Healthcare Complaints Analysis Tool: reliability testing on a sample of Danish patient compensation claims
| Autor: | Kim Lyngby Mikkelsen, Camilla Hagemann Hilsøe, Jonas Harder Kerring, Katrine Prisak Jakobsen, Søren Fryd Birkeland, Søren Bie Bogh |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Safety Management Denmark Sample (statistics) Acute care Danish 03 medical and health sciences Patient safety 0302 clinical medicine Health service research Health care medicine patient safety Humans 030212 general & internal medicine Reliability (statistics) Original Research reliability business.industry Reproducibility of Results General Medicine language.human_language Test (assessment) healthcare complaints Family medicine Compensation and Redress language Linear Models Female Health Services Research business 030217 neurology & neurosurgery Coding (social sciences) Total Quality Management |
| Zdroj: | BMJ Open Bie Bogh, S, Harder Kerring, J, Jakobsen, K P, Hilsøe, C H, Mikkelsen, K L & Fryd Birkeland, S 2019, ' Healthcare Complaints Analysis Tool : reliability testing on a sample of Danish patient compensation claims ', B M J Open, vol. 9, no. 11, e033638 . https://doi.org/10.1136/bmjopen-2019-033638 |
| ISSN: | 2044-6055 |
| Popis: | ObjectiveThe study aim was to test the intra-assessor and interassessor reliability of the Healthcare Complaints Analysis Tool (HCAT) for categorising the information in the claim letters in a sample of Danish patient compensation claims.Design, setting and participantsWe used a random sample of 140 compensation cases completed by the Danish Patient Compensation Association that were filed in the field of acute medicine at Danish hospitals from 2007 to 2018. Four assessors were trained in using the HCAT manual before assessing the claim letters independently.Main outcome measuresIntra-assessor and interassessor reliability was tested at domain, problem category and subcategory levels of the HCAT. We also investigated the reliability of ratings on the level of harm and of the descriptive details contained in the claim letters.ResultsThe HCAT was reliable for identifying problem categories, with reliability scores ranging from 0.55 to 0.99. Reliability was lower when coding the ‘severity’ of the problem. Interassessor reliability was generally lower than intra-assessor reliability. The categories of ‘quality’ and ‘safety’ were the least reliable of the seven HCAT problem categories. Reliability at the subcategory level was generally satisfactory, with only a few subcategories having poor reliability. Reliability was at least moderate when coding the stage of care, the complainant and the staff group involved. However, the coding of ‘level of harm’ was found to be unreliable (intrareliability 0.06; inter-reliability 0.29).ConclusionOverall, HCAT was found to be a reliable tool for categorising problem types in patient compensation claims. |
| Databáze: | OpenAIRE |
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