Patient perceptions of the otolaryngology ward round in a teaching hospital

2006 ◽  
Vol 120 (4) ◽  
pp. 314-318 ◽  
Author(s):  
M-L Montague ◽  
S S M Hussain
Keyword(s):  
Patient Satisfaction ◽  
Teaching Hospital ◽  
Response Rate ◽  
Ward Round ◽  
Patient Perceptions ◽  
Information Giving ◽  
Large Size ◽  
Wide Range ◽  
Structured Questionnaire

Objective: This survey assesses patients' perceptions of a daily otolaryngology ward round in a teaching hospital.Methods: Initial, open-ended questionnaires generated themes from which a structured questionnaire was constructed. Patients' perceptions in a wide range of areas were examined by asking them to indicate on a Likert scale the extent to which they agreed or disagreed with a number of statements concerning various aspects of the ward round.Results: One hundred patients were surveyed. The response rate was 79 per cent. The findings showed overall patient satisfaction with the ward round, particularly in the areas of information-giving regarding diagnosis, treatment and follow-up arrangements. The large size of the ward round appeared to be intimidating and induced anxiety for approximately one-third of patients. Patients wished the roles of staff present to be better defined and to be informed of the presence of medical students. One-third of patients perceived staff to use language that was difficult to understand.Conclusions: The survey identified some improvement opportunities and will assist our department with its on-going endeavours to improve the ward round experience for both patients and staff.

EP.WE.162Correct consenting for Vascular Patient

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Hasan Khalaf ◽  
A. Behbahani ◽  
Aideen Walsh
Keyword(s):  
Patient Satisfaction ◽  
Prospective Study ◽  
Teaching Hospital ◽  
Practice Guideline ◽  
Surgical Practice ◽  
Wide Range ◽  
Effective Relationships ◽  
Questionnaire Form ◽  
A Prospective Study ◽  
Vascular Patient

Abstract Introduction Surgeons must establish and maintain effective relationships with patients and, where appropriate, with their supporters. Before surgery, surgeons should strive to have an honest and sensitive discussion with patients about their options for treatment that leads to informed and deliberate consent. The aim of this study is to compare our consent practice in the vascular department in Royal Stoke Teaching Hospital against consent guideline in the Best surgical practice and to if we are meeting patient satisfaction. Method A prospective study of 30 patients from 21/09/2020 to 21/10/2020. Questionnaire form was designed based on the best surgical practice guideline and was given to the patient to fill. We include patients admitted for elective vascular procedures, wide range ages. The questionnaire Results Most of the of the patient (90%) were consented by the professionals who provide the treatment. 63% of the patients asked for further information in the form pf leaflets or websites. 70% of them request to know the recent guidelines of their procedures. Only 13% of them had a copy of the consent prior to surgery. Recommendations We must provide the patients with further information, Recent guidelines, and a copy of the consent to take home prior to surgery day. This can be achieved by consenting them before the operation day.

scholarly journals Setting up an arthroplasty care practitioner-led virtual clinic for follow-up of orthopaedic patients

2019 ◽  
Vol 28 (20) ◽  
pp. 1326-1330 ◽  
Author(s):  
Sharon Ferdinandus ◽  
Lindsay K Smith ◽  
Hemant Pandit ◽  
Martin H Stone
Keyword(s):  
Patient Satisfaction ◽  
Teaching Hospital ◽  
Waiting Times ◽  
Cost Savings ◽  
University Teaching ◽  
Local Hospital ◽  
X Ray ◽  
Orthopaedic Patients ◽  
Set Up

This article provides an overview of the set up for an arthroplasty care practitioner (ACP)-led virtual orthopaedic clinic (VOC). Suitable patients attend a local hospital for an X-ray and complete a questionnaire, but do not physically attend a clinic. This has been running successfully in a university teaching hospital and has led to cost savings, a reduction in outpatient waiting times and high levels of patient satisfaction. Similar clinics have the potential to become normal practice across the NHS. This article outlines the steps necessary to implement a successful VOC. The lessons learnt during this exercise may be useful for other ACPs when setting up a VOC.

