Background The National Health Service National Patient Survey Programme systematically gathers patients' experiences about the care they have recently received. Prioritising quality improvement activities in the accident and emergency (A&E) department requires that survey outcomes are meaningful and reliable. We aimed to determine which method of obtaining summary scores for the A&E department questionnaire optimally combined good interpretability with robust psychometric characteristics. Methods A&E department questionnaire data from 151 hospital trusts were analysed, covering 49 646 patients. Three methods of grouping and summarising items of the questionnaire were compared: principal components analysis (PCA); Department of Health dimensions; sections according to the patient's journey through the A&E department. The patient-level reliability of summary scores was determined by Cronbach's alpha coefficients (threshold: alpha>0.70), construct validity by Pearson's correlation coefficients, and the discriminative capacity by intra-class correlation coefficients (ICCs) and reliability of A&E-level mean scores. Results The PCA provided the best score reliability on six clear and interpretable composites: waiting time; doctors and nurses; your care and treatment; hygiene; information before discharge; overall. The discriminative power of the concepts was comparable for the three methods, with ICCs between 0.010 and 0.061. A&E sample sizes were adequate to obtain good to excellent reliability of A&E-level mean scores. Conclusions The A&E department questionnaire is a valid and reliable questionnaire to assess patients' experiences with the A&E. The discriminative power of six summary scores offers a reliable comparison of healthcare performance between A&Es to increase patient centredness and quality of care.
CITATION STYLE
N., B., S., S., C., G., & H.F., V. S. (2013). The accident and emergency department questionnaire: A measure for patients’ experiences in the accident and emergency department. BMJ Quality and Safety. N. Bos, Julius Center for Health Sciences and Primary Care, Heidelberglaan 100, Utrecht 3584 CX, Netherlands. E-mail: n.bos-2@umcutrecht.nl: BMJ Publishing Group (Tavistock Square, London WC1H 9JR, United Kingdom). Retrieved from http://qualitysafety.bmj.com/content/22/2/139.full.pdf+html
Mendeley helps you to discover research relevant for your work.