EvaluationTable-21.docx

Evaluation Table

Student Name:

Change Topic (2-3 sentences): PICOT Analysis. Generally, a high level of patient satisfaction for the clients in the emergency department (ED) is vital, especially at this time when the healthcare system is shifting towards patient-centered care. Utilization of RTLS in the hospital’s ED, compared to manually-entered status updates to tract patients, help decrease the rate of LWBT and to raise revenue collection within 6 months, for ED patients with decreasing satisfaction levels with the provided healthcare services. This is as from the articles discussed below.

Criteria

Article 1

Article 2

Article 3

Article 4

Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

Asamrew, N., Endris, A. A., & Tadesse, M.
https://www.hindawi.com/journals/jeph/2020/2473469/

sheim, A., Nilsen, S. M., Carlsen, F., Næss-Pleym, L. E., Uleberg, O., Dale, J., et al. https://pubmed.ncbi.nlm.nih.gov/31135613/

Boehm, L., & Petty, K. https://vocera.com/sites/default/files/resources/CXO_Survey_2016_Report_Vocera_Experience_Innovation_Network.pdf

Boulos, M. N., & Berry, G. https://ij-healthgeographics.biomedcentral.com/articles/10.1186/1476-072X-11-25

Article Title and Year Published

Level of Patient Satisfaction with Inpatient Services and Its Determinants: A Study of a Specialized Hospital in Ethiopia. (2020)

The Effect Of Emergency Department Delays On 30-Day Mortality in Central Norway. (2019)

The Rise of the Healthcare Chief Experience Officer. Vocera’s Experience Innovation Network.
(2016)

Real-Time Locating Systems (RTLS) In Healthcare: A Condensed Primer. (2012)

Research Questions (Qualitative)/Hypothesis (Quantitative)

The level of patient satisfaction is a determinant for quality of care.

Is prolonged ED stay associated with increased risk of death?

Focus on human experience of care supports highest healing potential.

The article addresses RTLS application in healthcare.

Purposes/Aim of Study

Measuring the level of patient satisfaction and its determinants.

To assess whether prolonged length of stay in ED was associated with risk of death.

To examine whether the chief experience officer can enable humanized care delivery.

The paper evaluates if RTLS options, solutions, and deployment have benefits.

Design (Type of Quantitative, or Type of Qualitative)

Quantitative

Experimental

Mixed research

Qualitative research

Setting/Sample

In hospital

out of hospital

out of hospital

In hospital

Methods: Intervention/Instruments

Facility-related domain, general facility amenities, and provider interaction.

Indicators on risk of death, discharge, and hospitalization length.

Leader experience in achieving quality, safety, and performance.

RTLS components and technologies.

Analysis

Increasing needs and demands of the patients influence suitability of satisfaction levels. Assessing patient satisfaction through various inpatient services can lead to measurement of care quality. Increased engagements with the healthcare provider can shape perceptions impacting satisfaction.

Patients arriving and been admitted in hospitals ED have expectations of staying longer in the hospital after admission. This can have an impact on their satisfaction and confidence depending on the length of hospitalization.

Priorities established by the leader demonstrate commitment to excellence and patient care. The care entails safety through performance improvement. Experience improvement is based on patient and family involvement in care, staff support, and support technologies enabling satisfaction.

RTLS in healthcare tracks emergency first response by hospitals and providers. The technology exploits real-time location and status information of tracked entities. In the ED the technology provide timely responses to patients. Care providers would receive timely information on patients, rooms, their stay in hospital, and needs.

Key Findings

Determinants/ predictors used ought to create perceptions on satisfaction levels. Interactions with the care provider as well as facility amenities (toilet cleanliness, accommodation, and dietary service) are key predictors in satisfaction levels.

Prolonged stays in the ED were associated with discharges from the hospital. This reduced the association between increased risk of death and hospitalization.

Building a sense of community and satisfaction of all shareholders considers the experiences created. Patient care strategies are highly facilitated by humanized care leadership strategies enabling healing and satisfaction.

The technology can be integrated with other in-place technologies to communicate in real-time in providing quick responses. The solutions offered consider tagged locations with precision to locate rooms and needy patients.

