Development of a Patient Reported Experience Measure (PREM) for use in the ambulance service

Togher, Fiona and Siriwardena, A. Niroshan and Windle, Karen (2015) Development of a Patient Reported Experience Measure (PREM) for use in the ambulance service. Emergency Medicine Journal, 32 . e13-e13. ISSN 1472-0205

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Development of a Patient Reported Experience Measure (PREM) for use in the ambulance service
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Item Type:Article
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Abstract

Background
NHS health policy emphasises the crucial role of patient experience as a core component of high quality care, alongside effectiveness and safety. Patient Reported Experience Measures (PREMs) measure patients’ experiences with their healthcare. They are increasingly being seen as valuable for assessing patient outcomes and differences in quality between health care providers. Previous patient surveys to assess ambulance service care have not been implemented routinely or in a standardised way. This research forms part of a doctoral study to develop a PREM for use in UK ambulance services.
Methods
The study comprised three subsections: 1. A secondary analysis of interview data exploring patients’ experiences of their prehospital care. 2. Development of questionnaire items based on those themes emerging from the secondary analysis. 3. Semi-structured interviews with service users that explore their opinions of the questionnaire items and whether the PREM includes all aspects of the ambulance service experience that should be encompassed.
Results
The secondary data analysis revealed specific ‘processes of importance’ to service users accessing ambulance care i.e.
‘timeliness’ and parallel ‘experiential components of care’ i.e. ‘reassurance’ that either enhanced or reduced the perception
that the ‘processes of care’ were undertaken to a high standard. The key themes formed the foundation for generating the 53 item questionnaire. The interview stage is on-going and the data obtained are being used to amend the questionnaire items.
Conclusions
The construction of the PREM has incorporated the views of patients that the measure is ultimately designed for,
and conforms to the concept of patient-centred care—the theoretical foundation of the research. Once completed, the PREM will enable ambulance trusts to measure differences in patient experiences, between and within organisations. This can result in positive changes to patient experience through the introduction of feedback, training and education to prehospital clinicians.

Additional Information:Presented as a poster presentation at the 999 EMS Research Forum Conference: Quality Improvement and Innovation Research in Pre-hospital Care, Nottingham Conference Centre, 4 February 2015.
Keywords:quality improvement, Emergency Medical Systems, ambulance services, Patient Reported Experience Measures, patient experience, bmjgoldcheck, NotOAChecked
Subjects:B Subjects allied to Medicine > B990 Subjects Allied to Medicine not elsewhere classified
A Medicine and Dentistry > A300 Clinical Medicine
Divisions:College of Social Science > School of Health & Social Care
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ID Code:17514
Deposited On:26 May 2015 07:54

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