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In pediatric healthcare, patient satisfaction queries exclude children and solicit quantitative ratings from caregivers. We sought satisfaction perspectives from hospitalized children 7 to 17 years and their caregivers by qualitatively analyzing interview responses. English and Spanish-speaking children and their parents on five inpatient units completed two open-ended questions about their satisfaction at hospital discharge (T1, face to face) and 7 to 10 days later (T2, telephone). The questions asked about what was good and what could be better at the hospital. Responses were analyzed using descriptive semantic content analysis and consensus coding methods. Patients' mean age was 11.9 years (SD = 3.17); 51% were male. At T1, 362 patients offered 833 responses; 600 parents offered 1496 responses. At T2, 252 patients offered 552 responses; 488 parents offered 1290 responses. At T1 and T2, the most frequent patient response to what was good was 'Staff took good care of me' and for caregivers was 'Staff behaving professionally'. At T1, the most frequent patient response about what could be better was 'more activities for kids', and at T2, 'Nothing' and 'More food options and better food quality'; for caregivers at T1, 'Nothing' and 'Not liking the physical space', and at T2, 'Nothing', and 'More communication and professionalism from hospital staff'. Pediatric patients and their caregivers are willing and able to offer perspectives about satisfaction with care, and suggestions for improvement before discharge. Pediatric patients and their caregivers' perspectives about care yield actionable recommendations for hospital systems. • Children as young as age 7 can report on their satisfaction with hospital care. • Parents are willing to have their hospitalized child provide feedback about care. • Parents are quite willing to offer their recommendations for care improvement. • Child and parent similar responses, method of data collection didn't alter findings. [ABSTRACT FROM AUTHOR]

To examine informal carers' experiences during their child's hospitalization and evaluate the associations with care received and care context. What is described in this article is only a part of the larger study, RN4CAST@IT-Ped, a multicenter cross-sectional study, with multi-level data collection through convenience sampling, the Child Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey was used to collect data from informal carers of pediatric patients, applying the "top box" approach. Nine hospitals, 1472 nurses, and 635 children's parents were involved. A correlation was found between patient safety and satisfaction outcomes and nursing staff characteristics. Adequate workloads for nurses improved carers' assessment of their experience in the hospital. Adequate staffing management could significantly improve informal carers' satisfaction with the care provided to their children during hospitalization. Children's informal carers greatly value the care they receive in pediatric hospitals. Adequate workloads for nurses improve carers' overall evaluation of the care their children receive during hospitalization. Nursing management should consider improving these aspects to ensure high-quality care in children's hospitals. • Child and Family Centered Care is an important outcome to take in consideration. • Child H-CAHPS is a validated tool to measure user satisfaction with healthcare received. • Hospital environment and healthcare staff have an impact on family satisfaction. [ABSTRACT FROM AUTHOR]

We sought to identify which aspects of the referring clinician experience are most strongly correlated with overall satisfaction, and hence of greatest relevant importance to referring clinicians. A survey instrument assessing referring clinician satisfaction throughout 11 domains of the radiology process map was distributed 2720 clinicians. The survey contained sections assessing each process map domain, with each section including a question about satisfaction overall in that domain and multiple more granular questions. The final question on the survey was overall satisfaction with the department. Univariate logistic regression and multivariate logistic regression were performed to assess the association between individual survey questions and overall satisfaction with the department. 729 referring clinicians (27%) completed the survey. Using univariate logistic regression nearly every question was associated with overall satisfaction. Amongst the 11 domains of the radiology process map multivariate logistic regression identified the following as mostly strongly associated with overall satisfaction: results/reporting overall (odds ratio 4.71; 95% confidence interval 2.15–10.23), section with which work most closely overall (3.39; 1.28–8.64), and inpatient radiology overall (2.39; 1.08–5.08). Other survey questions associated with overall satisfaction on multivariate logistic regression were attending radiologist interactions (odds ratio 3.71; 95% confidence interval 1.54–8.69), timeliness of inpatient radiology results (2.91; 1.01–8.09), technologist interactions (2.15; 0.99–4.40), appointment availability for urgent outpatient studies (2.01; 1.08–3.64), and guidance for selecting correct imaging study (1.88; 1.04–3.34). Referring clinicians value most the accuracy of the radiology report and their interactions with attending radiologists, particularly within the section they work most closely. • Overall referring clinician satisfaction is most closely associated with reports overall. • Satisfaction with attending radiologist interactions and the section they work most closely are also strongly associated. • We recommend use of a prioritization chart to visually identify the highest priority areas to target for improvement. [ABSTRACT FROM AUTHOR]

