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Patient Reported Experience in a Pediatric Emergency Department

机译:患者报告了在儿科急诊部门的经验

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Objectives: To describe patient-reported experience in a pediatric emergency department (ED) and determine: (1) whether there are differences between the experience children report in comparison to their parents; and (2) whether factors such as time of visit (day, evening, night) and ED census are associated with patient experience. Methods: We conducted a prospective cross-sectional survey of children 8 years of age and the parents/guardians of children 0 to 17 years who visited a pediatric ED using a validated patient experience measure. The proportion of respondents for each question indicating that an aspect of their care could have been improved was calculated as problem scores for each survey item. The primary outcome was the overall problem scores for all respondents combined and for children and parents separately. Results: A total of 237 parents and 109 children completed surveys. The areas with the highest problem scores identified by both parents and children were: having enough to do while waiting to be seen (53.5; 95% confidence interval [CI]: 48.1, 58.8) and when to restart usual activities (34.7; 95% CI: 29.7, 40.0). There were meaningful differences in problem scores between children and parents including: doctors and nurses explaining what they were doing (parents: 19; 95% CI: 14.3, 24.7, child 40.4; 95% CI: 31.2, 50.2) and privacy when examined and treated (parents: 17.3; 95% CI: 12.8, 22.9, child: 36.7; 95% CI: 27.8, 46.5). Conclusion: There are differences in reported experience between children and their parents. This highlights the importance of including children when assessing patient experience in a pediatric setting.
机译:目标:描述患者报告的儿科急诊部门(ED)并确定:(1)与父母相比,儿童报告的经验与经验之间是否存在差异;和(2)是否是访问时间(日,晚上,夜晚)和ED人口普查的因素是否与患者体验相关。方法:我们对8岁儿童进行了一项预期横断面调查,儿童的父母/监护人0至17岁,使用经过验证的患者体验措施访问儿科委员会。每个问题的受访者的比例表明他们的护理计划的一个方面都可以得到改善,被计算为每个调查项目的问题分数。主要结果是所有受访者合并和儿童和父母的所有受访者的整体问题分数。结果:共有237名父母和109名儿童完成了调查。父母和儿童识别出最高的问题分数的区域是:在等待看到的时候有足够的工作(53.5; 95%的置信区间[CI]:48.1,58.8)以及何时重启通常的活动(34.7; 95% CI:29.7,40.0)。儿童和父母之间的问题分数存在有意义的差异,包括:医生和护士解释他们正在做的事情(父母:19; 95%CI:14.3,24.7,儿童40.4; 95%CI:31.2,50.2)和隐私治疗(父母:17.3; 95%CI:12.8,22.9,儿童:36.7; 95%CI:27.8,46.5)。结论:儿童与父母之间的经验存在差异。这突出了在评估儿科环境中的患者体验时包括儿童的重要性。

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