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. 2024 Feb 21;14(2):e076040.
doi: 10.1136/bmjopen-2023-076040.

Orthopaedic trauma patients' experiences with emergency department care and follow-up through Virtual Fracture Care review: a qualitative study

Gijs Willinge  1 , Jelle Spierings  2 , Elke Mathijssen  3 , Carel Goslings  4 , Bas Twigt  4 , Ruben van Veen  4
Affiliations

Orthopaedic trauma patients' experiences with emergency department care and follow-up through Virtual Fracture Care review: a qualitative study

Gijs Willinge et al. BMJ Open. .

Abstract

Objectives: This study aimed to identify factors influencing orthopaedic trauma patients' experiences and satisfaction with emergency department (ED) care and follow-up through Virtual Fracture Care (VFC) review workflow.

Design: This study employed an explorative, descriptive, qualitative design using individual, semistructured interviews.

Setting: An urban level 2 trauma centre and teaching hospital in Amsterdam, the Netherlands.

Participants: Eligible patients were Dutch-speaking or English-speaking orthopaedic trauma patients, aged 18 years or above, who visited the hospital's ED between June and September 2022, and were treated through VFC review workflow. Exclusion criteria were: reason for follow-up other than injury, eye/motor/verbal score <15 at ED admission, follow-up treatment in another hospital, treatment initiated in another hospital, acute hospital admission (<24 hours). Twenty-three patients were invited for participation, of whom 15 participated and were interviewed.

Results: Several influential factors contributed to seven generic themes: (1) waiting times, (2) information provision, (3) healthcare professional communication, (4) care expectations, (5) care coordination, (6) care environment and (7) patient condition. Overall, participants were satisfied with received care. Interpersonal skills of healthcare professionals, and timing and content of provided information were specifically valued. Additionally, patients stated that their needs in the ED differed from those after ED discharge, and appreciated the way the VFC review workflow addressed this. Points of improvement included more active involvement of patients in the care process and prevention of inconsistent instructions by different healthcare professionals.

Conclusions: Patient experiences with ED care and VFC review follow-up are influenced by factors categorised into seven themes. The VFC review workflow effectively addresses these factors, leading to positive feedback. Recommendations for healthcare professionals include anticipating evolving post-ED information needs, engaging patients early to provide clarity about the care process, involving them in treatment decisions and expanding information provision across the entire care pathway.

Keywords: ACCIDENT & EMERGENCY MEDICINE; Orthopaedic & trauma surgery; Trauma management.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
An overview of the identified themes with the relevant influential factors. ED, emergency department; VFC, Virtual Fracture Care.
See this image and copyright information in PMC

References

    1. VeiligheidNL . Cijferrapportage Letsels 2021. Veiligheid NL: kerncijfers LIS; 2022.
    1. King DM, Vakkalanka JP, Junker C, et al. . Emergency department overcrowding LOWERS patient satisfaction scores. Acad Emerg Med 2021;28:363–6. 10.1111/acem.14046 - DOI - PubMed
    1. Tekwani KL, Kerem Y, Mistry CD, et al. . Emergency department crowding is associated with reduced satisfaction scores in patients discharged from the emergency department. West J Emerg Med 2013;14:11–5. 10.5811/westjem.2011.11.11456 - DOI - PMC - PubMed
    1. de Steenwinkel M, Haagsma JA, van Berkel ECM, et al. . Patient satisfaction, needs, and preferences concerning information dispensation at the emergency department: a cross-sectional observational study. Int J Emerg Med 2022;15:5. 10.1186/s12245-022-00407-7 - DOI - PMC - PubMed
    1. Sonis JD, Aaronson EL, Lee RY, et al. . Emergency department patient experience: a systematic review of the literature. J Patient Exp 2018;5:101–6. 10.1177/2374373517731359 - DOI - PMC - PubMed