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Emergency Department Patient Satisfaction

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1. Do volunteers in the Emergency Department Improve Satisfaction? A Rapid Review

of evidence (peer reviewed or grey) evaluating volunteers in the emergency department for any metric, including satisfaction. Peer-reviewed literature ? Only one item of peer-reviewed evidence was identified and this was a conference abstract 1 . This study showed that volunteers led to an increase in patient satisfaction when compared to the control group for volunteers or pamphlets. There was no difference in patient satisfaction between pamphlets and volunteers. Grey Literature In 2011, King’s College (...) other resources were identified as relevant to this report 2,3 , albeit without comment on satisfaction. Peer-reviewed literature We found only one abstract that met the inclusion criteria 1 . In this study, three groups were evaluated: 1) Patients exposed to trained volunteers; 2) Patients given written materials explaining emergency department processes, and; 3) A control group with no interventions. Volunteers could best help patients in four ways: 1. Volunteers provide patients with a realistic

2019 Monash Health Evidence Reviews

2. [Multicenter, triple-blind randomized placebo controlled trial of adjuvant nitrous oxide 50% in oxygen 50%: efficacy for reducing pain and increasing satisfaction in patients treated for renal colic in the emergency department]. (PubMed)

[Multicenter, triple-blind randomized placebo controlled trial of adjuvant nitrous oxide 50% in oxygen 50%: efficacy for reducing pain and increasing satisfaction in patients treated for renal colic in the emergency department]. To assess the efficacy of a nitrous oxide and oxygen mixture (N2O/O2 50/50) for reducing pain and increasing satisfaction in patients with an initial clinical diagnosis of renal colic in the emergency department.Multicenter, triple-blind randomized placebo-controlled (...) intervention-group patients (75.7%) and 56 of the 77 (72.7%) placebo-group patients (P = .412). Adverse effects appeared in 33 of the 70 patients (48.5%) who received the N2O/O2 mixture and in 19 patients (24.7%) who received the placebo (P = .003).The addition of N2O/O2 50/50 to standard analgesic therapy does not enhance the efficacy of pain control or the satisfaction of patients treated for renal colic in the emergency department.

2018 Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias

3. Psychometric properties of the consumer emergency care satisfaction scale: tested on persons accompanying patients in emergency department. (PubMed)

Psychometric properties of the consumer emergency care satisfaction scale: tested on persons accompanying patients in emergency department. The aim of this study was to investigate construct validity and internal consistency of a modified version of the Consumer Emergency Care Satisfaction Scale used on persons accompanying emergency department patients. The sample comprised 128 persons. The results showed satisfactory reliability, and an exploratory factor analysis revealed 3 factors: caring (...) , teaching, and clinical competence. The modified version of this scale seems feasible and may be a useful tool for measuring satisfaction in persons accompanying patients in the emergency department.

2017 Journal of Nursing Care Quality

4. Association between pain control and patient satisfaction outcomes in the emergency department setting. (PubMed)

Association between pain control and patient satisfaction outcomes in the emergency department setting. Pain management and patient satisfaction are key markers for health systems performance. There is a lack of consensus on the role of analgesia, its adequacy, and its links to patient satisfaction in the ED. The present study aimed to assess the relationship between adequacy of analgesia and patient satisfaction in the ED setting.Consenting adult patients (n = 115) presenting to the ED (...) . Male sex was inversely associated with satisfaction, whereas compassion, and significant change in pain score were associated with improved patient satisfaction. Of the factors analysed, staff compassion demonstrated the strongest correlation with satisfaction.© 2018 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

2018 Emergency medicine Australasia

5. Emergency Department Patient Satisfaction with Treatment of Low-risk Pulmonary Embolism (PubMed)

Emergency Department Patient Satisfaction with Treatment of Low-risk Pulmonary Embolism Many emergency department (ED) patients with acute pulmonary embolism (PE) who meet low-risk criteria may be eligible for a short length of stay (LOS) (<24 hours), with expedited discharge home either directly from the ED or after a brief observation or hospitalization. We describe the association between expedited discharge and site of discharge on care satisfaction and quality of life (QOL) among patients (...) with low-risk PE (PE Severity Index [PESI] Classes I-III).This phone survey was conducted from September 2014 through April 2015 as part of a retrospective cohort study across 21 community EDs in Northern California. We surveyed low-risk patients with acute PE, treated predominantly with enoxaparin bridging and warfarin. All eligible patients were called 2-8 weeks after their index ED visit. PE-specific, patient-satisfaction questions addressed overall care, discharge instruction clarity, and LOS. We

