Lack of Association Between Press Ganey Emergency Department Patient Satisfaction Scores and Emergency Department Administration of Analgesic Medications
Lack of Association Between Press Ganey Emergency Department Patient Satisfaction Scores and Emergency Department Administration of Analgesic Medications
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DOI：
10.1016/j.annemergmed.2014.02.010
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发表时间：
2014-11-01
影响因子：
6.2
通讯作者：
Merchant, Roland C.
中科院分区：
文献类型：
--
作者：
Schwartz, Tayler M.;Tai, Miao;Merchant, Roland C.
研究目的：在完成患者满意度调查的患者中，探讨Press Ganey急诊科（ED）患者满意度评分与ED镇痛药物给药（包括阿片类镇痛药物的用量）之间的关系。方法：对2009年10月至2011年9月2家学术性城市急诊科出院患者满意度调查进行二次资料分析。我们将调查结果与急诊科使用阿片类和非阿片类镇痛药的数据、人口学特征和急诊科电子病历中的时间因素相匹配。我们使用多元逻辑回归来比较总体Press Ganey ED患者满意度评分与镇痛药物、阿片类镇痛药物和吗啡等效物的使用数量的四分位数。我们根据人口统计学、医院特征和时间因素调整了模型。结果：在4749名返回调查的患者中，48.5%的患者在ED就诊期间接受了镇痛药物治疗，29.6%的患者接受了阿片类镇痛药物治疗。接受镇痛药物或阿片类镇痛药物的患者的平均总体Press Ganey ED患者满意度得分低于未接受这些药物的患者。在单变量多元logistic回归分析中，镇痛药物、阿片类镇痛药物和吗啡等价物的大量使用与较低的总分相关。然而，在多变量分析中，镇痛药物或阿片类镇痛药物的使用与总体得分无关，并且吗啡等价物的使用与较低的总体得分不一致。结论：总体Press Ganey ED患者满意度评分并非主要基于ED内镇痛药物或阿片类镇痛药物的接受情况；其他因素似乎更为重要。
Study objective: We explore the relationship between Press Ganey emergency department (ED) patient satisfaction scores and ED administration of analgesic medications, including amount of opioid analgesics received, among patients who completed a patient satisfaction survey.Methods: We conducted a secondary data analysis of Press Ganey ED patient satisfaction surveys from patients discharged from 2 academic, urban EDs October 2009 to September 2011. We matched survey responses to data on opioid and nonopioid analgesics administered in the ED, demographic characteristics, and temporal factors from the ED electronic medical records. We used polytomous logistic regression to compare quartiles of overall Press Ganey ED patient satisfaction scores to administration of analgesic medications, opioid analgesics, and number of morphine equivalents received. We adjusted models for demographic and hospital characteristics and temporal factors.Results: Of the 4,749 patients who returned surveys, 48.5% received analgesic medications, and 29.6% received opioid analgesics during their ED visit. Mean overall Press Ganey ED patient satisfaction scores for patients receiving either analgesic medications or opioid analgesics were lower than for those who did not receive these medications. In the univariable polytomous logistic regression analysis, receipt of analgesic medications, opioid analgesics, and a greater number of morphine equivalents were associated with lower overall scores. However, in the multivariable analysis, receipt of analgesic medications or opioid analgesics was not associated with overall scores, and receipt of greater morphine equivalents was inconsistently associated with lower overall scores.Conclusion: Overall Press Ganey ED patient satisfaction scores were not primarily based on in-ED receipt of analgesic medications or opioid analgesics; other factors appear to be more important.