scholarly journals Clozapine – a survey of patient perceptions

2000 ◽  
Vol 24 (12) ◽  
pp. 450-452 ◽  
Author(s):  
D. Taylor ◽  
L. Shapland ◽  
G. Laverick ◽  
J. Bond ◽  
J. Munro
Keyword(s):  
Response Rate ◽  
Patient Perceptions ◽  
Large Majority ◽  
Clinical Implications ◽  
Blood Testing ◽  
Clozapine Therapy ◽  
Clozapine Treatment ◽  
The Uk ◽  
Adherence To Therapy ◽  
Structured Questionnaire

Aims and MethodWe aimed to find out how patients on clozapine felt about clozapine treatment. A structured questionnaire was given to 1284 consecutive patients attending 27 clozapine clinics in the UK.ResultsThe response rate was 44.4% (570 forms returned). This cohort of responders to the questionnaire consisted, for the most part, of Caucasian males who had been taking clozapine for more than 2 years. Respondents expressed largely favourable views on clozapine treatment. For example, 86.1% claimed to feel better on clozapine and 88.6% claimed to prefer to remain on clozapine than to change to another drug. Many patients stated that they disliked having to undergo blood testing, but a large majority (87.0%) felt that the advantages of clozapine outweighed disadvantages. All other responses supported this overall favourable view of clozapine therapy.Clinical ImplicationsPatients stabilised on clozapine are largely content with their treatment. These results suggest that clozapine is effective as assessed by patients' own standards and that adherence to therapy is likely to be good.

scholarly journals Quality of Health Services and Patients’ Satisfaction in Accredited and Non-Accredited Hospitals

2016 ◽  
Vol 11 (10) ◽  
pp. 298 ◽  
Author(s):  
Naser Ibrahim Saif
Keyword(s):  
Patient Satisfaction ◽  
Response Rate ◽  
Public Hospitals ◽  
Future Research ◽  
Mean Values ◽  
Accreditation Standards ◽  
Discharged Patients ◽  
Quality Of Health Services ◽  
Structured Questionnaire

<p>The majority of hospitals follow voluntary or mandatory accreditation standards; these standards are widely believed to improve the quality of hospital services (QHS) and thereby increase patient satisfaction (PS). The current descriptive-comparative study explored patients’ opinions and beliefs with regard to QHS and PS at accredited and non-accredited Jordanian public hospitals in 2016. Data of discharged patients were collected using a structured questionnaire; 250 patients from four hospitals participated (response rate: 83%). SPSS v.15 was used calculate mean values, standard deviations, and Pearson’s correlation coefficient, and to conduct t-tests. Patients indicated medium levels of QHS and PS in both accredited and non-accredited hospitals; additionally, QHS and PS were significantly correlated (p ≤ 0.05) in both types of hospitals. These results suggest that QHS and PS require improvement in all Jordanian public hospitals; future research should identify causal relationships between implementing accreditation standards and patient satisfaction.</p>

Cerebral cavernous malformations: epidemiological, clinical and diagnostic imaging aspects

2018 ◽  
Vol 8 (2) ◽  
pp. 8-17
Author(s):  
I. Czekalska ◽  
Z. Tyrakowska-Dadełło ◽  
P. Werel ◽  
E. Tarasów ◽  
E. Grodzka
Keyword(s):  
Clinical Symptoms ◽  
Vascular Malformations ◽  
Epileptic Seizures ◽  
Cerebral Cavernous Malformations ◽  
Cavernous Malformations ◽  
Large Size ◽  
Wide Range ◽  
Mean Size ◽  
The Central Nervous System

