scholarly journals Improving the patient's experience in the emergency department during COVID-19 pandemic: a community-based analysis from Western Saudi Arabia.

2021 ◽  
Vol 1 (1) ◽  
pp. 5-9
Author(s):  
Khadijah Banjar ◽  
Sharafaldeen Bin Nafisah
Keyword(s):  
Emergency Department ◽  
Saudi Arabia ◽  
Patient Satisfaction ◽  
Patient Experience ◽  
Treatment Plan ◽  
Cross Sectional Study ◽  
Discharge Instructions ◽  
Cross Sectional ◽  
Survey Tool ◽  
Quality Marker

Background Patient satisfaction is an important measure of the health care encounter. It is challenging to achieve a perfect patient experience during the current COVID-19 pandemic, especially from an emergency department visit. Aim This study aimed to assess the factors that improve patient experience during an emergency department (ED) visit in the western region of Saudi Arabia. Methods This is a cross-sectional study, conducted over a month from January to February 2021. Via an electronic survey tool, we used the de en (EQS-H) to measure patients’ satisfaction with their ED encounter. Results The total level of satisfaction was high in 43.66% (n=224) of participants, moderate in 37.04% (n=190), and 19.29% (n=99) were unsatisfied. We noted significant predictors of dissatisfaction, including increasing age, higher educational level, and the existence of chronic diseases. A clear treatment plan and discharge instructions were important determinants for improving patient satisfaction. Conclusion The determinants of patient satisfaction during an ED visit are an important quality marker of the emergency department encounter. Such findings should be used as a benchmark for future programs aiming to improve patients’ experience during ED visits.

scholarly journals A Cross-Sectional Study on Patient Satisfaction Regarding Teleconsultation Practice During the Covid-19 Pandemic in a Neuro-Psychiatric Hospital in South India

2021 ◽  
Vol 10 (34) ◽  
pp. 2874-2878
Author(s):  
Anjana Rathan ◽  
Bijulakshmi P. ◽  
Mathumathi S ◽  
Vikram Ramasubramanian ◽  
Kannan M.
Keyword(s):  
Patient Satisfaction ◽  
Psychiatric Hospital ◽  
Patient Experience ◽  
South India ◽  
Treatment Process ◽  
Direct Interaction ◽  
Cross Sectional Study ◽  
Geographical Isolation ◽  
Cross Sectional ◽  
Level Of Satisfaction

BACKGROUND Telemedicine involving teleconsultation has been a boon to people during this pandemic situation. Safeguarding one against the infection should not put people who are in dire need of medical help feel helpless and desperate. Teleconsultation, which was previously used for people who did not have access to medical help due to geographical isolation, has come to the rescue of people during this pandemic, and sometimes it is the only timely help that is available to people in need. We wanted to measure the patient satisfaction level regarding the use of telemedicine for psychiatric and psychological consultations during the Covid-19 pandemic. METHODS The level of patient satisfaction was measured using the patient experience and satisfaction survey’ proposed (The Research and Development Survey-RANDS) (measuring patient experience and satisfaction to telemedicine, 2020) to measure the level of satisfaction to telemedicine during this pandemic situation, regarding the use of telemedicine for patients who consulted doctors and psychologists in a psychiatric hospital in South India. People who participated filled the questionnaire through google form links sent to them. RESULTS The results indicate that 28 % of people who consulted psychiatrists, recorded scores indicating that they were satisfied with the teleconsultation service, while 71 % of people who consulted psychologists reported being highly satisfied with the consultation. This study indicated that some still preferred direct interaction with psychiatrists as evidenced by 72 % of people feeling dissatisfied with teleconsultation. CONCLUSIONS This study shows that with people struggling with mental illness direct interaction is crucial in the treatment process, however, teleconsultation could be used for emergencies to ensure compliance with medication and for monitoring symptoms in patients. KEY WORDS COVID 19, Teleconsultation, Neuro-Psychiatric Hospital, Patient Satisfaction

scholarly journals Patient Satisfaction with the Emergency Department Experience in the Era of COVID-19: A National Survey

