PREMs

Rationale: While surgical procedures are intended to save lives, unsafe surgical care can cause substantial harm. This simple set of questionnaires can help identify if the set of WHO surgical safety checklist standards were followed by the treating team.

Reference: WHO Second Global Patient Safety Challenge “Safe Surgery Saves Lives”.

When to use: The surgical safety PREMs tool is to gather responses from patients who underwent a planned surgery procedure at the hospital. 

When to serve the tool: Any time after post-op recovery period and before discharge. 

Exclusion is not limited to Emergency cases, Incapacitated Patients, children below the age of 9 years, or patients under sedatives.

Target population : patients who underwent a planned surgery procedure.

Rationale: Endoscopy is an intervention that requires considerable resources and is associated with significant costs. Understanding the patient-reported experience and value in the endoscopy process is essential in promoting patient engagement with their care. This approach is vital in addressing pre-procedural anxiety, improving patient tolerance, and ultimately enhancing the overall quality of healthcare experience.

Reference: What do patients want from their endoscopy experience? The importance of measuring and understanding patient attitudes to their care.

When to use: The Endoscopy Safety PREMs tool is to gather responses from patients who underwent a planned endoscopy procedure at the hospital.

When to serve the tool: Any time after the post-procedure recovery period and before discharge.2Exclusion is not limited to Emergency cases, Incapacitated Patients, children below the age of 9 years, patients under sedatives.

Target population : Patients who underwent a planned endoscopy procedure

Rationale: Hemodialysis treatment may cause several side effects that can impact both physical and mental health. Patients have to undergo dialysis multiple times per week, which means they spend a considerable amount of time in clinics and with their healthcare providers. This simple set of PREM questionnaires captures objective dimensions of the care patients receive and interactions with different elements of the health care system related to the procedure.

Reference: Methodological considerations in using patient-reported measures in dialysis clinics. 

When to use: The Hemodialysis Safety PREMs tool is to gather responses from patients who underwent a hemodialysis procedure at hospital.

When to serve the tool: Any time post-procedure and before discharge.

For regular chronic patients, the feedback should be collected at least twice annually. Exclusion is not limited to Home dialysis patients, Emergency cases, Incapacitated Patients, children below the age of 9 years, patients under sedatives.

Target population : Patients who underwent a hemodialysis procedure

Rationale: Preoperative care plays an important role in helping alleviate anxiety in patients undergoing surgery. It can also ensure that patients have more realistic expectations and so improves patient satisfaction. This simple set of PREM questionnaires captures objective dimensions of preoperative care by anesthesiologists for elective surgeries.

Reference: Practice Advisory for Preanesthesia Evaluation: An Updated Report by the American Society of Anesthesiologists Task Force on Preanesthesia Evaluation. When to use: Preoperative care by anesthesiologists for elective surgeries PREMs tool is to gather responses from patients who underwent a planned surgery under anesthesia. When to serve the tool: After consultation with an anesthetist in case of Anesthesia OPD. For inpatients, the tool can be served after the patient has recovered from surgery and is out of critical care or before discharge.

Exclusion is not limited to Local anesthesia, Emergency cases, Incapacitated Patients, children below the age of 9 years, and patients under sedatives.

Target population : Patients who underwent a planned surgery under anesthesia.

Rationale: Peripheral intravenous cannulation is one of the most performed invasive procedures in healthcare. Infections related to IV infusion can raise complications as well as the cost of treatment. This can be a stressful experience for patients. Patient-reported experience measures can provide actionable data to improve patient experience, outcomes as well as efficiencies of IVT.

Reference: The patient experience of peripheral intravenous therapy: development of a patient survey, initial findings, and next steps.8

When to use: The IV infection prevention tool is to gather responses from patients who underwent a planned intravenous injection procedure in outpatient as well as outpatient. This tool can be used to collect feedback from daycare patients admitted for only IV infusions.

When to serve the tool: After the IV procedure / before discharge.

Exclusion is not limited to Emergency cases, Incapacitated Patients, children under the age of 9 years, and patients under sedatives.