Patient satisfaction is a quality improvement indicator used to evaluate care. Ratings of patient satisfaction in pediatrics exclude the child voice. We tested the feasibility and acceptability of a new model that included both child and parent satisfaction ratings. We executed a randomized, two-arm, unblinded cohort study comparing child (aged 7–17 years) and parent reports (Arm 1) to parent report only (Arm 2) among a convenience sample of inpatients at a single urban pediatric medical center. The primary (feasibility and acceptability) and secondary outcomes were assessed at the time of discharge (T1) and approximately 10 days following discharge (T2) (standard timing). Of 672 screened families, 89.3% (n = 600) enrolled in the study; 362 children and parents were randomized to Arm 1 and 238 parents to Arm 2. Patients (98.6%) and parents (99.8%) indicated preference for providing satisfaction ratings at the time of discharge. Seventy-five percent of families (n = 488) completed T1 and T2; neither child nor parent ratings differed significantly between T1 and T2 nor did parent ratings differ between the two study arms. Nurse friendliness, courtesy, and feeling well cared for were among the highest rated items at T1 and T2 by both children and parents. Children 7 to 17 years of age and their parents are willing and like to provide satisfaction with care ratings prior to hospital discharge. This measurement model could yield valid findings representative of hospitalized children and their parents, and could become the basis for a new and needed measurement approach for pediatric satisfaction with hospital care. • Hospitalized children are excluded from rating satisfaction with their hospital care. • Parents provide satisfaction ratings via mailed survey following their child's discharge. Survey return rates are abysmally low. • In a study of 600 families, we documented that hospitalized children and their parents are willing and able to rate satisfaction with care before discharge. • Participation rates exceeded expectations as did racial and ethnic diversity of participants. [ABSTRACT FROM AUTHOR]

Highlights • The knowledge of the satisfaction level of the admitted patients is of great importance for the improvement of the quality of the sanitary services. Although there are a number of interesting articles regarding this topic, they do not focus on the inpatient perspective. The Satipsy-22-E shows good metric properties and it's a good tool available now in Spanish language, allowing learning more about inpatients’ real needs. We hope this way we will all be able to improve our clinical practice. • Some of the intervening variables are specific to psychiatric wards. Involuntary income, constraining and similar topics related to the restrictive measures of these wards produce a differential effect when evaluating the admission experience. Abstract The Satispsy-22 scale is an instrument created for the specific evaluation of psychiatric inpatient satisfaction. Therefore, the study aims to carry out the Satispsy-22 scientific translation to Spanish and to learn its psychometric properties. The Satipsy-22-E was administered to discharged patients from four units of acute psychiatric admission, a unit of dual pathology and two units of subacute psychiatric admission (N = 268). Cronbach's alpha was 0.886, which can be interpreted as good internal reliability. All the dimensions showed a good internal consistency with scores from 0.722 to 0.919. Test-retest offered scores of 0.752–0.951 showing good stability. Confirmatory factor analysis showed that all elements load in the estimated dimensions of the original scale and these were significant and the adjustment measures showed, in general, a rather good adjustment, Root Mean Square Error (RMSE) showed that the error between observations and actual data is small and acceptable. Satispsy-22-E is a specific scale in Spanish language for the assessment of psychiatric inpatient satisfaction. It is an easy to use tool that offers good psychometric properties. The availability of a validated survey in Spanish may help to improve the care provided by psychiatric wards in Spanish-speaking countries. [ABSTRACT FROM AUTHOR]

