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 language | English (US) |
|---|---|
| Pages (from-to) | 506-509 |
| Number of pages | 4 |
| Journal | American Journal of Emergency Medicine |
| Volume | 20 |
| Issue number | 6 |
| DOIs | |
| State | Published - Oct 2002 |
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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 journal › Article
}
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 -