BEDSIDE ULTRASOUND MAXIMIZES PATIENT SATISFACTION
BEDSIDE ULTRASOUND MAXIMIZES PATIENT SATISFACTION
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DOI：
10.1016/j.jemermed.2013.05.044
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发表时间：
2014-01-01
影响因子：
1.5
通讯作者：
Liteplo, Andrew S.
中科院分区：
文献类型：
--
作者：
Howard, Zoe D.;Noble, Vicki E.;Liteplo, Andrew S.
背景：床边超声(US)与患者满意度的提高有关，可能是由于诊断时间的延长和住院时间(LOS)的减少。目的：我们的研究旨在量化非超声与患者满意度之间的关系，并评估患者对超声的态度以及他们与进行检查的临床医生的互动。方法：我们收集了接受床边超声检查的成年患者的方便样本。对照组有类似的LOS，并提出投诉，但没有床边的美国人。两组都在急诊科就诊期间回答了调查问题，并在一周后再次通过电话回答了调查问题。问卷对患者的感知和满意度进行了5分的Likert评分。结果：70例患者入选时间超过10个月。干预组在ED总体满意度(4.69比4.23；平均差异0.46；95%可信区间0.17-0.75)、诊断性测试(4.54比4.09；平均差异0.46；95%CI 0.16-0.76)和急诊医生的技能/能力(4.77比4.14；平均差异0.63；95%CI 0.29-0.96)方面得分显著高于对照组。在跟踪调查中，干预组得分更高的趋势持续存在。结论：接受床边超声检查的患者对整体急诊护理、诊断性测试和他们对急诊医生的看法的满意度得分在统计学上显著较高。床边美国不仅有潜力加快护理和诊断，还有可能最大限度地提高满意度得分，改善医患关系，这与依赖满意度调查的医疗保健组织和医院的相关性越来越大。(C)2014年爱思唯尔公司。
Background: Bedside ultrasound (US) is associated with improved patient satisfaction, perhaps as a consequence of improved time to diagnosis and decreased length of stay (LOS). Objectives: Our study aimed to quantify the association between beside US and patient satisfaction and to assess patient attitudes toward US and perception of their interaction with the clinician performing the examination. Methods: We enrolled a convenience sample of adult patients who received a bedside US. The control group had similar LOS and presenting complaints but did not have a bedside US. Both groups answered survey questions during their emergency department (ED) visit and again by telephone 1 week later. The questionnaire assessed patient perceptions and satisfaction on a 5-point Likert scale. Results: Seventy patients were enrolled over 10 months. The intervention group had significantly higher scores on overall ED satisfaction (4.69 vs. 4.23; mean difference 0.46; 95% confidence interval [CI] 0.17-0.75), diagnostic testing (4.54 vs. 4.09; mean difference 0.46; 95% CI 0.16-0.76), and skills/abilities of the emergency physician (4.77 vs. 4.14; mean difference 0.63; 95% CI 0.29-0.96). A trend to higher scores for the intervention group persisted on follow-up survey. Conclusions: Patients who had a bedside US had statistically significant higher satisfaction scores with overall ED care, diagnostic testing, and with their perception of the emergency physician. Bedside US has the potential not only to expedite care and diagnosis, but also to maximize satisfaction scores and improve the patient-physician relationship, which has increasing relevance to health care organizations and hospitals that rely on satisfaction surveys. (C) 2014 Elsevier Inc.