scholarly journals Provider and patient satisfaction with the integration of ambulatory and hospital EHR systems

2018 ◽  
Vol 25 (8) ◽  
pp. 1054-1063 ◽  
Author(s):  
Chad D Meyerhoefer ◽  
Susan A Sherer ◽  
Mary E Deily ◽  
Shin-Yi Chou ◽  
Xiaohui Guo ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
System Integration ◽  
Clinical Information ◽  
Access To Information ◽  
Work Processes ◽  
Automatic Data ◽  
Provider Satisfaction ◽  
Good Communication ◽  
Care Experience ◽  
Healthcare Network

Abstract Objective The installation of EHR systems can disrupt operations at clinical practice sites, but also lead to improvements in information availability. We examined how the installation of an ambulatory EHR at OB/GYN practices and its subsequent interface with an inpatient perinatal EHR affected providers’ satisfaction with the transmission of clinical information and patients’ ratings of their care experience. Methods We collected data on provider satisfaction through 4 survey rounds during the phased implementation of the EHR. Data on patient satisfaction were drawn from Press Ganey surveys issued by the healthcare network through a standard process. Using multivariable models, we determined how provider satisfaction with information transmission and patient satisfaction with their care experience changed as the EHR system allowed greater information flow between OB/GYN practices and the hospital. Results Outpatient OB/GYN providers became more satisfied with their access to information from the inpatient perinatal triage unit once system capabilities included automatic data flow from triage back to the OB/GYN offices. Yet physicians were generally less satisfied with how the EHR affected their work processes than other clinical and non-clinical staff. Patient satisfaction dropped after initial EHR installation, and we find no evidence of increased satisfaction linked to system integration. Conclusions Dissatisfaction of providers with an EHR system and difficulties incorporating EHR technology into patient care may negatively impact patient satisfaction. Care must be taken during EHR implementations to maintain good communication with patients while satisfying documentation requirements.

scholarly journals Adherence to best care practices in normal birth: construction and validation of an instrument

2015 ◽  
Vol 49 (6) ◽  
pp. 889-897 ◽  
Author(s):  
Elisabete Mesquita Peres de Carvalho ◽  
Leila Bernarda Donato Göttems ◽  
Maria Raquel Gomes Maia Pires
Keyword(s):  
Content Validity ◽  
Semantic Analysis ◽  
Three Dimensions ◽  
Work Processes ◽  
Evidence Based Practices ◽  
Normal Birth ◽  
Pregnancy And Childbirth ◽  
Healthcare Network ◽  
The Face ◽  
Care Practices

Abstract OBJECTIVE To describe the stages of construction and validation of an instrument in order to analyze the adherence to best care practices during labour and birth. METHOD Methodological research, carried out in three steps: construction of dimensions and items, face and content validity and semantic analysis of the items. RESULTS The face and content validity was carried out by 10 judges working in healthcare, teaching and research. Items with Content Validity Index (CVI) ≥ 0.9 were kept in full or undergone revisions as suggested by the judges. Semantic analysis, performed twice, indicated that there was no difficulty in understanding the items. CONCLUSION The instrument with three dimensions (organization of healthcare network to pregnancy and childbirth, evidence-based practices and work processes) followed the steps recommended in the literature, concluded with 50 items and total CVI of 0.98.

scholarly journals Confidentiality and security of clinical information in mental health practice

2002 ◽  
Vol 8 (4) ◽  
pp. 291-296 ◽  
Author(s):  
Roy McClelland ◽  
Victoria Thomas
Keyword(s):  
Mental Health ◽  
Social Services ◽  
Information And Communication Technologies ◽  
New Technologies ◽  
Personal Information ◽  
Health Sector ◽  
Clinical Information ◽  
Health Care Organisation ◽  
Good Communication ◽  
The Impact

‘Security holds the key’ was the title of a newspaper article concerned with e-commerce (D. Sumner-Smith, The Sunday Times, 6 February, 2000, p. 3.13). However, it applies just as readily to the health sector. The need to safeguard the confidentiality of information that patients share with clinicians is as fundamental as the principle of consent. This issue has come to the fore in the context of the rapid developments and applications of information and communication technologies within society in general and within the health sector in particular. There are also changing societal expectations regarding access to information, confidentiality and disclosure. The emerging scenarios present significant challenges in relation to the traditional methods used to deal with the privacy and confidentiality of personal information (Anderson, 1995). In addition to the impact of new technologies, consideration also needs to be given to the impact of changes in health care organisation and practice, for example multidisciplinary and multi-agency working. Mental health services are in many respects at the vanguard of these changes, where the ideals of community care, shared care and seamless care depend fundamentally on good communication and information sharing. Failures in communicating information, particularly across sectoral boundaries, have led to significant problems in patient care, as revealed in several recent enquiries into homicides (Northamptonshire Health Authority & Northamptonshire Social Services, 1999)

scholarly journals Communication Skills Training for Surgical Inpatient Advanced Practice Providers in an Academic Health-Care System

