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Erschienen in:
01.02.2016 | Original Article
Effective communication enhances the patients’ endoscopy experience
Erschienen in: Irish Journal of Medical Science (1971 -) | Ausgabe 1/2016
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Background
Undergoing an endoscopy is a stressful experience for patients.
Aims
To audit the endoscopy pathway to improve patient satisfaction.
Methods
A prospective survey of endoscopy patients to identify system improvements that were then implemented.
Results
The survey was performed before (N = 71) and after (N = 60) process improvements identified by the initial survey. Information provision and staff communication skills were identified for optimisation. Patient anxiety at home was significantly reduced (median 2 vs. 1, p < 0.01). Education of endoscopy staff significantly improved the quality of information provided before and after the procedure with regard to sedation (median 4 vs. 5, p < 0.01), discomfort (median 4 vs. 5, p < 0.01), complications (28 vs. 82 %, p < 0.01), findings (89 vs. 100 %, p < 0.01) and follow-up (73 vs. 90 %, p = 0.015). Gloucester Comfort Scores during endoscopy improved (median 1 vs. 0, p < 0.01) without increasing sedation levels. Patient feelings of invasion/trauma significantly decreased. Overall 95 % of patients were satisfied.
Conclusion
Structured information leaflets and improved staff communication skills reduce anxiety and enhance patients’ experiences. They are now standard operating procedures.