Patient-provider disconnect on eye surgery satisfaction

According to a study published in Clinical ophthalmology.

Boston Medical Center mentioned On April 22, isolating individual measures of patient satisfaction like pain and anxiety in the study did not eliminate the correlation disparity. The study included 283 eye surgery cases, with patients sedated with benzodiazepines before surgery and additional anesthesia throughout the procedure if needed. The correlation between patient satisfaction and provider satisfaction was 0.333 on a scale of zero to one.

Since there is no standard, the type and amount of anesthesia given depends on the setting, the patient and the provider, BMC said.

“If the provider’s assessment does not reflect patient comfort, patients may not receive adequate sedation throughout their procedures,” said BMC ophthalmologist and study author Hyunjoo Lee, MD, PhD. .

Limited communication and fully draped patients make satisfaction difficult to assess intraoperatively, BMC said. There is no evidence that measures such as increased heart rate or physical movement accurately predict patient satisfaction.

“This weak correlation may suggest different expectations about quality care,” Dr. Lee said. “For example, surgeons may appreciate a quiet patient with minimal eye movement during surgery, whereas a patient may appreciate feeling no pain or a complete lack of awareness of the surgery. Alternatively, a patient too much sedation may present with excessive eye movements, lowering surgeon satisfaction, or unstable vital signs, lowering anesthesia provider satisfaction.Ultimately, the goal should be to maximize patient satisfaction without compromising patient safety. patient.