Patient-Reported Experience in the Pediatric Emergency Department: What Matters Most?
| Autor: | Alain Biron, Andrea Bishop, Patricia Alfaro, Gabrielle Cunningham-Allard, Alexander Sasha Dubrovsky, Daniel Adam Brody, Mher Barbarian |
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| Rok vydání: | 2018 |
| Předmět: |
Pediatric emergency
Parents Canada Future studies Leadership and Management Public Health Environmental and Occupational Health Quality care 010501 environmental sciences 01 natural sciences Wait time 03 medical and health sciences 0302 clinical medicine Nursing General partnership SAFER Humans 030212 general & internal medicine Patient Reported Outcome Measures Open communication Thematic analysis Psychology Child Emergency Service Hospital 0105 earth and related environmental sciences Quality of Health Care |
| Zdroj: | Journal of patient safety. 17(8) |
| ISSN: | 1549-8425 |
| Popis: | INTRODUCTION Although the Child Hospital Consumer Assessment of Healthcare Providers and Systems is a validated tool for the inpatient experience, it may not address features unique to the pediatric emergency department (PED). There is currently no publicly available validated patient-reported experience survey for the PED, and what matters most in this setting remains unknown. METHODS Twelve semistructured interviews were conducted with a convenience sample of parents of children younger than 14 years at a Canadian PED. Data analysis was performed using inductive thematic analysis to identify aspects of patient-reported experiences that matter most to parents in the PED. RESULTS Five themes were identified: (1) making waiting a positive experience, (2) taking the time to provide care, (3) forging a positive partnership, (4) speak up for safe care, and (5) making the environment feel safer. Parents highlighted that while waiting for care is not desirable, it is made more acceptable through the communication of wait time estimates and the presence of child activities in the waiting room. Furthermore, although interactions with providers are brief, parents emphasized the importance of creating an environment of partnership with open communication, taking the time to examine their child, and actively demonstrating the provision of safe, quality care. CONCLUSIONS Results from this study suggest that a patient-reported experience survey in the PED may need to embed elements not currently captured in Child Hospital Consumer Assessment of Healthcare Providers and Systems, such as waiting room experience, comprehensiveness of health assessments, and observations of safety measures. Future studies can use these findings to develop a patient-reported experience survey for use in the PED. |
| Databáze: | OpenAIRE |
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