Shared decision-making and the lessons learned about decision regret in cancer patients

The commentary presents reflections on the literature on post-treatment cancer patient regret. Even though a lot of effort has been made to increase patient satisfaction by engaging them in medical decisions, patient regret remains present in clinical settings. In our commentary, we identify three main aspects of shared decision-making that previously have been shown to predict patient regret. Based on these findings, we provide recommendations for physicians involved in the shared decision-making process. In addition, we make methodological suggestions for future research in the field.

Cognitive Distractions During Sonographic Procedures: Reducing Noise-Based and Light-Based Interruptions in Hospital Rooms

Sonographers experience a high cognitive load in hospital-based care. High ambient noise and frequent noise-based interruptions include knocking on the room door, questions from others in the room or through communication technology, alarms, alerts from personal devices, and carts and people passing in the hallway. In addition, other providers turning on the overhead light is distracting for exams that need to be conducted in reduced lighting conditions. This article suggests strategies to improve working conditions for sonographers conducting exams on a patient in the hospital room. Our strategies emerge from human factors methods and principles, which derive from communication principles and theory. These strategies are organized by reducing noise-based and light-based interruptions in the hospital room and hallway, primarily through changes to the built environment and communication technology settings and reducing the use of speech during cognitively challenging time periods through training. Most of the strategies are low-cost and can be implemented within the current built environment and communication technology infrastructure. We anticipate that these strategies could enhance patient outcomes, increase patient satisfaction, improve sonographers’ job satisfaction, protect provider health, and increase procedural efficiency.

A screening checklist to minimize the adverse effects of cosmetic dermatological procedures; a short paper (Preprint)

BACKGROUND Cosmetic dermatological procedures which are aimed at enhancing the external appearance have troublesome yet preventable adverse effects. At present, there is a lack of a comprehensive screening guideline to detect patients with risk factors for such adverse effects. OBJECTIVE To introduce a comprehensive screening checklist to pick up the patients’ risk factors in advance, in order to prevent or minimize adverse effects from cosmetic dermatological procedures. METHODS The checklist was administered to 1150 patients attending an outpatient dermatology clinic for cosmetic dermatological procedures. Checklist composed of 30 ‘yes/no’ type questions and 7 other components in the pre-procedure workup. RESULTS Except for two risk factors (being pregnant and having a pacemaker inserted), all other assessed possible risk factors were present in one or more patients who attended for procedures. The most prevalent risk factor was the current use of medications in 226 (19.65%) patients. The other commonly found risk factors were: lack of full understanding of the procedure (14.52%) and phobia/fear of injections (9.30%). CONCLUSIONS The screening checklist that we used is a simple yet comprehensive tool for minimizing the possible adverse effects of cosmetic dermatological procedures. We were able to postpone, take remedial actions or alter the cosmetic dermatological procedures after going through the checklist and increase patient satisfaction and improve the safety of the doctor as well. CLINICALTRIAL Not applicable

Nursing Communication Bundle: Behavior Standards Review Article Series: 1

Changing healthcare delivery systems demand greater accountability from hospital organizations and healthcare providers (Briggs et al., 2018). The radical restructuring of the healthcare system that is required to reduce spiraling healthcare costs and make healthcare accessible to all citizens will necessitate ongoing changes in healthcare organizations. The challenge for hospital organizations is to improve quality and service delivery through an ongoing process of innovation, restructuring of systems and processes, and implementation of aligned service behaviors to increase patient satisfaction and enhance clinical outcomes (Figure 1.0). Patient satisfaction scores serve as system indicators for financial reimbursement from government and private insurance agencies and as impetus for hospital organizations to choose the functional system of delivering care to improve quality, achieve desired outcomes, and enhance the patient care experience. Given the macroeconomic nature of the impact of patient satisfaction scores on hospital reimbursement, the challenge for healthcare organizations is to improve quality and service delivery through an ongoing process of innovation, restructuring systems and processes, and implementation of aligned standardized service behaviors to increase patient satisfaction and enhance clinical outcomes. Hospitals under the current healthcare landscape are rewarded for the quality of care provided; thus, better outcomes indicate hospitals’ financial viability (Centers for Medicare and Medicaid Services, 2018).Managing service delivery across a highly divergent and fast-paced healthcare system requires sharp focus on execution and standardized operational excellence. Continuous quality improvement (CQI) has been shown to be a powerful tool to help make health care organizations more effective. CQI is a structured system for creating organization-wide participation and partnership in planning and implementing continuous improvement methods to understand, meet, or exceed patient needs and expectations. Developing a culture of excellence and quality in care can create an enthusiasm for change, passion for results, and drive for innovation equating to better service to healthcare consumers and better patient satisfaction scores.

