In Reply A bedside central line insertion is much different from a mitral valve replacement or robotic prostatectomy. Patients are awake during bedside central line placements; thus, they are able to provide their feedback on perceptions of cleanliness and nursing care. This explains the association between Healthcare Providers and Systems Survey patient satisfaction scores and the incidence of central line–associated bloodstream infections in the intensive care unit.1 However, under general anesthesia, it is unlikely that a patient can evaluate quality of care. Although we agree with the conclusions of Saman and Kavanagh and Price et al, there are unique aspects to surgical care that deserve to be distinguished from other aspects.
Lyu H, Cooper M, Freischlag JA, Makary MA. Patient Satisfaction as a Possible Indicator of Quality Surgical Care—Reply. JAMA Surg. 2013;148(10):986-987. doi:10.1001/jamasurg.2013.3411