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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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1 to 1 of 1 Research Studies DisplayedSalwei ME, Anders S, Slagle JM
Understanding patient and clinician reported nonroutine events in ambulatory surgery.
This prospective observational study’s objective was to understand the incidence and nature of patient- and clinician-reported nonroutine events (NREs) in ambulatory surgery. The authors interviewed patients about NREs that occurred during their perioperative care using a structured interview tool before discharge and in a 7-day follow-up call and concurrently interviewed the clinicians caring for these patients immediately postoperatively to collect NREs. The authors trained 2 clinicians and 2 patients to assess and code each reported NRE for type, theme, severity, and likelihood of reoccurrence (i.e., likelihood that the same event would occur for another patient). Out of 145 ambulatory surgery cases 101 (70%) contained at least one NRE. Overall, 214 NREs were reported, of those 88 were by patients and 126 by clinicians. Cases containing clinician-reported NREs were associated with increased patient body mass index and lower postcase patient ratings of being treated with respect. Cases containing patient-reported NREs were associated with longer case duration, higher postcase clinician frustration ratings, higher ratings of patient stress, and lower patient ratings of their quality of life, the quality of clinician teamwork, being treated with respect, and being listened to carefully. Trained patient raters evaluated NRE severity significantly higher than did clinician raters, while clinicians rated recurrence likelihood significantly higher than patients for both clinician and patient-reported NREs. Combining patient- and clinician-reported NREs seems to be a promising patient-centered method of identifying healthcare system deficiencies and opportunities for improvement.
AHRQ-funded; HS026395.
Citation: Salwei ME, Anders S, Slagle JM .
Understanding patient and clinician reported nonroutine events in ambulatory surgery.
J Patient Saf 2023 Mar 1; 19(2):e38-e45. doi: 10.1097/pts.0000000000001089..
Keywords: Ambulatory Care and Surgery, Quality of Life