Evidence map›Paper›PMID 30522508›Full record

ArticleCritical care (London, England)2018

Comparison of complaints to the intensive care units and those to the general wards: an analysis using the Healthcare Complaint Analysis Tool in an academic medical center in Taiwan.

Jih-Shuin Jerng, Szu-Fen Huang, Hsin-Yu Yu, Yi-Chun Chan, Huang-Ju Liang, Huey-Wen Liang, Jui-Sheng Sun

Abstract read
In one paragraph

Article in Critical care (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

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13citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

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  7. An analysis of complaints about hospital care in the Republic of Ireland.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2022
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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Jih-Shuin JerngDepartment of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Szu-Fen HuangDepartment of Nursing, National Taiwan University Hospital, Taipei, Taiwan.
Hsin-Yu YuCenter for Quality Management, National Taiwan University Hospital, Taipei, Taiwan.
Yi-Chun ChanCenter for Quality Management, National Taiwan University Hospital, Taipei, Taiwan.
Huang-Ju LiangCenter for Quality Management, National Taiwan University Hospital, Taipei, Taiwan.
Huey-Wen LiangDepartment of Physical Medicine & Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan.
Jui-Sheng SunDepartment of Orthopedic Surgery, National Taiwan University Hospital, No. 7, Zhongshan South Road, Taipei, 100, Taiwan. drjssun@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe management of complaints in the setting of intensive care may provide opportunities to understand patient and family experiences and needs. However, there are limited reports on the structured application of complaint analysis tools and comparisons between healthcare complaints in the critical care setting and other settings.

methodsFrom the complaint management database of a university-affiliated medical center in Taiwan, we retrospectively identified the records of healthcare complaints to the intensive care units (ICUs) from 2008 to 2016. Complaints to the general wards in the same period were randomly selected from the database with twice the number of that of the ICU complaints. We coded, typed, and compared the complaints from the two settings according to the Healthcare Complaint Analysis Tool.

resultsWe identified 343 complaints to the ICUs and randomly selected 686 complaints to the general wards during the 9-year study period. Most (94.7%) of the complaints to the ICUs came from the family members, whereas more complaints to the general wards came from the patients (44.2%). A total of 1529 problems (441 from ICU and 818 from general wards) were identified. Compared with the general ward complaints, in the ICU there were more complaints with multiple problems (25.1% vs. 16.9%, p = 0.002), complaints were referred more frequently to the nurses (28.1% vs. 17.5%, p < 0.001), and they focused more commonly on the care on the ICU/ward (60.5% vs. 54.2%, p = 0.029). The proportions of the three domains (clinical, management, and relationship) of complaints were similar between the ICU and general ward complaints (p = 0.121). However, in the management domain, the problems from ICU complaints focused more on the environment than on the institutional processes (90.9% vs. 74.5%, p < 0.001), whereas in the relationship domain, the problems focused more on communication (17.9% vs. 8.0%) and less on listening (34.6% vs. 46.5%) (p = 0.002) than the general ward complaints.

conclusionsA structured typing and systematic analysis of the healthcare complaints to the ICUs may provide valuable insights into the improvement of care quality, especially to the perceptions of the ICU environment and communications of the patients and their families.

Indexed as

Patient SatisfactionAcademic Medical CentersAdultCommunicationFemaleHumansIntensive Care UnitsMalePatients' RoomsQuality of Health CareRetrospective StudiesStatistics, NonparametricTaiwanHealthcare complaintsIntensive care unitPatient-centered carePatient safetyQuality of careSatisfaction

Identifiers

PMID30522508
PMCPMC6282256

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.