Objectives The aim was to evaluate the effect of structured reporting of computed tomography angiography (CTA) runoff studies on clarity, completeness, clinical relevance, usefulness of the radiology reports, further testing, and therapy in patients with known or suspected peripheral arterial disease. Methods Conventional reports (CRs) and structured reports (SRs) were generated for 52 patients who had been examined with a CTA runoff examination of the lower extremities. The sample size was based on power calculations with a power of 95% and a significance level of .007 (adjusted for multiple testing). CRs were dictated in a free text form; SRs contained a consistent ordering of observations with standardised subheadings. CRs were compared with SRs. Two vascular medicine specialists and two vascular surgeons rated the reports regarding their satisfaction with clarity, completeness, clinical relevance, and usefulness as well as overall satisfaction. Additionally, they made hypothetical decisions on further testing and therapy. Median ratings were compared using the Wilcoxon signed rank test and generalised linear mixed effects models. Results SRs received higher ratings for satisfaction with clarity (median rating 9.0 vs. 7.0, p < .0001) and completeness (median rating 9.0 vs. 7.5, p < .0001) and were judged to be of greater clinical relevance (median rating 9.0 vs. 8.0, p < .0001) and usefulness (median rating 9.0 vs. 8.0, p < .0001). Overall satisfaction was also higher for SRs (median rating 9.0 vs. 7.0, p < .0001) than CRs. There were no significant differences in further testing or therapy. Conclusion Referring clinicians perceive SRs of CTA runoff examinations of the lower extremities as offering superior clarity, completeness, clinical relevance, and usefulness than CRs. Structured reporting does not appear to alter further testing or therapy in patients with known or suspected peripheral arterial disease. [ABSTRACT FROM AUTHOR]

Summary: Background: Although some papers have analyzed patient satisfaction after traditional abdominoplasty, studies that have specifically assessed patient satisfaction on abdominal reconstruction after deep inferior epigastric perforator (DIEP) surgery are lacking. Aim: The aim of this study was to assess satisfaction, specifically for abdominoplasty results, in patients who underwent breast reconstruction with a single DIEP flap. Methods: This retrospective study included 53 consecutive patients who underwent unilateral breast reconstruction with a DIEP flap. The patients were all clinically evaluated during a specific consultation and answered a satisfaction survey based on a four-point scale (unsatisfied, satisfied, happy, and very happy). Results: A total of 50 patients responded to the survey. The average age was 52.3 years. This study revealed that 52% of the patients were happy or very happy with the aesthetic result of their abdomen. A total of 34% of the patients confessed that they preferred their abdomen before surgery. A further analysis of the dissatisfied patients showed particular dissatisfaction with dog-ears (50%), residual abdominal overhang (18%), or the horizontal scar (12%). The average distance between the horizontal scar and vulvar anterior commissure was 10.6 cm. A total of 86% of the patients were happy or very happy with the preoperative counseling. Conclusions: The authors note the necessity to give detailed preoperative information to explain the final abdominal aesthetic result, which can be quite different from the patient's expectations. [Copyright &y& Elsevier]

Highlights: [•] Usability of HIE was the biggest challenge experienced in information systems. [•] EHR system, working sector and type of RHIE system affected preferred means of HIE. [•] Means of HIE, EHR system and type of RHIE system impacted experienced HIE success. [•] Virtual integrated RHIE system type was associated with most positive experiences. [ABSTRACT FROM AUTHOR]

Background: Publications reporting photodynamic therapy (PDT) in mycosis fungoides (MF) are rare, involve small samples, and are difficult to compare because of a lack of technical standardization. Objective: We sought to assess PDT effectiveness and tolerability in early-stage MF using a strict reproducible procedure. Methods: This was a prospective study conducted in Nantes University Hospital, France, including patients older than 18 years with histologically proven MF (stage IA or IB). Methyl-aminolevulinic acid-PDT sessions were repeated monthly for 6 months. Clinical and histologic responses were assessed 1 month after the last session. Patient satisfaction was assessed by telephone survey. Results: Twelve patients (with 29 lesions) were treated with PDT. An objective response in target lesions was obtained in 75% of patients. Response rates were similar between plaques and patches but higher in sun-protected compared with sun-exposed areas (trend without reaching significance). During PDT, new lesions appeared in 5 of 12 patients in untreated areas. Most patients were highly satisfied and preferred PDT to the topical chemotherapy previously used. Limitations: PDT procedure criteria selection was partially arbitrary. Conclusions: In early-stage MF, PDT is effective and appreciated (especially when compared with conventional topical chemotherapy). Unilesional and paucilesional forms and lesions in sun-protected areas are to be preferred. [Copyright &y& Elsevier]

