J. Y. Valenzuela1, L. Szydziak1, M. Grossman1 1Southside Hospital / Northwell Health,Division Of Trauma Critical Care,Bay Shore, NY, USA
Introduction: Patient satisfaction scores may be useful to assess physician, nurse, and hospital performance. We hypothesize that cohorting trauma patients (TP) on a specific trauma/surgical unit (3T) would improve all Press Ganey (PG) metrics for TP.
Methods: 12 month retrospective analysis of PG administrative and trauma registry data in an ACS verified Level 2 trauma center. TP were compared to non-trauma patients (NTP) with respect to response rate and satisfaction scores. Baseline characteristics were compared to determine association with response. Nurse and physician satisfaction scores were compared between TP and NTP hospital-wide and on 3T. Comparisons were made using X2 or Wilcoxon test with significance set at p=0.05.
Results: 2936 returned PG surveys were matched to the trauma registry. 168 TP responded to the survey. Response rate was lower for TP compared to NTP (17% vs 22%, p=0.0021). There was no difference in age or sex between TP and NTP responders. Compared to non-responding TP, responding TP were likely to be female (p<0.001), age >65 (p=0.018), nonsubstance user (p=0.036), and have isolated hip fracture (p=0.0001). Overall, TP were dissatisfied with nursing care compared to NTP (p<0.003) with no difference in perceptions of physician care. For unit-based scores, 3T had higher scores from NTP compared to other wards (p<0.013). There was no difference in satisfaction for TP whether on 3T or other units, but on 3T, TP were less satisfied with nursing and physician care than NTP (Figure 1).
Conclusion: PG response rate is lower for TP and those who respond may not be representative of all trauma patients. Cohorting TP on 3T did not result in higher PG scores and in fact had the opposite affect. Conversely, NTP were more satisfied with care on 3T than other units. TP may receive less time and attention than other surgical NTP on 3T or more difficult complex TP may be selected for 3T admission versus other units.
