scholarly journals Experiences and perspectives of older patients with a return visit to the emergency department within 30 days: patient journey mapping

2021 ◽  
Author(s):  
Bo Schouten ◽  
Babiche E. J. M. Driesen ◽  
Hanneke Merten ◽  
Brigitte H. C. M. Burger ◽  
Mariëlle G. Hartjes ◽  
...  
Keyword(s):  
Emergency Department ◽  
Waiting Time ◽  
Older Patients ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Patient Journey ◽  
Return Visit ◽  
Centered Care ◽  
Discharge Communication ◽  
Insight Into

Abstract Purpose Up to 22% of older patients who visit the emergency department (ED) have a return visit within 30 days. To achieve patient-centered care for this group at the ED it is important to involve the patient perspective and strive to provide the best possible experience. The aim of this study was to gain insight into the experiences and perspectives of older patients from initial to return ED visit by mapping their patient journey. Methods We performed a qualitative patient journey study with 13 patients of 70 years and older with a return ED visit within 30 days who presented at the Amsterdam UMC, a Dutch academic hospital. We used semi-structured interviews focusing on the patient experience during their journey and developed a conceptual framework for coding. Results Our sample consisted of 13 older patients with an average age of 80 years, and 62% of them were males. The framework contained a timeline of the patient journey with five chronological main themes, complemented with an ‘experience’ theme, these were divided into 34 subthemes. Health status, social system, contact with the general practitioner, aftercare, discharge and expectations were the five main themes. The experiences regarding these themes differed greatly between patients. The two most prominent subthemes were waiting time and discharge communication, which were mostly related to a negative experience. Conclusions This study provides insight into the experiences and perspectives of older patients from initial to return ED visit. The two major findings were that lack of clarity regarding waiting times and suboptimal discharge communication contributed to negative experiences. Recommendations regarding waiting time (i.e. a two-hour time out at the ED), and discharge communication (i.e. checklist for discharge) could contribute to a positive ED experience and thereby potentially improve patient-centered care.

Usability evaluation of a mHealth application to support patient journey at pediatric emergency department (Preprint)

2020 ◽  
Author(s):  
Jessica Rochat ◽  
Frédéric Ehrler ◽  
Arnaud Ricci ◽  
Victor Garretas Ruiz ◽  
Christian Lovis
Keyword(s):  
Emergency Department ◽  
Interaction Design ◽  
Mobile Application ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Patient Centered ◽  
Patient Journey ◽  
Care Processes ◽  
System Usability Scale ◽  
Centered Care

BACKGROUND Patient experience at pediatric emergency department (PED) remain suboptimal. As an attempt to support the patients and their families before, during and after visit at PED, we have developed InfoKids, a mobile application guided by the patient centered care principle. OBJECTIVE The objective of this study is to assess the usability of the Infokids mobile application. METHODS The app was assessed through an in lab evaluation were participants had to execute 7 tasks of a scenario leading them from the installation of the app till the reception of a diagnostic sheet linked to the care episode. All interactions were recorded and usability flaws were analyzed in regards with usability criteria. A system usability scale questionnaire was also filled by the participant to compare our system with other. RESULTS A total of 17 parents, 15 women and 2 men (ages 26-53) participated in the study. Overall, they were mostly satisfied with the navigation, layout and interaction design of the app. Most of the problems encountered were related with navigation, especially difficulties for some participants to find the location of the action to perform. CONCLUSIONS empowering patient through mobile application supporting care processes has the potential to improve both care efficiency and to release pressure on healthcare system. The success of these applications is however linked to an optimal user experience that can be improved through usability testing.

Patient-centered care for chronic pain in the emergency department: A qualitative study

2016 ◽  
Vol 24 ◽  
pp. 22-27 ◽  
Author(s):  
Jayalakshmi Jambunathan ◽  
Sharon Chappy ◽  
Jack (John) Siebers ◽  
Alishia Deda
Keyword(s):  
Emergency Department ◽  
Chronic Pain ◽  
Qualitative Study ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Centered Care

scholarly journals Patient-centered care pathways: what does it mean? An integrative conceptual framework to meet the need of an international consensus: a qualitative systematic review protocol

2021 ◽  
Author(s):  
Jean-Baptiste Gartner ◽  
Kassim Said Abasse ◽  
Ghita Ben Zagguou ◽  
Frédéric Bergeron ◽  
Paolo Landa ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Care Delivery ◽  
Care Pathway ◽  
Patient Centered Care ◽  
Patient Centered ◽  
International Consensus ◽  
Patient Journey ◽  
Centered Care ◽  
Health Care Delivery Systems

