Impact on Patient Safety and Satisfaction of Implementation of an Outpatient Clinic in Interventional Radiology IPSIPOLI-Study: A Quasi-Experimental Prospective StudyReport as inadecuate




Impact on Patient Safety and Satisfaction of Implementation of an Outpatient Clinic in Interventional Radiology IPSIPOLI-Study: A Quasi-Experimental Prospective Study - Download this document for free, or read online. Document in PDF available to download.

CardioVascular and Interventional Radiology

, Volume 38, Issue 3, pp 543–551

First Online: 14 March 2015Received: 30 October 2014Accepted: 24 January 2015

Abstract

PurposeInterventional radiology IR procedures are associated with high rates of preparation and planning errors. In many centers, pre-procedural consultation and screening of patients is performed by referring physicians. Interventional radiologists have better knowledge about procedure details and risks, but often only get acquainted with the patient in the procedure room. We hypothesized that patient safety PS and patient satisfaction PSAT in elective IR procedures would improve by implementation of a pre-procedural visit to an outpatient IR clinic.

Material and MethodsIRB approval was obtained and informed consent was waived. PS and PSAT were measured in patients undergoing elective IR procedures before control group; n = 110 and after experimental group; n = 110 implementation of an outpatient IR clinic. PS was measured as the number of process deviations. PSAT was assessed using a questionnaire measuring Likert scores of three dimensions: interpersonal care aspects, information-communication, and patient participation. Differences in PS and PSAT between the two groups were compared using an independent t test.

ResultsThe average number of process deviations per patient was 0.39 in the control group compared to 0.06 in the experimental group p < 0.001. In 9.1 % patients in the control group, no legal informed consent was obtained compared to 0 % in the experimental group. The mean overall Likert score was significantly higher in the experimental group compared to the control group: 2.68 SD 0.314 versus 2.48 SD 0.381 p < 0.001.

ConclusionPS and PSAT improve significantly if patients receive consultation and screening in an IR outpatient clinic prior to elective IR procedures.

KeywordsInterventional radiology Outpatient care Health care quality Patient safety Patient satisfaction Jacob Lutjeboer and Mark Burgmans have contributed equally to the study and manuscript.

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Author: Jacob Lutjeboer - Mark Christiaan Burgmans - Kaman Chung - Arian Robert van Erkel

Source: https://link.springer.com/







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