scholarly journals Real-time patient experience surveys of hospitalized medical patients

2016 ◽  
Vol 11 (4) ◽  
pp. 251-256 ◽  
Author(s):  
Kimberly Indovina ◽  
Angela Keniston ◽  
Mark Reid ◽  
Katherine Sachs ◽  
Chi Zheng ◽  
...  
Keyword(s):  
Real Time ◽  
Patient Experience ◽  
Medical Patients

Measuring Patient Experience In Real Time Using IBeacon Technology

2019 ◽  
Vol 12 (2) ◽  
pp. 230-238
Author(s):  
Dalal Al-Alqusair ◽  
Isra Al-Turaiki ◽  
Abeer Al-Humaimeedy ◽  
Ghada Alhudhud
Keyword(s):  
Real Time ◽  
Patient Experience

PD-0855 First patient experience with real-time EPID-based breath hold monitoring during breast radiotherapy

2021 ◽  
Vol 161 ◽  
pp. S688-S689
Author(s):  
E. Vasina ◽  
P. Greer ◽  
J. Baeza Ortega ◽  
T. Kron ◽  
J. Ludbrook ◽  
...  
Keyword(s):  
Real Time ◽  
Patient Experience ◽  
Breath Hold ◽  
Breast Radiotherapy

scholarly journals 203 Rounding for Outcomes: Transforming Emergency Department Patient Experience Through Real-Time Feedback

2016 ◽  
Vol 68 (4) ◽  
pp. S79-S80
Author(s):  
M. Saidinejad ◽  
S.N. Morrison ◽  
K. Breslin ◽  
S.V. Patel ◽  
S.F. Iqbal ◽  
...  
Keyword(s):  
Emergency Department ◽  
Real Time ◽  
Patient Experience ◽  
Emergency Department Patient

scholarly journals Capturing patient experience: a qualitative study of implementing real-time feedback in primary care

2016 ◽  
Vol 66 (652) ◽  
pp. e786-e793 ◽  
Author(s):  
Mary Carter ◽  
Antoinette Davey ◽  
Christine Wright ◽  
Natasha Elmore ◽  
Jenny Newbould ◽  
...  
Keyword(s):  
Primary Care ◽  
Qualitative Study ◽  
Real Time ◽  
Patient Experience

scholarly journals An evaluation of a near real-time survey for improving patients’ experiences of the relational aspects of care: a mixed-methods evaluation

2018 ◽  
Vol 6 (15) ◽  
pp. 1-174 ◽  
Author(s):  
Chris Graham ◽  
Susanne Käsbauer ◽  
Robyn Cooper ◽  
Jenny King ◽  
Steve Sizmur ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Real Time ◽  
Patient Experience ◽  
Elderly Care ◽  
Patient Experiences ◽  
Research Network ◽  
Compassionate Care ◽  
Experience Survey ◽  
Study Sites

Background The Francis Report (of 2013) provided many recommendations to improve compassionate care in NHS organisations, including more widespread use of real-time feedback (RTF) to collect patient experience data. This research directly addressed these recommendations and aimed to provide an evidence-based toolkit to support NHS quality improvements. Objectives To develop and validate a survey of compassionate care for use in near real time on elderly care wards and accident and emergency (A&E) departments. This research also evaluated the effectiveness of the RTF approach for improving relational aspects of care and provides suggestions for how the approach can be used by other hospitals to strengthen compassionate care. Design The research utilised a mixed-methods design, using quantitative, qualitative and participatory research approaches to collect patients’ experiences of relational care and the views of NHS staff in an effort to evaluate the processes and impacts of near real-time feedback (NRTF) data collection. Data sources included a NRTF patient experience survey, weekly volunteer diaries, staff interviews and surveys, workshops and meetings with case study sites. Setting The research was carried out across six case study sites across England, in wards that predominantly serve elderly patients and in A&E departments. Participants The 3928 participants in the patient experience survey were inpatients on elderly care wards, or persons who had sought medical care in A&E. Frontline staff, service leads, senior management and volunteers also took part in surveys (n = 274) and interviews (n = 82) designed to understand the staff perspectives and opinions of collecting patient experience data. Interventions A patient experience survey was implemented using a tablet computer-based methodology, facilitated by trained volunteers. Responses were used alongside feedback from staff to evaluate the use of a NRTF approach as a method for improving patient experiences of relational aspects of care. Main outcome measures The patient experience survey measured relational aspects of care. Another outcome measure was improvements to care as planned, implemented and reported by staff. Results A small but statistically significant improvement (p = 0.044) in relational aspects of care over the course of the study was noted overall. Staff implemented a variety of improvements to enhance communication with patients. Limitations Maintaining volunteer and staff engagement throughout the study was difficult. Few surveys were completed per ward or department each week. This made examining trends in patient experiences over time challenging. Conclusions Near real-time feedback offers an effective approach for monitoring and improving relational aspects of care. Future work Staff frequently expressed a view that volunteers’ interactions with patients while administering the survey were themselves beneficial to patients. Future research should examine the impact of volunteer interactions with patients on their experiences of relational aspects of care. Study registration The project is registered on the Clinical Research Network portfolio under the primary trial identification number 18449. Funding The National Institute for Health Research Health Services and Delivery Research programme.