2021 ◽  
Vol 1 (2) ◽  
pp. 19-25
Author(s):  
Khadijah Banjar ◽  
Sharafaldeen Bin Nafisah
Keyword(s):  
Patient Satisfaction ◽  
Treatment Plan ◽  
Educational Status ◽  
National Scale ◽  
Discharge Instructions ◽  
Cross Sectional ◽  
Number Of Patients ◽  
Sectional Analysis ◽  
The Relationship

Background Patient satisfaction with an ED visit is often overlooked during the ongoing COVID-19 pandemic, and requires further examination. Aim We aim to investigate, on a national scale, patients’ satisfaction during their ED encounter, and to explore the determinants of such satisfaction. Methods This is a cross-sectional analysis conducted between January and February 2021 throughout Saudi Arabia. Result The total number of patients was 508. The median satisfaction score for the clarity of information provided in the ED was 40 (SD=4.94), while satisfaction with the relationship with staff and ED routine revealed a median score of 39.9 (SD=5.08). We noted several determinants of ED satisfaction, including age, marital status, educational status, clarity of the treatment plan, improvement of their condition while in the ED, verbal and/or written discharge instructions, as well as a follow-up call two days after discharge. Conclusion Patient satisfaction is an integral part of the patient-centred approach in the ED, and should be continuously evaluated.  

scholarly journals Do Patients Know Their Physicians' Names and Their Specialties? Results from King Abdulaziz Medical City, Riyadh, Saudi Arabia

2014 ◽  
Vol 4 (1) ◽  
pp. 9-13
Author(s):  
Salih Binsalih ◽  
Omar Al Harthi ◽  
Mohammad Qahtani ◽  
Abdullah Al Sayyari
Keyword(s):  
Emergency Department ◽  
Saudi Arabia ◽  
Length Of Hospital Stay ◽  
Female Gender ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical City ◽  
Arabic And English ◽  
Medical Wards

Objective: To determine if inpatients in medical wards are aware who their most responsible physician (MRP) is and what is the nature of his/her specialty and if this awareness is influenced by age, sex, method of admission and the length of hospital stay. Methods: A cross-sectional study conducted at King Abdulaziz Medical City, Riyadh. Results: One hundred patients completed the survey from 7 different wards. 66% were male and two-thirds of the patients were over the age of 60 years, and 55% were inpatients for more than 10 days. Overall respondents, 43% knew the name of their MRP whereas 57% did not. Conclusion: Reduced awareness was more often observed in female gender, older age and being admitted through Emergency Department. It's recommended that MRPs' names on signboards be written in Arabic and English in all wards.

scholarly journals Impact of volunteers in the emergency department

2020 ◽  
Vol 29 (16) ◽  
pp. 940-946
Author(s):  
Freya Mehta ◽  
Peter Griffiths
Keyword(s):  
Emergency Department ◽  
Patient Experience ◽  
Emotional Support ◽  
Emergency Departments ◽  
Cross Sectional Study ◽  
Substantial Contribution ◽  
Cross Sectional ◽  
Rate Difference ◽  
Food And Drink ◽  
Hospital Volunteers

Background: Fundamental aspects of patient experience have been reported as substandard in emergency departments. Hospital volunteers can improve the patient experience in inpatient settings. However, evidence is limited on their impact in emergency departments. Aims: To determine whether emergency department volunteers could enhance patient experience through assisting with the psychological aspect of patient care and patients' nutritional needs. Methods: Patients attending an emergency department responded to a questionnaire as part of a cross-sectional study. Comparisons were made between when the volunteer scheme was running and when there were no volunteers. Outcomes included patient experience of emotional support from staff and access to food and drink. Results: Patients present when the volunteer scheme was running reported obtaining food and drink more often (96/124 vs 20/39, % rate difference 26, 95% CI 10–42, P=0.002) and that a member of staff offered them something to eat and drink more frequently (96/146 vs 19/52, % rate difference 29, 95% CI 14–45, P<0.001). There was no difference between patient responses when the volunteer scheme was running and not for emotional support from staff (49/68 vs 14/21, % rate difference 5, 95% CI -17-28, P=0.63). Conclusions: Hospital volunteers made a substantial contribution to providing food and drink to patients in the emergency department. Emotional support from volunteers was limited.

