ArticleRisk management and healthcare policy2021
Quantification of Complaint and Compensation Cases by Introducing a Danish Translated and Cross-Cultural Adapted Edition of the Healthcare Complaints Analysis Tool.
Article in Risk management and healthcare policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Understanding Medication Errors Through Patient Complaints in a Danish University Hospital.Basic & clinical pharmacology & toxicology · 2026Article
- Pattern of unreported negative birth experiences in the maternity ward.Acta obstetricia et gynecologica Scandinavica · 2025Article
- Developing Healthcare Complaints Analysis Tool for Health System: A Cross-Sectional Study.Health science reports · 2025Article
- Assessing nourishment problems at a hospital: what can we learn from them?BMJ open quality · 2024Article
- From systematic complaint analysis to quality improvement in healthcare.BMJ open quality · 2024Article
- Using complaints from obstetric care for improving women's birth experiences - a cross sectional study.BMC pregnancy and childbirth · 2023Article
- Does systematic analysis of patient complaints and compensation cases at hospitals provide useful information to guide quality improvement? Experience from Denmark.BMJ open quality · 2023Article
- Collecting Patient Feedback as a Means of Monitoring Patient Experience and Hospital Service Quality - Learning from a Government-led Initiative.Patient preference and adherence · 2023Article
- 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 · 2022Article
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6 authors.
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Abstract
purposeThe study aimed to translate and cross-culturally adapt the English version of the HCAT to produce a Danish HCAT version and to test the Danish version's reliability.
methodsWe used best-practice guidelines for linguistic translations and cultural adaptations. For cross-cultural adaptation, we conducted forward and back translation followed by expert committee review. Subsequently, two researchers assessed 140 complaint cases to test intra- and inter-rater reliability of the Danish HCAT version. We used descriptive statistics for distributions and tested for differences between English and Danish editions Intra- and inter-rater reliability used Gwet's AC1 statistics, applying quadratic weights to assign more weight to large discrepancies.
resultsThe back translations showed both semantic and conceptual differences, and the expert committee thus discussed the meaning of the wording in the HCAT guide and coding form to ensure that the Danish version would be conceptually similar to the English version but also culturally appropriate for Danish settings. There was discussion about how to use the coding form to graduate problem severity, and this led to some altered wording. Pilot testing revealed the need for two new categories of "hospital-acquired infection" and "involvement of patients' relatives". The problem categories of the HCAT-DK showed "substantial" intra- and inter-rater reliability (0.79, and 0.79 to 0.85). In addition, there was a "substantial" agreement (0.70 to 0.73) between the original HCAT and the HCAT-DK version.
conclusionThe study translated and cross-culturally adapted the English HCAT version to produce a Danish HCAT version. Cultural and conceptual differences led to adjustments and to addition of two extra items in the HCAT-DK. The Danish version showed "substantial" intra- and inter-rater reliability and is considered suitable for coding complaint and compensation cases in Danish health care.
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