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2018 Western Journal of Emergency Medicine

6. Structured Interdisciplinary Bedside Rounds in an Australian tertiary hospital emergency department: Patient satisfaction and staff perspectives. (PubMed)

Structured Interdisciplinary Bedside Rounds in an Australian tertiary hospital emergency department: Patient satisfaction and staff perspectives. To compare patient satisfaction levels, staff perspectives and the time required using Structured Interdisciplinary Bedside Rounds (SIBR; Emory University, Atlanta, GA, USA) versus traditional medical ward rounds (TR) in the ED.We conducted an observational cross-sectional study. Ward rounds were categorised into a modified SIBR and TR at a tertiary (...) ED in Australia according to predefined criteria. We compared the duration of ward rounds, invited patients and staff to complete anonymous questionnaires to compare patient satisfaction and staff perspectives.During the study period, SIBR group took significantly longer time than TR per patient (122 vs 88 s, P < 0.001). Patient questionnaires were completed for 320 encounters (101 SIBR, 219 TR). Patient satisfaction scores across all measured domains were significantly higher in SIBR than

2018 Emergency medicine Australasia

7. Alternatives to opioids for pain management in the emergency department decreases opioid usage and maintains patient satisfaction. (PubMed)

Alternatives to opioids for pain management in the emergency department decreases opioid usage and maintains patient satisfaction. The objective of this study was to assess opioid use in an emergency department following the development and implementation of an alternative to opioids (ALTO)-first approach to pain management. The study also assessed how implementation affected patient satisfaction scores.This study compared data collected from October to December of 2015 (prior to implementation (...) ) to data collected between October and December of 2016 (after the intervention had been implemented). Emergency department visits during the study timeframe were included. Opioid reduction was measured in morphine equivalents (ME) administered per visit. Secondary outcomes on patient satisfaction were gathered using the Press Ganey survey.Intravenous (IV) opioid administration during the study period decreased by >20%. The predicted mean ME use in 2016 was 0.25 ME less when compared to 2015 (95% CI

2018 American Journal of Emergency Medicine

8. The role of patient perception of crowding in the determination of real-time patient satisfaction at Emergency Department. (PubMed)

The role of patient perception of crowding in the determination of real-time patient satisfaction at Emergency Department. To evaluate the associations between real-time overall patient satisfaction and Emergency Department (ED) crowding as determined by patient percepton and crowding estimation tool score in a high-volume ED.A prospective observational study.A tertiary acute hospital ED and a Level 1 trauma center.ED patients.Crowding status was measured by two crowding tools [National (...) Emergency Department Overcrowding Scale (NEDOCS) and Severely overcrowded-Overcrowded-Not overcrowded Estimation Tool (SONET)] and patient perception of crowding surveys administered at discharge.ED crowding and patient real-time satisfaction.From 29 November 2015 through 11 January 2016, we enrolled 1345 participants. We observed considerable agreement between the NEDOCS and SONET assessment of ED crowding (bias = 0.22; 95% limits of agreement (LOAs): -1.67, 2.12). However, agreement was more variable

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2017 International Journal for Quality in Health Care

9. Influences on Patient Satisfaction Among Patients Who Use Emergency Departments Frequently for Pain-Related Complaints. (PubMed)

Influences on Patient Satisfaction Among Patients Who Use Emergency Departments Frequently for Pain-Related Complaints. The primary purpose of this study was to assess relationships between opioid prescribing practices, patient and ED attributes, and patient satisfaction ratings of nursing and physician care among patients with high utilization of the emergency department for pain relief.A retrospective cohort study was conducted to examine 305 individual patient satisfaction surveys from users (...) with physician or nursing behaviors.Emergency nurses can influence patient satisfaction scores by promoting clean, caring environments and prioritizing patient flow and pain management. ED providers can withhold opioids when appropriate without fear of a significant impact on patient satisfaction.Copyright © 2017 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.

2017 Journal of Emergency Nursing

10. The impact of medical specialist staffing on emergency department patient flow and satisfaction. (PubMed)

The impact of medical specialist staffing on emergency department patient flow and satisfaction. The aim of this study was to describe the impact of additional medical specialists, non-emergency physicians (non-EPs), performing direct supervision or a combination of direct and indirect supervision at an EP-led emergency department (ED), on patient flow and satisfaction.An observational, cross-sectional, three-part study was carried out including staff surveys (n=379), a before and after 16-week (...) specialists during busy shifts. Throughput of admitted patients and patient satisfaction improved during the pilot period. Whether these findings differ between direct supervision and combination of direct and indirect supervision by the medical specialists requires further investigation.

