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Can compliment and complaint data inform the care of individuals with chronic subdural haematoma (cSDH)?

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cam.issuedOnline2021-09-17
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.contributor.orcidJones, Katherine [0000-0002-8347-4978]
dc.contributor.orcidKomashie, Alexander [0000-0002-0715-4729]
dc.date.accessioned2022-07-05T10:00:23Z
dc.date.available2022-07-05T10:00:23Z
dc.date.issued2021-09
dc.date.submitted2020-10-22
dc.date.updated2022-07-05T10:00:23Z
dc.description.abstractOBJECTIVES: 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.
dc.description.sponsorshipNIHR Clinical Doctoral Research Fellowship
dc.identifier.citationBMJ Open Quality, volume 10, issue 3, article-number e001246
dc.identifier.doi10.17863/CAM.86178
dc.identifier.eissn2399-6641
dc.identifier.issn2399-6641
dc.identifier.otherbmjoq-2020-001246
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/338769
dc.languageen
dc.language.isoeng
dc.publisherBMJ
dc.publisher.urlhttp://dx.doi.org/10.1136/bmjoq-2020-001246
dc.subjecthealth services research
dc.subjectpatient satisfaction
dc.subjectquality improvement
dc.subjectquality measurement
dc.subjectCommunication
dc.subjectHematoma, Subdural, Chronic
dc.subjectHumans
dc.subjectQuality Improvement
dc.subjectRetrospective Studies
dc.titleCan compliment and complaint data inform the care of individuals with chronic subdural haematoma (cSDH)?
dc.typeArticle
dcterms.dateAccepted2021-05-31
prism.publicationNameBMJ Open Qual
pubs.funder-project-idDepartment of Health (via National Institute for Health Research (NIHR)) (NIHR300696)
pubs.funder-project-idWellcome Trust (204017/Z/16/Z)
rioxxterms.freetoread.startdate2021-09-16
rioxxterms.licenseref.startdate2021-09-16
rioxxterms.licenseref.urihttps://creativecommons.org/licenses/by/4.0/
rioxxterms.versionVoR
rioxxterms.versionofrecord10.1136/bmjoq-2020-001246

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