Do 360-degree feedback survey results relate to patient satisfaction measures?
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ABSTRACT:
SUBMITTER: Hageman MG
PROVIDER: S-EPMC4385380 | biostudies-literature |
REPOSITORIES: biostudies-literature
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Project description:The spatiotemporal characteristics of basic attention are important for understanding attending behaviours in real-life situations, and they are useful for evaluating the accessibility of visual information. However, although people are encircled by their 360-degree surroundings in real life, no study has addressed the general characteristics of attention to 360-degree surroundings. Here, we conducted an experiment using virtual reality technology to examine the spatiotemporal characteristics of attention in a highly controlled basic visual context consisting of a 360-degree surrounding. We measured response times and gaze patterns during the 360-degree search task and examined the spatial distribution of attention and its temporal variations in a 360-degree environment based on the participants' physical position. Data were collected from both younger adults and older adults to consider age-related differences. The results showed the fundamental spatiotemporal characteristics of 360-degree attention, which can be used as basic criteria to analyse the structure of exogenous effects on attention in complex 360-degree surroundings in real-life situations. For practical purposes, we created spherical criteria maps of 360-degree attention, which are useful for estimating attending behaviours to 360-degree environmental information or for evaluating visual information design in living environments, workspaces, or other real-life contexts.
| S-EPMC6834598 | biostudies-literature
Project description:BackgroundMeasures of patient satisfaction are increasingly used to measure patient experience. Most satisfaction measures have notable ceiling effects, which limits our ability to learn from variation among relatively satisfied patients. This study tested a variety of single-question satisfaction measures for their mean overall score, ceiling and floor effect, and data distribution. In addition, we assessed the correlation between satisfaction and psychological factors and assessed how the various methods for measuring satisfaction affected net promoter scores (NPSs).MethodologyA total of 212 patients visiting orthopedic offices were enrolled in this randomized controlled trial. Patients were randomized to 1 of 5 newly designed, single-question satisfaction scales: (a) a helpfulness 11-point ordinal scale from 0 to 10, (b) a helpfulness ordinal 11-point scale from 0 to 5 (ie, with 1.5, 2.5, etc), (c) a helpfulness 100-point slider, (d) a satisfaction 11-point ordinal scale from 0 to 10, and (e) a willingness to recommend 11-point ordinal scale from 0 to 10. Additionally, patients completed the 2-item Pain Self-Efficacy Questionnaire (PSEQ-2), 5-item Short Health Anxiety Inventory (SHAI-5) Scale, and Patient-Reported Outcomes Measurement Information System (PROMIS) Depression. We assessed mean and median score, ceiling and floor effect, and skewness and kurtosis for each scale. Spearman's correlation tests were used to test correlations between satisfaction and psychological status. Finally, we assessed the NPS for the various scales.ResultsCeiling effects ranged from 29% to 68%. The 11-point ordinal helpfulness scale from 0 to 10 had the least ceiling effect (29%). All of the scales were asymmetrically distributed, with the 11-point ordinal scale from 0 to 5 having the most Gaussian distribution (skew = 0.64 and kurtosis = 2.3). Satisfaction scores did not correlate with psychological factors: PSEQ-2 (r = 0.04; P = .57), SHAI-5 (r = 0.01; P = .93), and PROMIS Depression (r = -0.04; P = .61). Net promoter scores varied substantially by scale design, with higher scores corresponding with greater ceiling effects.ConclusionsVariations in scale types, text anchors, and lead-in statements do not eliminate the ceiling effect of single-question measures of satisfaction with a visit to an orthopedic specialist. Further studies might test other scale designs and labels.Level of evidenceDiagnostic; Level II.
