Measuring the quality of anaesthesia from a patient’s perspective: development, validation, and implementation of a short questionnaire

Graham Hocking, William Weightman, C. Smith, Neville Gibbs, K. Sherrard

    Research output: Contribution to journalArticle

    17 Citations (Scopus)

    Abstract

    Background. The primary aim of this study was to develop and validate a short psychometric instrument to assess the patient's perception of the quality of anaesthesia. Methods. In Part 1, the Perception of Quality in Anaesthesia (PQA) questionnaire was developed, pilot tested, and validated. Attributes of high-quality anaesthesia were identified using a process that restricted input to patients and members of the public. In Part 2, patient cohorts completed the PQA before, and after, a 6 month period where anaesthetists were given individualized peormance data using questions from the PQA. Results. In Part 1, items in the PQAwere identified and ranked by 120 patients and members of the public. Validity and reliability of the PQA was assessed by 714 patients. Principal component analysis showed that the PQA comprised five factors: Attention/gentleness; pain management; information/confidence; postoperative nausea or vomiting (PONV); and concerns addressed. In Part 2, there were 2046 patient participants in the pre-feedback cohort, 4251 in the feedback cohort, and 1421 in the post-feedback cohort. Unsatisfactory experience in at least one PQA factor was described by 45.2% [95% confidence interval (CI) 43.1-47.4%] during the pre-feedback period, and 35.0% (95% CI 32.6-37.6%) during the post-feedback period. Conclusions. We developed and validated a patient-derived questionnaire to measure the patient's perception of anaesthesia quality. PONV, postoperative pain management, and communication with the anaesthetist are the most important features of the patient's experience. Feedback of PQA peormance scores to anaesthetists can lead to improved patient experience. © The Author [2013]. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved.
    Original languageEnglish
    Pages (from-to)979-989
    JournalBritish Journal of Anaesthesia
    Volume111
    Issue number6
    DOIs
    Publication statusPublished - 2013

    Fingerprint

    Anesthesia
    Postoperative Nausea and Vomiting
    Pain Management
    Surveys and Questionnaires
    Confidence Intervals
    Postoperative Pain
    Principal Component Analysis
    Psychometrics
    Reproducibility of Results
    Communication
    Anesthetists

    Cite this

    @article{859764847da34afbaf7b4105d9117c41,
    title = "Measuring the quality of anaesthesia from a patient’s perspective: development, validation, and implementation of a short questionnaire",
    abstract = "Background. The primary aim of this study was to develop and validate a short psychometric instrument to assess the patient's perception of the quality of anaesthesia. Methods. In Part 1, the Perception of Quality in Anaesthesia (PQA) questionnaire was developed, pilot tested, and validated. Attributes of high-quality anaesthesia were identified using a process that restricted input to patients and members of the public. In Part 2, patient cohorts completed the PQA before, and after, a 6 month period where anaesthetists were given individualized peormance data using questions from the PQA. Results. In Part 1, items in the PQAwere identified and ranked by 120 patients and members of the public. Validity and reliability of the PQA was assessed by 714 patients. Principal component analysis showed that the PQA comprised five factors: Attention/gentleness; pain management; information/confidence; postoperative nausea or vomiting (PONV); and concerns addressed. In Part 2, there were 2046 patient participants in the pre-feedback cohort, 4251 in the feedback cohort, and 1421 in the post-feedback cohort. Unsatisfactory experience in at least one PQA factor was described by 45.2{\%} [95{\%} confidence interval (CI) 43.1-47.4{\%}] during the pre-feedback period, and 35.0{\%} (95{\%} CI 32.6-37.6{\%}) during the post-feedback period. Conclusions. We developed and validated a patient-derived questionnaire to measure the patient's perception of anaesthesia quality. PONV, postoperative pain management, and communication with the anaesthetist are the most important features of the patient's experience. Feedback of PQA peormance scores to anaesthetists can lead to improved patient experience. {\circledC} The Author [2013]. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved.",
    author = "Graham Hocking and William Weightman and C. Smith and Neville Gibbs and K. Sherrard",
    year = "2013",
    doi = "10.1093/bja/aet284",
    language = "English",
    volume = "111",
    pages = "979--989",
    journal = "British Journal of Anaesthesia",
    issn = "0007-0912",
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    Measuring the quality of anaesthesia from a patient’s perspective: development, validation, and implementation of a short questionnaire. / Hocking, Graham; Weightman, William; Smith, C.; Gibbs, Neville; Sherrard, K.

