Is it Possible to Measure and Improve Patient Satisfaction with Anesthesia?

Capuzzo, Maurizia; Alvisi, R

doi:10.1016/j.anclin.2008.07.008

Cited by 35 publications

(22 citation statements)

References 46 publications

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“…This has been observed previously. 36 Several instruments have been developed to measure patient satisfaction with perioperative care, 15 16 quality of recovery from anaesthesia, 18 19 maternal satisfaction with Caesarean section, 17 and satisfaction with routine adult anaesthesia care. 8 -14 The existing validated instruments intended to measure patient attitudes to routine adult anaesthesia 8 -14 aim to measure all aspects of satisfaction.…”

Section: Discussionmentioning

confidence: 99%

Measuring the quality of anaesthesia from a patient’s perspective: development, validation, and implementation of a short questionnaire

Hocking

Weightman

Smith

et al. 2013

British Journal of Anaesthesia

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Section: Discussionmentioning

confidence: 99%

Measuring the quality of anaesthesia from a patient’s perspective: development, validation, and implementation of a short questionnaire

Hocking

Weightman

Smith

et al. 2013

British Journal of Anaesthesia

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“…In addition, intracameral lidocaine keeps the pupil dilated during the surgery (25,26) . Satisfaction cannot be rated as an objective indicator of the qua lity of anesthetic care; nevertheless, patient-reported satisfaction provides the best access to the outcomes based on patient perspective (10,(27)(28)(29) . The results of the present study indicate a high level of satisfaction with the investigated anesthetic approach at both assessed postoperative time points, and a significantly higher level of satisfaction was observed eight hours after surgery.…”

Section: Discussionmentioning

confidence: 99%

Assessing patient satisfaction with cataract surgery under topical anesthesia supplemented by intracameral lidocaine combined with sedation

Fernandes¹,

Souza²,

Vasconcelos

et al. 2013

Arq. Bras. Oftalmol.

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INTRODUCTIONSignificant changes have been introduced to the techniques and instruments used for cataract surgery over the past 20 years. Such changes include phacoemulsification without corneal suture and the development of foldable intraocular lenses, which allow smaller and self-sealing incisions (1) . Additionally, a wide range of anesthetic techniques has been developed for cataract surgery during that period, including general, ophthalmic regional, and topical anesthesia (2) . ABSTRACTPurpose: Ocular akinesia, the use of anticoagulants, and patient collaboration are some of the factors that must be taken into consideration when choosing the appropriate anesthesia for phacoemulsification cataract surgery. The satisfaction of patients with the use of topical anesthesia and conscious sedation for this procedure has not been enough described in Brazil. Conscious sedation allows patient walk and answer a voice command. To assess the satisfaction, pain, and perioperative hemodynamic alterations of patients subjected to phacoemulsification under conscious sedation and topical anesthesia supplemented with intracameral lidocaine. Methods: Prospective cohort non-controlled study that included patients treated by the same surgical team over a 70-day period. Sedation was performed with midazolam at a total dose of 3 mg and topical anesthesia with 0.5% proxymetacaine chlorhydrate and 2% lidocaine gel combined with 2% lidocaine by intracameral route. The intraoperative vital parameters, scores based on the Iowa Satisfaction with Anesthesia Scale (ISAS), and the pain visual analog scale (VAS) were recorded at several time points after surgery. Results: A total of 106 patients were enroled in study (73.6% female), the mean age was 65.9 years. The surgical procedures lasted 11.2 minutes on average. The hemodynamic parameters did not exhibit significant changes at any of the investigated time points. The average ISAS score was 2.67 immediately after surgery and 2.99 eight hours after the surgery; this increase was statistically significant (p<0.0001). More than two-thirds (68.9%) of the participants (73 patients) did not report any pain in the transoperative period, and 98.1% of patients denied the occurrence of pain after surgery. Conclusions:Patients that received topical anesthesia supplemented by intracameral lidocaine combined with sedation for phacoemulsification cataract surgery reported adequate level of satisfaction with the anesthetic choice. Furthermore, the patients exhibited hemodynamic parameter stability and pain control.

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“…497 Thus, measuring patient experience is only one component of understanding changes in the quality of health services over time. 498,499 Any approaches selected for measuring patient experience must also fit in with other methods being used to assess quality more broadly. 500 Organisations need a mixture of measures that give them immediate and recent data that are sufficiently detailed and meaningful to influence staff, managers and executives.…”

Section: Is There a Balanced Scorecard?mentioning

confidence: 99%