Quality Improvement in Otologic Surgery Postoperative Instructions.
Otol Neurotol
; 42(8): 1165-1171, 2021 09 01.
Article
en En
| MEDLINE
| ID: mdl-34398110
ABSTRACT
OBJECTIVE:
To examine and improve patient satisfaction with otologic surgery postoperative instructions. STUDYDESIGN:
Patients undergoing outpatient otologic surgery were compared over two different time periods, before (phase 1) and after (phase 2) modifying postoperative instructions. Key-informant interviews were conducted by phone on postoperative day 7. All patient-initiated communications after surgery were documented.SETTING:
Tertiary, academic hospital. PATIENTS Patients undergoing outpatient otologic surgery.INTERVENTIONS:
Otologic surgery. MAIN OUTCOMEMEASURES:
Satisfaction ratings of different postoperative instruction categories (1-10, completely useless to perfectly helpful), including wound care, pain medication, non-pain medication, showering and bathing, activity restrictions, diet restrictions, follow-up appointment, and contact for questions; comments/critiques from patients; and patient-initiated communications.RESULTS:
Seventy eight patients were included in phase 1 and 52 in phase 2. Patient characteristics and distribution of surgeries were similar between phases. Rating for instructions were high in both phases (phase 1 8.98[1.50], phase 2 9.27[1.04], dâ=â0.216 [-0.271, 0.698]). More patients in phase 2 thought the instructions were adequate and clear (80.0% versus 55.6% in phase 1, dâ=â0.641 [0.011, 1.271]), and there were fewer critiques per patient (0.09 versus 0.15, dâ=â-0.537 [-1.034, -0.040]) compared with phase 1. There was a shift in phase 2 communications away from wound care questions (17.5% versus 38.9%, dâ=â-0.606 [-1.112, -0.099]) toward questions regarding medications (27.5% versus 6.7%, dâ=â0.921 [0.325, 1.516]).CONCLUSION:
An evidence-based postoperative instructions template led to more patients believing that the instructions were clear, fewer critiques being given, and a shift toward more actionable questions rather than those with answers already addressed in written instructions.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Procedimientos Quirúrgicos Otológicos
/
Mejoramiento de la Calidad
Límite:
Humans
Idioma:
En
Revista:
Otol Neurotol
Asunto de la revista:
NEUROLOGIA
/
OTORRINOLARINGOLOGIA
Año:
2021
Tipo del documento:
Article