Journal article
Satisfaction and Emergency Department Revisits in Patients With Possible Acute Coronary Syndrome
The Journal of emergency medicine, Vol.45(6), pp.947-957
12/2013
DOI: 10.1016/j.jemermed.2013.05.029
PMID: 23937807
Abstract
Patients with possible acute coronary syndrome (ACS) are typically instructed to return to the emergency department (ED) if their condition worsens. Little is known about the relationship between patient satisfaction in the ED and subsequent return visits.
Our aim was to determine the association between satisfaction with ED care and subsequent ED return visits.
One thousand and five consecutive ED patients with symptoms of possible ACS who participated in a prospective guideline implementation trial at two university hospitals completed a telephone survey at 30-day follow-up. Satisfaction with care at the initial ED visit was measured using items from the Press Ganey satisfaction questionnaire. Logistic regression was used to determine the association between individual satisfaction items and the occurrence of any ED revisits, and the association between satisfaction items and return visits to the same ED.
Patients who reported superior ratings of person-centered care (“staff cared about you as a person”) were significantly less likely to return to any ED during 30-day follow-up: 59 vs. 71%, adjusted odds ratio = 0.57 (95% confidence interval 0.37−0.87). Among those with ED revisits, superior ratings of personal care and perceived waiting time for emergency physician evaluation were significantly associated with return to the same ED.
Although diagnostic workup and risk stratification are the primary focus in evaluating patients with possible ACS, greater attention to the patient's experience of care may have the positive impact of reducing ED return visits and increasing the likelihood that patients will return to the same ED for re-evaluation.
Details
- Title: Subtitle
- Satisfaction and Emergency Department Revisits in Patients With Possible Acute Coronary Syndrome
- Creators
- David A Katz - Division of General Internal Medicine, University of Iowa Carver, College of Medicine, Iowa City, IowaTom P Aufderheide - Department of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WisconsinGary Gaeth - Department of Marketing, Tippie College of Business, University of Iowa, Iowa City, IowaPeter S Rahko - Division of Cardiology, University of Wisconsin School of Medicine and Public Health, Madison, WisconsinStephen L Hillis - Center for Comprehensive Access and Delivery Research and Evaluation, Iowa City VA Medical Center, Iowa City, IowaHarry P Selker - Institute for Clinical Research and Health Policy Studies, Tufts-New England Medical Center, Boston, Massachusetts
- Resource Type
- Journal article
- Publication Details
- The Journal of emergency medicine, Vol.45(6), pp.947-957
- DOI
- 10.1016/j.jemermed.2013.05.029
- PMID
- 23937807
- NLM abbreviation
- J Emerg Med
- ISSN
- 0736-4679
- eISSN
- 2352-5029
- Publisher
- Elsevier Inc
- Language
- English
- Date published
- 12/2013
- Academic Unit
- Radiology; Marketing; Epidemiology; Psychological and Brain Sciences; Biostatistics; General Internal Medicine; Internal Medicine
- Record Identifier
- 9984051520002771
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