Pediatric otorhinolaryngological surgery - Pediatric walking clinic
DOI:
https://doi.org/10.34631/sporl.741Keywords:
Ambulatory Surgery, Tonsillectomy, Patient Satisfaction, Quality of Health Care, Satisfaction surveyAbstract
Objectives: To present the Pediatric Walking Clinic project. To discuss the results of the assessment of the patient satisfaction with the service provided.
Methods: Implementation of the Pediatric Walking Clinic project, which consists in patient’s single visit to the hospital, two weeks before surgery, to perform otorhinolaryngology, anesthesiology and nursing consultations. A parent satisfaction survey was administered.
Results: The study included 100 children. About 95% of parents reported to be "very satisfied" with the project. With only one visit to the hospital 33% of the parents did not have to miss work, 49% had to miss half a day, and 18% one day. There was a reduction in travel costs, estimated at 5€ in 27% and between 5-15 € in 73% of respondents.
Conclusion: The implementation of these protocols and their evaluation by satisfaction surveys allows the design of programs capable of improving the quality of health care.
Downloads
References
– Antunes L. Cirurgia Faríngea. In: Monteiro L and Subtil J (Eds.) Otorrinolaringologia Pediátrica, Lisboa, Círculo Médico; 2016. p. 213-217.
- Institute of Medicine, Committee on Quality Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Press; 2001
- Committee on Hospital Care and Institute for Patient- and Family-Centered Care. Patient- and family-centered care and the pediatrician’s role. Pediatrics. 2012 Feb;129(2):394-404.
- Espinel AG, Shah RK, McCormick ME, Krakovitz PR et al. Patient satisfaction in pediatric surgical care: a systematic review. Otolaryngol Head Neck Surg. 2014 May;150(5):739-49.
- Mitchell M. Constructing information booklets for day-case patients. Ambul Surg. 2001 Jan;9(1):37-45.
- Ferreira F. Impacto da Implementação da clínica de pré-admissão cirúrgica – Walking Clinic – na cirurgia de ambulatório da ULS Matosinhos. 2013. https://sigarra.up.pt/flup/pt/pub_geral.pub_view?pi_pub_base_id=25181. Acedido a 1 de novembro de 2018.
- Cheung C, Bower W, Kwok S, van Hasselt C. Contributors to Surgical In-patient Satisfaction Development and Reliability of a Targeted Instrument. Asian J Surg. 2009 Jul;32(3):143-50.
- Mira JJ, Tomas O, Virtudes-Perez M, Nebot C, Rodriguez-Marin J. Predictors of patient satisfaction in surgery. Surgery. 2009 May;145(5):536-41
- Pearson A, Richardson M, Cairns M. "Best practice" in day surgery units: a review of the evidence. Ambul Surg. 2004;11(1-2):49-54
- Ellerton ML, Merriam C. Preparing children and families psychologically for day surgery: an evaluation. J Adv Nurs. 1994 Jun;19(6):1057-62.
- Hatava P, Olsson GL, Lagerkranser M. Preoperative psychological preparation for children undergoing ENT operations: a comparison of two methods. Paediatr Anaesth. 2000;10(5):477-86.
- Fincher W, Shaw J, Ramelet AS. The effectiveness of a standardised preoperative preparation in reducing child and parent anxiety: a single-blind randomised controlled trial. J Clin Nurs. 2012 Apr;21(7-8):946-55.
- O’Shea M, Cummins A, Kelleher A. The perceived effectiveness of a pre-admission visit for children (and their parents) undergoing day surgery procedures. J Perioper Pract. 2011 Jul;21(7):244-8.
- Lemos P. A Huge Increase in Ambulatory Surgery Practice in Portugal. Ambulatory Surgery. 2011;17(1):2-8.
- Kaiser Family Foundation, Agency for Healthcare Research and Quality. Update on Consumers’ Views of Experiences With Patient Safety and Quality Information. Rockville, MD: Agency for Healthcare Research and Quality; 2004.
