

References 12 publications

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“…Items or quality dimensions resulting in the highest ‘weights’ (beta weights) in the regression models are those with the highest influence on overall satisfaction. From several studies, we know that the dimension ‘information and involvement in decision‐making’ had by far the most influence on overall satisfaction with anaesthesia care .…”

Section: How To Measure Patient Satisfaction and How To Develop A Quementioning

confidence: 99%

“…Data are available immediately and provide an appropriate empirical base for quality monitoring and quality improvement processes in a hospital, or for a comparison between hospitals, i.e. benchmarking . Postal surveys are not affected by the possible inter‐rater bias introduced by different interviewers in face‐to‐face or telephone surveys .…”

Section: Practical Aspectsmentioning

confidence: 99%

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Patient satisfaction with anaesthesia - Part 2: Construction and quality assessment of questionnaires

Nübling¹,

Saal

Heidegger³

2013

Anaesthesia

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Summary The construction of a new, valid and reliable questionnaire to measure patient satisfaction is a complex and time‐consuming task. It must follow a rigorous, step‐by‐step approach, and should as a minimum include elements of content validity, criterion validity, construct validity and reliability. The objective of this review is to present a protocol for the construction of a psychometric questionnaire, supplemented by practical aspects for researchers and clinicians.

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Section: How To Measure Patient Satisfaction and How To Develop A Quementioning

confidence: 99%

Section: Practical Aspectsmentioning

confidence: 99%

Patient satisfaction with anaesthesia - Part 2: Construction and quality assessment of questionnaires

Nübling¹,

Saal

Heidegger³

2013

Anaesthesia

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“…Of course the more easily quantifiable, strictly ‘medical’ factors – pain, fear, and complications of anaesthesia – are still very important, although by and large, high safety and treatment standards have successfully dealt with them. In our own large benchmarking studies about satisfaction with anaesthesia care for inpatients, we showed that the problem score for pain management was low and remained low (mean problem scores were 9% and 11%, respectively) ; in other words, at that time pain management was no longer a real problem. Thus, the focus has now shifted to the so‐called ‘soft skills’.…”

Section: How To Satisfy Patients With Anaesthesia Carementioning

confidence: 85%

Patient satisfaction with anaesthesia - Part 1: Satisfaction as part of outcome - and what satisfies patients

Heidegger¹,

Saal

Nübling³

2013

Anaesthesia

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Summary Patients’ involvement in all decision processes is becoming increasingly important in modern healthcare. Patient satisfaction is a sensitive measure of a well‐functioning health service system. The objective of this review is to discuss patient satisfaction as part of outcome quality, to define the somewhat abstract term ‘satisfaction’, and to discuss the role of surrogate markers within the field of satisfaction with anaesthesia care. We critically discuss what is relevant to satisfy patients with anaesthesia care, and we provide guidance on improving satisfaction.

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“…However, the outcome of such a consultant- only approach of pre-anesthetic assessment remains to be seen. Although preoperative patient information alone might have no influence on the recuperating process, there is some evidence that preoperative relief of patient anxiety optimizes postoperative recovery and shortens hospital stays [11-14]. …”

Section: Discussionmentioning

confidence: 99%

Asymmetry in patient-related information disrupts pre-anesthetic patient briefing

et al. 2013

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BackgroundIf one party has more or better information than the other, an information asymmetry can be assumed. The aim of the study was to identify the origin of incomplete patient-related preoperative information, which led to disruptions and losses of time during pre-anaesthetic patient briefing. We hypothesized that lower employees’ educational level increases the amount of disruptive factors.MethodsA prospective observational study design was used. Patient selection was depending on the current patient flow in the area of the clinic for pre-anesthetic patient briefing. Data were collected over a period of 8 weeks. A stopwatch was used to record the time of disruptive factors. Various causes of time losses were grouped to facilitate statistical evaluation, which was performed by using the U-test of Mann and Whitney, Chi-square test or the Welch-t-test, as required.ResultsOut of 221 patients, 130 patient briefings (58.8%) had been disrupted. Residents were affected more often than consultants (66% vs. 47%, p = 0.008). Duration of disruptions was independent of the level of training and lasted about 2,5 minutes and 10% of the total time of patient briefing. Most time-consuming disruptive factors were missing study results, incomplete case histories, and limited patient compliance.ConclusionsDisruptions during pre-anesthetic patient briefings that were caused by patient-related information asymmetry are common and account for a significant loss of time. The resultant costs justify investments in appropriate personnel allocation.

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Patient satisfaction with anesthesia care: information alone does not lead to improvement

Cited by 32 publications

References 12 publications

Patient satisfaction with anaesthesia - Part 2: Construction and quality assessment of questionnaires

Patient satisfaction with anaesthesia - Part 2: Construction and quality assessment of questionnaires

Patient satisfaction with anaesthesia - Part 1: Satisfaction as part of outcome - and what satisfies patients

Asymmetry in patient-related information disrupts pre-anesthetic patient briefing

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