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Autonomy vs Paternalism in the Emergency Department: The Potential Deleterious Impact of Patient Satisfaction Surveys

Beth D. Darnall PhD, Michael E. Schatman PhD, CPE
DOI: http://dx.doi.org/10.1111/pme.12170 968 First published online: 1 July 2013

ABSTRACT: Patient satisfaction surveys, such as Press Ganey, are flawed metrics for the emergency department setting and also in broader pain medicine. National experts discuss the pitfalls of applying such measures in pain care, and the potential unintended negative consequences to patients and providers alike. Evaluators, administrators, and payers are challenged to understand the limitations of Press Ganey and patient satisfactions in pain treatment, and the field is challenged to develop meaningful and valid metrics for best practices and competencies.

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