    In: British Journal of Anaesthesia, Vol. 111, No. 6, 2013, p. 979-989.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Measuring the quality of anaesthesia from a patient’s perspective: development, validation, and implementation of a short questionnaire

    AU - Hocking, Graham

    AU - Weightman, William

    AU - Smith, C.

    AU - Gibbs, Neville

    AU - Sherrard, K.

    PY - 2013

    Y1 - 2013

    N2 - Background. The primary aim of this study was to develop and validate a short psychometric instrument to assess the patient's perception of the quality of anaesthesia. Methods. In Part 1, the Perception of Quality in Anaesthesia (PQA) questionnaire was developed, pilot tested, and validated. Attributes of high-quality anaesthesia were identified using a process that restricted input to patients and members of the public. In Part 2, patient cohorts completed the PQA before, and after, a 6 month period where anaesthetists were given individualized peormance data using questions from the PQA. Results. In Part 1, items in the PQAwere identified and ranked by 120 patients and members of the public. Validity and reliability of the PQA was assessed by 714 patients. Principal component analysis showed that the PQA comprised five factors: Attention/gentleness; pain management; information/confidence; postoperative nausea or vomiting (PONV); and concerns addressed. In Part 2, there were 2046 patient participants in the pre-feedback cohort, 4251 in the feedback cohort, and 1421 in the post-feedback cohort. Unsatisfactory experience in at least one PQA factor was described by 45.2% [95% confidence interval (CI) 43.1-47.4%] during the pre-feedback period, and 35.0% (95% CI 32.6-37.6%) during the post-feedback period. Conclusions. We developed and validated a patient-derived questionnaire to measure the patient's perception of anaesthesia quality. PONV, postoperative pain management, and communication with the anaesthetist are the most important features of the patient's experience. Feedback of PQA peormance scores to anaesthetists can lead to improved patient experience. © The Author [2013]. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved.

    AB - Background. The primary aim of this study was to develop and validate a short psychometric instrument to assess the patient's perception of the quality of anaesthesia. Methods. In Part 1, the Perception of Quality in Anaesthesia (PQA) questionnaire was developed, pilot tested, and validated. Attributes of high-quality anaesthesia were identified using a process that restricted input to patients and members of the public. In Part 2, patient cohorts completed the PQA before, and after, a 6 month period where anaesthetists were given individualized peormance data using questions from the PQA. Results. In Part 1, items in the PQAwere identified and ranked by 120 patients and members of the public. Validity and reliability of the PQA was assessed by 714 patients. Principal component analysis showed that the PQA comprised five factors: Attention/gentleness; pain management; information/confidence; postoperative nausea or vomiting (PONV); and concerns addressed. In Part 2, there were 2046 patient participants in the pre-feedback cohort, 4251 in the feedback cohort, and 1421 in the post-feedback cohort. Unsatisfactory experience in at least one PQA factor was described by 45.2% [95% confidence interval (CI) 43.1-47.4%] during the pre-feedback period, and 35.0% (95% CI 32.6-37.6%) during the post-feedback period. Conclusions. We developed and validated a patient-derived questionnaire to measure the patient's perception of anaesthesia quality. PONV, postoperative pain management, and communication with the anaesthetist are the most important features of the patient's experience. Feedback of PQA peormance scores to anaesthetists can lead to improved patient experience. © The Author [2013]. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved.

    U2 - 10.1093/bja/aet284

    DO - 10.1093/bja/aet284

    M3 - Article

    VL - 111

    SP - 979

    EP - 989

    JO - British Journal of Anaesthesia

    JF - British Journal of Anaesthesia

    SN - 0007-0912

    IS - 6

    ER -