Qual Saf Health Care
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Qual Saf Health Care · Dec 2002
Comparative StudyPatients' experiences and satisfaction with health care: results of a questionnaire study of specific aspects of care.
To determine what aspects of healthcare provision are most likely to influence satisfaction with care and willingness to recommend hospital services to others and, secondly, to explore the extent to which satisfaction is a meaningful indicator of patient experience of healthcare services. ⋯ The evidence suggests that patient satisfaction scores present a limited and optimistic picture. Detailed questions about specific aspects of patients' experiences are likely to be more useful for monitoring the performance of various hospital departments and wards and could point to ways in which delivery of health care could be improved.
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Qual Saf Health Care · Sep 2002
Multicenter StudyQuality improvement for patients with hip fracture: experience from a multi-site audit.
The first East Anglian audit of hip fracture was conducted in eight hospitals during 1992. There were significant differences between hospitals in 90-day mortality, development of pressure sores, median lengths of hospital stay, and in most other process measures. Only about half the survivors recovered their pre-fracture physical function. A marked decrease in physical function (for 31%) was associated with postoperative complications. ⋯ While some hospitals had made improvements in care by 1997, others were failing to maintain their level of good practice. This highlights the need for continuous quality improvement by repeating the audit cycle in order to reach and then improve standards. Rehabilitation and long term support to improve functional outcomes are key areas for future audit and research.
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Qual Saf Health Care · Sep 2002
Comparative StudyRelationship between hospital length of stay and quality of care in patients with congestive heart failure.
To determine the relationship between hospital length of stay (LOS) and quality of care in patients admitted for congestive heart failure (CHF). ⋯ In patients with CHF there is a significant association between LOS and the quality of the treatment provided, as well as with readiness for discharge. Appropriate reorganisation of processes of care should accompany attempts at reducing LOS to avoid detrimental effects on quality of care.