Use of retrospective patient reported outcome measures (PROMs) and general population norms for evaluating emergency admissions

Summary

Evaluating the quality and outcomes of healthcare is important for regulating and improving services. In the NHS, patient reported outcome measures (PROMs) are one way that many services are evaluated. However, PROMs are currently not collected in cases of emergency admission, which account for 40% of all NHS hospital admissions. The lack of information on a patient’s health status before the incident that lead to emergency admission is what makes collecting PROMs a challenge in an emergency setting.

This project looks at two possible ways of introducing the use of PROMs for emergency admissions: i) using retrospective PROMs (asking patients how they were beforehand) and ii) using general population norms as a baseline. To do this, quantitative data of elective orthopaedic patients from four partner sites will be used to test the reliability of PROMs. The study will also test how feasible it is to collect PROMs in two different medical and surgical emergency admission settings.

The findings from this project will inform a recommendation for the reliable use of PROMs in emergency admissions.

Researcher: Dr Esther Kwong, London School of Hygiene and Tropical Medicine

Supervisor: Professor Nick Black, London School of Hygiene and Tropical Medicine

Start date and duration: September 2014, 3 years

Partners and collaborators involved: London School of Hygiene and Tropical Medicine, Economic and Social Research Council, Barts Health NHS Trust, UCLH NHS Foundation Trust, Royal Free London NHS Foundation Trust, Barking, Havering and Redbridge University Hospitals NHS Trust, University of Exeter