Recommendations

Periodic assessments to be carried out.
Improvement and job-training of health providers.
Hospital reformation and modernization.
Improvements in facility amenities.
Improvements in client-patient interactions.

Improvements in care quality to shape patient perceptions.

Adopting new measures on healthcare humanity.
Accepting advanced technology in hardwiring humanity.
Patients setting course for experience improvements.
Seamless patient journeys across the care continuum.

Improvements within the capabilities of the technology.
Careful vendor selection in hardware and software support.
Careful technology selection as per intended application.

Explanation of How the Article Supports EBP/Capstone Project

The article offers evidence on the need to establish variables as predictors to patient satisfaction.

The article supports the capstone project by articulating how quality care can influence satisfaction reducing risk of death.

The article offers evidence-based practice on experience and technology incorporation to facilitate patient satisfaction.

The article offer substantial evidence on RTLS technology.

Criteria

Article 5

Article 6

Article 7

Article 8

Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

Drazen, E., & Rhoads, J. https://www.chcf.org/publication/using-tracking-tools-to-improve-patient-flow-in-hospitals/

Heath, S.
https://patientengagementhit.com/features/patient-satisfaction-and-hcahps-what-it-means-for-providers

Prakash, B. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3047732/

Son, H., & Yom, Y.-H. https://onlinelibrary.wiley.com/doi/full/10.1111/jjns.12132

Article Title and Year Published

Using Tracking Tools to Improve Patient Flow in Hospitals. (2011)

Patient Satisfaction and HCAHPS: What It Means for Providers. (2016)

Patient Satisfaction. (2010)

Influencing Satisfaction With Emergency Department Medical Service: Patients’And Their Companions’Perspectives. (2017)

Research Questions (Qualitative)/Hypothesis (Quantitative)

Usage of tracking tools can be effective in improving patient flow in hospitals.

Understanding patient satisfaction through consumer assessment survey enabled in hospitals.

Patient satisfaction is an indicator of doctor or hospital performance.

Consumer satisfaction can be applied as a barometer for the improvement of service quality.

Purposes/Aim of Study

To examine tracking technologies and techniques available to hospitals.

To explore hospital quality and patient satisfaction through 27 questions to patient recent stay in hospital.

To evaluate if patient satisfaction can be used to measure quality of care.

To examine the individual determinants that influence satisfaction with services at the ED and compare factors that influence satisfaction compared with their companions.

Design (Type of Quantitative, or Type of Qualitative)

Qualitative

Experimental

Descriptive analysis

Cross-sectional study design

Setting/Sample

Out of hospital

out of hospital setting

Out hospital setting

Household setting

Methods: Intervention/Instruments

Tracking technologies and techniques

Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey.

Patient satisfaction in practice building.

Individual factors influencing satisfaction.

Analysis

Hospitals are expected to meet growing patient volumes. This would enable providers to satisfy patients in various stages of treatment through technologies.

Client satisfaction information in the ED department can streamline workflow. While technology can be applied to enhance the satisfaction, providers are required to provide technical quality in care delivery.

Assessment of quality from a report published in 2001 showed how patient satisfaction can be used to shape healthcare practice. The doctor, patient, and organization are important factors in service excellence.

Through regression analysis, the results depicted predictors of satisfaction in the ED for patients and companions. Core domains in satisfaction entailed age, gender, and employment of the patient. Companions with lower education levels and visited due to patient illness were more satisfied.

Key Findings

Patient-tracking technologies help providers by providing real-time information on patients. The information is used to mould workflow enabling customization to fit patient and organization needs.

Social rapport built creates both trust and satisfaction to the parties. However, providers should consider authentic engagement for deeper connections. This has regards to reduced computer usage.

Even if patient satisfaction is an attitude, it determines patient loyalty to the doctor and the hospital. Patient-focuses care provided is expected to meet expectations besides ensuring the organizations strives to provide better care. The satisfaction can act as an indicator to quality care.

Active communication between care providers and patients or companions can help in predicting patient satisfaction. Communication in the ED is important to keep visitors satisfied and cared for.

