scholarly journals Improvement of Patient Satisfaction Through Enhancement of RN Communication Skills: A Quality Improvement Project

2016 ◽  
Author(s):  
Pamela Kusiak
Keyword(s):  
Patient Satisfaction ◽  
Health Literacy ◽  
Online Education ◽  
Healthcare Professionals ◽  
Online Communication ◽  
Communication Education ◽  
Post Intervention ◽  
Improvement Project ◽  
Patient Comprehension ◽  
The Impact

<p>Studies have shown that people with low health literacy understand health information less well, obtain preventative healthcare such as screenings for cancer less frequently and use expensive resources such as emergency rooms more often. The Agency for Healthcare Research and Quality (AHRQ), with guidance from Institute of Medicine (IOM) reports, developed quality indicators for individual institutions to demonstrate improvement. The Health Resources and Services Administration (HRSA, 2012) constructed online communication education modules for healthcare professionals including health literacy tools developed by the AHRQ. The purpose of this project was to examine the impact of RN communication education on patient satisfaction. A pre-post intervention design was used. Nurses were provided a brief overview and instruction about the HRSA website, use of the online education modules and an explanation of target patient satisfaction scores. The domains studied included five target patient satisfaction questions regarding communication with nurses and communication about medications. Post intervention results (July-December 2015) demonstrate a marked increase in scores when compared to the six months prior to the introduction of the content (January-June 2015). All twenty-two respondents responded agreed or strongly agreed that they would recommend the Effective Communication for Healthcare Professionals 100 course. APRNs have an unprecedented opportunity to support research and education surrounding ethnic differences in communication and aspects of communication that may contribute to patient comprehension, adherence to follow-up care and patient satisfaction.</p>

scholarly journals 141. Implementation of Veterans Affairs Outpatient Antimicrobial Stewardship Interventions for Asymptomatic Bacteriuria and Acute Respiratory Infections, a Stepped Wedge Randomized Study

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S81-S82
Author(s):  
Grace Mortrude ◽  
Mary Rehs ◽  
Katherine Sherman ◽  
Nathan Gundacker ◽  
Claire Dysart
Keyword(s):  
Patient Satisfaction ◽  
Primary Outcome ◽  
Respiratory Infections ◽  
Asymptomatic Bacteriuria ◽  
Educational Interventions ◽  
Antibiotic Prescribing ◽  
Acute Respiratory Infections ◽  
Stepped Wedge ◽  
Post Intervention ◽  
The Impact

Abstract Background Outpatient antimicrobial prescribing is an important target for antimicrobial stewardship (AMS) interventions to decrease antimicrobial resistance in the United States. The objective of this study was to design, implement and evaluate the impact of AMS interventions focused on asymptomatic bacteriuria (ASB) and acute respiratory infections (ARIs) in the outpatient setting. Methods This randomized, stepped-wedge trial evaluated the impact of educational interventions to providers on adult patients presenting to primary care (PC) clinics for ARIs and ASB from 10/1/19 to 1/31/20. Data was collected by retrospective chart review. An antibiotic prescribing report card was provided to PC providers, then an educational session was delivered at each PC clinic. Patient education materials were distributed to PC clinics. Interventions were made in a step-wise (figure 1) fashion. The primary outcome was percentage of overall antibiotic prescriptions as a composite of prescriptions for ASB, acute bronchitis, upper-respiratory infection otherwise unspecified, uncomplicated sinusitis, and uncomplicated pharyngitis. Secondary outcomes included individual components of the primary outcome, a composite safety endpoint of related hospital, emergency department or primary care visit within 4 weeks, antibiotic appropriateness, and patient satisfaction surveys. Figure 1 Results There were 887 patients included for analysis (405 pre-intervention, 482 post-intervention). Baseline characteristics are summarized in table 1. After controlling for type 1 error using a Bonferroni correction the primary outcome was not significantly different between groups (56% vs 49%). There was a statistically significant decrease in prescriptions for bronchitis (20.99% vs 12.66%; p=0.0003). Appropriateness of prescriptions for sinusitis (OR 4.96; CI 1.79–13.75; p=0.0021) and pharyngitis (OR 5.36; CI 1.93 – 14.90; p=0.0013) was improved in the post-intervention group. The composite safety outcome and patient satisfaction survey ratings did not differ between groups. Table 1 Conclusion Multifaceted educational interventions targeting providers can improve antibiotic prescribing for indications rarely requiring antimicrobials without increasing re-visit or patient satisfaction surveys. Disclosures All Authors: No reported disclosures

scholarly journals Improving quality and assessment of referrals to the Enfield Crisis Resolution and Home Treatment Team (ECRHTT)

