Posters

A PREM-based questionnaire to assess patient satisfaction with the cataract surgery care pathway at Moorfields Eye Hospital

Poster Details

First Author: C.Nigam UK

Co Author(s): C. Nigam   R. Holder   C. Khatri   N. Gupta   M. Moosajee        

Abstract Details

Purpose:

To assess the utility of a novel patient satisfaction questionnaire in a cataract surgery pathway.

Setting:

Moorfields Eye Hospital, London, UK

Methods:

A prospective full cycle audit of patient reported experience was completed using an anonymised questionnaire. Post-operative patients were recruited at their follow-up clinic visit to complete the questionnaire in 2 audit cycles. The questionnaire contained 16 items to measure percentage of patients satisfied with clinic visits, pre-operative assessment, day surgery, ward stay and discharge on the cataract care pathway. Results and recommendations from the initial audit were presented to ophthalmologists, anaesthetists and nurses involved in cataract care prior to re-audit.

Results:

A total of 205 patients completed the questionnaire in the full audit cycle. It was possible to quantify satisfaction levels with specific aspects of each patient encounter assessed on the cataract care pathway, which facilitated the improvement of services provided. Post intervention, there was an increase in the percentage of patients reporting ‘Satisfied’ or ‘Very Satisfied’ for explanation of risks (97% vs. 93%) and anaesthesia (99% vs. 92%) and with the stay on the ward (99% vs. 95%). Five percent more people reported satisfaction with discharge information (98% vs. 93%) compared to the initial audit.

Conclusions:

This questionnaire used at MEH holds advantages over currently used tools of measuring patient satisfaction with services with its evaluation of the entire cataract pathway and multi-disciplinary care as perceived by the patient. Its ease of administration, brevity and interpretability make it generically applicable in assessing patient satisfaction with services and improving care in eye departments.

Financial Disclosure:

None