Hospital Inpatient Experience

在医院期间,积极的患者和家庭体验通常会为患者带来更好的整体健康结果. 卫生保健提供者的明确沟通有助于患者和家属了解如何最好地管理他们的健康并降低再入院的可能性. 一项标准化的全国调查通过邮件发送给成年患者,询问他们在医院的护理经历.

What is this measure?

nurse smiling with elderly patient

约翰霍普金斯医学院监控患者体验调查结果,作为确保患者和家属获得积极体验的一种方式.

一份被称为医院消费者对医疗服务提供者和系统的评估(HCAHPS)的标准化全国调查在出院后被邮寄给一些bet8九州下载,以提供他们对医院护理体验的看法.

The survey asks adult patients questions about clear communication, discharge planning, the hospital environment and the patient’s overall experience.

患者的反应被提交给医疗保险和医疗补助服务中心, which publicly reports the annual results from all U.S. hospitals online at Care Compare.

Examples of HCAHPS survey questions:

  • 在你住院期间,护士有多少次以礼貌和尊重的态度对待你?
  • Before giving you any new medicine, 医院工作人员多久用你能理解的方式描述一次可能的副作用?
  • During your hospital stay, 医院的工作人员和你谈过你离开医院时是否会得到你需要的帮助吗?

Patients have the choice of responding with always, usually, sometimes or never. The percentage of “always” responses are shown in the data graphs below.

Why is it important?

HCAHPS调查问题的目的是衡量入院的关键组成部分发生的频率. 患者和家属可以使用HCAHPS调查结果客观地比较当地或全国医院对住院患者提供护理的看法.

许多问题询问患者是否从医疗保健提供者那里得到了明确的沟通. 这些信息对患者和家属来说至关重要,这样他们就可以了解如何最好地管理自己的健康. For example, 完全理解出院说明的患者通常在出院后整体健康状况较好,再次住院的可能性较低.


What is Johns Hopkins Medicine doing to continue to improve?

Patient- and family-centered care is a key focus for Johns Hopkins Medicine. 每家医院都有团队致力于最高水平的卓越服务和患者满意度.

Supporting Families

The Johns Hopkins Hospital implemented 24/7 visiting hours on all units. This was done to keep families near their loved ones during a hospital stay. 医院的新区域包括私人房间和睡眠家具,供一名家庭成员晚上呆在病房里.

来到约翰霍普金斯医院急诊室的bet8九州下载和家属会立即得到一名工作人员的欢迎,帮助他们指引去哪里,并减少bet8九州下载的焦虑.

Listening to Patients

所有约翰霍普金斯医学院的医院都通过患者和家属咨询委员会直接从过去的患者和家属那里定期寻求反馈. 这些委员会将以前的bet8九州下载和家属与医院领导和工作人员聚集在一起,解决bet8九州下载的体验需求,并为改善bet8九州下载护理和沟通制定新的想法.

行政领导还会到bet8九州下载楼层巡视,非正式地询问bet8九州下载和家属的经历. 这有助于让领导层了解哪些方面进展顺利,哪些方面需要改进.


Frontline Perspective

Brigid Lisenmeyer

As an intensive care nurse, 布里吉德·林森迈耶认识到,bet8九州下载和他们的亲人都面临着医疗危机,并努力安慰他们,让他们尽可能多地参与进来.

Brigid Linsenmeyer, R.N., P.C.C.N.
Registered Nurse, Johns Hopkins Howard County Medical Center

“Working in an intensive care unit (ICU), 我工作中最棒的部分就是了解我的bet8九州下载和他们的亲人,让他们感到安全和舒适. bet8九州下载所能提供的任何同情的举动都表明bet8九州下载关心bet8九州下载和他们的亲人,这对他们来说意义重大.

To improve the patient’s experience, we encourage families to get involved in our daily multidisciplinary rounds. 这种协作有助于确保护理团队的所有成员和在场的任何家庭成员了解患者当天的目标. bet8九州下载还制定了指导方针,以便护士在bet8九州下载床边换班,而不是在护士站.

bet8九州下载努力促进护理团队与患者及其亲人之间的开放沟通. One of our patients recently had a long stay in the ICU. His spouse was extremely supportive and involved with his plan of care. 她非常感谢每天都能参加轮次,并重视成为“团队的一员”.’ She received answers to her questions, advocated for her husband, 并开始计划在重症监护室住院后的几周内需要的护理和治疗. 她的参与使她能够了解护理团队,并直接从他们那里听到有关她丈夫护理决定的理由.

In my work, 对我来说,每天为我的bet8九州下载和他们的家人提供高水平的护理和同情是很重要的. Knowing that someone cares and is listening does make a difference!”


How can patients and families support safety?

Knowing about your health condition, medications and plan for future care are critical for keeping you healthy. If you are unclear about anything regarding your health condition or treatment, ask your health care team for help. 如果你觉得任何问题没有得到解决,你也可以联系bet8九州下载的倡导者.

For more information

Patient Resources

Quality and Safety Performance During COVID-19

该组织的质量和安全绩效可能受到COVID-19大流行的影响. bet8九州下载会敦促患者考虑近期的表现与历史表现相结合. 患者可以通过与医疗保健提供者讨论COVID-19可能对护理质量和安全造成的破坏而受益.

See how Johns Hopkins Medicine prioritizes safety during the COVID-19 pandemic.