Patient claims and complaints data for improving patient safety
Patient claims and complaints data for improving patient safety
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DOI：
10.1108/09526860810841165
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发表时间：
2008-01-01
影响因子：
1.5
通讯作者：
Ovretveit, John
中科院分区：
文献类型：
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作者：
Jonsson, Pia Maria;Ovretveit, John
目的-本文的目的是描述患者的投诉和索赔数据从瑞典的数据库，并评估其价值的科学研究和实际的医疗保健improvement.Design/方法/途径-文章首先介绍了以前的研究到患者索赔和类似的计划。然后，它提出了三种类型的数据在瑞典的患者索赔和投诉：由患者保险基金，医疗责任委员会和患者的咨询委员会产生的数据，并认为在使用data.Findings的方法问题-数据库的价值是自发报告，这使得它很难知道多少数据对应的一般伤害率和医疗保健模式的问题。另一个问题是学习材料的大小和及时性之间的平衡，例如。G.当诊断特异性分析需要数年的数据汇集以达到足够的病例数时。调整数据库中不存在的混杂因素，例如。G.关于医院病例组合的数据，可能会增加在安全性能比较分析中使用数据的困难研究限制/影响-数据库的安全分析和质量改进价值取决于对其功能的理解，数据收集方法和他们的局限性，作为一个关于伤害和安全问题的真实发生率和患病率的数据来源。独创性/价值-这是第一次彻底审查的可能性和限制与使用索赔和投诉数据在卫生保健研究和改进。
Purpose - The purpose of this paper is to describe patient complaints and claims data from Swedish databases and assess their value for scientific research and practical health care improvement.Design/methodology/approach - The article first describes previous research into patient claims and similar schemes. It then presents three types of data on patient claims and complaints in Sweden: data generated by the Patient Insurance Fund, the Medical Responsibility Board and the Patients' Advisory Committees and considers methodological issues in using the data.Findings - The databases' value is problems related to spontaneous reporting, which makes it difficult to know how much the data correspond to general injury rates and health care patterns. Another issue is the balance between the size of study materials and the timeliness, e. g. when diagnosis-specific analysis requires data pooling over several years in order to reach adequate case numbers. Adjustment for confounders not present in the databases, e. g. data on hospital case-mix, may add to difficulties using the data in comparative analyses of safety performanceResearch limitations/implications - The databases' safety analysis and quality improvement value depends on understanding their function, data collection method and their limitations as a source of data about the true incidence and prevalence of injuries and safety problems.Originality/value - This is the first thorough review of the possibilities and limitations associated with the use of claims and complaints data in health care research and improvement.