| S-EPMC7786736 | biostudies-literature
Project description:BackgroundOur goals are to quantify the impact on acute care utilization of a specialized COVID-19 clinic with an integrated remote patient monitoring program in an academic medical center and further examine these data with stakeholder perceptions of clinic effectiveness and acceptability.MethodsA retrospective cohort was drawn from enrolled and unenrolled ambulatory patients who tested positive in May through September 2020 matched on age, presence of comorbidities and other factors. Qualitative semi-structured interviews with patients, frontline clinician, and administrators were analyzed in an inductive-deductive approach to identify key themes.ResultsEnrolled patients were more likely to be hospitalized than unenrolled patients (N = 11/137 in enrolled vs 2/126 unenrolled, p = .02), reflecting a higher admittance rate following emergency department (ED) events among the enrolled vs unenrolled, though this was not a significant difference (46% vs 25%, respectively, p = .32). Thirty-eight qualitative interviews conducted June to October 2020 revealed broad stakeholder belief in the clinic's support of appropriate care escalation. Contrary to beliefs the clinic reduced inappropriate care utilization, no difference was seen between enrolled and unenrolled patients who presented to the ED and were not admitted (N = 10/137 in enrolled vs 8/126 unenrolled, p = .76). Administrators and providers described the clinic's integral role in allowing health services to resume in other areas of the health system following an initial lockdown.ConclusionsAcute care utilization and multi-stakeholder interviews suggest heightened outpatient observation through a specialized COVID-19 clinic and remote patient monitoring program may have contributed to an increase in appropriate acute care utilization. The clinic's role securing safe reopening of health services systemwide was endorsed as a primary, if unmeasured, benefit.
| S-EPMC9189794 | biostudies-literature
Project description:Sophisticated non-mechanical technology for LIDARs is needed to realize safe autonomous cars. We have confirmed the operating principle of a non-mechanical LIDAR by combining concentric circular-grating couplers (CGCs) with a coaxially aligned rod lens. Laser light incident vertically on the center of the inner CGC along the center axis of the lens is radiated from the outer CGC and passes through the side surface of the lens. It is converted to a parallel beam that scans in two axes by applying voltages to two area-segmented electrode layers sandwiching the CGCs and a liquid crystal layer formed on the CGCs. We have demonstrated scanning whose motion ranges were 360 degrees horizontally and 10° vertically. A beam with a spread angle of 0.3° × 0.8° at a minimum swept vertically up to a frequency of 100 Hz and ten equally spaced beams scanned rotationally with a 6-degree cycle variation of spread of between 0.8° and 3.5°.
| S-EPMC8292532 | biostudies-literature
Project description:BACKGROUND:Pain management quality assurance programs (PMQP) have been successfully implemented in numerous hospitals across Europe. We aimed to evaluate the medium-term sustainability of a PMQP implemented at intensive care units (ICUs). METHODS:Two surveys, the first in 2012, immediately after introduction of the PMQP, and the second in 2015, were carried out amongst patients, physicians and nurses. Demographic parameters of all participants were assessed. Patients were asked after their pain levels during ICU stay. Staff members answered a questionnaire regarding familiarity with standards and processes of PMQP and self-perception of their knowledge as well as contentment with interdisciplinary communication. RESULTS:In total (2012/2015), 267 (125/142) patients, 113 (65/48) physicians and 510 (264/246) members of the nursing staff participated. Minimum and maximum pain levels of patients did not differ between both surveys. Patients' tolerance of pain 24 hours before the survey was better (p = 0.023), and vomiting occurred less often (p = 0.037) in 2015. Physicians' and nurses' contentment with the own knowledge about pharmacological pain treatment had increased from 2012 to 2015 (p = 0.002 and 0.004). Satisfaction with communication between nurses and physicians was better in 2015 (p<0.001 and p = 0.002). Familiarity with PMQP standards and processes remained stable in both collectives. CONCLUSION:The implementation of our PMQP achieved a high standard of care, guarantying a high patient and staff member satisfaction. Continuous education, ongoing training, regular updates and implementation of feedback-loops ensure continuity, in some parameters even an increase in knowledge and competencies. This is mirrored in high patient and staff member satisfaction.
