title: Autonomy vs paternalism in the emergency department: the potential deleterious impact of patient satisfaction surveys.
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.
authors.affiliation: Division of Pain Medicine, Stanford University, Palo Alto, California, USA.
authors.forename: Beth D
authors.initials: BD
authors.lastname: Darnall
authors.forename: Michael E
authors.initials: ME
authors.lastname: Schatman
mesh_terms: D000328:Adult; D000701:Analgesics, Opioid; D015982:Bias; D003625:Data Collection; D011307:Drug Prescriptions; D004632:Emergency Medical Services / Q000941:ethics* / Q000706:statistics & numerical data; D004645:Empathy; D005260:Female; D006801:Humans; D059408:Pain Management / Q000941:ethics* / Q000706:statistics & numerical data; D026706:Paternalism / Q000941:ethics*; D017060:Patient Satisfaction; D010361:Patients; D026684:Personal Autonomy; D010820:Physicians
chemical_list: D000701:Analgesics, Opioid