Evaluation of patient satisfaction with HIV/AIDS care and treatment: a cross-sectional study

2017 ◽  
Vol 5 (1) ◽  
pp. 138
Author(s):  
Syed Imran Ahmed ◽  
Ashvinni Ramach ◽  
Keivan Ahmadi ◽  
Syed Shahzad Hasan ◽  
Christopher KC Lee
Keyword(s):  
Patient Satisfaction ◽  
Patient Experience ◽  
Patient Autonomy ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Education Levels ◽  
Patient Responses ◽  
Social Components

Background, aims and objectives: Patient experience influences the adherence to therapy and achievement of treatment outcomes, supplementing traditional indicators such as care processes and survival outcomes. This study aimed to examine the effect of relationship with healthcare providers on patient satisfaction.  Methods: A cross-sectional study carried out at an HIV outpatient clinic from August 2013 to October 2013. Patients were interviewed using a questionnaire adapted and contextualised from an online database. The questionnaire covered aspects related to healthcare providers’ attitude and knowledge, clinic services, patient autonomy and dignity, characteristics of healthcare providers as well as the sociodemographic backgrounds of the participants. A R® program for statistical computing was used for data analysis. Results: Satisfaction with healthcare providers and respect for patient autonomy contributed the most to overall patient satisfaction, influencing 35% of the observed variance in patient responses. Clinic services and independent characteristics of healthcare providers also had minor roles in influencing patient experience. Social components outweighed clinical components in terms of sociodemographic influence on perceived quality of care. Education levels (p ≤ 0.05) and employment status (p ≤ 0.1) were significant determinants of patient experience; however, they were the only two sociodemographics associated with patient satisfaction. Other social and all clinical factors were not significantly associated with patient experience. Conclusion: Relationship with healthcare providers as well as the degree to which patient autonomy is maintained are the most important determinant of patient satisfaction. Overall, social components have more prominent roles in influencing patient satisfaction compared to clinical components.

scholarly journals Progression of Emergency Medicine Resident Patient Experience Scores by Level of Training

2018 ◽  
Vol 6 (3) ◽  
pp. 210-215
Author(s):  
Laura E Walker ◽  
James E Colletti ◽  
M Fernanda Bellolio ◽  
David M Nestler
Keyword(s):  
Emergency Medicine ◽  
Patient Satisfaction ◽  
Patient Experience ◽  
Clinical Skill ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Emergency Department Care ◽  
Emergency Medicine Resident ◽  
Patient Satisfaction Scores ◽  
Level Of Training

Background: Patient satisfaction surveys are vital to measuring a patient’s experience of care. How scores of patients managed by emergency medicine (EM) residents change as residents progress through training is not known. Objectives: To evaluate whether EM residents’ patient satisfaction scores improve as residency training progresses, similar to clinical skill improvement. Methods: A retrospective cross-sectional study evaluated the correlation of patient satisfaction scores with EM resident year of training from 2015 through 2017. We evaluated for a change in score over time for the 4 “physician questions” and the “overall” score. Results: We evaluated 1684 Press Ganey surveys linked to 40 EM resident physicians during the study period. The mean top box scores for the 4 physician questions (concern for comfort [ P = .72], courtesy [ P = .55], informative about treatment [ P = .46], and listening [ P = .91]) and overall assessment of emergency department care ( P = .51) were not significantly improved over the course of resident. Conclusion: We did not observe a difference in EM residents’ patient experience scores as their level of training progressed. Comprehensive patient experience training for residents might be needed.

scholarly journals Factors associated with non-urgent visits to the emergency department in a tertiary care centre, western Saudi Arabia: cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e035951
Author(s):  
Saja S Al-Otmy ◽  
Abeer Z Abduljabbar ◽  
Rajaa M Al-Raddadi ◽  
Fayssal Farahat
Keyword(s):  
Emergency Department ◽  
Saudi Arabia ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Centre ◽  
Sectional Study ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Factors Associated ◽  
Life Threatening