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S202-S202
Author(s):  
Margarita Kousteni ◽  
John Cousins ◽  
Ajay Mansingh ◽  
Maja Elia ◽  
Yumnah Ras ◽  
...  
Keyword(s):  
Home Treatment ◽  
Absolute Difference ◽  
List Type ◽  
Treatment Team ◽  
Crisis Resolution ◽  
Post Intervention ◽  
Improvement Project ◽  
Consultant Psychiatrist ◽  
The Impact

AimsTriaging referrals to crisis resolution and home treatment teams is a significant undertaking requiring experienced and dedicated staff. We observed that the volume of inappropriate referrals to ECRHTT was high, and that staff processing these often felt inexperienced or lacking in confidence to discharge them back to the referrers and signpost them to appropriate services.The aims of this quality improvement project (QIP) were: a)to reduce the number of inappropriate referrals received by the teamb)to reduce the number of inappropriate referrals accepted by the teamThis would significantly improve access and flow to the service and facilitate better patient care.MethodA pilot study was first completed of the quality (appropriateness/ inappropriateness) and source of all referrals to ECRHTT in January 2019 (n = 177).Subsequently, the consultant psychiatrist for ECRHTT based himself within the assessment team. He was able to closely monitor the referrals, at the same time as providing medical input to patients at their first point of contact. To evaluate the impact of this intervention, the percentage of inappropriate referrals accepted pre- and post-change was compared by re-auditing all referrals received in February 2019 (n = 175).Further interventions were instigated to improve referral quality. These included continuation of psychiatric medical input to the assessment team, teaching sessions for GPs and the crisis telephone service, and weekly meetings with psychiatric liaison and community mental health teams (CMHTs). Change was measured by reassessing the quality of all referrals made to ECRHTT in February 2020 (n = 215).Result46.9% of inappropriate referrals to ECRHTT were accepted in January 2019 compared to 16.9% in February 2019 following the addition of medical input to the assessment team. The absolute difference was 30% (95% CI: 14%–44%, p < 0.001).71% of referrals from GPs were inappropriate in January 2019 compared to 36% in February 2020 post-intervention (difference 35%, 95% CI: 8.84%–55.4%, p < 0.05). Inappropriate referrals from CMHTs decreased from 55.5% to 12% (difference 43.5%, 95% CI: 9.5%–70.3%, p < 0.05). Overall, the percentage of inappropriate referrals fell from 38% to 27.4%, a difference of 10.6% (95% CI: 1.3%–19.8%, p < 0.05). The percentage of inappropriate referrals from liaison teams did not change significantly.ConclusionThis piece of work shows that better engagement with referral sources significantly improved the quality of referrals made to ECRHTT. Interventions included medical input at the point of referral, teaching sessions for general practitioners as well as ongoing liaison with referring teams.

scholarly journals Healthcare Quality Improvement Analytics: An Example Using Computerized Provider Order Entry

Healthcare ◽  
2021 ◽  
Vol 9 (9) ◽  
pp. 1187
Author(s):  
Jungwon Cho ◽  
Sangmi Shin ◽  
Youngmi Jeong ◽  
Eunsook Lee ◽  
Soyeon Ahn ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Control Chart ◽  
Healthcare Professionals ◽  
Segmented Regression ◽  
Long Term Effects ◽  
Order Entry ◽  
Post Intervention ◽  
Computerized Provider Order Entry ◽  
Healthcare Settings ◽  
The Impact

