Patient Survey as a Tool to Quality Assurance and Quality Improvement

Study Overview
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Brief Summary
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One goal of the investigators of the Department of Anesthesiology and Operative Intensive Care Medicine CCM/CVK, Charité - Universitätsmedizin Berlin is a continuous improvement in the quality of care to the patients. One focus is the freezing preoperatively during surgery, and on the follow-up study to assess the perceived waiting times in the anesthesiology outpatient clinic. The project aims to quality assurance and quality improvement of the Department of Anesthesiology and Operative Intensive Care Medicine CCM/CVK, Charité - Universitätsmedizin Berlin .

Detailed Description
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The primary objective of the survey is to assess the entire perioperative care with particular focus on the development of perceived waiting times in the anesthesiology outpatient clinic, re-evaluation of the preoperative freezing the preoperative thirst, pain, nausea and vomiting after surgery (PONV prophylaxis). The survey will be repeated in a three-year interval (approximately 1000 - 2000 patients per survey) to monitor and improve the quality of the Department of Anesthesiology and Operative Intensive Care Medicine CCM/CVK, Charité - Universitätsmedizin Berlin from the patient point of view. In order to achieve a meaningful data collection, a response rate of 50 percent should be achieved.

Official Title
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Patient Survey as a Tool to Quality Assurance and Quality Improvement - Department of Anesthesiology and Operative Intensive Care (CCM/CVK), Charité - Universitätsmedizin Berlin

Conditions
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Patient Satisfaction

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: male and female patients who underwent a procedure in anesthesia and willing to take part in the Survey aged >= 1 years Exclusion Criteria: unconscious patients, refusal by patient / parents

Ages Eligible for Study
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Minimum Age: 1 Year