| S-EPMC6300320 | biostudies-literature
Project description:BackgroundThe main genetic causes of homocystinuria are cystathionine beta-synthase (CBS) deficiency and the remethylation defects. Many patients present in childhood but milder forms may present later in life. Some countries have newborn screening programs for the homocystinurias but these do not detect all patients.ResultsHCU Network Australia is one of the very few support groups for patients with homocystinurias. Here we report the results of its survey of 143 patients and caregivers from 22 countries, evaluating current diagnostic pathways and management for the homocystinurias. Most (110) of the responses related to patients with CBS deficiency. The diagnosis was made by newborn screening in 20% of patients and in 50% of the others within 1 year of the initial symptom but in 12.5% it took over 15 years. The delay was attributed mainly to ignorance of the disease. Physicians need to learn to measure homocysteine concentrations in children with neurodevelopmental problems, and in patients with heterogeneous symptoms such as thromboembolism, dislocation of the optic lens, haemolytic uraemic syndrome, and psychiatric disease. Even when the diagnosis is made, the way it is communicated is sometimes poor. Early-onset CBS deficiency usually requires a low-protein diet with amino acid supplements. More than a third of the participants reported problems with the availability or cost of treatment. Only half of the patients always took their amino acid mixture. In contrast, good adherence to the protein restriction was reported in 98% but 80% said it was hard, time-consuming and caused unhappiness.ConclusionsThere is often a long delay in diagnosing the homocystinurias unless this is achieved by newborn screening; this survey also highlights problems with the availability and cost of treatment and the palatability of protein substitutes.
| S-EPMC7945666 | biostudies-literature
Project description:Historically, medical trainees were educated in the hospital on real patients. Over the last decade, there has been a shift to practicing skills through simulations with mannequins or patient actors. Virtual reality (VR), and in particular, the use of 360-degree video and audio (cineVR), is the next-generation advancement in medical simulation that has novel applications to augment clinical skill practice, empathy building, and team training. In this paper, we describe methods to design and develop a cineVR medical education curriculum for trauma care training using real patient care scenarios at an urban, safety-net hospital and Level 1 trauma center. The purpose of this publication is to detail the process of finding a cineVR production partner; choosing the camera perspectives; maintaining patient, provider, and staff privacy; ensuring data security; executing the cineVR production process; and building the curriculum.
| S-EPMC7773512 | biostudies-literature
Project description:The effect of spatial contexts on attention is important for evaluating the risk of human errors and the accessibility of information in different situations. In traditional studies, this effect has been investigated using display-based and non-laboratory procedures. However, these two procedures are inadequate for measuring attention directed toward 360-degree environments and controlling exogeneous stimuli. In order to resolve these limitations, we used a virtual-reality-based procedure and investigated how spatial contexts of 360-degree environments influence attention. In the experiment, 20 students were asked to search for and report a target that was presented at any location in 360-degree virtual spaces as accurately and quickly as possible. Spatial contexts comprised a basic context (a grey and objectless space) and three specific contexts (a square grid floor, a cubic room, and an infinite floor). We found that response times for the task and eye movements were influenced by the spatial context of 360-degree surrounding spaces. In particular, although total viewing times for the contexts did not match the saliency maps, the differences in total viewing times between the basic and specific contexts did resemble the maps. These results suggest that attention comprises basic and context-dependent characteristics, and the latter are influenced by the saliency of 360-degree contexts even when the contexts are irrelevant to a task.
| S-EPMC7437462 | biostudies-literature
Project description:Primary outcome(s): What are the factors of patient satisfaction after colonoscopy and treatment? before and after lower endoscopy.
| 2655688 | ecrin-mdr-crc
Project description:ObjectivesTargeted Drug Delivery (TDD) is commonly used for the management of patients with intractable pain. Past studies have proven efficacy in pain relief and reduction in opioid use and cost-effectiveness in long-term pain management. There are few studies investigating satisfaction among patients with implanted pain pumps that are managed with targeted intrathecal medications.Material and methodsPatients in a single medical practice implanted with pain pumps for relief of intractable pain were identified and extracted from the electronic health record (EHR). Six hundred and ten active TDD patients were identified and an anonymous 18-question survey was administered to determine satisfaction with TDD therapy. During an 18-month period from May 2018 to August 2019, patients were invited to take a satisfaction survey. Both primary and secondary outcomes were reported as proportions; P < 0.05 was considered significant.ResultsFour hundred and forty-three patients (74% of the active pump population) completed the survey. The majority of patients reported improvement in pain, improvement of physical function, improvement in quality of life and reduction in opioid use. Complete discontinuation of oral opioid intake was reported in 38.9% of patients. The majority of patients had a 40 cc reservoir implanted in an upper buttock pocket site and overall, 91% of patients were happy with pump pocket location.ConclusionIntrathecal TDD therapy can relieve pain and improve quality of life in patients with intractable pain and offers a reasonable alternative to long-term oral or skin patch opioid management. Patients utilizing TDD therapy reported high degrees of satisfaction.
| S-EPMC7687151 | biostudies-literature