Can compliment and complaint data inform the care of individuals with chronic subdural haematoma (cSDH)?
Published version
Peer-reviewed
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Repository DOI
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Authors
Davies, Benjamin
Stubbs, Daniel J
Burnstein, Rowan M
Abstract
Objectives
To explore the frequency and nature of complaints and compliments reported to Patient Advice and Liaison (PALS) in individuals undergoing surgery for a chronic subdural haematoma (cSDH).Design
A retrospective study of PALS user interactions.Subjects
Individuals undergoing treatment for cSDH between 2014 and 2019.Methods
PALS referrals from patients with cSDH between 2014 and 2019 were identified. Case records were reviewed and data on the frequency, nature and factors leading up to the complaint were extracted and coded according to Healthcare Complaints Analysis Tool (HCAT).Results
Out of 531 patients identified, 25 (5%) had a PALS interaction, of which 15 (3%) were complaints and 10 (2%) were compliments. HCAT coding showed 8/15 (53%) of complaints were relationship problems, 6/15 (33%) a management problem and 1/15 (7%) other. Of the relationship problems, 6 (75%) were classed as problems with communication and 2 (25%) as a problem with listening. Of the compliments, 9/10 (90%) related to good clinical quality and 1/10 (10%) to staff-patient relationship. Patients were more likely to register a compliment than family members, who in turn were more likely to register a complaint (p<0.005). Complaints coded as a relationship problem had 2/8 (25%) submitted by a patient and 6/8 (75%) submitted by a relative.Conclusions
Using the HCAT, routinely collected PALS data can easily be coded to quantify and provide unique perspective on tertiary care, such as communication. It is readily suited to quality improvement and audit initiatives.Description
Keywords
Quality improvement, Quality measurement, Patient Satisfaction, Health Services Research
Journal Title
BMJ open quality
Conference Name
Journal ISSN
2399-6641
Volume Title
10
Publisher
Publisher DOI
Sponsorship
Wellcome Trust Clinician PhD Fellowship (204017/Z/16/Z)
Wellcome Trust (204017/Z/16/Z)
Wellcome Trust (204017/Z/16/Z)