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Real-Time Hospital Medicine Patient Experience Mea ...
Real-Time Hospital Medicine Patient Experience Measurement With the Considerate Questions
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The document describes a pilot study testing <strong>consideRATE</strong>, a bedside, real-time patient experience survey for hospitalized adults on two hospital medicine wards at Dartmouth Hitchcock Medical Center. The motivation is that standard post-discharge surveys such as HCAHPS are often limited by recall bias, low response rates, and delayed feedback, making it difficult to fix problems while patients are still in the hospital. The goal was to see whether a real-time patient-reported experience measure could be embedded into routine workflow and support service recovery. Over three months, the team screened patients, obtained verbal consent, administered the survey at bedside, reviewed responses the same day, and escalated flagged concerns to leadership within 24 hours. Of 94 patients screened, 35 met eligibility, and 23 completed the survey. Completion and consent were high: <strong>96% consented and completed</strong>, and <strong>100% of surveys were reviewed the same day</strong>. Results suggest the approach is feasible and acceptable. The overall patient acceptability score was <strong>91%</strong>, with high ratings for recommending the survey to others, comfort sharing feedback, and ease of completion. Survey domain scores showed strongest performance in <strong>Respect (74%)</strong> and <strong>Physical Problems (71%)</strong>, with lower scores in <strong>Plans (61%)</strong>, <strong>Communication (58%)</strong>, <strong>Surroundings (58%)</strong>, <strong>Feelings (55%)</strong>, and <strong>Affairs (42%)</strong>. A sample patient comment highlighted positive staff attentiveness but noted the need for better coordination across teams. The authors conclude that bedside real-time experience surveys are practical, do not disrupt workflows, and can enable timely service recovery. Next steps include expanding to more units, comparing consideRATE with HCAHPS, and exploring digital automation for real-time reporting.
Asset Subtitle
Arshi Parvez
Meta Tag
Author List
Abhijit Saggu, Arshi Parvez, Ashley Fletcher, Catherine Saunders, Cecilia Kariuki, Eliza Bates, Emma Legg, Jacinta O'Connell, Kerin Vadnais, Marshall Ward, Meredith A. Macmartin, Rachel Israel, Simran Sehgal
Category
Research
Concept
HCAHPS
Concept
Patient Experience Survey
Concept
Measurement
Concept
Inpatient Care Experience
Concept
Service Recovery
Distinguished
Non-Finalist
Presenter Organization
Dartmouth Hitchcock Medical Center
Presenting Author
Arshi Parvez
Track
Quality Improvement
Keywords
consideRATE
patient experience survey
real-time feedback
hospitalized adults
service recovery
bedside survey
HCAHPS
patient satisfaction
hospital medicine wards
workflow integration
HCAHPS
Patient Experience Survey
Measurement
Inpatient Care Experience
Service Recovery
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