{"id":20245,"date":"2025-09-27T12:11:45","date_gmt":"2025-09-27T10:11:45","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=20245"},"modified":"2025-09-27T12:12:31","modified_gmt":"2025-09-27T10:12:31","slug":"anvendelse-af-klagemateriale-til-kvalitetsudvikling-et-scoping-review","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2025\/09\/27\/anvendelse-af-klagemateriale-til-kvalitetsudvikling-et-scoping-review\/","title":{"rendered":"Anvendelse af klagemateriale til kvalitetsudvikling – Et scoping review"},"content":{"rendered":"

\"\"<\/p>\n

Hansen SM, Clausen MK, Hansen NR, et al. From complaint material to quality improvement: <\/span>Exploring the use of patient complaints or compensation claims in quality improvement initiatives <\/span>-a scoping review. BMJ Quality & Safety. 2025. <\/span>doi: 10.1136\/bmjqs-2025-018780<\/a><\/p>\n

Download Resume som pdf<\/a><\/p>\n

Af Sebrina Maj-Britt Hansen.<\/span> seha@health.sdu.dk<\/a>, Ph.d.-studerende, Forskningsenhed OPEN, Klinisk Institut, Syddansk Universitet.<\/span> <\/em><\/p>\n

Resum\u00e9
\n<\/span>Introduktion
\n<\/span><\/strong>Forskning peger p\u00e5, at klage- og erstatningssager kan bruges som en kilde til kvalitetsudvikling, men det vides ikke hvordan disse kilder anvendes i praksis. I dette studie har vi unders\u00f8gt, hvordan klagemateriale bliver brugt til at starte eller f\u00f8lge op p\u00e5 forbedringsinitiativer, og om det p\u00e5virker antallet af klagem\u00f8nstret efter et initiativ.<\/span><\/p>\n

Metode
\n<\/span><\/strong>Studiet er et scoping review, som blev udf\u00f8rt ud fra en pr\u00e6defineret protokol: <\/span>Using Patient Com-plaints or Compensation Claims for Quality Improvements \u2013 A scoping review protocol<\/a>. <\/span>Vi s\u00f8gte i fire sundhedsvidenskabelige databaser: Embase, Medline, CINAHL og Web of Science. Studierne blev inkluderet, hvis de havde anvendt klagemateriale f\u00f8r eller efter et forbedringsinitiativ. Patienter og p\u00e5r\u00f8rende var med til at forme form\u00e5let, og en patientrepr\u00e6sentant var med til at sortere litteraturen og skrive artiklen.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>Vi identificerede 58 initiativer som havde anvendt klagemateriale f\u00f8r eller efter forbedringsinitiativer.. Inden et initiativ anvendte studierne typisk genneml\u00e6sning af sager, herefter opt\u00e6lling af sager, kategorisering af indhold og \u00e5rsagsanalyser. Efter et initiativ anvendte studierne oftest opt\u00e6lling af sager, herefter udregning af rater, kategorisering af indhold og genneml\u00e6sning af sager. Genneml\u00e6snings- og kategoriseringsmetoder var ofte ikke rapporteret. Initiativerne medf\u00f8rte oftest et fald i antallet af sager, mens f\u00e5 rapporterede flere eller u\u00e6ndret antal sager.<\/span><\/p>\n

Konklusion
\n<\/span><\/strong>Klagemateriale bliver brugt i kvalitetsarbejdet, men der anvendes ofte simple metoder og uden beskrivelse af, hvordan analyserne er lavet. Der er behov for en bedre rapportering, s\u00e5 vi kan l\u00e6re mere om metoder til analysere klagemateriale, og anvendelsesmuligheder til kvalitetsudvikling. Antallet af sager ser ud til at falde efter kvalitetsinitiativer, men det er vigtigt at tolke resultaterne med for-sigtighed, da dette ikke er et systematisk review.<\/span><\/p>\n

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