<b>Introduction:</b> Cerebral cavernous malformations (CCMs) are one of the most common vascular malformations of the central nervous system. Symptoms of CCMs are not typical; the disease can be asymptomatic or be manifested by a wide range of neurological symptoms. <b>Purpose:</b> To evaluate chosen epidemiologic and clinical issues as well as advanced imaging diagnostics of CCMs in computed tomography and magnetic resonance imaging. <b>Materials and methods:</b> The study was based on retrospective analysis of CT and MRI examinations from the 5 years period. The analysis covered 61 persons, 29 males, and 32 females. The CCMs were diagnosed based on MRI examination in 43 patients and CT in 13 patients. <b>Results:</b> The rate of CCMs occurrence in own material was 0.2%. Single lesions were present in 90.2%, while multiple in 9.8% of cases. Supratentorial CCMs were observed in 77% of cases whereas subtentorial in 23%. Mean size of CCMs in the supra- and subtentorial area equaled 10.6±6.3 and 15.1±5.8 mm, respectively (p<0.05). Clinical symptoms occurred in 65.8% of patients, most frequently in patients with CCMs above 5 mm or with subtentorial lesions. All CCMs were hyperdense in CT images, with calcifications in 13.1%. In MRI, malformations showed diverse intensity of the central part with peripheral low-intensity rim of hemosiderine deposits in T2-weighted images. <b>Conclusions:</b> The clinical symptoms occur in most cases of CCMs. These patients require periodic follow-up MRI examinations, specifically those with haemorrhagic incidents or epileptic seizures, with large size or subtentorial CCMs.

scholarly journals Factors affecting patient satisfaction with the psychiatric ward round: retrospective cross-sectional study

2009 ◽  
Vol 33 (8) ◽  
pp. 295-298 ◽  
Author(s):  
Peter Lawrence Zaki Labib ◽  
Lisa Brownell
Keyword(s):  
Patient Satisfaction ◽  
Waiting Time ◽  
Response Rate ◽  
Cross Sectional Study ◽  
Ward Round ◽  
Psychiatric Ward ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Standard Clinical Practice

Aims and MethodA questionnaire was distributed to patients in a psychiatric hospital in Birmingham, UK, to identify the factors that affect their satisfaction with the ward round.ResultsThe questionnaire was completed by 42 patients (53% response rate). Waiting time was the only variable to be significantly correlated with total score of patient satisfaction. Regression analysis also identified diagnosis and patients meeting their consultant before the first ward round as significant predictors of patient satisfaction.Clinical ImplicationsReducing waiting time and ensuring that the consultant meets the patient before the first ward round would make a significant improvement to the in-patient experience, without causing much disruption to standard clinical practice.

scholarly journals The Effect of Applying Accreditation Standards on Patients’ Satisfaction in Jordanian Governmental Hospitals

2018 ◽  
Vol 12 (9) ◽  
pp. 57 ◽  
Author(s):  
Naser Ibrahim Saif
Keyword(s):  
Patient Satisfaction ◽  
Response Rate ◽  
Public Hospitals ◽  
Future Research ◽  
Improve Patient Satisfaction ◽  
Mean Values ◽  
Patients Satisfaction ◽  
Accreditation Standards ◽  
Improve Patient ◽  
Structured Questionnaire

Most hospitals follow voluntary or mandatory accreditation standards, which are widely believed to improve patient satisfaction. The current descriptive, qualitative study explored physicians’ and nurses’ opinions and beliefs regarding implemented accreditation standards on patient satisfaction at accredited Jordanian public hospitals in 2017. Data were collected using a structured questionnaire with 110 physicians and nurses from three hospitals (response rate = 71%). SPSS version 17 was used to calculate mean values, standard deviations, regression, and to conduct t-tests (significant p-values &lt; .05). Results indicated medium levels of patient satisfaction in accredited hospitals, suggesting that patient satisfaction levels require improvement. Future research should identify causal relationships between implementing accreditation standards and patient satisfaction. 

scholarly journals A Prospective Audit of Early Pain and Patient Satisfaction Following Out-Patient Band Ligation of Haemorrhoids