Validation of a real-time patient-reported experience measurement tool for cancer patients in Ontario.

2016 ◽  
Vol 34 (7_suppl) ◽  
pp. 174-174
Author(s):  
Lesley Moody ◽  
Sarah Benn ◽  
Luciano Ieraci ◽  
Saurabh Ingale ◽  
Simron Singh
Keyword(s):  
Quality Improvement ◽  
Real Time ◽  
Patient Experience ◽  
Cancer Care ◽  
System Level ◽  
Cronbach Alpha ◽  
Ambulatory Oncology ◽  
Patient Reported ◽  
Multiple Variable ◽  
Multiple Variable Regression

174 Background: Cancer Care Ontario (CCO) organizes and ensures quality cancer care for 16 million residents in Ontario. CCO's goal is to create a tool to enable reporting of the patient experience in real time. The study objective was to develop a validated real-time (close to or at point of care) patient reported experience measurement (PREM) tool to drive quality improvement, advance system planning and ensure cost effective resource allocation based on patients’ needs, wants and preferences in ambulatory oncology treatment phase. Methods: Consisting of 28 questions – 18 core questions; 2 open-ended responses; and 8 demographic questions the tool underwent cognitive testing with patient family advisors and was validated using a pilot at 6 cancer centres from April to August, 2015. It was administered using several delivery modes: tablets, patient portals, post cards and paper. The patient journey in visiting centres was conceptualized as containing the steps or domains of interest: arrival, appointment/consultation and overall experience. To validate the patient experience conceptual model, an exploratory factor analysis was performed and compared to CCO’s 8 domain patient experience model. Reliability and validity of the tool was tested using Cronbach’s alpha and multiple variable regression analysis in partnership with Ipsos Reid. Results: 557 responses (496 electronic and 61 paper) formed the basis of the analysis. The tool was shown to be both valid and reliable - an overall adjusted R2 value of 64% from multiple variable regression on overall patient experience; and an overall Cronbach alpha value of 0.83, respectively. Individual Cronbach alpha values ranged from: 0.69 for “appointment/consultation”, 0.55 for “overall experience” and 0.24 for patient “arrival.” Conclusions: Statistical analysis results were used to produce a final validated tool for deployment to systematically capture PREMs through an electronic system in Ontario, Canada in 2016.To our knowledge this is the first of its kind. Collection of real time PREMS will ensure local and system level planning and quality improvement in the cancer system are rooted in what matters most to patients and their families.

4Ts HIT Scoring in the Medical-Surgical ICU

Blood ◽  
2011 ◽  
Vol 118 (21) ◽  
pp. 4669-4669
Author(s):  
Mark A. Crowther ◽  
Diane Heels-Ansdell ◽  
David Williamson ◽  
John Granton ◽  
Lisa Burry ◽  
...  
Keyword(s):  
Real Time ◽  
Critically Ill ◽  
Research Funding ◽  
Study Drug ◽  
Medical Patients ◽  
Off Label Use ◽  
Research Coordinator ◽  
Trained Personnel ◽  
Surgical Icu ◽  
Local Laboratory