Analysis of the Influence of Service Quality, Facilities and Value Rates on Patient Interest through Inpatient Satisfaction at Islam Malahayati Hospital

This study aims to analyze the effect of service quality, facilities and tariff rates on patient interest through inpatient satisfaction at Islam Malahayati Hospital Medan. This research method uses a quantitative approach with path analysis and uses the assistance of the SPSS program version 20.0. This study used a questionnaire with a sample of 56 respondents with data collection. The results of the study based on a partial test show that the Service Quality variable has a positive and significant effect on Patient Satisfaction at Islam Malahayati Hospital Medan, and the tariff value variable has a positive and significant effect on patient satisfaction and the Facility variable has a positive and significant effect on Patient Satisfaction. Then service quality has a positive and significant effect on patient interest in Malahayati Hospital, and service facilities have a positive and significant effect on patient interest. The tariff value has a positive and significant effect on patient interest and patient satisfaction has a positive and significant effect on patient interest. While the results of the study based on the simultaneous test showed that the variables of Service Quality, Facilities and Value Rates had a positive and significant effect on patient satisfaction through patient interest. The implications of this study indicate that through good service to patients it will be able to increase patient satisfaction so that it has an impact on patient satisfaction and patient interest. Facilities that have been determined by the hospital can be reached by the patient and can increase patient visits as well as the value of the rate can be measured through benefits or from what has been provided by the hospital if the facilities provided by the hospital are complete and can fulfill the patient's wishes, it will have a good impact on the development and success of the hospital.

Working towards an ERAS Protocol for Pancreatic Transplantation: A Narrative Review

Enhanced recovery after surgery (ERAS) initially started in the early 2000s as a series of protocols to improve the perioperative care of surgical patients. They aimed to increase patient satisfaction while reducing postoperative complications and postoperative length of stay. Despite these protocols being widely adopted in many fields of surgery, they are yet to be adopted in pancreatic transplantation: a high-risk surgery with often prolonged length of postoperative stay and high rate of complications. We have analysed the literature in pancreatic and transplantation surgery to identify the necessary preoperative, intra-operative and postoperative components of an ERAS pathway in pancreas transplantation.

PENGARUH PEREKRUTAN DAN TRAINING, PEMBERIAN TANGGUNG JAWAB, KOMPENSASI, DAN PROMOSI TERHADAP EFEKTIVITAS KINERJA KARYAWAN

Patient satisfaction is influenced by the quality of services and health facilities. Hospitals must be able to maintain good quality services and health facilities for patients in order to compete with hospitals with better quality services and health facilities. Quality of service is a potential weapon to beat competitors. Health facilities are an important factor in influencing patient satisfaction. Friendly service and good health facilities can increase patient satisfaction resulting in an increase in patient visits. The purpose of this study was to determine or analyze the effect of service quality and health facilities on BPJS patient satisfaction at the hospital. Insani Stabat. This research was conducted at the hospital. Insani Stabat. The type of research used is descriptive quantitative research. The results showed that the variables of service quality and health facilities had an effect either partially or simultaneously on the satisfaction of BPJS patients at the hospital. Insani Stabat. The R Square value of 80.5% indicates that 80.5% of the variable ability of service quality (X1) and health facilities (X2) has an effect on patient satisfaction (Y) at the hospital. Insani Stabat while the remaining 19.5% is the influence of other independent variables that are not explained or not examined by researchers in this study such as location, price and administrative system variables.