Abstract: In 2006, a medico-legal consultation service devoted to adult victims of interpersonal violence was set up at the Lausanne University Hospital Centre, Switzerland: the Violence Medical Unit. Patients are received by forensic nurses for support, forensic examination (in order to establish medical report) and community orientation. In 2008, a telephone survey was conducted on patients. The objectives of the survey were to estimate the degree of patients’ satisfaction and to document the use of the medical report by six questions. Among the 476 patients admitted to the VMU in 2007, 132 were interviewed. Their overall satisfaction was high with an average mark of 8.7/10. The medical report was used extensively by the interviewed victims (81%) for its primary function – to be produced as evidence. As the consultations are financed by public funds, these results were of interest for advocacy of long-lasting financial support. [Copyright &y& Elsevier]

Abstract: A multicentre study was undertaken to assess user''s impressions of picture archiving and communication systems (PACS). A questionnaire was sent to 1518 clinicians in 7 UK trusts. Half of the 286 responders used PACS alone for looking at radiological images, having used the system between 2 and 5 years. 83% felt PACS benefited their work, 79% felt PACS was better than hard copies and 83% would recommend it. Several potential problems were highlighted. Half of responders had no training to use PACS. Of those, 50% stated that no training had been offered. A second concern was unreliability, with 20% feeling that the system was unable to be used at least 1 week every year. Third was the poor quality of images, due to the poor quality of the monitors. All these problems will need to be addressed by any trust intending to implement a reliable and useful system. [Copyright &y& Elsevier]

Summary: Objective: To audit the performance of the paediatric epilepsy services in a district general hospital based on NICE guidelines and parent satisfaction. Design: Retrospective audit. Setting: Paediatric epilepsy clinic in a district general hospital. Patients: Consecutive children (n =54) with epilepsy attending the paediatric epilepsy clinic over a 4-month period. Methodology: Data from hospital notes was recorded in standardized study forms, which was subsequently entered into database and analysed independently. A parent/patient satisfaction survey was also conducted over the same period involving the same study population by sending out a postal questionnaire. Outcome measure: NICE epilepsy audit criteria and patient/carer satisfaction measured using the standards published by Webb et al. Results: The results show that the service achieved almost all the key targets set out in the NICE guidelines but performed less well in the parent satisfaction survey. Conclusion: This audit suggests that in addition to NICE guidelines, an evaluation of parent/patient satisfaction should form part of assessment of the quality of paediatric epilepsy service. [Copyright &y& Elsevier]

Abstract: Following a survey assessing the satisfaction of client–employers with their occupational health service, it was now assessed how employees themselves evaluate their occupational health service. Employees completed a questionnaire in order to examine their degree of satisfaction about the different services, procedures and processes offered by the External service. A questionnaire has been sent to 788 randomly selected employees in different companies, also randomly selected. The stratified sample was constructed according to company size (<5, ≥5 and <50, ≥50 employees, subject to periodical medical examination). Response rate was 62.6% (n =494). The mean score on overall satisfaction for medical services was 8.3 (max. score of 10). Scores for non-medical services were somewhat lower, but still very reasonable. These results are stimulating for the personnel of the External service of prevention and protection at work. [Copyright &y& Elsevier]

Résumé Une enquête de satisfaction est un outil qui permet de mieux appréhender les exigences et les attentes des patients. Simple à mettre en œuvre, elle met en lumière les points forts et révèle les points faibles du fonctionnement de l’officine. De ses résultats, l’équipe officinale peut dégager des axes de travail visant à améliorer la qualité de ses prestations. La satisfaction des clients/patients est à l’origine de la fidélisation et du développement de l’entreprise. Summary A satisfaction survey is a tool which helps pharmacies gain a better understanding of patients’ requirements and expectations. Simple to implement, it highlights the strengths and weaknesses of the pharmacy's way of functioning. Based on these results, the pharmacy team can identify areas to focus on to improve the quality of its services. The satisfaction of customers/patients helps to build customer loyalty and develop the business. [ABSTRACT FROM AUTHOR]