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient satisfaction | Patient satisfaction with the care provided by the staff of the Department of Operative Anesthesiology and Intensive Care Medicine CCM/CVK; Measurement of satisfaction: Yes/No/Partly | Time during hospital stay, an average of 2 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Waiting time in the premedication visit | Measurement of waiting time: < 15 minutes, 15-30 minutes, 30-60 minutes, > 60 minutes | Time in the outpatient clinic of anesthesia, an average of 1 hour | 
| Friendliness of the staff during the premedication visit | Measurement of friendliness: Yes/No/Partly | Time in the outpatient clinic of anesthesia, an average of 1 hour | 
| Information provided during the premedication visit by the anesthetist | Measurement of Information: Yes/No/Partly | Time in the outpatient clinic of anesthesia, an average of 1 hour | 
| Response to questions during the premedication visit | Response to questions is measured: Yes/No/Partly | Time in the outpatient clinic of anesthesia, an average of 1 hour | 
| Fear reduction during the premedication visit | Fear reduction is measured: Yes/No/Partly | Time in the outpatient clinic of anesthesia, an average of 1 hour | 
| Information provided during the premedication visit by educational films | Measurement of information by educational films: Yes/No/Partly/No film | Time in the outpatient clinic of anesthesia, an average of 1 hour | 
| Compliance with the planned start of the operation | Measurement of compliance with the start of the operation: Yes/No | Time in the operation room before start of anesthesia, an average of 30 minutes | 
| Friendliness of staff | Measurement of friendliness: Yes/No/Partly | Time in the operation room before start of anesthesia, an average of 30 minutes | 
| Fear | Fear measured: Yes, very much/Yes, but not much/No fear /Partly | Time in the operation room before start of anesthesia, an average of 30 minutes | 
| Thirst | Thirst measured: Yes, very much/Yes, but not much/No thirst/Partly | Time in the operation room before start of anesthesia, an average of 30 minutes | 
| Pain | Pain measured: Yes, strong pain/Yes, but not strong/No pain/Can't remember | Time in the operation room before start of anesthesia, an average of 30 minutes | 
| Sufficient pain treatment | Sufficient pain treatment measured: Yes, sufficiently treated/ Treated, but not sufficiently/Not treated/No pain/No treatment wanted/Partly | Time in the operation room before start of anesthesia, an average of 30 minutes | 
| Shivering | Shivering is measured: Yes, strong/Yes, but not strong/No shivering/Partly | Time in the operation room before start of anesthesia, an average of 30 minutes | 
| Sufficient therapy in case of shivering | Sufficient therapy in case of shivering is measured: Yes, sufficiently treated/ Treated, but not sufficiently/Not treated/No shivering/No treatment wanted/ Partly | Time in the operation room before start of anesthesia, an average of 30 minutes | 
| Friendliness of staff | Friendliness is measured: Yes/No/Partly | Time in the intensive care unit or post anesthesia care unit, an average of 3 days | 
| Post-operative nausea and vomiting (PONV) | Measurement of PONV: nausea/vomiting/nausea and vomiting/neither nor | Time in the intensive care unit or post anesthesia care unit, an average of 3 days | 
| Sufficient therapy in case of PONV | Sufficient therapy is measured: Yes, sufficiently treated/ Treated, but not sufficiently/Not treated/No PONV/No treatment wanted/Partly | Time in the intensive care unit or post anesthesia care unit, an average of 3 days | 
| Pain intensity | Pain intensity is measured by likert scale: strong, moderate, low, none | Time in the intensive care unit or post anesthesia care unit, an average of 3 days | 
| Sufficient therapy in case of pain | Sufficient therapy is measured: Yes, sufficiently treated/ Treated, but not sufficiently/Not treated/No pain/No treatment wanted/Partly | Time in the intensive care unit or post anesthesia care unit, an average of 3 days | 
| Shivering | Sufficient therapy in case of shivering is measured: Yes/No/Partly | Time in the intensive care unit or post anesthesia care unit, an average of 3 days | 
| Sufficient therapy in case of shivering | Sufficient therapy in case of shivering is measured: Yes, sufficiently treated/ Treated, but not sufficiently/Not treated/No shivering/No treatment wanted/Partly | Time in the intensive care unit or post anesthesia care unit, an average of 3 days | 
| Post-operative nausea and vomiting (PONV) | Measurement of PONV: nausea/vomiting/nausea and vomiting/neither nor | Time during hospital stay, an average of 2 weeks | 
| Regional anaesthesia | Measured: Yes / No | Time during hospital stay, an average of 2 weeks | 
| Satisfaction with regional anaesthesia | Measurement of satisfaction: Yes/No/Partly | Time during hospital stay, an average of 2 weeks | 
| In case of need choosing of regional anaesthesia again | Measurement of choosing again: Yes/No/Perhaps | Time during hospital stay, an average of 2 weeks | 
| Satisfaction of care through pain service | Measurement of care through pain service: Yes/No/Partly | Time during hospital stay, an average of 2 weeks | 
| Recommendation of medical care (provided by the staff from the Department of Anesthesiology and Intensive Care CVK/CCM) | Measurement of recommendation: Yes/No/Partly | Time during hospital stay, an average of 2 weeks | 
| Atmosphere | Measurement of atmosphere: calm/busy/can´t remember | Time in the intensive care unit or post anesthesia care unit, an average of 3 days | 
| Postoperative fear | Measurement of fear: Yes, very much/Yes, but not much/No fear | Time in the intensive care unit or post anesthesia care unit, an average of 3 days | 
| Postoperative pain | Pain intensity is measured by likert scale: strong, moderate, low, none | Time during hospital stay, an average of 2 weeks | 
| Sufficient therapy in case of pain | Sufficient therapy is measured: Yes, sufficiently treated/ Treated, but not sufficiently/Not treated/No pain/No treatment wanted/Partly | Time during hospital stay, an average of 2 weeks | 
| Postoperative patient controlled analgesia | Measurement: Yes/No/I don´t know | Time during hospital stay, an average of 2 weeks | 
| Choosing of Patient controlled anesthesia | Question: Would you choose patient controlled anesthesia again? Answer: Yes/No/Maybe | Time during hospital stay, an average of 2 weeks |