1. Development and validation of a patient experience of care survey for emergency departments
- Author
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Ye, Feifei, Parast, Layla, Hays, Ron D, Elliott, Marc N, Becker, Kirsten, Lehrman, William G, Stark, Debra, and Martino, Steven
- Subjects
Health Services and Systems ,Nursing ,Health Sciences ,Health Services ,Emergency Care ,Clinical Research ,Health and social care services research ,8.1 Organisation and delivery of services ,Generic health relevance ,Cross-Sectional Studies ,Emergency Service ,Hospital ,Humans ,Patient Outcome Assessment ,Patient Satisfaction ,Psychometrics ,Quality of Health Care ,Reproducibility of Results ,Surveys and Questionnaires ,United States ,emergency department ,patient experience ,reliability ,validity ,Public Health and Health Services ,Policy and Administration ,Health Policy & Services ,Health services and systems ,Policy and administration - Abstract
ObjectivesTo (1) develop a survey to assess the patient experience of care in hospital-based emergency departments (ED) and (2) evaluate the reliability and validity of composite measures of patient experience using data collected through the experimental implementation of the newly developed Emergency Department Patient Experience of Care (EDPEC) Discharged to Community (DTC) Survey.Data source4893 adult patients were treated in the ED of 16 hospitals across the United States in 2018.Study designThe study utilized a cross-sectional survey.Data collectionSurvey development activities included a literature review, focus groups, and cognitive interviews with recently discharged ED patients, technical expert panels, and multiple field experiments. Survey development resulted in a 34-item instrument; the analysis reported here focuses on 18 items on patient experience of care. Using data from the EDPEC DTC Survey in the 2018 Feasibility Test, we performed confirmatory factor analysis to group 15 evaluative survey items into composite measures. We examined internal consistency reliability, interunit reliability, and associations between each composite measure and patients' overall rating and willingness to recommend the ED.Principal findingsAnalyses of 15 evaluative items identified four composite measures: Getting Timely Care, How Well Doctors and Nurses Communicate, Communication about Medications, and Communication about Follow-up. Patient-level internal consistency reliability exceeded 0.75 for two of four composites; ED-level internal consistency reliability exceeded 0.83 for all four composites. Interunit reliability estimates indicated that 450 survey completes per ED results in at least 0.70 reliability for all composites. Higher scores on each composite were associated with higher overall ratings and willingness to recommend the ED.ConclusionsThe composite measures derived from the EDPEC DTC Survey are statistically reliable and valid. These results provide guidance for EDPEC DTC Survey adopters on how to construct meaningful and psychometrically-sound composite measures for monitoring the quality of care they provide.
- Published
- 2022