Provision of clinically based information improves patients' perceived length of stay and satisfaction with EP

T. Paul Tran, Warren P. Schutte, Robert Leo Muelleman, Michael Charles Wadman

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

We conducted a focused, prospective, randomized study to evaluate whether periodic personal provision of clinically based information to patients during an Emergency Department (ED) visit improves patients' perceptions of physician's excellence and efficiency of patient care. Six hundred nineteen consecutive adult patients or proxy informants, who were evaluated in the ED and subsequently discharged, were randomized into the standard of care (n = 307) and intervention group (n = 312). Under supervision by ED attending physicians, a single research assistant periodically provided patients with process and medical information at 15-minute intervals, starting at arrival and continuing through until discharged from the ED. At discharge, patients were handed a previously validated questionnaire to fill out and drop off at the ED exit. Outcome measures included actual and patients' estimate of the wait time (WT) and length of stay (LOS), ratings of registration personnel, and ratings of bedside and technical skills of nurses and Emergency Physicians (EPs), by using a 5-point Likert scale (5 = excellent, 4 = very good, 3 = good, 2 = fair, 1 = poor). There were no statistically significant differences in age, sex, insurance data, intensity of service, actual WT, actual LOS, and patients' perceived WT to see a physician between the 2 groups. The perceived LOS was, however, significantly shorter (92.6 vs. 105.5 min, P = .027) and the proportion of patients who rated the Emergency Staff Physician as "excellent" or "very good" was significantly higher in the intervention group (Bedside: 87.1% vs. 80.5%, P = .033; Technical skill: 86.8% vs. 80.1%, P = .032). Patients' perception of nursing skills were, however, statistically similar in the 2 groups (Bedside: 83.1% vs. 83.0%, P = .942; Technical skill: 84.5% vs. 82.7%, P = .613). Given the sample size and observed proportions, the X2 analysis of perception of nursing skill had a power of 4.8% (registered nurse [RN] bedside) and 7.5% (RN technical skill). Periodic personal interaction and provision of clinically based information in the ED is thought to improve patients' perceived LOS, efficiency, and clinical skills of EP after an ED visit.

Original languageEnglish (US)
Pages (from-to)506-509
Number of pages4
JournalAmerican Journal of Emergency Medicine
Volume20
Issue number6
DOIs
StatePublished - Oct 2002

Fingerprint

Length of Stay
Emergencies
Physicians
Hospital Emergency Service
Nurses
Nursing
Clinical Competence
Proxy
Standard of Care
Insurance
Sample Size
Patient Care
Outcome Assessment (Health Care)
Prospective Studies
Research

Keywords

  • Information
  • Length of stay
  • Patient satisfaction
  • Wait time

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Provision of clinically based information improves patients' perceived length of stay and satisfaction with EP. / Tran, T. Paul; Schutte, Warren P.; Muelleman, Robert Leo; Wadman, Michael Charles.

In: American Journal of Emergency Medicine, Vol. 20, No. 6, 10.2002, p. 506-509.

Research output: Contribution to journalArticle

@article{ef10be88d35f4d5fa33ff7ffd469a87d,
title = "Provision of clinically based information improves patients' perceived length of stay and satisfaction with EP",
abstract = "We conducted a focused, prospective, randomized study to evaluate whether periodic personal provision of clinically based information to patients during an Emergency Department (ED) visit improves patients' perceptions of physician's excellence and efficiency of patient care. Six hundred nineteen consecutive adult patients or proxy informants, who were evaluated in the ED and subsequently discharged, were randomized into the standard of care (n = 307) and intervention group (n = 312). Under supervision by ED attending physicians, a single research assistant periodically provided patients with process and medical information at 15-minute intervals, starting at arrival and continuing through until discharged from the ED. At discharge, patients were handed a previously validated questionnaire to fill out and drop off at the ED exit. Outcome measures included actual and patients' estimate of the wait time (WT) and length of stay (LOS), ratings of registration personnel, and ratings of bedside and technical skills of nurses and Emergency Physicians (EPs), by using a 5-point Likert scale (5 = excellent, 4 = very good, 3 = good, 2 = fair, 1 = poor). There were no statistically significant differences in age, sex, insurance data, intensity of service, actual WT, actual LOS, and patients' perceived WT to see a physician between the 2 groups. The perceived LOS was, however, significantly shorter (92.6 vs. 105.5 min, P = .027) and the proportion of patients who rated the Emergency Staff Physician as {"}excellent{"} or {"}very good{"} was significantly higher in the intervention group (Bedside: 87.1{\%} vs. 80.5{\%}, P = .033; Technical skill: 86.8{\%} vs. 80.1{\%}, P = .032). Patients' perception of nursing skills were, however, statistically similar in the 2 groups (Bedside: 83.1{\%} vs. 83.0{\%}, P = .942; Technical skill: 84.5{\%} vs. 82.7{\%}, P = .613). Given the sample size and observed proportions, the X2 analysis of perception of nursing skill had a power of 4.8{\%} (registered nurse [RN] bedside) and 7.5{\%} (RN technical skill). Periodic personal interaction and provision of clinically based information in the ED is thought to improve patients' perceived LOS, efficiency, and clinical skills of EP after an ED visit.",
keywords = "Information, Length of stay, Patient satisfaction, Wait time",
author = "Tran, {T. Paul} and Schutte, {Warren P.} and Muelleman, {Robert Leo} and Wadman, {Michael Charles}",
year = "2002",
month = "10",
doi = "10.1053/ajem.2002.32652",
language = "English (US)",
volume = "20",
pages = "506--509",
journal = "The American journal of emergency medicine",
issn = "0735-6757",
publisher = "W.B. Saunders Ltd",
number = "6",

}

TY - JOUR

T1 - Provision of clinically based information improves patients' perceived length of stay and satisfaction with EP

AU - Tran, T. Paul

AU - Schutte, Warren P.

