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Information prior to day surgery - are patients satisfied?

This study examines the satisfaction of patients in day surgery with the anaesthetic information they receive prior to their surgery. The data collected includes demographics, attendance at pre-assessment clinic, type of surgery, information received, patient concerns, and overall satisfaction levels.

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Information prior to day surgery - are patients satisfied?

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  1. Information prior to day surgery- are patients satisfied? A Shorthouse, S Farrow, A Sabharwal, O Potparic, K Haire Magill Department of Anaesthesia, Chelsea & Westminster Hospital

  2. Introduction • Pre-assessment is integral to patient care • Optimising physical status • Patient education • Psychological support

  3. National guidelines –RCoA/AAGBI • All patients should be seen in pre-assessment clinic • Assessment & verbal consent by the anaesthetist on day of surgery • 90% satisfaction with information received http://www.rcoa.ac.uk/ARB-section1.pdf

  4. Local protocol • 100% patients triaged • 100% patients given written information • E-mail links or hard copy • Locally produced GA information leaflet • NBM instructions • DVT information • Operation specific information • RCoA/AAGBI links – www.youranaesthetic.info

  5. Objectives Are all patients seen in pre-assessment? Do they receive anaesthetic information pre-operatively? Are they satisfied with this information?

  6. Data collection • October 2009 • 100 day surgery patients • Questionnaire completed post-operatively • Data collected over 7 consecutive week days

  7. Questionnaire • Patient demographics • Type of surgery - elective/hand trauma • Attendance at pre-assessment clinic • Information received at pre-assessment • Information received on day of surgery • Patient concerns/perspective • Patient satisfaction (VAS)

  8. ResultsDemographics Age distribution [years] Male/Female ratio = 0.95

  9. ResultsType of surgery Hand trauma 13% 87% Elective

  10. ResultsPre-assessment attendance Hand trauma Not seen in pre-assessment 7% Seen in pre-assessment 93% Elective

  11. ResultsInformation Did you receive any anaesthetic information prior to the day of surgery?

  12. ResultsWritten information Did you receive an anaesthetic information leaflet?

  13. ResultsLevel of information Did you receive enough information?

  14. ResultsPatient concerns Did you have concerns regarding your anaesthetic?

  15. ResultsPatient concerns

  16. ResultsPatient perspectives What do you feel is important to be told prior coming to hospital?

  17. ResultsSatisfaction Are you satisfied with the information you received? 96% ≥7/10 59% 10/10

  18. Conclusion • Majority of patients seen in pre-assessment • 93% vs 100% target • Patients are receiving anaesthetic information pre-operatively • 60% vs 100% target for written information • High satisfaction levels • Target met?

  19. Conclusion • Feedback to pre-assessment clinic • Increase distribution of leaflets • Emphasise usefulness to patients • Information for hand trauma patients

  20. Thank you Acknowledgements to Chelsea and Westminster Treatment Centre staff for assistance in collecting the questionnaires

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