Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada; Libin Cardiovascular Institute of Alberta, Calgary, Alberta, Canada.
Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada; Libin Cardiovascular Institute of Alberta, Calgary, Alberta, Canada.
Can J Cardiol. 2019 Oct;35(10):1344-1352. doi: 10.1016/j.cjca.2019.05.008. Epub 2019 Aug 21.
The Canadian Patient Experience Survey-Inpatient Care is a validated measure for adult inpatient experience. Linking surveys with administrative data can examine the experience of patients in specific demographic or clinical groups.
We examined survey responses obtained over a 4-year period from patients who underwent coronary artery bypass graft and/or valve replacement in Alberta. The 56-question telephone survey was administered within 6 weeks of discharge. Surveys were linked with administrative records to identify the Canadian Classification of Intervention procedure codes, which were in scope. Responses to each question were reported as percentage in "top box," where "top box" represents the most positive answer choice (eg, "always" and "yes").
From April 2014 to March 2018, 1082 surveys were completed by patients who underwent coronary artery bypass graft and/or valve replacement. Respondents were predominantly male (73.8%), with a mean age of 64.7 ± 11.9 years. Overall, 73.3% of respondents rated their hospital care as 9 or 10 out of 10 (best), and 86.2% would "definitely recommend" the hospital to friends/family members. Top performing questions pertained to having a discussion about help needed after discharge (96.6% responding "yes") and receiving written discharge information (93.2% responding "yes"). Lack of quietness of the hospital environment at night (34.8% responding "always") and lack of staff sufficiently describing side effects of new medications (44.9% responding "always") were identified as potential areas for improvement.
Our results provide patient-reported experiences about inpatient cardiac care in Alberta hospitals. The findings could inform quality improvement initiatives that are patient-centred.
加拿大患者体验调查-住院护理是一种经过验证的成人住院患者体验测量工具。将调查与行政数据相联系，可以检查特定人口统计学或临床群体患者的体验。
我们检查了在艾伯塔省接受冠状动脉旁路移植术和/或瓣膜置换术的患者在 4 年期间完成的调查回复。在出院后 6 周内通过电话进行了 56 个问题的调查。将调查与行政记录相联系，以确定加拿大干预程序分类代码的范围，这些代码在范围内。每个问题的回复以“最佳”选择的百分比报告在“最佳”框中（例如，“总是”和“是”）。
2014 年 4 月至 2018 年 3 月，有 1082 名接受冠状动脉旁路移植术和/或瓣膜置换术的患者完成了调查。受访者主要为男性（73.8%），平均年龄为 64.7±11.9 岁。总体而言，73.3%的受访者将其住院护理评为 10 分（最佳），86.2%的受访者会“肯定向”朋友/家人推荐该医院。表现最好的问题涉及讨论出院后需要的帮助（96.6%的人回答“是”）和收到书面出院信息（93.2%的人回答“是”）。夜间医院环境缺乏安静（34.8%的人回答“总是”）和缺乏工作人员充分描述新药物的副作用（44.9%的人回答“总是”）被确定为需要改进的潜在领域。
我们的研究结果提供了艾伯塔省医院住院心脏病护理的患者报告体验。这些发现可以为以患者为中心的质量改进计划提供信息。
