Rahman Sakib, Thompson Deborah, Clayton Alice, Conroy Simon, Tite Matt
Joondalup Health Campus, Putney, London, United Kingdom.
Acute Frailty Network, London, United Kingdom.
J Patient Exp. 2020 Dec;7(6):1068-1076. doi: 10.1177/2374373520969253. Epub 2020 Nov 11.
The United Kingdom Office of National Statistics population estimates that 10 million people are aged 65 years and older, of which some would be considered frail. This is conceptualized as a complex progressive loss of physiological and social function. In order to establish and evaluate appropriate services, feedback tools designed for this patient group have begun to take greater importance, which the Acute Frailty Network has been developing using experience-based design. These tools focus on the experience of frail patients in the settings of accident and emergency and the acute medical unit. An analysis of data from 12 hospitals was used to look at the common emotions and comments expressed at the key touchpoints. A total of 609 respondents were used in the analysis, revealing that patients expressed mostly positive experiences. The areas with the most negative emotions and comments were in the domains "being admitted," "first assessment," and "preparing to leave hospital." We would recommend that future quality improvement projects focus in improving the communication standards around the admission and discharge process.
英国国家统计局的人口估计显示,有1000万人年龄在65岁及以上,其中一些人会被认为身体虚弱。这被概念化为生理和社会功能的复杂渐进性丧失。为了建立和评估适当的服务,为该患者群体设计的反馈工具开始变得更加重要,急性虚弱网络一直在利用基于经验的设计来开发这些工具。这些工具关注虚弱患者在急诊和急性医疗单元环境中的体验。对12家医院的数据进行分析,以查看在关键接触点表达的常见情绪和评论。分析共使用了609名受访者,结果显示患者大多表达了积极的体验。负面情绪和评论最多的领域是“入院”、“初次评估”和“准备出院”。我们建议未来的质量改进项目应专注于提高入院和出院过程中的沟通标准。