Featured Research

from universities, journals, and other organizations

Patient isolation tied to dissatisfaction with care

Date:
September 18, 2013
Source:
Society for Healthcare Epidemiology of America
Summary:
Patient satisfaction has an increasing impact on hospitals' bottom lines, factoring into Medicare reimbursement of hospital care. A new study finds patients placed in Contact Precautions (Contact Isolation) were twice as likely to report perceived problems with care compared to patients without Contact Precautions, placing the common infection control practice at odds with hospital interests.

Patient satisfaction has an increasing impact on hospitals' bottom lines, factoring into Medicare reimbursement of hospital care. A new study finds patients placed in Contact Precautions (Contact Isolation) were twice as likely to report perceived problems with care compared to patients without Contact Precautions, placing the common infection control practice at odds with hospital interests. The study was published in the October issue of Infection Control and Hospital Epidemiology, the journal of the Society for Healthcare Epidemiology of America.

Contact Precautions are routinely used in hospitals to prevent the spread of drug-resistant bacteria between healthcare workers and patients. Healthcare workers are required to use disposable gowns and gloves for all patient contact when a patient is in Contact Precautions.

"As public reporting of patient satisfaction and patient outcomes becomes a national priority linked to hospital reimbursement, this study provides insight into how healthcare workers must balance evidence-based practice with a focus on patient satisfaction," said Preeti Mehrotra, MD, lead author on the study. "By creating a physical barrier, Contact Precautions may modify how healthcare workers interact with patients, affecting the patient experience and the perception of how care is delivered."

Researchers used a retrospective cohort study of 528 medical and surgical patients, comparing those patients who were placed in Contact Precautions with those who were not in Contact Precautions at the University of Maryland, Medical Center. Each participant underwent a standardized interview at enrollment in the study and on hospital days 3, 7, and 14, or until discharged. After discharge, the standardized interview and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey were administered by telephone for all patients who could be successfully contacted (88 patients).

Based on the standardized interview results, patients for whom Contact Precautions were used were more likely to perceive issues with their care, especially as it related to poor coordination of care and a lack of respect for patient preferences.

The authors suggest interventions should be developed to ensure that all patients, whether placed in Contact Precautions or not, receive the same quality of care. This includes staff education to ensure more patient visits and patient education to help patients understand the reasons for Contact Precautions. Additionally, the researchers recommend starting a dialogue among healthcare management and workers regarding the positive and negative effects of patient isolation procedures.


Story Source:

The above story is based on materials provided by Society for Healthcare Epidemiology of America. Note: Materials may be edited for content and length.


Journal Reference:

  1. Preeti Mehrotra, Lindsay Croft, Hannah R. Day, Eli N. Perencevich, Lisa Pineles, Anthony D. Harris, Saul N. Weingart, Daniel J. Morgan. Effects of Contact Precautions on Patient Perception of Care and Satisfaction: A Prospective Cohort Study. Infection Control and Hospital Epidemiology, 2013; 000 DOI: 10.1086/673143

Cite This Page:

Society for Healthcare Epidemiology of America. "Patient isolation tied to dissatisfaction with care." ScienceDaily. ScienceDaily, 18 September 2013. <www.sciencedaily.com/releases/2013/09/130918111740.htm>.
Society for Healthcare Epidemiology of America. (2013, September 18). Patient isolation tied to dissatisfaction with care. ScienceDaily. Retrieved September 22, 2014 from www.sciencedaily.com/releases/2013/09/130918111740.htm
Society for Healthcare Epidemiology of America. "Patient isolation tied to dissatisfaction with care." ScienceDaily. www.sciencedaily.com/releases/2013/09/130918111740.htm (accessed September 22, 2014).

Share This



More Health & Medicine News

Monday, September 22, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Sierra Leone in Lockdown to Control Ebola

Sierra Leone in Lockdown to Control Ebola

AP (Sep. 21, 2014) Sierra Leone residents remained in lockdown on Saturday as part of a massive effort to confine millions of people to their homes in a bid to stem the biggest Ebola outbreak in history. (Sept. 20) Video provided by AP
Powered by NewsLook.com
Sierra Leone's Nationwide Ebola Curfew Underway

Sierra Leone's Nationwide Ebola Curfew Underway

Newsy (Sep. 20, 2014) Sierra Leone is locked down as aid workers and volunteers look for new cases of Ebola. Video provided by Newsy
Powered by NewsLook.com
Changes Found In Brain After One Dose Of Antidepressants

Changes Found In Brain After One Dose Of Antidepressants

Newsy (Sep. 19, 2014) A study suggest antidepressants can kick in much sooner than previously thought. Video provided by Newsy
Powered by NewsLook.com
Could Grief Affect The Immune Systems Of Senior Citizens?

Could Grief Affect The Immune Systems Of Senior Citizens?

Newsy (Sep. 19, 2014) The study found elderly people are much more likely to become susceptible to infection than younger adults going though a similar situation. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins