Evidence map›Paper›PMID 34382685›Full record

ArticleHealth services research2022

Development and validation of a patient experience of care survey for emergency departments.

Feifei Ye, Layla Parast, Ron D Hays, Marc N Elliott, Kirsten Becker, William G Lehrman, Debra Stark, Steven Martino

Abstract readValidation Study
In one paragraph

Article in Health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Can patient-reported data improve predictions about who will be a high-need, high-cost patient in British Columbia?Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  4. Mixed methods scoping review of patients' experiences of urgent and emergency cancer care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Feifei YeRAND Corporation, Pittsburgh, Pennsylvania, USA.ORCID 0000-0001-7212-3235
Layla ParastRAND Corporation, Santa Monica, California, USA.ORCID 0000-0002-7288-1009
Ron D HaysDepartment of Medicine, Division of General Internal Medicine & Health Services Research, University of California, Los Angeles, California, USA.ORCID 0000-0001-6697-907X
Marc N ElliottRAND Corporation, Santa Monica, California, USA.ORCID 0000-0002-7147-5535
Kirsten BeckerRAND Corporation, Santa Monica, California, USA.
William G LehrmanCenters for Medicare & Medicaid Services, Baltimore, Maryland, USA.
Debra StarkCenters for Medicare & Medicaid Services, Baltimore, Maryland, USA.
Steven MartinoRAND Corporation, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-1514-4133

Funding

Scientific & Technical CoreP2CHD042849 · NICHD · UNIVERSITY OF TEXAS AT AUSTIN · PI Elizabeth T. Gershoff · 2017 to 2026
$5.2M
NICHD NIH HHS P2C HD042849
6 · The paper itself

Abstract

objectivesTo (1) develop a survey to assess the patient experience of care in hospital-based emergency departments (ED) and (2) evaluate the reliability and validity of composite measures of patient experience using data collected through the experimental implementation of the newly developed Emergency Department Patient Experience of Care (EDPEC) Discharged to Community (DTC) Survey. DATA SOURCE: 4893 adult patients were treated in the ED of 16 hospitals across the United States in 2018. STUDY

designThe study utilized a cross-sectional survey. DATA COLLECTION: Survey development activities included a literature review, focus groups, and cognitive interviews with recently discharged ED patients, technical expert panels, and multiple field experiments. Survey development resulted in a 34-item instrument; the analysis reported here focuses on 18 items on patient experience of care. Using data from the EDPEC DTC Survey in the 2018 Feasibility Test, we performed confirmatory factor analysis to group 15 evaluative survey items into composite measures. We examined internal consistency reliability, interunit reliability, and associations between each composite measure and patients' overall rating and willingness to recommend the ED. PRINCIPAL

findingsAnalyses of 15 evaluative items identified four composite measures: Getting Timely Care, How Well Doctors and Nurses Communicate, Communication about Medications, and Communication about Follow-up. Patient-level internal consistency reliability exceeded 0.75 for two of four composites; ED-level internal consistency reliability exceeded 0.83 for all four composites. Interunit reliability estimates indicated that 450 survey completes per ED results in at least 0.70 reliability for all composites. Higher scores on each composite were associated with higher overall ratings and willingness to recommend the ED.

conclusionsThe composite measures derived from the EDPEC DTC Survey are statistically reliable and valid. These results provide guidance for EDPEC DTC Survey adopters on how to construct meaningful and psychometrically-sound composite measures for monitoring the quality of care they provide.

Indexed as

Emergency Service, HospitalPatient Outcome AssessmentCross-Sectional StudiesHumansPatient SatisfactionPsychometricsQuality of Health CareReproducibility of ResultsSurveys and QuestionnairesUnited Statesemergency departmentpatient experiencereliabilityvalidity

Identifiers

PMID34382685
PMCPMC8763294

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.