دورية أكاديمية
Enhancing the patient and family experience during pediatric sleep studies.
| العنوان: | Enhancing the patient and family experience during pediatric sleep studies. |
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| المؤلفون: | Baughn JM; Center for Sleep Medicine, Mayo Clinic, Rochester, Minnesota., Lechner HG; Department of Management Engineering & Internal Consulting, Mayo Clinic, Rochester, Minnesota., Herold DL; Center for Sleep Medicine, Mayo Clinic, Rochester, Minnesota., Brown VA; Center for Sleep Medicine, Mayo Clinic, Rochester, Minnesota., Moore WR; Center for Sleep Medicine, Mayo Clinic, Rochester, Minnesota., Harris CD; Center for Sleep Medicine, Mayo Clinic, Rochester, Minnesota., Stehr HI; Office of Patient Experience, Mayo Clinic, Rochester, Minnesota., Sorensen CM; Center for Sleep Medicine, Mayo Clinic, Rochester, Minnesota., Cleveland EJ; Internal Medicine Administrative Services, Mayo Clinic, Rochester, Minnesota., Akason JD; Medical Specialties Administrative Services, Mayo Clinic, Rochester, Minnesota., Morgenthaler TI; Center for Sleep Medicine, Mayo Clinic, Rochester, Minnesota., Lloyd RM; Center for Sleep Medicine, Mayo Clinic, Rochester, Minnesota. |
| المصدر: | Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine [J Clin Sleep Med] 2020 Jul 15; Vol. 16 (7), pp. 1037-1043. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: American Academy of Sleep Medicine Country of Publication: United States NLM ID: 101231977 Publication Model: Print Cited Medium: Internet ISSN: 1550-9397 (Electronic) Linking ISSN: 15509389 NLM ISO Abbreviation: J Clin Sleep Med Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Darien, IL : American Academy of Sleep Medicine, 2005- |
| مواضيع طبية MeSH: | Patient Satisfaction* , Quality Improvement*, Child ; Humans ; Nigeria ; Polysomnography ; Sleep |
| مستخلص: | Study Objectives: Pediatric polysomnography can result in suboptimal patient and provider (physician and advanced practice provider) experiences. We embarked on a project aimed at increasing the proportion of maximal satisfaction survey scores by a minimum of 10% in 1 year without adding personnel or major expenses. Methods: We used a Six Sigma framework, define, measure, analyze, improve, and control (DMAIC), to conduct our analysis. For measurement, we designed a project-specific survey that was given to caregivers of children who underwent PSG in February 2018 and repeated the survey after interventions in February 2019. Lean and Six Sigma quality improvement tools were used to define important processes that influence patient satisfaction, including: supplier, input, process, output, customer, and requirements (SIPOC-R); journey mapping; 1-2-4-All brainstorming; and views solicited from our center's Patient and Family Advisory Council. We analyzed the relationships between identified processes and outcomes using usual descriptive statistics. We prioritized interventions using a Kano model and a quality function deployment (QFD) technique to rank priorities for interventions. Multiple opportunities to improve patient and family satisfaction before, during, and after a pediatric polysomnography were identified. Many were simple, one-step interventions and were implemented simultaneously. For those that required substantial training and/or scheduling changes, pilots were performed and plan, do, study, act (PDSA) cycles were used to check effectiveness. Results: After implementation, top box scores rose 20%, from 51% (n = 47) in 2018 to 71% (n = 50) in 2019. Conclusions: Various quality improvement techniques employed in business, engineering, and manufacturing were used to identify and address areas of improvement in the pediatric polysomnography experience. (© 2020 American Academy of Sleep Medicine.) |
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| فهرسة مساهمة: | Keywords: Six Sigma; patient satisfaction; pediatric; polysomnography; quality improvement |
| تواريخ الأحداث: | Date Created: 20200218 Date Completed: 20210623 Latest Revision: 20210716 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC7954068 |
| DOI: | 10.5664/jcsm.8386 |
| PMID: | 32065112 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1550-9397 |
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| DOI: | 10.5664/jcsm.8386 |