Emergency Department Patient Satisfaction Scores Are Lower for Patients Who Arrive During the Night Shift
Background: Increasingly, patient satisfaction scores are being used to assess emergency physicians. We sought to determine whether the patient satisfaction scores collected by our hospital system are lower for patients who are treated in the emergency department (ED) on night shifts as compared to...
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| Format: | Article |
| Language: | English |
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eScholarship Publishing, University of California
2024-10-01
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| Series: | Western Journal of Emergency Medicine |
| Online Access: | https://escholarship.org/uc/item/9k5586j8 |
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| author | Tony Zitek Luke Weber Tatiana Nuñez Luis Puron Adam Roitman Claudia Corbea Dana Sherman Michael Shalaby Frayda Kresch David A. Farcy |
| author_facet | Tony Zitek Luke Weber Tatiana Nuñez Luis Puron Adam Roitman Claudia Corbea Dana Sherman Michael Shalaby Frayda Kresch David A. Farcy |
| author_sort | Tony Zitek |
| collection | DOAJ |
| description | Background: Increasingly, patient satisfaction scores are being used to assess emergency physicians. We sought to determine whether the patient satisfaction scores collected by our hospital system are lower for patients who are treated in the emergency department (ED) on night shifts as compared to those treated on day shifts. Methods: We performed a cross-sectional analysis of patient satisfaction scores from three EDs in Florida. We obtained satisfaction data from NRC Health (the company that provides our surveys) using a random sample of 1,000 completed surveys from patients treated in 2022; we also performed manual chart review to obtain clinical data. The satisfaction surveys asked patients how likely they would be to recommend the facility (from 0–10). Patients who provided a score of 9 or 10 were considered “promoters.” For our primary analysis, we compared the percentage of promoters for the day shift encounters (7 AM to 7 PM) to the night shift encounters (7 PM to 7 AM). We also performed a multivariable logistic regression analysis using several demographic and clinical variables to further assess the association between night shift arrival and satisfaction scores. Results: Of the 1,000 surveys analyzed, 66.3% of patients arrived during the day shift, and 33.7% arrived during the night shift. Of those who arrived during the day shift, 525 (79.2%) were promoters compared to 228 (67.7%) of those who arrived during the night shift, a difference of 11.5% (95% confidence interval [CI] 5.7–17.4%), P < 0.001. On multivariable analysis, night shift arrival was associated with a lower chance of a patient being a promoter, with adjusted odds ratio 0.60 (95% CI 0.43–0.84), P = 0.003. Conclusion: Patients who presented to the ED during the night shift were less likely to be promoters than patients who arrived during the day shift. Assessments of patient satisfaction data should account for time of visit and other facility-related and operational characteristics. |
| format | Article |
| id | doaj-art-73f829b10f66461694e8cb8f30fdc4ca |
| institution | DOAJ |
| issn | 1936-900X 1936-9018 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Western Journal of Emergency Medicine |
| spelling | doaj-art-73f829b10f66461694e8cb8f30fdc4ca2025-08-20T02:50:36ZengeScholarship Publishing, University of CaliforniaWestern Journal of Emergency Medicine1936-900X1936-90182024-10-0125692993710.5811/westjem.2032620326Emergency Department Patient Satisfaction Scores Are Lower for Patients Who Arrive During the Night ShiftTony Zitek0Luke Weber1Tatiana Nuñez2Luis Puron3Adam Roitman4Claudia Corbea5Dana Sherman6Michael Shalaby7Frayda Kresch8David A. Farcy9Mount Sinai Medical Center, Department of Emergency Medicine, Miami Beach, FloridaMount Sinai Medical Center, Department of Emergency Medicine, Miami Beach, FloridaMount Sinai Medical Center, Department of Emergency Medicine, Miami Beach, FloridaMount Sinai Medical Center, Department of Emergency Medicine, Miami Beach, FloridaFlorida International University, Herbert Wertheim College of Medicine, Miami, FloridaFlorida International University, Herbert Wertheim College of Medicine, Miami, FloridaMount Sinai Medical Center, Department of Emergency Medicine, Miami Beach, FloridaMount Sinai Medical Center, Department of Emergency Medicine, Miami Beach, FloridaMount Sinai Medical Center, Department of Emergency Medicine, Miami Beach, FloridaMount Sinai Medical Center, Department of Emergency Medicine, Miami Beach, FloridaBackground: Increasingly, patient satisfaction scores are being used to assess emergency physicians. We sought to determine whether the patient satisfaction scores collected by our hospital system are lower for patients who are treated in the emergency department (ED) on night shifts as compared to those treated on day shifts. Methods: We performed a cross-sectional analysis of patient satisfaction scores from three EDs in Florida. We obtained satisfaction data from NRC Health (the company that provides our surveys) using a random sample of 1,000 completed surveys from patients treated in 2022; we also performed manual chart review to obtain clinical data. The satisfaction surveys asked patients how likely they would be to recommend the facility (from 0–10). Patients who provided a score of 9 or 10 were considered “promoters.” For our primary analysis, we compared the percentage of promoters for the day shift encounters (7 AM to 7 PM) to the night shift encounters (7 PM to 7 AM). We also performed a multivariable logistic regression analysis using several demographic and clinical variables to further assess the association between night shift arrival and satisfaction scores. Results: Of the 1,000 surveys analyzed, 66.3% of patients arrived during the day shift, and 33.7% arrived during the night shift. Of those who arrived during the day shift, 525 (79.2%) were promoters compared to 228 (67.7%) of those who arrived during the night shift, a difference of 11.5% (95% confidence interval [CI] 5.7–17.4%), P < 0.001. On multivariable analysis, night shift arrival was associated with a lower chance of a patient being a promoter, with adjusted odds ratio 0.60 (95% CI 0.43–0.84), P = 0.003. Conclusion: Patients who presented to the ED during the night shift were less likely to be promoters than patients who arrived during the day shift. Assessments of patient satisfaction data should account for time of visit and other facility-related and operational characteristics.https://escholarship.org/uc/item/9k5586j8 |
| spellingShingle | Tony Zitek Luke Weber Tatiana Nuñez Luis Puron Adam Roitman Claudia Corbea Dana Sherman Michael Shalaby Frayda Kresch David A. Farcy Emergency Department Patient Satisfaction Scores Are Lower for Patients Who Arrive During the Night Shift Western Journal of Emergency Medicine |
| title | Emergency Department Patient Satisfaction Scores Are Lower for Patients Who Arrive During the Night Shift |
| title_full | Emergency Department Patient Satisfaction Scores Are Lower for Patients Who Arrive During the Night Shift |
| title_fullStr | Emergency Department Patient Satisfaction Scores Are Lower for Patients Who Arrive During the Night Shift |
| title_full_unstemmed | Emergency Department Patient Satisfaction Scores Are Lower for Patients Who Arrive During the Night Shift |
| title_short | Emergency Department Patient Satisfaction Scores Are Lower for Patients Who Arrive During the Night Shift |
| title_sort | emergency department patient satisfaction scores are lower for patients who arrive during the night shift |
| url | https://escholarship.org/uc/item/9k5586j8 |
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