Patient Satisfaction With a Hospitalist Procedure Service: Is Bedside Procedure Teaching Reassuring to Patients?
Patient Satisfaction With a Hospitalist Procedure Service: Is Bedside Procedure Teaching Reassuring to Patients?
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DOI：
10.1002/jhm.856
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发表时间：
2011-04-01
影响因子：
2.6
通讯作者：
Sliwka, Diane
中科院分区：
文献类型：
--
作者：
Mourad, Michelle;Auerbach, Andrew D.;Sliwka, Diane
背景技术背景：近年来，医院医学项目采用了“程序小组”，监督居民进行侵入性床边程序。程序团队对患者满意度的影响尚不清楚。目的：我们试图测量患者对由住院医师监督的，基于内部程序服务（HPS）的程序的满意度，重点关注患者对床边沟通的感知。设计：这是一项前瞻性调查。方法：我们调查了在一个单一的学术医疗中心进行床边胸腔穿刺术、穿刺术、腰椎穿刺术和关节穿刺术的所有患者。在每个程序之后，对能够提供知情同意的讲英语的患者进行调查。调查的问题集中在病人的满意度与程序性能的具体方面，以及与病人和团队成员之间的沟通的质量和影响。结果：95名合格的患者，65（68%）完成了调查。几乎所有患者对总体经验（100%）、知情同意书解释（98%）、疼痛控制（92%）和医生专业知识（95%）感到满意或非常满意。大多数患者对手术持续时间感到满意（88%），在接受治疗性手术的患者中，大多数（89%）对症状改善感到满意。听到医生在床边讨论的程序是放心的大多数患者（84%），谁觉得这是一个正常的一部分，做一个程序（94%）。结论：患者非常满意的程序性能的监督学员，许多患者放心的医生沟通过程中的程序。这些结果表明，病人的经验和教学可以保存与住院医师监督的程序服务。医院医学杂志2011;6：219-224。(C)2011年医院医学会。
BACKGROUND: In recent years, hospital medicine programs have adopted "procedure teams" that supervise residents in performing invasive bedside procedures. The effect of procedure teams on patient satisfaction is unknown.OBJECTIVE: We sought to measure patient satisfaction with procedures performed by a hospitalist-supervised, intern-based procedure service (HPS) with a focus on patient perception of bedside communication.DESIGN: This was a prospective survey.METHODS: We surveyed all patients referred to the HPS for bedside thoracentesis, paracentesis, lumbar puncture, and arthrocentesis at a single academic medical center. Following each procedure, surveys were administered to English-speaking patients who could provide informed consent. Survey questions focused on patients' satisfaction with specific aspects of procedure performance as well as the quality and impact of communication with the patient and between members of the team.RESULTS: Of 95 eligible patients, 65 (68%) completed the survey. Nearly all patients were satisfied or very satisfied with the overall experience (100%), explanation of informed consent (98%), pain control (92%), and expertise (95%) of physicians. The majority of patients were satisfied with procedure duration (88%) and in those with therapeutic procedures most (89%) were satisfied with improvement in symptoms. Hearing physicians discuss the procedure at the bedside was reassuring to most patients (84%), who felt this to be a normal part of doing a procedure (94%).CONCLUSIONS: Patients are highly satisfied with procedure performance by supervised trainees, and many patients were reassured by physician communication during the procedure. These results suggest that patient experience and teaching can be preserved with a hospitalist-supervised procedure service. Journal of Hospital Medicine 2011;6:219-224. (C) 2011 Society of Hospital Medicine.