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Comment & Response |

Response to Patient Satisfaction as a Possible Indicator of Quality Surgical Care

Daniel M. Saman, DrPH, MPH, CPH1; Kevin T. Kavanagh, MD, MS2
[+] Author Affiliations
1Division of Research, Essentia Institute of Rural Health, Duluth, Minnesota
2Health Watch USA, Somerset, Kentucky
JAMA Surg. 2013;148(10):985. doi:10.1001/jamasurg.2013.3408.
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To the Editor The recent study by Lyu et al1 found little or no association between patient satisfaction on Medicare Hospital Consumer Assessment of Healthcare Providers and Systems Survey (HCAHPS) scores and the quality of care in operating rooms. This finding is in contradistinction to our recent study2 that observed a significant association between facility-wide patient satisfaction (on HCAHPS scores) and the incidence of central line–associated bloodstream infections in the intensive care unit (hospital staff responsiveness estimated rate ratio, 1.16; P < .001). We came to the opposite conclusion, that quality problems in one part of a facility may reflect a facility-wide problem with the facility’s culture of safety, which, thus, may be reflected in patient satisfaction surveys.

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October 1, 2013
Rebecca Anhang Price, PhD; Marc N. Elliott, PhD; Alan M. Zaslavsky, PhD
1RAND Corporation, Arlington, Virginia
2RAND Corporation, Santa Monica, California
3Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts
JAMA Surg. 2013;148(10):985-986. doi:10.1001/jamasurg.2013.3414.
October 1, 2013
Heather Lyu; Michol Cooper, MD, PhD; Julie A. Freischlag, MD; Martin A. Makary, MD, MPH
1Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
JAMA Surg. 2013;148(10):986-987. doi:10.1001/jamasurg.2013.3411.
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