Target population : Patients who underwent a planned intravenous injection procedure in outpatient as well as inpatient

Rationale: Most of the quality measures for chronic wounds rely on process indicators based on clinical or administrative data without patient input. The goal of this tool is to gain insight into the patient experiences of healthcare processes that affect the quality of care for patients with chronic wounds.

Reference: Patient‐reported experience measures are essential to improving quality of care for chronic wounds: An international qualitative study.9

When to use: Wound care management and safety tool is to gather responses from patients undergoing chronic wound care management in outpatient as well as inpatient outpatient.

When to serve the tool: After the dressing procedure.

Exclusion is not limited to Emergency cases, Incapacitated Patients, children under the age of 9 years, and patients under sedatives.

Target population : Patients undergoing chronic wound care management in outpatient as well as inpatient .

Rationale: The Institute of Medicine report on Preventing Medication Errors highlights the importance of improving communication with patients as one of the important measures apart from continuously monitoring for errors, providing clinicians with decision-support and information tools, and standardizing medication labeling and drug-related information.

Reference: Measuring medicine-related experiences from the patient perspective: a systematic review.10

When to use: This simple questionnaire helps evaluate the patient’s perception of the medication administration process undergoing medication therapy during their stay in the hospital.

When to serve the tool: After completion of medication therapy dose /before discharge.

Exclusion is not limited to Emergency cases, Incapacitated Patients, children under the age of 9 years, patients under sedatives.

Target population : Patients admitted in wards or rooms, do not repeat for a patient.

Rationale: Antenatal care is an important pillar of safe motherhood initiative. Patient-reported experience measures can highlight issues that remain unnoticed when using standard clinical quality indicators and can change perspectives on quality assessment in women receiving care for pregnancy and childbirth.

Reference: WHO guidelines on Antenatal care, The impact of implementing patient‐reported measures in routine maternity care: a systematic review.11

When to use: Antenatal care and safety tool is to gather responses from women receiving antenatal care.

When to serve the tool: During the first and third trimesters.

Exclusion is not limited to unregistered cases.

Target respondents: Patients admitted in OBG Wards before delivery, do not repeat for a patient

Rationale: Studies show that elderly care should prioritize person-centered, empathetic approaches. Effective communication, continuity of care, and support for caregivers are key factors that can enhance the quality of care and promote optimal outcomes for elderly patients and their families.

Reference: A Patient Reported Experience Measure (PREM) for use by older people in community services.12

When to use: The geriatric care and safety tool is to gather responses from elderly patients admitted inpatients.

When to serve the tool: Before discharge.

Exclusion is not limited to Emergency cases, Incapacitated Patients, and patients under sedatives.

Target population : Elderly patients admitted in wards or rooms, do not repeat for a patient.

Rationale: The demand for cardiac catheterization procedures to diagnose and treat patients with coronary artery disease is on the rise. Patients who undergo procedures in the cardiac catheterization laboratory and are discharged on the same day have limited time for education about the procedure and post-discharge care. To ensure optimal safety and quality of these services, it’s important to understand patient experiences.

Reference: Patient perceptions of care quality and discharge information following same-day cardiac catheterization laboratory procedures.13

When to use: Planned cardiac angiography day procedures.

When to serve the tool: Post-procedure recovery /before discharge.

Exclusion is not limited to Emergency cases, Incapacitated Patients, patients under sedatives, patients posted for dual procedures.

Target respondents: Patients completed a Cath lab procedure, do not repeat for a patient

Rationale: Helping patients optimize their health requires attention to more than clinical markers and measures as drivers for healthcare decision-making. Capturing Patient perspectives can provide meaningful insights into an individual’s physical, emotional, and social well-being, particularly while treating chronic musculoskeletal conditions like knee and hip osteoarthritis (OA), where progressive pain and functional loss drive patients to seek operative and non-operative healthcare to relieve symptoms and improve quality of life.

Reference: A continuous PREMs and PROMs Observatory for elective hip and knee arthroplasty.14

When to use: Patients posted for planned orthopedic implant procedures.

When to serve the tool: After post-procedure recovery /before discharge.

Exclusion is not limited to Emergency cases, Incapacitated Patients, patients under sedatives, accident, and trauma cases.