Background: Faced with increased expectations regarding the quality and safety of health care delivery systems, a number of stakeholders are increasingly looking for more qualitative and efficient ways to deliver care. This study is conducted to provide a clear definition of the patient-centered care pathway and its characteristics to meet the need for an international consensus. Methods: This qualitative systematic review aims to perform a systematic synthesis of published evidence concerning (1) the definition of the patient trajectory, patient pathway or patient journey and (2) their characteristics. With a consulting librarian, a comprehensive and systematic search in three databases was conducted (PUBMED, Embase, ABI/Inform), from 1995 to 2020 without language criteria. Eligibility criteria guiding data selection will follow the PICo mnemonic criteria consisting of (1) Population : all types of patients managed by health care delivery systems for an acute or chronic condition regardless of age or condition, (2) Phenomena : studies that contribute to the definition and conceptualization of the concepts of care trajectory, care pathway and patient journey resulting in a theoretical and conceptual contribution, and (3) Context : health care providers include all providers of primary, secondary, tertiary, and quaternary care in any geographic area. Two reviewers will independently screen, select, extract data and make a critical assessment of the methodology used with the JBI Qualitative Assessment and Review Instrument (JBI QARI).Discussion: This systematic review will provide much-needed knowledge regarding patient-centered pathways. The results will benefit clinicians, decision makers, and researchers by giving them a clear and integrated definition and understanding of the patient-centered care pathways and their characteristics to finally meet the need for an international consensus.

scholarly journals Interventions to Improve Patient-centered Care During Times of Emergency Department Crowding

2011 ◽  
Vol 18 (12) ◽  
pp. 1289-1294 ◽  
Author(s):  
Julius Cuong Pham ◽  
N. Seth Trueger ◽  
Joshua Hilton ◽  
Rahul K. Khare ◽  
Jeffrey P. Smith ◽  
...  
Keyword(s):  
Emergency Department ◽  
Patient Centered Care ◽  
Emergency Department Crowding ◽  
Patient Centered ◽  
Centered Care ◽  
Improve Patient

scholarly journals Mapping the Patient Journey Across the Continuum: Lessons Learned From One Patient’s Experience

2018 ◽  
Vol 6 (2) ◽  
pp. 103-107 ◽  
Author(s):  
Melanie A Meyer
Keyword(s):  
Health Care ◽  
Patient Experience ◽  
Patient Centered Care ◽  
Communication Process ◽  
Care Process ◽  
Multiple Chronic Conditions ◽  
Patient Centered ◽  
Patient Journey ◽  
Centered Care ◽  
The Continuum

Patient-centered care is essential for achieving high-quality and cost-effective health care. This is particularly important for patients with chronic or complex conditions who utilize more health-care services and require comprehensive care coordination. This case report draws on a longitudinal journey map—a valuable tool to capture patient experience and inform the care process—for a patient with multiple chronic conditions who needed a hip replacement. An analysis of the patient journey revealed 3 critical needs for a more patient-centered process: (1) making the patient health goal visible; (2) instigating transparent, shared decision-making; and (3) using a closed-loop communication process. Although key challenges exist, systems can facilitate more patient-centered care enabling health-care organizations to improve the patient experience across the continuum and provide higher quality care.

Moving Towards Patient-Centered Care in the Emergency Department: Importance of Improvement in Pain-Related Outcomes

2021 ◽  
Vol 22 (5) ◽  
pp. 593
Author(s):  
Spencer Flynn ◽  
Alexander Gordee ◽  
Maragatha Kuchibhatla ◽  
Steven George ◽  
Stephanie Eucker
Keyword(s):  
Emergency Department ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Centered Care

The Ida Institute Toolbox: Tools To Enhance Collaborative Self-Management of Hearing Problems

2013 ◽  
Vol 20 (1) ◽  
pp. 22-36 ◽  
Author(s):  
Melanie Gregory
Keyword(s):  
Paradigm Shift ◽  
Patient Centered Care ◽  
Self Management ◽  
Collaborative Approach ◽  
Patient Centered ◽  
Patient Journey ◽  
Living Well ◽  
Centered Care ◽  
Hearing Problems

Researchers have described a paradigm shift, in which the profession of audiology can move towards a more patient-centered approach (Hickson, 2012). In this article, I will describe a collaborative approach used at the Ida Institute to create patient-centered tools to promote this paradigm shift. I describe three counseling tools—A Possible Patient Journey, the Goal Sharing for Partners Strategy and the Living Well tool—as part of a collaborative self-management toolbox to promote patient-centered care in the clinic.

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