2018 ◽  
Vol 7 (1) ◽  
pp. 42-48
Author(s):  
Johncy Joseph ◽  
Corinna Sicoutris ◽  
Steven E Raper
Keyword(s):  
Patient Satisfaction ◽  
Clinical Outcomes ◽  
Communication Skills ◽  
Skills Training ◽  
Patient Communication ◽  
Fiscal Year ◽  
Inpatient Setting ◽  
Advanced Practice ◽  
Good Communication ◽  
Course Content

Background: Good communication skills enhance the patient experience, clinical outcomes, and patient satisfaction. Objective: A course was developed by an interdisciplinary team (surgeon, nurse practitioner, and nurse MBA) for advanced practice providers (APPs) working for the department of surgery—a mix of practice and hospital-employed professionals—to enhance communications skills in an inpatient setting. Methods: Current concepts on provider–patient communication were discussed. Participants also asked to view and critique a video “provider–patient communication gone wrong” scenario. Lastly, participants were provided with techniques for improving provider–patient communication. The participants assessed the course. Provider communication scores were tracked from quarter 1, Fiscal Year 2014 to quarter 4 Fiscal Year 2017. Results: Of 110 eligible APPs, 95 (86%) attended the course. The anonymous survey response rate was 90% (86/95). Participants expressed satisfaction with the course content confirmed by Likert score weighted averages of >4.6/5 in all 8 domains. Communication scores increased with time. Conclusion: An interdisciplinary course aimed at enhancing provider–patient communication skills was well-received by the APP participants. The course was part of ongoing system-wide efforts to improve patient experiences, satisfaction, and outcomes. Continuing education in communication continues to play a key role in improving clinical outcomes and patient satisfaction.

scholarly journals Antimicrobial Dressing versus Standard Dressing in Obese Women Undergoing Cesarean Delivery: A Randomized Controlled Trial

2020 ◽  
Author(s):  
Antonio F. Saad ◽  
Ashley E. Salazar ◽  
Lindsey Allen ◽  
George R. Saade
Keyword(s):  
Randomized Controlled Trial ◽  
Patient Satisfaction ◽  
Pregnant Women ◽  
Cesarean Delivery ◽  
Wound Dressing ◽  
Controlled Trial ◽  
Population Characteristics ◽  
Standard Group ◽  
Provider Satisfaction ◽  
Randomized Controlled

Objective This study aimed to evaluate the effect of a novel antimicrobial dressing on patient satisfaction and health-related quality of life (HRQoL) following a cesarean delivery. Study Design  This was an open-label, single-center, two-arm randomized controlled trial. This study was done at the tertiary center, maternal unit, Galveston, TX. Pregnant women with body mass indices ≥35 kg/m2 were screened for eligibility. Women were randomized to ReliaTect Post-Op Dressing (RELIATECT) or standard wound dressing (STANDARD). Primary outcome was patient satisfaction and HRQoL using validated questionnaires. Secondary outcomes were provider satisfaction, surgical site infection (SSI) rates, and wound complications. Results In total, 160 women were randomized. Population characteristics were not significant among groups. RELIATECT dressing group had an overall higher score of satisfaction and HRQoL compared with STANDARD group. Women in the RELIATECT group reported less incision odor and incisional pain. Compared with the STANDARD group, most women in RELIATECT dressing group reported better daily activities, self-esteem, personal hygiene, body image, and sleep. Providers reported that the RELIATECT dressing allowed better assessment of the surgical incision site, allowed patients to shower early, and did observe less wound dressing leakage. No differences were found in other secondary end points. Conclusion Postcesarean RELIATECT dressing for wound care in pregnant women with obesity had better patient and provider satisfaction as well as better HRQoL scores. Further, level 1 evidence is needed to assess its impact on SSI rates and wound complication, as this trial was not powered to accomplish this goal. Key Points

Enhancing Nurse–Resident Physician Partnerships

2015 ◽  
Vol 21 (3) ◽  
pp. 150-155 ◽  
Author(s):  
Linnea A. Benike ◽  
Jeannie E. Clark
Keyword(s):  
Patient Satisfaction ◽  
Patient Outcomes ◽  
Recent Literature ◽  
Resident Physician ◽  
Collaborative Culture ◽  
Common Elements ◽  
Interprofessional Communication ◽  
Provider Satisfaction ◽  
Individualized Care ◽  
Favorable Influence

Literature has long suggested that collaboration and interprofessional communication are associated with improved provider satisfaction, patient satisfaction, and the provision of individualized care. More recent literature has documented the favorable influence of a collaborative culture on patient outcomes. In response to the growing need for enhanced nurse–physician partnership and recognition of its impact on the patient experience, nurses are designing unit-based programs to bring the two professions together for opportunities to enhance partnership. This article discusses two approaches to enhancing nurse–resident physician partnership introduced by Benike and Clark (2013) and identifies common elements that were critical to the programs’ success.