Abstract Abstract 4669 Background: Thrombocytopenia occurs in 20–45% of critically-ill medical-surgical patients. The ‘4Ts’ HIT score (with 4 domains: Thrombocytopenia, Timing of thrombocytopenia, Thrombosis and oTher reason for thrombocytopenia) might reliably identify patients at low risk of HIT. Agreement on 4Ts scoring is uncertain in this setting. Objective: To compare 4Ts HIT scores among research coordinators (who scored real-time), and 2 adjudicators (who scored retrospectively, independently) during an international heparin thromboprophylaxis trial. Methods: 763 of 3746 medical-surgical ICU patients in PROTECT met enrolment criteria in this HIT substudy, if any of the following occurred: platelets <50×109/L, platelets decreased to 50% of ICU admission value, venous thrombosis, or if HIT was otherwise clinically suspected. Persons independently completed 4Ts scores blinded to all laboratory HIT results and each others' scores. 475 of these patients had a central or local laboratory HIT test performed and had 4Ts scoring by adjudicators; 432 were scored by research coordinators. Results: Most patients (410, 86.3%) had a 4Ts score ≤3 conferring a low pretest probability (PTP) of HIT whereas 57 (12.0%) had a moderate PTP, and 8 (1.7%) had a high PTP, as determined by adjudicator consensus. Raw agreement on the 4Ts score was good for central adjudicators overall; however, agreement between adjudicated consensus scores and real time research coordinator scores was not as high. 4Ts agreement (raw and chance-corrected) is presented below. Conclusions: Real time 4Ts scoring by research coordinators was reasonably close to that obtained by calibrated central adjudicators, suggesting the 4Ts score is somewhat reliable at the bedside when performed by trained personnel. The fourth domain of 4Ts (oTher causes of thrombocytopenia) generated the most disagreement. Further studies of 4Ts scoring by bedside clinicians is needed. Funding: Heart and Stroke Foundation of Canada Disclosures: Crowther: Pfizer: Consultancy, Honoraria; Leo Pharma: Consultancy, Honoraria; Bayer: Consultancy, Honoraria; BI: Honoraria; CSL Behring: Consultancy; Octaphram: Consultancy; Artisan: Consultancy. Off Label Use: Dalterparin is not indicated for prolonged prophylaxis in critically ill medical patients. Zytaruk:Pfizer: donated study drug dalteparin for PROTECT. Cook:Pfizer: donated study drug dalteparin for PROTECT. Warkentin:Sanofi-Aventis: Speakers Bureau; Pfizer Canada: Speakers Bureau; GlaxoSmithKline: Consultancy, Research Funding; GTI Diagnostics: Consultancy, Research Funding; Canyon Pharma: Consultancy, Speakers Bureau; Informa: Patents & Royalties.

Collecting Reliable and Valid Real-Time Patient Experience Data

2001 ◽  
Vol 35 (3) ◽  
pp. 755-765 ◽  
Author(s):  
Michael R. Hufford ◽  
Teri E. Stokes ◽  
Jean A. Paty
Keyword(s):  
Real Time ◽  
Patient Experience

scholarly journals Identifying factors that promote and limit the effective use of real-time patient experience feedback: a mixed-methods study in secondary care

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e047239
Author(s):  
Mustafa Khanbhai ◽  
Kelsey Flott ◽  
Dave Manton ◽  
Stephanie Harrison-White ◽  
Robert Klaber ◽  
...  
Keyword(s):  
Real Time ◽  
Patient Experience ◽  
Thematic Analysis ◽  
Free Text ◽  
Structured Interviews ◽  
Frontline Staff ◽  
Key Stakeholders ◽  
Accident And Emergency ◽  
High Level ◽  
Effective Use

ObjectivesThe Friends and Family Test (FFT) is commissioned by the National Health Service (NHS) in England to capture patient experience as a real-time feedback initiative for patient-centred quality improvement (QI). The aim of this study was to create a process map in order to identify the factors that promote and limit the effective use of FFT as a real-time feedback initiative for patient-centred QI.SettingThis study was conducted at a large London NHS Trust. Services include accident and emergency, inpatient, outpatient and maternity, which routinely collect FFT patient experience data.ParticipantsHealthcare staff and key stakeholders involved in FFT.InterventionsSemi-structured interviews were conducted on 15 participants from a broad range of professional groups to evaluate their engagement with the FFT. Interview data were recorded, transcribed and analysed for using deductive thematic analysis.ResultsConcerns related to inefficiency in the flow of FFT data, lack of time to analyse FFT reports (with emphasis on high level reporting rather than QI), insufficient access to FFT reports and limited training provided to understand FFT reports for frontline staff. The sheer volume of data received was not amenable to manual thematic analysis resulting in inability to acquire insight from the free text. This resulted in staff ambivalence towards FFT as a near real-time feedback initiative.ConclusionsThe results state that there is too much FFT free text for meaningful analysis, and the output is limited to the provision of sufficient capacity and resource to analyse the data, without consideration of other options, such as text analytics and amending the data collection tool.

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