Patient satisfaction scores in the ER are not affected by receipt of painkillers

Factors other than receipt of painkillers – including opiates – in the emergency department appear to be more important to patient satisfaction, as reflected in an analysis of Press Ganey patient surveys to be published online today in Annals of Emergency Medicine.

"The lack of connection between painkillers and patient satisfaction is frankly the opposite of what we expected to find," said lead study author Tayler Schwartz of Alpert Medical School at Brown University in Providence, R.I. "Our research shows that physicians can administer painkillers, including opiates, based on clinical and patient factors without concern for the effect on patient satisfaction scores."

Ms. Schwartz and her team analyzed Press Ganey patient satisfaction surveys and electronic medical records for 4,749 patients discharged from two hospitals. Of those patients, 48.5 percent received analgesic medications in the emergency department, and of the patients who received analgesics, 60.9 percent received opiates.

After controlling for different variables, researchers found no relationship between Press Ganey® patient satisfaction scores and the receipt of analgesic medications or opiate analgesics. Higher patient satisfaction scores were connected to increasing age and male gender.

In some emergency departments, physician compensation is linked to patient satisfaction scores, which can exert pressure on physicians to comply with patient requests, even if those requests are medically unreasonable.

"The majority of emergency patients are in pain and emergency physicians face multiple challenges when treating them, including pressure to get high patient satisfaction scores," said Ms. Schwartz. "If emergency physicians believe that prescribing opiates will lead to high Press Ganey® satisfaction scores, they may be conflicted about what and how much to prescribe. Our study shows that while pain relief is a factor in , it is far from the most important one."

More information: "Lack of Association between Press Ganey Emergency Department Patient Satisfaction Scores and Emergency Department Administration of Analgesic Medications"

Related Stories

Recommended for you

Footpaths and parks support active school commute

date 16 hours ago

While it probably won't make the idea of attending school more appealing social scientists say different infrastructure and behaviour change programs are key to encouraging young people to take a more active ...

Food barometer measures a population’'s eating habits

date 17 hours ago

A survey by Taylor's-Toulouse University Centre (TTUC) is collecting data on the food habits of individuals and how their choices are related to modernisation and other social factors. Results show that almost ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.