A systematic review of satisfaction with teledermatology

2017 ◽  
Vol 24 (4) ◽  
pp. 263-270 ◽  
Author(s):  
Jessica S Mounessa ◽  
Stephanie Chapman ◽  
Taylor Braunberger ◽  
Rosie Qin ◽  
Jules B Lipoff ◽  
...  
Keyword(s):  
Systematic Review ◽  
Patient Satisfaction ◽  
Provider Satisfaction ◽  
Store And Forward

Background The two most commonly used modalities of teledermatology (TD) are store-and-forward (SF) and live–interactive (LI) TD. Existing studies have not compared these tools with respect to patient and provider satisfaction. Objective To systematically review all published studies of patient and provider satisfaction with SF and LI TD. Methods PubMed, EMBASE, and Cochrane databases were systematically searched for studies on provider or patient satisfaction with SF or LI TD between January 2000 and June 2016. Results Forty eligible studies were identified: 32 with SF TD, 10 with LI TD, and 2 evaluating both. With SF TD, 96% of studies assessing patient satisfaction and 82% of studies assessing provider satisfaction demonstrated satisfaction ( n = 24 and 17, respectively). With LI TD, 89% of studies assessing patient satisfaction and all studies assessing provider satisfaction revealed satisfaction (n = 9 and 6, respectively). Conclusion Patients and providers are satisfied with both SF and LI TD. Studies assessing satisfaction with LI have not been conducted in recent years, and have only been conducted in limited geographic patient populations. Further research assessing satisfaction with TD will help address any dissatisfaction with its uses and allow for increased support and funding of future programmes.

scholarly journals HUBUNGAN KOMUNIKASI TERAPEUTIK PERAWAT DENGAN KEPUASAN PASIEN RAWAT INAP

2019 ◽  
Vol 1 (2) ◽  
pp. 54-61
Author(s):  
Iskandar Markus Sembiring ◽  
Novita Br Ginting Munthe
Keyword(s):  
Patient Satisfaction ◽  
Quantitative Research ◽  
Sampling Technique ◽  
Patient Needs ◽  
Therapeutic Communication ◽  
Good Communication ◽  
Patient’S Satisfaction ◽  
Patient Dissatisfaction ◽  
A Value ◽  
The Relationship

Good communication between nurses and patients is one thing in meeting patient needs. Communication in question is therapeutic communication in providing nursing care to patients. The low therapeutic communication carried out by nurses has an impact on patient dissatisfaction. New patients will be satisfied if the performance of the health services they obtain is the same or exceeds their expectations. The general objective of this study is to analyze the relationship between therapeutic communication of nurses and the satisfaction of inpatients. This type of research is quantitative research with the design of the study is descriptive correlation and how to collect data by distributing questionnaires. Sampling technique with purposive sampling technique. The statistical test used is spearman's rho. The results showed that there was a relationship between therapeutic communication of nurses and patient satisfaction, of 36 respondents there were 22 people (61.1%) patients who were dissatisfied with nurse therapeutic communication with a value of P = 0.043, p <α (0.05), with a value R = 0.339, then the relationship between therapeutic communication nurses with patient satisfaction is a strong category. Based on the results of this study, it is expected that the deli hospital will improve and conduct training on the implementation of nurse therapeutic communication so that the patient's satisfaction level increases.

scholarly journals Komunikasi dan Edukasi Dokter pada Pasien Melasma

2019 ◽  
Author(s):  
Felita Hanin Firstari
Keyword(s):  
Patient Satisfaction ◽  
Communication Skill ◽  
Patient Communication ◽  
Good Doctor ◽  
Good Communication ◽  
Good Communication Skill

Patient satisfaction is something that very important for doctor. Patient satisfaction it’s not just about physic recovery, but also mental recovery. In melasma patients, who often have problem to deal with their self because of their condition, a good communication from their doctor can help them to relieve their confidence and also build up their mental. Because of that, doctor should have good communication skill in order to fulfil their duties. Doctor and patient communication is the part of doctor professionality that determine doctor competency. This competency is made for improving doctor skills, so they can be a good doctor. Moreover, to make sure the patients understand their treatment, doctor should educate them. This communication and education can be different for each melasma patients depending on their condition and needs. So, doctor should know the best method to communicate with patients and to educate them effectively. The methods can make patients tell their problem honestly and make them trust their doctor.

scholarly journals Developing An Analytic Approach to Understanding the Patient Care Experience

2016 ◽  
Vol 3 (4) ◽  
pp. 151-154 ◽  
Author(s):  
Mary Kate Springman ◽  
Yalissa Bermeo ◽  
Heather M Limper ◽  
Alison S Tothy
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Patient Care ◽  
Patient Experience ◽  
Medical Center ◽  
Analytic Approach ◽  
Care Experience ◽  
Patient Voice ◽  
Reporting Tool ◽  
The Impact

The amount of data available to health-care institutions regarding the patient care experience has grown tremendously. Purposeful approaches to condensing, interpreting, and disseminating these data are becoming necessary to further understand how clinical and operational constructs relate to patient satisfaction with their care, identify areas for improvement, and accurately measure the impact of initiatives designed to improve the patient experience. We set out to develop an analytic reporting tool deeply rooted in the patient voice that would compile patient experience data obtained throughout the medical center.

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