Recommendations

Technology benefits should fit organizational and patient needs to yield outcomes.

Face to face interaction in patient engagement.
Create authentic engagements with patients.

Doctors and hospitals should strive to provide better care and exceed patient expectations.

Assessment of the waiting period as a determinant of patient satisfaction.

Explanation of How the Article Supports EBP/Capstone

The article will be utilized to educate how tracking technology integration can be used to promote best practices.

The article also emphasizes the efficiency provider-patient engagement for satisfaction.

The article evaluates patient satisfaction as an element in improving quality of care.

The article offers substantial information on patient satisfaction determinants across ED settings.

Criteria

Article 9

Article 10

Article 11

Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

Wand, T., Crawford, C., Bell, N., Murphy, M., White, K., & Wood, E. https://pubmed.ncbi.nlm.nih.gov/31047855/

Wang, H., Kline, J. A., Jackson, B. A., Robinson, R. D., Sullivan, M., Holmes, M., et al. https://pubmed.ncbi.nlm.nih.gov/31047855/

Xesfingi, S., & Vozikis, A. https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-016-1327-4

Article Title and Year Published

Documenting The Pre-Implementation Phase For A Multi-Site Translational Research Project To Test A New Model Emergency Department-Based Mental Health Care. (2019)

The Role Of Patient Perception Of Crowding In The Determination Of Real-Time Patient Satisfaction At Emergency Department (2017)

Patient Satisfaction With The Healthcare System: Assessing The Impact Of Socio-Economic And Healthcare Provision Factors. (2016)

Research Questions (Qualitative)/Hypothesis (Quantitative)

Reorientation of health services and resources can meet change in demand in ED for people with mental health, drug health, and behavioural problems.

Is overcrowding in the ED associated with lower real-time patient satisfaction?

Patient satisfaction is an important measure in healthcare quality.

Purposes/Aim of Study

To implement and evaluate an innovative model of mental health nursing care in three EDs across New South Wales Australia.

Evaluate the associations between real-time patient satisfaction and ED crowding as determined by patient perception and crowding estimation tool score in a high-volume ED.

To assess the degree of patient satisfaction and study the relationship between patient satisfaction of health system and set of socio-economic and healthcare provision indicators.

Design (Type of Quantitative, or Type of Qualitative)

Qualitative mixed methods design

Observational study design

Descriptive analysis

Setting/Sample

In hospital setting

In hospital setting

In hospital setting

Methods: Intervention/Instruments

Timeliness of consultations, documentation processes, delays in decisions, and lengthy assessment.

National emergency department overcrowding scale (NEDOCS) and Severely overcrowded not overcrowded Estimation tool (SONET).

Satisfaction index and healthcare provision indicators.

Analysis

Increased patients rates in EDs dealing with mental, drug, and behavioral problems are due to staff frustrations. Existing models on the practice constitute reasons leading to the frustrations.

Analysis of the observed data to create comparisons between overcrowded and not overcrowded associations with patient satisfaction.

Included data from Euro Health Consumer Powerhouse based on literature indicators. The information regarded the years 2007 to 2012 on hospital performance from patient perceptions.

Key Findings

Adopting and implementing new models of care can reduce frustrations and improve patient satisfaction. This would impact staff willingness to support change and corporate in the implementation of innovative practice models.

Higher degrees of crowding and overcrowding at the ED during patient admission lowered patient satisfaction levels.

Patient satisfaction levels and healthcare provision indicators have a strong association in the ED. In addition, socio-economic aspects shape patient satisfaction levels. Patients on public health expenditures and the elderly are observed to be more satisfied with the country’s healthcare system.

Recommendations

Adoption and implementation of new models with a consideration of applicability and suitability of the EDs.

Hospitals to reduce ED crowding to enhance client satisfaction.

Further evaluations on the construction of the satisfaction index.
Focus on country-level analysis.

Explanation of How the Article Supports EBP/Capstone

The article will be utilized to educate on how innovative changes can be useful in the ED.

The article also emphasizes the efficiency patient satisfaction from reduced ED crowding.

The article evaluates the association between patient satisfaction and quality provision of healthcare as per current improvements in the system.