Evaluation of sustainability after quality improvement (QI) projects in healthcare settings is an essential part of monitoring and future QI planning. With limitations in adopting quasi-experimental study design in real-world practice, healthcare professionals find it challenging to present the sustained effect of QI changes effectively. To provide quantitative methodological approaches for demonstrating the sustainability of QI projects for healthcare professionals, we conducted data analyses based on a QI project to improve the computerized provider order entry system to reduce patients’ dosing frequencies in Korea. Data were collected for 5 years: 24-month pre-intervention, 12-month intervention, and 24-month post-intervention. Then, analytic approaches including control chart, Analysis of Variance (ANOVA), and segmented regression were performed. The control chart intuitively displayed how the outcomes changed over the entire period, and ANOVA was used to test whether the outcomes differed between groups. Last, segmented regression analysis was conducted to evaluate longitudinal effects of interventions over time. We found that the impact of QI projects in healthcare settings should be initiated following the Plan–Do–Study–Act cycle and evaluated long-term effects while widening the scope of QI evaluation with sustainability. This study can serve as a guide for healthcare professionals to use a number of statistical methodologies in their QI evaluations.

scholarly journals Meet your surgical team: The impact of a resident-led quality improvement project on patient satisfaction

2018 ◽  
Vol 216 (4) ◽  
pp. 793-799
Author(s):  
Rebecca Craig-Schapiro ◽  
Sandra R. DiBrito ◽  
Heidi N. Overton ◽  
James P. Taylor ◽  
Ryan B. Fransman ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Patient Satisfaction ◽  
Quality Improvement Project ◽  
Surgical Team ◽  
Improvement Project ◽  
The Impact

scholarly journals Gender Differences in the Impact of Cognitive Function on Health Literacy among Older Adults with Heart Failure

2018 ◽  
Vol 15 (12) ◽  
pp. 2711 ◽  
Author(s):  
Jong Lee ◽  
Youn-Jung Son
Keyword(s):  
Heart Failure ◽  
Gender Differences ◽  
Health Literacy ◽  
Cognitive Function ◽  
Older Women ◽  
Healthcare Professionals ◽  
Elderly Women ◽  
Secondary Data ◽  
The Impact ◽  
Inadequate Health Literacy

Heart failure (HF)-related cognitive decline is a common condition and may be associated with health literacy. However, gender differences in this context have not been explored fully. This secondary data analysis aimed to identify gender differences in the impact of cognitive function on health literacy among older patients with HF. A total of 135 patients (75 men and 60 women) with a mean age of 73.01 ± 6.45 years were recruited. Older women with HF had higher cognitive impairment (15%) and inadequate health literacy (56.7%) compared to men. Cognitive function was the strongest predictor of health literacy in men (β = 3.668, p < 0.001) and women (β = 2.926, p = 0.004). Notably elderly women are likely to face double the burden of the influence of cognitive function on health literacy in comparison with men. It is necessary to assess cognitive function and health literacy during HF illness trajectories on a regular basis. Healthcare professionals working with patients with HF should be aware of gender differences in cognitive function and health literacy and the importance of assessing these factors.

scholarly journals The impact of inadequate health literacy on patient satisfaction, healthcare utilization, and expenditures among older adults

2017 ◽  
Vol 38 (4) ◽  
pp. 334-341 ◽  
Author(s):  
Stephanie MacLeod ◽  
Shirley Musich ◽  
Stephen Gulyas ◽  
Yan Cheng ◽  
Rifky Tkatch ◽  
...  
Keyword(s):  
Older Adults ◽  
Patient Satisfaction ◽  
Health Literacy ◽  
Healthcare Utilization ◽  
The Impact ◽  
Inadequate Health Literacy

scholarly journals Design and preliminary evaluation of a newly designed patient-friendly discharge letter – a randomized, controlled participant-blind trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Christian Smolle ◽  
Christine Maria Schwarz ◽  
Magdalena Hoffmann ◽  
Lars-Peter Kamolz ◽  
Gerald Sendlhofer ◽  
...  
Keyword(s):  
Health Literacy ◽  
Medical Information ◽  
Healthcare Services ◽  
Preliminary Evaluation ◽  
Patient Comprehension ◽  
Low Health Literacy ◽  
Discharge Letter ◽  
Medical Undergraduates ◽  
The Impact ◽  
Better Than