Target population : Patients admitted  for planned orthopedic implant procedures.

Rationale: Patient-reported experience measures capture patients’ experience with well-being, illness, and their interactions with health care services and offer unique advantages compared to traditional clinical outcomes (e.g., mortality, emergency department revisits).

Reference: Patient Reported Experience Measure (PREM) for urgent and emergency care.15

When to use: for patients who visit the Emergency room (ER).

When to serve the tool: After discharge from the ER.

Exclusion is not limited to Life-threatening cases, Incapacitated Patients, patients under sedatives, accident, and trauma cases.

Target population : Patients who visit the Emergency department.

Rationale: Falls in hospital settings pose a global challenge that demands attention due to the potential hazards that they present to patients’ safety and well-being. A comprehensive approach that captures patient feedback can be leveraged to enhance fall prevention programs and ensure that they are tailored to the specific needs of patients.

Reference: Hospital falls prevention with patient education: a scoping review.16

When to use: The fall prevention tool is to gather responses from inpatients identified as a risk for fall.

When to serve the tool: During discharge.

Exclusion is not limited to Emergency cases, Incapacitated Patients, children under the age of 9 years, and patients under sedatives.

Target population : Inpatients identified as a risk for fall.

Rationale: Discharge from hospital to home requires the successful transfer of information from clinicians to the patient and family to reduce adverse events and prevent readmissions. Research shows that when patients are engaged in their health care, it can lead to measurable improvements in safety and quality.

Reference: Care Transitions from Hospital to Home: IDEAL Discharge Planning -AHRQ.

When to use: The discharge process tool is to gather responses from patients being discharged from inpatient wards.

When to serve the tool: During discharge.

Exclusion is not limited to Emergency cases, Incapacitated Patients, children under the age of 9 years, and patients under sedatives.

Target population : Patients being discharged from inpatient wards.

Rationale: A patient’s satisfaction with a given treatment is an important clinical outcome because a satisfied patient is more likely to comply with treatments, attend follow-ups, and advocate the service to others. Multiple 25 studies highlight the importance of incorporating patient perceptions to improve the continuity of ophthalmic care.

Reference: Quality of care from the perspective of the cataract patient: the reliability and validity of the QUOTE-Cataract 18 Symptoms and Satisfaction Levels Associated with Intraocular Lens Implants in the Monofocal and Premium IOL Patient-Reported Outcome Measure Study.19

When to use: The cataract surgery tool is to gather responses from patients who underwent recent cataract surgery.

When to serve the tool: On follow-up visit, Telephone survey or interviews may be preferred for patients.

Exclusion is not limited to Emergency cases, Incapacitated Patients, children under the age of 9 years, and patients under sedatives.

Target population : Patients who underwent recent cataract surgery.

Rationale: Whenever we speak about blood transfusion, invariably we talk about the safety of the blood recipient. Ensuring the safety of blood donors is equally important to develop a social culture of blood donation. Developing PREMs for blood donor safety will help in standardizing the safety practices to be followed before blood donation.

Reference: Standards for Blood Donation Services Version 1, Dubai Health Authority.

When to use: The blood donor and safety tool is to gather responses from patients who underwent recent blood donation.

When to serve the tool: after blood donation.

Exclusion is not limited to Emergency cases, Incapacitated Patients, children, and patients under sedatives.

Target population : Patients who underwent recent blood donation.

Rationale: Magnetic resonance imaging (MRI) is an important diagnostic method in modern clinical medicine. Patients’ ‎involvement is of utmost importance for optimizing the workflow, ‎safety, and patient comfort and saving valuable time for the MRI department.

Reference: Magnetic resonance safety. Assessment of Patient Knowledge Level Towards MRI Safety Before the Scanning in Saudi Arabia.

When to use: The MRI safety questionnaire tool is to gather responses from patients who underwent a planned MRI procedure in an outpatient setting.

When to serve the tool: After the procedure.

Exclusion is not limited to Emergency cases, Incapacitated Patients, children under the age of 9 years, and patients under sedatives.

Target population : Patients who underwent a planned MRI procedure in an outpatient setting.