A Randomized Study to Evaluate Effectiveness of Verbal vs. Written Peri-operative Information Developed by Quality Improvement (QI) Module for Assessing Patient Satisfaction and Quality of Life

Mandal PK1 , Krishna A1 , Rai SK1 , Thukral A2 , Prajapati OP1 , Bhattacharjee H1 , Kumar S1 , Sood M3 , Deorari A2 and Bansal VK1*

1 Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India 2 Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India 3 Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India

^*Correspondance to: Bansal VK 

 PDF  Full Text DOI: 10.25107/2474-1647.3052

Abstract

Background: Adequate and effective information to the patient on their disease and proposed surgery is an important component of surgical care. This study is a collaborative effort for developing a Quality Improvement (QI) module using Plan-Do-Check-Act (PDCA) approach and to evaluate its effectiveness in a randomized trial, to standardize the process of passing information to patient in a more systematic way. Materials and Methods: This study was conducted in single surgical unit of tertiary care hospital in two phase and all patient undergoing laparoscopic cholecystectomy and inguinal hernia repair were included. In phase I QI module was standardized by PDCA approach. The effectiveness of QI module was tested by a randomized study in phase II. The patients were randomized in two groups, control group (regular protocol) and study group (QI module in addition to the regular protocol) in preoperative period. The patient satisfaction and perception of care were assessed at the time of discharge and after 30 days using a predefined questionnaire on Likert scale (1-10). Quality of Life (QOL) was assessed by WHOQOL BREF. Results: QI module was standardized after three PDCA and FGD after improving the patient satisfaction of more than 95%. In phase II there was significant improvement in patient satisfaction in various aspects in PSS (p=0.025), improvement of QOL (p=0.02), satisfaction of health (p=0.005) and psychological health in WHOQOL BREF of study group (p=0.002). Conclusion: The verbal preoperative information augmented with QI module improved the patient satisfaction, quality of life and perception of care in surgical patients.

Keywords

Quality improvement; PDCA approach; Patient satisfaction and Quality of life

Cite the article

Mandal PK, Krishna A, Rai SK, Thukral A, Prajapati OP, Bhattacharjee H, et al. A Randomized Study to Evaluate Effectiveness of Verbal vs. Written Peri-operative Information Developed by Quality Improvement (QI) Module for Assessing Patient Satisfaction and Quality of Life. Clin Surg. 2021; 6: 3052..