Effect of a HospitaIist‐Supervised Procedure Service on Patient Satisfaction with Procedures

1UCSF, San Francisco, CA
2UCSF, San Francisco, CA

Meeting: Hospital Medicine 2010, April 8-11, Washington, D.C.

Abstract number: 100

Background:

In recent years, a number of residency training programs have adopted “procedure teams” that supervise residents in performing and troubleshooting invasive bedside procedures. These services have been shown to increase resident comfort and self‐perceived knowledge with procedures, but their effect on patient satisfaction is unknown. We sought to measure patient satisfaction and levels of anxiety with procedures performed by a hospitalist‐supervised intern‐based procedure service (HPS).

Methods:

We surveyed all patients referred to the HPS for bedside thoracentesis, paracentesis, lumbar puncture, and arthrocentesis at a single academic medical center. The HPS comprises 2 interns who perform procedures under the instruction of an attending hospitalist with additional procedural training. During each procedure, the attending was expected to audibly engage the intern in procedure‐related didactics as well as troubleshooting if needed. Following each procedure, surveys were administered to English‐speaking patients who could provide informed consent. Survey questions focused on patients' satisfaction with specific aspects of procedure performance as well as the quality and impact of communication with the patient and between members of the team.

Results:

Of 94 patients eligible patients, 66 (70%) completed the survey. Overall, patients were satisfied or highly satisfied with the overall experience (100%), the explanation of informed consent (98%), pain control (92%), and the expertise of physicians (95%). The majority were satisfied with improvement in symptoms (57%) and time taken to perform the procedure (88%). Nearly all patients (97%) reported that the physicians communicated both with them and with each other during the procedure. Hearing physicians discuss the procedure at the bedside was reassuring to most patients (83%), who believed this was a normal part of doing a procedure (94%). Those that found this communication distressing (5%) or worrisome for a procedure complication (5%) did not differ in sex but were somewhat older (63 vs. 58 years, P = 0.28) and were more likely to be undergoing paracentesis (80% vs. 49%, P = 0.15).

Conclusions:

Patients who underwent invasive bedside procedures performed by resident physicians on the service were in general highly satisfied with the overall experience. Despite procedure performance by novice interns, patients were reassured by the direct supervision and feedback provided by the attending physicians throughout the procedure.

Author Disclosure:

M. Mourad, none; D. Sliwka, none.

To cite this abstract:

Mourad M, Sliwka D. Effect of a HospitaIist‐Supervised Procedure Service on Patient Satisfaction with Procedures. Abstract published at Hospital Medicine 2010, April 8-11, Washington, D.C. Abstract 100. Journal of Hospital Medicine. 2010; 5 (suppl 1). https://www.shmabstracts.com/abstract/effect-of-a-hospitaiistsupervised-procedure-service-on-patient-satisfaction-with-procedures/. Accessed July 24, 2019.

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