Imperial College London
Alternate

Dr Sam Pannick

Faculty of Medicine, Faculty of Medicine Centre

 
 
 
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Contact

 

s.pannick

 
 
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Location

 

Medical SchoolSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Pannick:2019:10.1136/bmjopen-2018-024058,
author = {Pannick, S and Archer, S and Long, S and Husson, F and Athanasiou, T and Sevdalis, N},
doi = {10.1136/bmjopen-2018-024058},
journal = {BMJ Open},
title = {What matters to medical ward patients, and do we measure it? A qualitative comparison of patient priorities and current practice in quality measurement, on UK NHS medical wards},
url = {http://dx.doi.org/10.1136/bmjopen-2018-024058},
volume = {9},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Objectives To compare the quality metrics selected for public display on medical wards to patients’ and carers’ expressed quality priorities.Methods Multimodal qualitative evaluation of general medical wards and semi-structured interviews.Setting UK tertiary National Health Service (public) hospital.Participants Fourteen patients and carers on acute medical wards and geriatric wards.Results Quality metrics on public display evaluated hand hygiene, hospital-acquired infections, nurse staffing, pressure ulcers, falls and patient feedback. The intended audience for these metrics was unclear, and the displays gave no indication as to whether performance was improving or worsening. Interviews identified three perceived key components of high-quality ward care: communication, staff attitudes and hygiene. These aligned poorly with the priorities on display. Suboptimal performance reporting had the potential to reduce patients’ trust in their medical teams. More philosophically, patients’ and carers’ ongoing experiences of care would override any other evaluation, and they felt little need for measures relating to previous performance. The display of performance reports only served to emphasise patients’ and carers’ lack of control in this inpatient setting.Conclusions There is a gap between general medical inpatients’ care priorities and the aspects of care that are publicly reported. Patients and carers do not act as ‘informed choosers’ of healthcare in the inpatient setting, and tokenistic quality measurement may have unintended consequences.
AU  - Pannick,S
AU  - Archer,S
AU  - Long,S
AU  - Husson,F
AU  - Athanasiou,T
AU  - Sevdalis,N
DO  - 10.1136/bmjopen-2018-024058
PY  - 2019///
SN  - 2044-6055
TI  - What matters to medical ward patients, and do we measure it? A qualitative comparison of patient priorities and current practice in quality measurement, on UK NHS medical wards
T2  - BMJ Open
UR  - http://dx.doi.org/10.1136/bmjopen-2018-024058
UR  - http://hdl.handle.net/10044/1/70573
VL  - 9
ER  -
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