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Assessing nourishment problems at a hospital: what can we learn from them?
Mette Kring Clausen1, Søren Bie Bogh2,3, Mathilde Schmidt-Petersen4
1Open Patient data Explorative Network, Odense University Hospital, Odense, Denmark mette.kring.clausen@rsyd.dk.
BMJ Open Quality
|May 30, 2024
Summary
Patient relatives filed most nutrition complaints at Odense University Hospital. While many issues were low severity, some severe nutrition problems caused significant patient harm, highlighting overlooked patient perspectives in hospital improvement efforts.
Area of Science:
- Healthcare quality improvement
- Patient safety research
- Clinical nutrition management
Background:
- Hospital patient nutrition is critical for safety in Denmark.
- Odense University Hospital's Nutrition Committee oversees nourishment policies.
- Patients can file complaints about suboptimal nutrition, providing valuable feedback.
Purpose of the Study:
- To analyze patterns in nutrition-related complaints.
- To understand the context of nutrition problems in hospitals.
- To identify learning opportunities from patient complaints.
Main Methods:
- Analysis of complaints submitted to Odense University Hospital (2018-2022).
- Utilized the Healthcare Complaint Analysis Tool for categorization.
- Thematic analysis of high-severity nutrition complaints.
Main Results:
- 60 cases with 89 nutrition problems were reported.
- Relatives filed the majority of complaints (58.3%).
- Severe nutrition problems led to significant patient harm in some cases.
Conclusions:
- A low complaint rate might indicate underestimation of nutrition issues.
- Complaints offer crucial patient perspectives for hospital improvements.
- Current improvements rely on clinician reports, potentially missing patient insights.
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