Changes in compensation claim contents following reorganization of emergency hospital care
| Autor: | Kim Lyngby Mikkelsen, Søren Birkeland, Søren Bie Bogh, Mikkel Brabrand |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
media_common.quotation_subject emergency care Psychological intervention Neglect Danish 03 medical and health sciences Patient safety Insurance Claim Review 0302 clinical medicine Acute care Health care patient safety Medicine Humans 030212 general & internal medicine media_common Quality of Health Care business.industry 030503 health policy & services Health Policy Public Health Environmental and Occupational Health health service research General Medicine health care complaints organization language.human_language Hospitals Trend analysis Family medicine Compensation and Redress language Patient Safety acute care 0305 other medical science business Emergency Service Hospital Health care quality |
| Zdroj: | Birkeland, S, Brabrand, M, Mikkelsen, K L & Bie Bogh, S 2020, ' Changes in compensation claim contents following reorganization of emergency hospital care ', International journal for quality in health care : journal of the International Society for Quality in Health Care, vol. 32, no. 10, pp. 685-693 . https://doi.org/10.1093/intqhc/mzaa131 |
| ISSN: | 1464-3677 |
| Popis: | Objectives To study the effects of the reorganization on patient compensation claim contents relating to health care quality and patient safety. Design and settings Danish emergency care has developed considerably over the past decades, including a major reorganization to improve health care quality and patient safety through ensuring easier access to specialist treatment. Analysis of compensation claim patterns is used to evaluate the effects of such health care system changes. Participants, interventions and main outcome measures A sample of 1613 compensation claims to the Danish Patient Assurance organization was reviewed using a standardized taxonomy (the Healthcare Complaints Analysis Tool [HCAT]). Using trend analysis, we compared the proportions of claims categorized under HCAT domains, problem categories and sub-categories before and after the reorganization, with particular emphasis on the ‘Clinical problems’ domain covering health care quality and patient safety issues. Results We observed a baseline increase in claims relating to clinical problems (P Conclusions Emergency care reorganization apparently has been followed by a shift in claim contents towards fewer claims about health care neglect and staff competencies, although claims about other matters may have become more common. Present analyses of compensation claim trends should be supplemented by effect studies using traditional outcome measures such as mortality and readmission rates. |
| Databáze: | OpenAIRE |
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