NSQIP Impacts Patient Experience

Journal of Patient Experience
Maria CastaldiJohn McNelis

Abstract

National Quality Improvement Project (NSQIP) semiannual reports (SARs) revealed high observed to expected ratios for venous thromboembolic events (VTEs) on the surgical service. Press Ganey scores identified an area of particular weakness in shared decision-making in patient care. Patients reported little to no participation in shared decision-making. A performance improvement project was developed with a 2-fold objective: decrease the percentages of patients sustaining VTE through adequate screening and prophylaxis (VTEP) and to engage patients in shared decision-making to accept VTEP through enhanced patient-centered discussions and education on the risks and benefits of VTEP. A clinical pathway was developed to implement VTEP using a standardized risk assessment tool. Patient-centered discussion introduced VTEP and impact on perioperative safety. Results included telephone survey, NSQIP SARs, and Press Ganey patient experience survey. Using NSQIP data and a pathway developed for both VTE risk assessment and patient engagement, the authors observe immediate improvements in patient experience and decreased rates of VTE.

References

Nov 13, 2001·Mayo Clinic Proceedings·J A HeitW M O'Fallon
Jan 13, 2004·The American Journal of Cardiology·Samuel Z GoldhaberUNKNOWN DVT FREE Steering Committee
Jan 8, 2008·Journal of the American Board of Family Medicine : JABFM·Evelyn C KempForrest Lang
Oct 31, 2008·The New England Journal of Medicine·Ashish K JhaArnold M Epstein
Sep 26, 2009·Annals of Surgery·Vinita BahlJoseph A Caprini
Feb 25, 2010·Circulation. Cardiovascular Quality and Outcomes·Seth W GlickmanKevin A Schulman
Jul 17, 2014·Medical Care Research and Review : MCRR·Rebecca Anhang PricePaul D Cleary
Sep 10, 2014·Annals of Surgery·Gregory D KennedyK Craig Kent

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