Abstract Background Low health literacy has been associated with poor health outcome and impaired use of healthcare services. The hospital discharge letter represents a key source of medical information for patients and can be used to address the problem of low health literacy. The aim of this project was to develop and evaluate a new, patient-directed, version of the discharge letter. Methods Based upon two conventional discharge letters (CDL; one surgical and one medical letter), two new, patient-friendly discharge letters (PFDL) were designed following 5 key principles: short sentences, few abbreviations, large font size, avoidance of technical terms and no more than 4 pages length. Medical undergraduates were randomized into two blinded groups (CDL, PFDL) and asked to assess the assigned letter for the 3 domains structure, content and patient-friendliness. Subsections were rated on a 6-point Likert scale (1 = completely agree, 6 = completely disagree), the results of the survey were compared using the Mann-Whitney-U-Test with a p < 0.05 being the level of significance. Results In total, 74 undergraduates participated in this study. PFDL (35 participants) were rated significantly better than CDL (39 participants) regarding structure (median 1 vs. 2, p = 0.005), content (1 vs. 3, p < 0.001) and patient-friendliness (2 vs. 6, p < 0.001). Of all 17 subsections, PFDL were rated significantly better in 12 cases, and never worse than CDL. Conclusions PFDL were rated significantly better than their CDL counterparts. Medical undergraduates were considered the ideal cohort, not being medical lays and yet unbiased regarding everyday clinical practice procedures. Further tests evaluating the impact of the PFDL on patient comprehension and health literacy are necessary.

scholarly journals Mapping of Health Literacy and Social Panic Via Web Search Data During the COVID-19 Public Health Emergency: Infodemiological Study

10.2196/18831 ◽  
2020 ◽  
Vol 22 (7) ◽  
pp. e18831 ◽  
Author(s):  
Chenjie Xu ◽  
Xinyu Zhang ◽  
Yaogang Wang
Keyword(s):  
Public Health ◽  
Health Literacy ◽  
Online Education ◽  
Return To Work ◽  
Web Search ◽  
Prevention Measures ◽  
Web Searches ◽  
Search Data ◽  
Novel Coronavirus ◽  
The Impact

Background Coronavirus disease (COVID-19) is a type of pneumonia caused by a novel coronavirus that was discovered in 2019. As of May 6, 2020, 84,407 cases and 4643 deaths have been confirmed in China. The Chinese population has expressed great concern since the COVID-19 outbreak. Meanwhile, an average of 1 billion people per day are using the Baidu search engine to find COVID-19–related health information. Objective The aim of this paper is to analyze web search data volumes related to COVID-19 in China. Methods We conducted an infodemiological study to analyze web search data volumes related to COVID-19. Using Baidu Index data, we assessed the search frequencies of specific search terms in Baidu to describe the impact of COVID-19 on public health, psychology, behaviors, lifestyles, and social policies (from February 11, 2020, to March 17, 2020). Results The search frequency related to COVID-19 has increased significantly since February 11th. Our heat maps demonstrate that citizens in Wuhan, Hubei Province, express more concern about COVID-19 than citizens from other cities since the outbreak first occurred in Wuhan. Wuhan citizens frequently searched for content related to “medical help,” “protective materials,” and “pandemic progress.” Web searches for “return to work” and “go back to school” have increased eight-fold compared to the previous month. Searches for content related to “closed community and remote office” have continued to rise, and searches for “remote office demand” have risen by 663% from the previous quarter. Employees who have returned to work have mainly engaged in the following web searches: “return to work and prevention measures,” “return to work guarantee policy,” and “time to return to work.” Provinces with large, educated populations (eg, Henan, Hebei, and Shandong) have been focusing on “online education” whereas medium-sized cities have been paying more attention to “online medical care.” Conclusions Our findings suggest that web search data may reflect changes in health literacy, social panic, and prevention and control policies in response to COVID-19.

