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This article has been peer reviewed. It was published in: Western Journal of Emergency Medicine.

Volume 16, Issue 7, 2015, Pages 1106-1108.

The published version is available at DOI: 10.5811/westjem.2015.10.28291

Copyright © 2015 London et al.

The Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health article copyright is held by the authors but distributed in accordance with the Creative Commons Attribution 4.0 International (CC BY 4.0) License for work published in Volume 16; Issue 1 and hence forth. The license allows for copy, redistribution, and adaptation of material published by the author for any purpose, provided due credit is given through proper citation of the author and the original article.


INTRODUCTION: Feedback on patient satisfaction (PS) as a means to monitor and improve performance in patient communication is lacking in residency training. A physician's promotion, compensation and job satisfaction may be impacted by his individual PS scores, once he is in practice. Many communication and satisfaction surveys exist but none focus on the emergency department setting for educational purposes. The goal of this project was to create an emergency medicine-based educational PS survey with strong evidence for content validity.

METHODS: We used the Delphi Method (DM) to obtain expert opinion via an iterative process of surveying. Questions were mined from four PS surveys as well as from group suggestion. The DM analysis determined the structure, content and appropriate use of the tool. The group used four-point Likert-type scales and Lynn's criteria for content validity to determine relevant questions from the stated goals.

RESULTS: Twelve recruited experts participated in a series of seven surveys to achieve consensus. A 10-question, single-page survey with an additional page of qualitative questions and demographic questions was selected. Thirty one questions were judged to be relevant from an original 48-question list. Of these, the final 10 questions were chosen. Response rates for individual survey items was 99.5%.

CONCLUSION: The DM produced a consensus survey with content validity evidence. Future work will be needed to obtain evidence for response process, internal structure and construct validity.

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