Multicenter validation of the Quality of Trauma Care Patient-Reported Experience Measure (QTAC-PREM)

Bobrovitz, Niklas; Santana, Maria; Kline, Theresa J. B.; Kortbeek, John B.; Widder, Sandy; Martin, Kevin; Stelfox, Henry T.

doi:10.1097/ta.0000000000000879

Cited by 20 publications

(26 citation statements)

References 34 publications

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“…Although identified priorities were similar, differing levels of detail were provided by the stakeholder groups and priorities changed over time. While there has been some development of instruments to measure quality of care after injury 15 , we could find only one example of exploration of issues or outcomes identified as important by patients 16 and this was specific to people with ankle fractures. Further exploration of recovery priorities using quantitative techniques is required to determine relevance to a broad cross-section of trauma patients and to develop an appropriate set of outcome measures that patients consider to be important.…”

Section: Discussionmentioning

confidence: 99%

Indicators of injury recovery identified by patients, family members and clinicians

Aitken

Chaboyer

Jeffrey

et al. 2016

Injury

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S.Indicators of injury recovery identified by patients, family members and clinicians.Injury http://dx.doi.org/10. 1016/j.injury.2016.10.006 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Section: Discussionmentioning

confidence: 99%

Indicators of injury recovery identified by patients, family members and clinicians

Aitken

Chaboyer

Jeffrey

et al. 2016

Injury

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“…The score for each Factor was calculated by taking the mean of the scores of the items under it. The total score for the PREM-CCH was calculated by taking the mean of the scores of all included items [30].…”

Section: Discussionmentioning

confidence: 99%

“…Of the 4,951 participating outpatients, 4,835 had no missing data in general characteristics and 3,986 were 18 years old and above. Among the 40 items on outpatient experience, two items were excluded due to the high rates of "not applicable" responses (≧30%) [30]. As in the present study, exploratory factor analysis was one principal method, which cannot be performed if there are missing data, we excluded cases with responses "cannot tell" (n=350) and "not applicable" (n=1,343) for patient experience items.…”

Section: Data Cleaningmentioning

confidence: 99%

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Validation of The Patient-Reported Experience Measure for Care in Chinese Hospitals (PREM-CCH)

Wang

Chen

Yang

et al. 2020

Preprint

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Background: A psychometrically validated instrument to measure patient experience in Chinese public hospitals would be useful and is currently lacking. Our research team developed the Patient-Reported Experience Measure for Care in Chinese Hospitals (PREM-CCH). We aimed to validate this PREM-CCH in the present study.Methods: Data were drawn from a cross-sectional patient survey in 2016. Complete responses from 2,293 outpatients and 1,510 inpatients were included. Separate psychometric evaluation was carried out on outpatient and inpatient PREM-CCHs in terms of exploratory factor analysis, internal consistency, construct validity and criterion validity.Results: The validated outpatient PREM-CCH contained 22 items and five Factors, i.e. Communication and information, Professional competence, Medical costs, Efficiency, and Hospital recommendation. The validated inpatient PREM-CCH contained 19 items and six Factors, i.e. Communication and information, Professional competence, Medical costs, Efficiency, Health outcomes, and Hospital recommendation. The PREM-CCH showed satisfactory internal consistency, construct validity and criterion validity.Conclusions: The PREM-CCH is one of the first validated instruments capturing patient experience of care in the context of Chinese public hospitals. It performed well in the psychometric evaluation. It consists of a basic set of items important to patients that could be applicable to public hospitals in China and actionable to inform quality improvement initiatives.

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“…Although many validated surveys have been suggested to measure patient experiences, including the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)16 or the Quality of Trauma Care Patient-Reported Experience Measure,17 these are focused on processes of care and ignore feelings towards delivery of care. Furthermore, these surveys are long and have multiple components, potentially reducing response rates.…”

Section: Introductionmentioning

confidence: 99%

Examining satisfaction of older adult patients and their caregivers following traumatic injury: a cross-sectional study of three level I trauma centres

Vogel

McGraw

Orlando³

et al. 2019

BMJ Open

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ObjectiveTo explore satisfaction of care received by older adult patients and their primary caregivers following traumatic injury.DesignProspective, cross-sectional study using the FAMCARE (Family Satisfaction with Advanced Cancer Care Scale) satisfaction surveys prior to discharge.SettingThree level I trauma centres in Colorado from November 2016 to December 2017.ParticipantsTrauma patients ≥55 years old and their primary caregivers.Outcome measuresOverall mean (SD) satisfaction, satisfaction <80% vs ≥80%, and mean satisfaction by survey conceptual structures.ResultsOf the 319 patients and 336 caregivers included, the overall mean (SD) patient satisfaction was 81.7% (15.0%) and for caregivers was 83.6% (13.4%). The area with the highest mean for patient and caregiver satisfaction was psychosocial care (85.4% and 86.9%, respectively). Information giving was the lowest for patients (80.4%) and caregivers (80.9%). When individual items were examined, patients were significantly more satisfied with ‘availability of nurses to answer questions’ (84.5 (15.3) vs 87.4 (14.8), p=0.02) and significantly less satisfied with ‘speed with which symptoms were treated’ (80.6 (17.9) vs 84.0 (17.0), p=0.03) compared with caregivers. Patients with a history of smoking (least squares mean difference: −0.096 (−0.18 to –0.07), p<0.001) and hospital discharge destination to an outside facility of care (adjusted OR: 1.6 (1.0 to 2.4), p=0.048) were identified as independent predictors of lower overall satisfaction in generalised linear and logistic models, respectively.ConclusionsOur data suggest that patients’ medical history was driving both patient and caregiver satisfaction. Patient characteristics and expectations need to be considered when tailoring healthcare interventions.

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Multicenter validation of the Quality of Trauma Care Patient-Reported Experience Measure (QTAC-PREM)

Abstract: This study demonstrates that the QTAC-PREM is feasible to implement at trauma centers and provides evidence of validity and reliability. The tool may be useful to incorporate patient perspectives into trauma care quality measurement and improvement.

Cited by 20 publications

References 34 publications

Indicators of injury recovery identified by patients, family members and clinicians

Indicators of injury recovery identified by patients, family members and clinicians

Validation of The Patient-Reported Experience Measure for Care in Chinese Hospitals (PREM-CCH)

Examining satisfaction of older adult patients and their caregivers following traumatic injury: a cross-sectional study of three level I trauma centres

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