ObjectivesTo explore magnitude and factors associated with non-urgent visits to the emergency department (ED) in a tertiary care centre, western Saudi Arabia.DesignA cross-sectional study.SettingED of a tertiary care hospital in western Saudi Arabia.Participants400 patients, both men and women.InterventionsAn interview-based questionnaire was administered to a consecutive sample of patients who visited the ED during morning shifts, where primary healthcare centres (PHCs) and outpatient clinics were available.Primary outcome measureED visits classified as non-urgent versus urgent (excluding life-threatening conditions) based on the Canadian Triage and Acuity Scale (CTAS). Levels IV and V were classified as non-urgent.ResultsMajority of the cases were adult (97.3%) and half of them were women (54.8%). Non-urgent visits represented 78.5% among non-life-threatening cases. One-third of the patients (33.8%) had three visits or more to the ED during the past year. Main reasons for visiting the ED were perception that the condition was urgent (42.0%), easy access (25.5%) and limited resources and services at the PHCs (17.8%). Patients 40–50 years old were more likely to have non-urgent visits (OR=3.21, 95% CI 1.15 to 8.98). However, likelihood of non-urgent visits was significantly lower among patients with cancer (OR=0.37, 95% CI 0.19 to 0.72) and cardiovascular disease (OR=0.43, 95% CI 0.23 to 0.83), and those who live near the hospital (OR=0.49, 95% CI 0.28 to 0.88).ConclusionsThe current study reported overuse of the ED. Enhancement of the primary care services, in concordance with community awareness, is an important component to reduce burden due to non-urgent use of the ED.

scholarly journals Do Patients Know Their Physicians' Names and Their Specialties? Results from King Abdulaziz Medical City, Riyadh, Saudi Arabia

2014 ◽  
Vol 4 (1) ◽  
pp. 9-13
Author(s):  
Salih Binsalih ◽  
Omar Al Harthi ◽  
Mohammad Qahtani ◽  
Abdullah Al Sayyari
Keyword(s):  
Emergency Department ◽  
Saudi Arabia ◽  
Length Of Hospital Stay ◽  
Female Gender ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical City ◽  
Arabic And English ◽  
Medical Wards

Objective: To determine if inpatients in medical wards are aware who their most responsible physician (MRP) is and what is the nature of his/her specialty and if this awareness is influenced by age, sex, method of admission and the length of hospital stay. Methods: A cross-sectional study conducted at King Abdulaziz Medical City, Riyadh. Results: One hundred patients completed the survey from 7 different wards. 66% were male and two-thirds of the patients were over the age of 60 years, and 55% were inpatients for more than 10 days. Overall respondents, 43% knew the name of their MRP whereas 57% did not. Conclusion: Reduced awareness was more often observed in female gender, older age and being admitted through Emergency Department. It's recommended that MRPs' names on signboards be written in Arabic and English in all wards.

scholarly journals The Buffering Effect of Humanity of Care in the Relationship between Patient Satisfaction and Waiting Time: A Cross-sectional Study in an Emergency Department

2020 ◽  
Vol 17 (8) ◽  
pp. 2939
Author(s):  
Sara Viotti ◽  
Claudio Giovanni Cortese ◽  
Jacopo Garlasco ◽  
Erika Rainero ◽  
Ifeoma Nneka Emelurumonye ◽  
...  
Keyword(s):  
Emergency Department ◽  
Patient Satisfaction ◽  
Waiting Time ◽  
Cross Sectional Study ◽  
Self Report ◽  
Cross Sectional ◽  
Randomized Design ◽  
Conditional Effect ◽  
The Relationship

This study aims to examine whether humanity of care and environmental comfort played a role in moderating the relationship between waiting time and patient satisfaction in an emergency department (ED). The study used a cross-sectional and non-randomized design. A total of 260 ED patients in two hospitals in Italy completed a self-report questionnaire. Moderated regression showed that after adjusting for control variables, waiting time was significantly and inversely associated with patient satisfaction. Humanity of care and environmental comfort showed a positive and significant association with patient satisfaction. Finally, the interaction term between waiting time and humanity of care was found to be significant, whereas the interaction effect between waiting time and environmental comfort was not significant. The conditional effect showed that when humanity of care was low, waiting time was negatively and significantly related to patient satisfaction. By contrast, when humanity of care was medium and high, the relationship between waiting time and patient satisfaction was not significant. These findings shed light on the key role of humanity of care in moderating the relationship between waiting time and patient satisfaction. The complex interrelations emerged should be carefully considered when interventions to foster patient satisfaction in an ED context are planned.

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