Meet your surgical team: The impact of a resident-led quality improvement project on patient satisfaction.

Rebecca Craig-Schapiro, Sandra R DiBrito, Heidi N Overton, James P Taylor, Ryan B Fransman, Elliott R Haut, Bethany C Sacks
Author Information
  1. Rebecca Craig-Schapiro: Department of Surgery, Johns Hopkins School of Medicine, Baltimore, MD, USA. Electronic address: Rcraigs1@jhmi.edu.
  2. Sandra R DiBrito: Department of Surgery, Johns Hopkins School of Medicine, Baltimore, MD, USA. Electronic address: dibrito@jhmi.edu.
  3. Heidi N Overton: Department of Surgery, Johns Hopkins School of Medicine, Baltimore, MD, USA. Electronic address: hoverto1@jhmi.edu.
  4. James P Taylor: Department of Surgery, Johns Hopkins School of Medicine, Baltimore, MD, USA. Electronic address: jtayl151@jhmi.edu.
  5. Ryan B Fransman: Department of Surgery, Johns Hopkins School of Medicine, Baltimore, MD, USA. Electronic address: rfransm1@jhmi.edu.
  6. Elliott R Haut: Department of Surgery, Johns Hopkins School of Medicine, Baltimore, MD, USA. Electronic address: ehaut1@jhmi.edu.
  7. Bethany C Sacks: Department of Surgery, Johns Hopkins School of Medicine, Baltimore, MD, USA. Electronic address: bsacks@jhmi.edu.

Abstract

BACKGROUND: Patients often have an incomplete understanding of the levels of training and roles of the various surgical providers in teaching hospitals, leading to patient confusion and dissatisfaction.
METHODS: Pre-intervention discharge surveys were administered to gastrointestinal surgery inpatients (10/2016-02/2017) to evaluate sentiments regarding their surgical team. During the intervention period (02/2017-05/2017), patients at admission received "facesheets" containing team member profiles, photos, training level, and roles. These patients were evaluated using the survey, and pre- and post-intervention scores compared.
RESULTS: 153 pre- and 100 post-intervention surveys were collected. There was a significant increase in patients reporting it was important to know the surgical team members and that they knew team member roles (p ≤ 0.05). Scores in every domain of the satisfaction survey improved in the post-intervention period, although not reaching statistical significance.
CONCLUSIONS: Improving how patients perceive their interactions with their surgical team has implications on patient satisfaction and hospital quality metrics.

Keywords

References

  1. Ochsner J. 2010 Spring;10(1):38-43 [PMID: 21603354]
  2. Acad Emerg Med. 1999 Apr;6(4):339-44 [PMID: 10230987]
  3. Ochsner J. 2015 Summer;15(2):143-8 [PMID: 26130976]
  4. Soc Sci Med. 2000 Dec;51(12):1817-25 [PMID: 11128269]
  5. J Am Coll Surg. 2001 Jul;193(1):73-80 [PMID: 11442257]
  6. BMJ Qual Saf. 2014 Jul;23(7):534-42 [PMID: 24508681]
  7. J Grad Med Educ. 2010 Jun;2(2):201-5 [PMID: 21975620]
  8. J Surg Educ. 2008 May-Jun;65(3):243-52 [PMID: 18571141]
  9. Arch Intern Med. 2009 Jan 26;169(2):199-201 [PMID: 19171817]
  10. J Obstet Gynaecol Can. 2018 Jan;40(1):24-28 [PMID: 28864172]
  11. Mayo Clin Proc. 2001 Jun;76(6):604-8 [PMID: 11393499]
  12. Acad Med. 2004 Feb;79(2):139-43 [PMID: 14744714]
  13. J Gen Intern Med. 2008 May;23(5):607-10 [PMID: 18097726]
  14. J Gen Intern Med. 1999 Jan;14 Suppl 1:S26-33 [PMID: 9933492]
  15. Arch Fam Med. 1997 May-Jun;6(3):279-83 [PMID: 9161356]

Grants

  1. R01 HS024547/AHRQ HHS
  2. R21 HL129028/NHLBI NIH HHS
  3. T32 CA126607/NCI NIH HHS

MeSH Term

Adult
Aged
Aged, 80 and over
Digestive System Surgical Procedures
Female
Health Care Surveys
Health Knowledge, Attitudes, Practice
Humans
Internship and Residency
Male
Middle Aged
Nurse-Patient Relations
Patient Care Team
Patient Education as Topic
Patient Satisfaction
Physician-Patient Relations
Prospective Studies
Quality Improvement
Surgeons

Word Cloud

Created with Highcharts 10.0.0teamsurgicalpatientssatisfactionrolespatientpost-interventiontrainingsurveysperiodmembersurveypre-qualityimprovementBACKGROUND:PatientsoftenincompleteunderstandinglevelsvariousprovidersteachinghospitalsleadingconfusiondissatisfactionMETHODS:Pre-interventiondischargeadministeredgastrointestinalsurgeryinpatients10/2016-02/2017evaluatesentimentsregardingintervention02/2017-05/2017admissionreceived"facesheets"containingprofilesphotoslevelevaluatedusingscorescomparedRESULTS:153100collectedsignificantincreasereportingimportantknowmembersknewp ≤ 005ScoreseverydomainimprovedalthoughreachingstatisticalsignificanceCONCLUSIONS:ImprovingperceiveinteractionsimplicationshospitalmetricsMeetteam:impactresident-ledprojectFacesheetPatientQualitySurgical

Similar Articles

Cited By