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dc.contributor.authorJones, Katherine
dc.contributor.authorDavies, Benjamin
dc.contributor.authorStubbs, Daniel J
dc.contributor.authorKomashie, Alexander
dc.contributor.authorBurnstein, Rowan M
dc.contributor.authorHutchinson, Peter
dc.contributor.authorSantarius, Thomas
dc.contributor.authorJoannides, Alexis J
dc.date.accessioned2021-10-20T00:47:59Z
dc.date.available2021-10-20T00:47:59Z
dc.date.issued2021-09-01
dc.identifier.issn2399-6641
dc.identifier.otherPMC8451295
dc.identifier.other34535455
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/329657
dc.description.abstract<h4>Objectives</h4>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).<h4>Design</h4>A retrospective study of PALS user interactions.<h4>Subjects</h4>Individuals undergoing treatment for cSDH between 2014 and 2019.<h4>Methods</h4>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).<h4>Results</h4>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.<h4>Conclusions</h4>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.
dc.languageeng
dc.rightsAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.sourceessn: 2399-6641
dc.sourcenlmid: 101710381
dc.subjectQuality improvement
dc.subjectQuality measurement
dc.subjectPatient Satisfaction
dc.subjectHealth Services Research
dc.titleCan compliment and complaint data inform the care of individuals with chronic subdural haematoma (cSDH)?
dc.typeArticle
dc.date.updated2021-10-20T00:47:57Z
prism.issueIdentifier3
prism.publicationNameBMJ open quality
prism.volume10
dc.identifier.doi10.17863/CAM.77106
rioxxterms.versionofrecord10.1136/bmjoq-2020-001246
rioxxterms.versionVoR
rioxxterms.licenseref.urihttps://creativecommons.org/licenses/by/4.0/
dc.contributor.orcidJones, Katherine [0000-0002-8347-4978]
dc.contributor.orcidKomashie, Alexander [0000-0002-0715-4729]
pubs.funder-project-idWellcome Trust Clinician PhD Fellowship (204017/Z/16/Z)
pubs.funder-project-idWellcome Trust (204017/Z/16/Z)


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Attribution 4.0 International
Except where otherwise noted, this item's licence is described as Attribution 4.0 International