2006 ◽  
Vol 88 (3) ◽  
pp. 275-279 ◽  
Author(s):  
NFS Watson ◽  
S Liptrott ◽  
CA Maxwell-Armstrong
Keyword(s):  
Patient Satisfaction ◽  
Rectal Bleeding ◽  
Severe Pain ◽  
Response Rate ◽  
Prospective Audit ◽  
Prospective Data ◽  
Band Ligation ◽  
Pain Scores ◽  
Structured Questionnaire ◽  
Oral Analgesia

INTRODUCTION Information regarding early morbidity, pain and patient satisfaction following band ligation of haemorrhoids is limited. This is the first report to address these issues specifically. PATIENTS AND METHODS A total of 183 patients underwent the procedure over a 10-month period. Prospective data were collected using a detailed structured questionnaire regarding symptoms, analgesia requirements and patient satisfaction in the following week. RESULTS The response rate was 74% (135/183). Pain scores were highest 4 h following the procedure. At 1 week, 75% of patients were pain-free, with 9 (7%) still experiencing moderate-to-severe pain. About 65% required oral analgesia, most frequently on the day of procedure. Rectal bleeding occurred in 86 patients (65%) on the day after banding, persisting in 32 (24%) at 1 week. Vaso-vagal symptoms occurred in 41 patients (30%) and were commonest at the time of banding. Eighty patients (59%) were satisfied with their experience and would undergo the procedure again. Patients requiring oral analgesia and those experiencing bleeding or vaso-vagal symptoms were significantly less likely to be satisfied with the procedure. Only 57% of the patients surveyed would recommend the procedure to a friend. CONCLUSIONS Data from this large cohort of patients suggest that discomfort and bleeding may persist for a week or more following banding of haemorrhoids. Patients should be aware of this in order to make an informed decision as to whether to undergo the procedure, and surgeons should investigate ways of reducing it. Patient satisfaction may be further improved by more accurate counselling regarding the incidence of specific complications.

Effect of Manipulation under Anesthesia of the First Knee in Staged Bilateral Total Knee Arthroplasty on Clinical Outcome and Satisfaction

2020 ◽  
Author(s):  
Jung-Won Lim ◽  
Yong-Beom Park ◽  
Dong-Hoon Lee ◽  
Han-Jun Lee
Keyword(s):  
Total Knee Arthroplasty ◽  
Patient Satisfaction ◽  
Clinical Outcome ◽  
Clinical Outcomes ◽  
Knee Arthroplasty ◽  
Knee Flexion ◽  
Functional Score ◽  
Manipulation Under Anesthesia ◽  
Total Knee

AbstractThis study aimed to evaluate whether manipulation under anesthesia (MUA) affect clinical outcome including range of motion (ROM) and patient satisfaction after total knee arthroplasty (TKA). It is hypothesized that MUA improves clinical outcomes and patient satisfaction after primary TKA. This retrospective study analyzed 97 patients who underwent staged bilateral primary TKA. MUA of knee flexion more than 120 degrees was performed a week after index surgery just before operation of the opposite site. The first knees with MUA were classified as the MUA group and the second knees without MUA as the control group. ROM, Knee Society Knee Score, Knee Society Functional Score, Western Ontario and McMaster Universities (WOMAC) score, and patient satisfaction were assessed. Postoperative flexion was significantly greater in the MUA group during 6 months follow-up (6 weeks: 111.6 vs. 99.8 degrees, p < 0.001; 3 months: 115.9 vs. 110.2 degrees, p = 0.001; 6 months: 120.2 vs. 117.0 degrees, p = 0.019). Clinical outcomes also showed similar results with knee flexion during 2 years follow-up. Patient satisfaction was significantly high in the MUA group during 12 months (3 months: 80.2 vs. 71.5, p < 0.001; 6 months: 85.8 vs. 79.8, p < 0.001; 12 months: 86.1 vs. 83.9, p < 0.001; 24 months: 86.6 vs. 85.5, p = 0.013). MUA yielded improvement of clinical outcomes including ROM, and patient satisfaction, especially in the early period after TKA. MUA in the first knee could be taken into account to obtain early recovery and to improve patient satisfaction in staged bilateral TKA.

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