Curr Health Sci J, vol. 45, no. 1, 2019

Assessment of the Quality of Outpatient Endoscopic Procedures by Using a Patient Satisfaction Questionnaire

[Original paper]

D. BURTEA(1,2), A. DIMITRIU(2), A. MALOS(2), I. CHERCIU(1), A.N SAFTOIU(1,2)


(1)Research Centre of Gastroenterology and Hepatology, University of Medicine and Pharmacy of Craiova, Romania,
(2)Gastro Center Craiova, Romania


Abstract:

Introduction. Endoscopic procedures represent an important part of daily practice, both for gastroenterologists and nurses, enabling diagnosis and treatment of digestive diseases. An optimal level of quality needs to be obtained for endoscopic procedures to be efficient, which is reflected directly by patient satisfaction. The Gastrointestinal Endoscopy Satisfaction Questionnaire (GESQ) has already been validated in a multicenter trial as an efficient method for measuring patient satisfaction. Aim The aim of our study was to evaluate the quality of endoscopic procedures and patient satisfaction by applying a modified version of the GESQ in an outpatient facility, with or without deep sedation performed under the supervision of an anesthesiologist. Material and methods. Our study included 552 patients undergoing diagnostic and therapeutic upper and lower GI endoscopies, including endoscopic ultrasound procedures (EUS) performed under propofol sedation, from September 2015 to February 2016. Consecutive patients examined during these 6 months received the questionnaire which was handed by the endoscopy nurse two hours after procedure. The GESQ was modified to include different sections for: 1) communication skills with questions regarding the quantity and clarity of the information delivered to the patient before and after the procedures; 2) pain and discomfort related to the examination with an added question about the specific procedure the patient had undergone; 3) staff manners; 4) physician’s technical skills; 5) facility organization (waiting time, comfort in the recovery room, good facilities and equipment) and 6) overall satisfaction. The questionnaire did not include personal data, while answers were analyzed in a confidential manner. Results. A total number of 552 patients agreed to answer our questionnaire, 192 (34,7%) underwent gastroscopies, 288 (52,1%) colonoscopies and 72 (13,2%) EUS examinations. Regarding the overall level of satisfaction (assessed o


Keywords:
Quality assurance, deep sedation, propofol, interventional endoscopy, nursing, patient satisfaction



Corresponding:
Elena Daniela Burtea, Research Centre of Gastroenterology and Hepatology, University of Medicine and Pharmacy of Craiova, Romania, bv. 1 Mai 66, Craiova, Dolj, 200638, Romania; e-mail: dana.burtea26@gmail.com


DOI 10.12865/CHSJ.45.01.07 - Download PDF