A Mobile Health Intervention for Prostate Biopsy Patients Reduces Appointment Cancellations (Preprint)

2019 ◽  
Author(s):  
Ashwin Sriram Balakrishnan ◽  
Hao G. Nguyen ◽  
Katsuto Shinohara ◽  
Reuben Au Yeung ◽  
Peter R. Carroll ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Mobile Health ◽  
Prostate Biopsy ◽  
Education Program ◽  
Text Message ◽  
Outreach Program ◽  
Post Intervention ◽  
High Patient Satisfaction ◽  
Telephone Calls ◽  
The Impact

BACKGROUND Inadequate patient education and preparation for office-based procedures often leads to delayed care, poor patient satisfaction, and increased costs to the healthcare system. We developed and deployed a mobile health (mHealth) reminder and education program for patients scheduled for transrectal prostate biopsy. OBJECTIVE We aimed to evaluate the impact of an mHealth reminder and education program on appointment cancellation rates, communication frequency, and patient satisfaction. METHODS We developed a text message-based (SMS) program with seven reminders containing links to web-based content and surveys sent over an 18-day period (14 days before through 3 days after prostate biopsy). Messages contained educational content, reminders, and readiness questionnaires. Demographic information, appointment cancellations or change data, and patient/provider communication events were collected for 6 months before and after launching the intervention. Patient satisfaction was evaluated in the post-intervention cohort. RESULTS The pre-intervention (n=473) and post-intervention (n=359) cohorts were composed of men of similar median age, racial/ethnic distribution, and living a similar distance from clinic. The post-intervention cohort had significantly fewer cancelled or rescheduled appointments (33.8% vs 21.2%, p<0.01) and fewer same day cancellations (3.8% vs 0.5%, p<0.01). There was a significant increase in pre-procedural telephone calls (0.6 vs. 0.8 calls/patient, p=0.02) in the post-intervention cohort, but not a detectable change in post-procedural calls. The mean satisfaction with the program was 4.5 out of 5 (SD 0.9). CONCLUSIONS An mHealth peri-procedural outreach program significantly lowered appointment cancellations and was associated with high patient satisfaction scores with a slight increase in pre-procedural telephone calls. This led to fewer under-utilized procedure appointments and high patient satisfaction.

scholarly journals Evaluation of A Newly Designed Patient-Friendly Discharge Letter – A Randomized, Controlled Participant-Blind Trial

2020 ◽  
Author(s):  
Christian Smolle ◽  
Christine Schwarz ◽  
Magdalena Hoffmann ◽  
Lars-Peter Kamolz ◽  
Gerald Sendlhofer ◽  
...  
Keyword(s):  
Health Literacy ◽  
Medical Information ◽  
Healthcare Services ◽  
Poor Health Outcome ◽  
Patient Comprehension ◽  
Low Health Literacy ◽  
Discharge Letter ◽  
Medical Undergraduates ◽  
The Impact ◽  
Better Than

Abstract Introduction Low health literacy has been associated with poor health outcome and impaired use of healthcare services. The hospital discharge letter represents a key source of medical information for patients and can be used to address the problem of low health literacy. The aim of this project was to develop and evaluate a new, patient-directed, version of the discharge letter.Methods Based upon two conventional discharge letters (CDL; one surgical and one medical letter), two new, patient-friendly discharge letters (PFDL) were designed following 5 key principles: short sentences, few abbreviations, large font size, avoidance of technical terms and no more than 4 pages length. Medical undergraduates were randomized into two blinded groups (CDL, PFDL) and asked to assess the assigned letter for the 3 domains structure, content and patient-friendliness. Subsections were rated on a 6-point Likert scale (1=completely agree, 6=completely disagree), the results of the survey were compared using the Mann-Whitney-U-Test with a p < 0.05 being the level of significance.Results In total, 74 undergraduates participated in the study. PFDL (35 participants) were rated significantly better than CDL (39 participants) regarding structure (median 1 vs. 2, p=0.005), content (1 vs. 3, p<0.001) and patient-friendliness (2 vs. 6, p<0.001). Of all 17 subsections, PFDL were rated significantly better in 12 cases, and never worse than CDL.Conclusion PFDL were rated significantly better than their CDL counterparts. Medical undergraduates were considered the ideal cohort, not being medical lays and yet unbiased regarding everyday clinical practice procedures. Further tests evaluating the impact of the PFDL on patient comprehension and health literacy are necessary.

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