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Letteratura scientifica selezionata sul tema "Patient complaints"

Autore: Grafiati

Pubblicato: 4 giugno 2021

Ultima modifica: 9 febbraio 2022

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Articoli di riviste sul tema "Patient complaints"

Pitarka-Carcani, Iris, George Szmukler e Claire Henderson. "Complaints about care in a mental health trust". Psychiatric Bulletin 24, n. 10 (ottobre 2000): 372–76. http://dx.doi.org/10.1192/pb.24.10.372.

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Aims and MethodA retrospective review of a random sample of written complaints made by, or on behalf of, users of psychiatric services to determine: (a) the number and nature of written complaints against clinical aspects of services in a mental health trust over a 1-year period; and (b) what information complaints provide about deficiencies in the quality of care.ResultsOut of 325 recorded complaints in 1997, 192 concerned clinical aspects of services; 89% of complainants complained once. There was a roughly equal split between complaints about technical v. interpersonal aspects of care. Complaints were far higher from in-patient than from out-patient settings. Evidence that the complaints related to psychotic symptoms was rare. All complaints were resolved locally, but 28 responses by the team were judged unsatisfactory. In 39 cases further action was taken as a result of the complaint, but no disciplinary action was taken against medical staff.Clinical ImplicationsPoor communication is likely to be at the root of many complaints. Room for improvement was found with respect to responses to complaints.

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Kenda, Anka Mohorič. "Classification of Patient Complaints and Developing Patient Complaints Indicators". Lex localis - Journal of Local Self-Government 17, n. 3 (25 luglio 2019): 735–48. http://dx.doi.org/10.4335/17.3.735-748(2019).

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Based on actual patient complaints, we have assessed the suitability of measurable elementary criteria for the selected patient complaint indicator aggregate. These indicators enable, as evidenced by the study, the monitoring and reporting of recorded patient rights violations. The data acquired from processed patient rights violations were obtained through a quantitative study via an electronic complaint form, which constitutes an integral part of the prototype interactive software solution. This solution was used for submitting and monitoring of patients’ complaints on violation of their rights. Based on the data acquired from anonymised cases (71 complaints) and study findings, it was established that the recorded requests for the processing of patient rights violations occur as a result of: (1) inadequate attitude of healthcare professionals (n = 38.03%), (2) inadequate actions by healthcare professionals (n = 57.75%), and (3) later consequences of violations (n = 4.22%). The proposed set of patient complaint indicators can lead to a significant contribution to national patient rights protection policies, to improvement of healthcare quality indicators, and to implementation of measures for better healthcare quality.

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Croser, David. "When a patient complains". Dental Nursing 15, n. 7 (2 luglio 2019): 324–27. http://dx.doi.org/10.12968/denn.2019.15.7.324.

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In the second of the two-part CPD paper, David Croser offers readers a checklist to help keep the management of complaints in-house Aim Part 1 was published in the previous issue of Dental Nursing. It discussed why people might complain about their dental treatment and how the dental team should respond. When read together, these two articles will: Update an understanding of a CPD topic recommended by the General Dental Council Objectives To describe communication skills that support best practice complaints management To understand the risk management strategies behind the steps involved in handling a complaint To understand the benefits of an informal in-house practice complaints procedure so patients can raise issues at an early opportunity.

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Croser, David. "When a patient complains". Dental Nursing 15, n. 6 (2 giugno 2019): 282–83. http://dx.doi.org/10.12968/denn.2019.15.6.282.

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In the first of a two-part CPD paper, David Croser considers why patients complain and how the dental team should respond Aim Part 2 will be published in the next issue of Dental Nursing. It provides a checklist to help deal with patient complaints in-house. When read together, these two articles will: Update an understanding of a CPD topic recommended by the General Dental Council Objectives To describe communication skills that support best practice complaints management To understand the risk management strategies behind the steps involved in handling a complaint To understand the benefits of an informal in-house practice complaints procedure so patients can raise issues at an early opportunity This article relates to GDC development outcomes A and D

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Karaagac, Canan. "Evaluation of Complaints Notified to Private Hospitals in Ankara Province". New Trends and Issues Proceedings on Advances in Pure and Applied Sciences, n. 8 (22 dicembre 2017): 60–67. http://dx.doi.org/10.18844/gjapas.v0i8.2817.

