Improvement in Quality Metrics Outcomes and Patient and Family Satisfaction in a Neurosciences Intensive Care Unit after Creation of a Dedicated Neurocritical Care Team
Introduction. Dedicated neurointensivists have been shown to improve outcome measurements in the neurosciences intensive care unit (NSICU). Quality outcome data in relation to patient and family satisfaction is lacking. This study evaluated the impact of newly appointed neurointensivists and creatio...
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| Format: | Article |
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Wiley
2017-01-01
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| Series: | Critical Care Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2017/6394105 |
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| author | Yaw Sarpong Premkumar Nattanmai Ginger Schelp Robert Bell Keerthivaas Premkumar Erin Stapleton Ashley McCormick Christopher R. Newey |
| author_facet | Yaw Sarpong Premkumar Nattanmai Ginger Schelp Robert Bell Keerthivaas Premkumar Erin Stapleton Ashley McCormick Christopher R. Newey |
| author_sort | Yaw Sarpong |
| collection | DOAJ |
| description | Introduction. Dedicated neurointensivists have been shown to improve outcome measurements in the neurosciences intensive care unit (NSICU). Quality outcome data in relation to patient and family satisfaction is lacking. This study evaluated the impact of newly appointed neurointensivists and creation of a neurocritical care team on quality outcome measures including patient satisfaction in a NSICU. Methods. This is a retrospective study of data over 36 months from a 14-bed NSICU evaluating quality outcome measures and anonymous patient satisfaction questionnaires before and after neurointensivists appointment. Results. After appointment of neurointensivists, patient acuity of the NSICU increased by 33.4% while LOS decreased by 3.5%. There was a decrease in neurosciences mortality (35.8%), catheter-associated urinary tract infection (50%), central line associated bloodstream infection (100%), and ventilator-associated pneumonia (50%). During the same time, patient satisfaction increased by 28.3% on physicians/nurses consistency (p=0.025), by 69.5% in confidence/trust in physicians (p<0.0001), by 78.3% on physicians treated me with courtesy/respect (p<0.0001), and by 46.4% on physicians’ attentiveness (p<0.0001). Ultimately, patients recommending the hospital to others increased by 67.5% (p<0.0001). Conclusion. Dedicated neurointensivists and the subsequent development of a neurocritical care team positively impacted quality outcome metrics, particularly significantly improving patient satisfaction. |
| format | Article |
| id | doaj-art-d450e3c428fe4df9bb79ce6a2a6794d9 |
| institution | Kabale University |
| issn | 2090-1305 2090-1313 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Critical Care Research and Practice |
| spelling | doaj-art-d450e3c428fe4df9bb79ce6a2a6794d92025-02-03T01:30:12ZengWileyCritical Care Research and Practice2090-13052090-13132017-01-01201710.1155/2017/63941056394105Improvement in Quality Metrics Outcomes and Patient and Family Satisfaction in a Neurosciences Intensive Care Unit after Creation of a Dedicated Neurocritical Care TeamYaw Sarpong0Premkumar Nattanmai1Ginger Schelp2Robert Bell3Keerthivaas Premkumar4Erin Stapleton5Ashley McCormick6Christopher R. Newey7Department of Surgery, Division of Neurosurgery, University of Missouri, 1 Hospital Drive, Columbia, MO 65211, USADepartment of Neurology, University of Missouri, 5 Hospital Drive, CE 540, Columbia, MO 65211, USAUniversity of Missouri Health System, 1 Hospital Drive, Columbia, MO 65211, USADepartment of Surgery, Division of Neurosurgery, University of Missouri, 1 Hospital Drive, Columbia, MO 65211, USADepartment of Neurology, University of Missouri, 5 Hospital Drive, CE 540, Columbia, MO 65211, USAUniversity of Missouri Health System, 1 Hospital Drive, Columbia, MO 65211, USADepartment of Pharmacy, University of Missouri, 1 Hospital Drive, Columbia, MO 65211, USADepartment of Neurology, University of Missouri, 5 Hospital Drive, CE 540, Columbia, MO 65211, USAIntroduction. Dedicated neurointensivists have been shown to improve outcome measurements in the neurosciences intensive care unit (NSICU). Quality outcome data in relation to patient and family satisfaction is lacking. This study evaluated the impact of newly appointed neurointensivists and creation of a neurocritical care team on quality outcome measures including patient satisfaction in a NSICU. Methods. This is a retrospective study of data over 36 months from a 14-bed NSICU evaluating quality outcome measures and anonymous patient satisfaction questionnaires before and after neurointensivists appointment. Results. After appointment of neurointensivists, patient acuity of the NSICU increased by 33.4% while LOS decreased by 3.5%. There was a decrease in neurosciences mortality (35.8%), catheter-associated urinary tract infection (50%), central line associated bloodstream infection (100%), and ventilator-associated pneumonia (50%). During the same time, patient satisfaction increased by 28.3% on physicians/nurses consistency (p=0.025), by 69.5% in confidence/trust in physicians (p<0.0001), by 78.3% on physicians treated me with courtesy/respect (p<0.0001), and by 46.4% on physicians’ attentiveness (p<0.0001). Ultimately, patients recommending the hospital to others increased by 67.5% (p<0.0001). Conclusion. Dedicated neurointensivists and the subsequent development of a neurocritical care team positively impacted quality outcome metrics, particularly significantly improving patient satisfaction.http://dx.doi.org/10.1155/2017/6394105 |
| spellingShingle | Yaw Sarpong Premkumar Nattanmai Ginger Schelp Robert Bell Keerthivaas Premkumar Erin Stapleton Ashley McCormick Christopher R. Newey Improvement in Quality Metrics Outcomes and Patient and Family Satisfaction in a Neurosciences Intensive Care Unit after Creation of a Dedicated Neurocritical Care Team Critical Care Research and Practice |
| title | Improvement in Quality Metrics Outcomes and Patient and Family Satisfaction in a Neurosciences Intensive Care Unit after Creation of a Dedicated Neurocritical Care Team |
| title_full | Improvement in Quality Metrics Outcomes and Patient and Family Satisfaction in a Neurosciences Intensive Care Unit after Creation of a Dedicated Neurocritical Care Team |
| title_fullStr | Improvement in Quality Metrics Outcomes and Patient and Family Satisfaction in a Neurosciences Intensive Care Unit after Creation of a Dedicated Neurocritical Care Team |
| title_full_unstemmed | Improvement in Quality Metrics Outcomes and Patient and Family Satisfaction in a Neurosciences Intensive Care Unit after Creation of a Dedicated Neurocritical Care Team |
| title_short | Improvement in Quality Metrics Outcomes and Patient and Family Satisfaction in a Neurosciences Intensive Care Unit after Creation of a Dedicated Neurocritical Care Team |
| title_sort | improvement in quality metrics outcomes and patient and family satisfaction in a neurosciences intensive care unit after creation of a dedicated neurocritical care team |
| url | http://dx.doi.org/10.1155/2017/6394105 |
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