AU - Muelleman, Robert Leo

AU - Wadman, Michael Charles

PY - 2002/10

Y1 - 2002/10

N2 - We conducted a focused, prospective, randomized study to evaluate whether periodic personal provision of clinically based information to patients during an Emergency Department (ED) visit improves patients' perceptions of physician's excellence and efficiency of patient care. Six hundred nineteen consecutive adult patients or proxy informants, who were evaluated in the ED and subsequently discharged, were randomized into the standard of care (n = 307) and intervention group (n = 312). Under supervision by ED attending physicians, a single research assistant periodically provided patients with process and medical information at 15-minute intervals, starting at arrival and continuing through until discharged from the ED. At discharge, patients were handed a previously validated questionnaire to fill out and drop off at the ED exit. Outcome measures included actual and patients' estimate of the wait time (WT) and length of stay (LOS), ratings of registration personnel, and ratings of bedside and technical skills of nurses and Emergency Physicians (EPs), by using a 5-point Likert scale (5 = excellent, 4 = very good, 3 = good, 2 = fair, 1 = poor). There were no statistically significant differences in age, sex, insurance data, intensity of service, actual WT, actual LOS, and patients' perceived WT to see a physician between the 2 groups. The perceived LOS was, however, significantly shorter (92.6 vs. 105.5 min, P = .027) and the proportion of patients who rated the Emergency Staff Physician as "excellent" or "very good" was significantly higher in the intervention group (Bedside: 87.1% vs. 80.5%, P = .033; Technical skill: 86.8% vs. 80.1%, P = .032). Patients' perception of nursing skills were, however, statistically similar in the 2 groups (Bedside: 83.1% vs. 83.0%, P = .942; Technical skill: 84.5% vs. 82.7%, P = .613). Given the sample size and observed proportions, the X2 analysis of perception of nursing skill had a power of 4.8% (registered nurse [RN] bedside) and 7.5% (RN technical skill). Periodic personal interaction and provision of clinically based information in the ED is thought to improve patients' perceived LOS, efficiency, and clinical skills of EP after an ED visit.

AB - We conducted a focused, prospective, randomized study to evaluate whether periodic personal provision of clinically based information to patients during an Emergency Department (ED) visit improves patients' perceptions of physician's excellence and efficiency of patient care. Six hundred nineteen consecutive adult patients or proxy informants, who were evaluated in the ED and subsequently discharged, were randomized into the standard of care (n = 307) and intervention group (n = 312). Under supervision by ED attending physicians, a single research assistant periodically provided patients with process and medical information at 15-minute intervals, starting at arrival and continuing through until discharged from the ED. At discharge, patients were handed a previously validated questionnaire to fill out and drop off at the ED exit. Outcome measures included actual and patients' estimate of the wait time (WT) and length of stay (LOS), ratings of registration personnel, and ratings of bedside and technical skills of nurses and Emergency Physicians (EPs), by using a 5-point Likert scale (5 = excellent, 4 = very good, 3 = good, 2 = fair, 1 = poor). There were no statistically significant differences in age, sex, insurance data, intensity of service, actual WT, actual LOS, and patients' perceived WT to see a physician between the 2 groups. The perceived LOS was, however, significantly shorter (92.6 vs. 105.5 min, P = .027) and the proportion of patients who rated the Emergency Staff Physician as "excellent" or "very good" was significantly higher in the intervention group (Bedside: 87.1% vs. 80.5%, P = .033; Technical skill: 86.8% vs. 80.1%, P = .032). Patients' perception of nursing skills were, however, statistically similar in the 2 groups (Bedside: 83.1% vs. 83.0%, P = .942; Technical skill: 84.5% vs. 82.7%, P = .613). Given the sample size and observed proportions, the X2 analysis of perception of nursing skill had a power of 4.8% (registered nurse [RN] bedside) and 7.5% (RN technical skill). Periodic personal interaction and provision of clinically based information in the ED is thought to improve patients' perceived LOS, efficiency, and clinical skills of EP after an ED visit.

KW - Information

KW - Length of stay

KW - Patient satisfaction

KW - Wait time

UR - http://www.scopus.com/inward/record.url?scp=0036793362&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036793362&partnerID=8YFLogxK

U2 - 10.1053/ajem.2002.32652

DO - 10.1053/ajem.2002.32652

M3 - Article

C2 - 12369021

AN - SCOPUS:0036793362

VL - 20

SP - 506

EP - 509

JO - The American journal of emergency medicine

JF - The American journal of emergency medicine

SN - 0735-6757

IS - 6

ER -