Improving the paediatric surgery patient experience: an 8-year analysis of narrative quality data

BMJ Open Quality

article

Julie M Robillard¹  Stephanie C Bourne¹  Mallorie T Tam¹  Patricia M Page³  Elizabeth A Lamb³  Carmina Gogal³  Erik D Skarsgard⁴  Kourosh Afshar⁴ 

[1] Division of Neurology, Department of Medicine , The University of British Columbia;BC Children's & Women's Hospitals;Department of Procedures and Surgical Services , British Columbia Children’s Hospital;Department of Surgery , British Columbia Children's Hospital

关键词: paediatrics;    surgery;    patient-centred care;   

DOI  :  10.1136/bmjoq-2020-000924

学科分类：药学

来源: BMJ Publishing Group

【 摘 要 】

Background Narrative data about the patient experience of surgery can help healthcare professionals and administrators better understand the needs of patients and their families as well as provide a foundation for improvement of procedures, processes and services. However, units often lack a methodological framework to analyse these data empirically and derive key areas for improvement. The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) is aimed at improving the quality of surgical care by collecting patient data and reporting risk-adjusted surgical outcomes for each participant hospital in the programme. Though qualitative data about patient experience are captured as part of the NSQIP database, to date no framework or methodology has been proposed, or reported on, to analyse these data for the purposes of quality improvement. The goal of this study was to demonstrate the feasibility of using content analysis to empirically derive key areas for quality improvement from a sample of 3601 narrative comments about paediatric surgery from patients and families at British Columbia Children’s Hospital.Study design Thematic content analysis conducted on a total of 3601 patient and family narratives received between 2011 and 2018.Results Overall satisfaction with care was high and experiences with healthcare providers at the hospital were positive. Areas for improvement were identified in the themes of health outcomes, communication and surgery timelines. Results informed follow-up interprofessional quality improvement initiatives.Conclusions Recording and analysing patient experience data as part of validated quality improvement programmes such as ACS NSQIP can provide valuable and actionable information to improve quality of care.

【 授权许可】

CC BY-NC|CC BY|CC BY-NC-ND