PRP131: Patient Centered Care in the Emergency Department: Engaging patients in a Systematic Review

Anna Walsh, BSc; Elnaz Bodaghkhani, PhD, MSc; Holly Etchegary, PhD; Christopher Patey, MD, BSc, CCFP; Dorothy Senior; Shabnam Asghari, MD, PhD, MPH


Context: Emergency department (ED) crowding can be problematic in many aspects; it can impact clinical outcomes, costs, and efficiency. One aspect of importance to consider at the forefront is the patient experience, which is often overlooked. Although there is a shifting focus of involving patients in their care, it lacks clarity. Thus, it is of interest to know what is most important to patients to better their experience, and how providing patient-centered care (PCC) can address patient concerns in the ED.

Objective: To summarize evidence on patient-centered care in the ED. The review includes the following questions: What is the impact of PCC on ED outcomes? What are the challenges and benefits of providing PCC in a ED setting?

Study Design: Mixed-methods systematic review. To develop the study question, we consulted with clinicians, subject-matter experts, patient partners, and mental health organizations to determine patient needs. Many of their concerns could be encompassed by the principles of PCC, leading us to the current review. The literature search is conducted in two steps of (1) scoping the literature, and (2) narrowing the focus of the review.

Dataset: Electronic databases, including PubMed, PsycInfo, MEDLINE, etc., guided by a librarian. Texts will be sorted in Covidence. We will consider all literature from peer-reviewed journals and Ph.D. theses in all languages.

Population Studied: Any article situated in an ED context concerned with patients who visit the ED. No restrictions on race, gender, health status, or other.

Intervention: PCC, an approach to practice that fosters relationships between care providers and users underpinned by values of mutual respect.

Outcome Measures: The primary ED outcome include patient satisfaction and perception of their overall ED experience. Secondary outcomes include wait times metrics, ED crowding, and challenges or barriers of PCC perceived by ED healthcare providers (physicians and nurses).

Results: This is research in progress; we will combine quantitative and qualitative results in one review.

Expected Outcomes: We anticipate this review will provide insight into PCC techniques used globally, and be the first to our knowledge examining PCC in the ED.

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