2017 European Journal of Emergency Medicine

11. Patient satisfaction with procedural sedation in the emergency department. (PubMed)

Patient satisfaction with procedural sedation in the emergency department. The aim of this study was to determine patient satisfaction with procedural sedation as a function of nature of the procedure and depth of sedation.We undertook a prospective observational study of adult patients who received procedural sedation in two EDs (20 month period). The level of sedation was determined by an investigator, using the Observers Assessment of Anaesthesia/Sedation Scale (1 = awake to 6 = no response (...)  fentanyl had the greatest depths of sedation. There was no difference in satisfaction among patients who were and were not sedated by a consultant (median 2.6 and 2.7, respectively, P = 0.84).Generally, the level of patient satisfaction is high. Greater satisfaction is associated with deeper sedation, sedation with propofol and non-orthopaedic procedures.© 2017 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

2017 Emergency medicine Australasia

12. Dimensions of Patient Experience and Overall Satisfaction in Emergency Departments (PubMed)

Dimensions of Patient Experience and Overall Satisfaction in Emergency Departments To determine the correlation between individual patient experience dimensions and overall patient satisfaction using text-based analysis of subjective comments of patients treated in emergency departments.Open-ended comments from 331 patients who visited the emergency departments of 4 hospitals were used for coding different dimensions of patient experience. Regression coefficients were calculated to assess (...) the relationships between dimensions of patient experiences with overall satisfaction.Positive and negative experience of nursing, communications, and infrastructure influence the overall satisfaction. Positive experience attributes of overall care quality influence overall satisfaction, whereas negative experience of the same does not have any influence. Further, experiences of interactions with doctors and scheduling do not have any effect on overall satisfaction in emergency departments.Emergency departments

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2017 Journal of Patient Experience

13. Emergency department attendances and GP patient satisfaction (PubMed)

Emergency department attendances and GP patient satisfaction Despite invaluable national data, reasons for the relentless rise in England's emergency department (ED) attendances remain elusive.All EDs and general practices in England.Are rising ED attendances related to general practice patient satisfaction, i.e. if patients are unable to get a convenient appointment with their general practitioner (GP), then do they attend their local ED for diagnosis, treatment and care instead?GP patient (...) satisfaction and ED attendance data were extracted from national data warehouses and organised into two groups: (i) England clinical commissioning group (CCG) areas and (ii) a London CCG subset. Data from London CCGs were compared with CCGs outside London.ED attendances were strongly correlated with GP patient satisfaction data in non-London CCGs, e.g. if patients said they had difficulty obtaining a convenient appointment at their general practice, then local ED attendances increased. Associations were

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2017 London journal of primary care

14. The Impact of an Emergency Department Front-End Redesign on Patient-Reported Satisfaction Survey Results (PubMed)

The Impact of an Emergency Department Front-End Redesign on Patient-Reported Satisfaction Survey Results For emergency department (ED) patients, delays in care are associated with decreased satisfaction. Our department focused on implementing a front-end vertical patient flow model aimed to decrease delays in care, especially care initiation. The physical space for this new model was termed the Flexible Care Area (FCA). The purpose of this study was to quantify the impact of this intervention (...) ratings of physicians or nurses when comparing patients seen in FCA vs. those not seen in FCA.Patients seen through the FCA reported a lower overall rating of care compared to patients not seen in the FCA. This occurred despite a shorter overall length of stay for these patients, suggesting that other factors have a meaningful impact on patient satisfaction.

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2017 Western Journal of Emergency Medicine

15. A patient satisfaction theory and its robustness across gender in emergency departments: a multigroup structural equation modeling investigation. (PubMed)

A patient satisfaction theory and its robustness across gender in emergency departments: a multigroup structural equation modeling investigation. This investigation tested the patient-centered Primary Provider Theory of Patient Satisfaction across gender in national random samples of emergency patients. Using multigroup structural equation modeling, the results supported the model's robustness. Physician service, waiting time, and nursing satisfaction explained 48%, 41%, and 11% of overall (...) for measuring and achieving emergency department satisfaction, hierarchically related to patient expectations, where the primary provider has the greatest clinical utility to patients, followed by waiting for the primary provider, and then by nursing service.

2017 American Journal of Medical Quality

16. Patient satisfaction associated with lower emergency department use but more hospitalisations and higher costs and mortality

Patient satisfaction associated with lower emergency department use but more hospitalisations and higher costs and mortality Patient satisfaction associated with lower emergency department use but more hospitalisations and higher costs and mortality | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log (...) in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Patient satisfaction associated with lower emergency department use but more hospitalisations and higher costs and mortality Article Text

2013 Evidence-Based Medicine (Requires free registration)

17. Does Spanish instruction for emergency medicine resident physicians improve patient satisfaction in the emergency department and adherence to medical recommendations? (PubMed)

Does Spanish instruction for emergency medicine resident physicians improve patient satisfaction in the emergency department and adherence to medical recommendations? After emergency department (ED) discharge, Spanish-speaking patients with limited English proficiency are less likely than English-proficient patients to be adherent to medical recommendations and are more likely to be dissatisfied with their visit.To determine if integrating a longitudinal medical Spanish and cultural competency (...) curriculum into emergency medicine residency didactics improves patient satisfaction and adherence to medical recommendations in Spanish-speaking patients with limited English proficiency.Our ED has two Emergency Medicine Residency Programs, University Campus (UC) and South Campus (SC). SC program incorporates a medical Spanish and cultural competency curriculum into their didactics. Real-time Spanish surveys were collected at SC ED on patients who self-identified as primarily Spanish-speaking during

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2016 Advances in medical education and practice

18. Satisfaction With Medication Reconciliation Completed by Pharmacy Technicians in an Emergency Department (PubMed)

Satisfaction With Medication Reconciliation Completed by Pharmacy Technicians in an Emergency Department To survey advanced nurse practitioners, physician assistants, nurses, physicians, and resident physicians involved with collecting and reconciling medication histories in the emergency department (ED) to measure their satisfaction with the current process involving pharmacy technicians.Two sites within a large health system with pharmacy technician-driven medication reconciliation processes (...) asked health care professionals to complete a survey of 20 multiple-choice questions. The data collected determined resources used and barriers faced when collecting medication histories, satisfaction before and after the involvement of pharmacy technicians in the ED, and the impact technology may have on this process in the future.Of 144 health care providers surveyed, 69.4% reported collecting medication histories through patient interviews. The most common barrier reported was the lack of time

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2018 Pharmacy and Therapeutics

19. Pain score, desire for pain treatment and effect on pain satisfaction in the emergency department: a prospective, observational study. (PubMed)

Pain score, desire for pain treatment and effect on pain satisfaction in the emergency department: a prospective, observational study. Pain management in the Emergency Department has often been described as inadequate, despite proven benefits of pain treatment protocols. The aim of this study was to investigate the effectiveness of our current pain protocol on pain score and patient satisfaction whilst taking the patients' wishes for analgesia into account.We conducted a 10-day prospective (...) observational study in the Emergency Department. Demographics, pain characteristics, Numeric Rating Scale pain scores and the desire for analgesics were noted upon arrival at the Emergency Department. A second Numeric Rating Scale pain score and the level of patient satisfaction were noted 75-90 min after receiving analgesics. Student T-tests, Mann-Whitney U tests and Kruskall-Wallis tests were used to compare outcomes between patients desiring vs. not desiring analgesics or patients receiving vs

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2018 BMC Emergency Medicine

20. The satisfaction regarding handovers between ambulance and emergency department nurses: an observational study. (PubMed)

The satisfaction regarding handovers between ambulance and emergency department nurses: an observational study. A thorough handover in the emergency department (ED) is of great importance for improving the quality and safety in the chain of care. The satisfaction of handover may reflect the quality of handover. Research to discover the variables influencing the satisfaction of handovers is scarce. The goal of this study was to determine the factors influencing the satisfaction regarding (...) handovers from ambulance and ED nurses.We performed a prospective observational study in the University Medical Center of Groningen. Data regarding prehospital-hospital handovers has been collected by observing handovers and assessing patient chart information. Data regarding the satisfaction has been collected with a questionnaire including a 5-point scale for the level of satisfaction.In total, 97 handovers were observed and 97 ambulance nurses and 89 ED nurses completed the questionnaire

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2018 Scandinavian journal of trauma, resuscitation and emergency medicine

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