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Depending on increasing interest in patient rights and innovations in medicine, the expectations of patients and value judgements change. This study aimed to examine the development process of private health services in Turkey and evaluate the problems and complaints about the services provided in these hospitals. In this context, the formal complaints to private hospitals in Ankara and applications made on the Internet were examined. The complaint data taken from the Ankara Provincial Health Directorate in 2013–2015 were analysed and 15 complaints were qualitatively examined. Evaluations were made by categorising the private hospitals and clinics and subcategories of data belonging to ‘sikayetvar.com.tr’, the biggest Internet complaint platform of Turkey. It was determined that the most problem was about wages, followed by patient rights, emergency services and medical errors. Most of the complaints in private hospitals were of doctors, and 57% of the complainants were women. Keywords: Hospitals, medical errors, patient rights, Turkey.

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Elias, Richard M., Karen M. Fischer, Mustaqeem A. Siddiqui, Trevor Coons, Cindy A. Meyerhofer, Holly J. Pretzman, Hope E. Greig, Sheila K. Stevens e M. Caroline Burton. "A Taxonomic Review of Patient Complaints in Adult Hospital Medicine". Journal of Patient Experience 8 (1 gennaio 2021): 237437352110073. http://dx.doi.org/10.1177/23743735211007351.

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Previous studies show that patient complaints can identify gaps in quality of care, but it is difficult to identify trends without categorization. We conducted a review of complaints relating to admissions on hospital internal medicine (HIM) services over a 26-month period. Data were collected on person characteristics and key features of the complaint. The complaints were also categorized into a previously published taxonomy. Seventy-six unsolicited complaints were identified, (3.5 per 1000 hospital admissions). Complaints were more likely on resident services. The mean duration between encounter and complaint was 18 days, and it took an average of 12 days to resolve the complaint. Most patients (59%) had a complaint in the Relationship domain. Thirty-nine percent of complaints mentioned a specific clinician. When a clinician was mentioned, complaints regarding communication and humaneness predominated (68%). The results indicate that the efforts to reduce patient complaints in HIM should focus on the Relationships domain.

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Marvin, Stevie, e Susan Thibeault. "Pharyngeal Versus Esophageal Stasis: Accuracy of Symptom Localization". American Journal of Speech-Language Pathology 29, n. 2 (8 maggio 2020): 664–72. http://dx.doi.org/10.1044/2019_ajslp-19-00161.

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Purpose The purpose of this article was to determine whether patients who complain of bolus stasis are accurate at localizing bolus stasis as measured by a videofluoroscopic swallowing study with an esophagram. Method This study used a prospective analysis of outcomes data from the University of Wisconsin–Madison Voice and Swallow Outcomes database in patients with complaints of bolus stasis who completed the combined videofluoroscopic swallowing study and esophagram to determine the accuracy of bolus stasis localization. Results Dysphagia evaluation was completed in 301 patients with complaints of bolus stasis. Patients with complaints of bolus stasis in the throat (i.e., pharynx and cervical esophagus) were less accurate at localizing bolus stasis than patients with complaints in the thoracic esophagus ( p < .001). Esophageal stasis was the most common finding regardless of complaint location. Conclusion Patients are poor at localizing bolus stasis, and esophageal stasis is common in patients who complain of pharyngeal stasis. This work supports a comprehensive evaluation of both the pharynx and the esophagus for patients with complaints of bolus stasis in the throat. Future research should focus on identifying symptom profiles that could lead to targeted swallowing evaluations based on patient history and complaint.

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D'cruz, Dean, Matthew Clark, Alice Cade, Tanja Glucina, Katie Pritchard e Marina Fox. "Analysis of the chief complaints of older patients seeking chiropractic care at a teaching clinic and potential implications for clinical education". Journal of Chiropractic Education 32, n. 2 (1 agosto 2018): 141–44. http://dx.doi.org/10.7899/jce-17-25.

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Objective: To describe the chief complaints of people older than 65 years who seek chiropractic care at a chiropractic teaching clinic and assess the case mix available at the clinic. Methods: One hundred patient files were included in this study. Patient files were included if the patient was older than 65 years when he or she initiated care at the teaching clinic. Data on age, sex, and chief complaints were recorded. Results: Of the patients included in this study, 55% were female. The mean age of patients was 69.5 years, with an age range of 65–88 years. The most common chief complaint was low back pain, with 45% of patients reporting this as their chief complaint. The second most prevalent complaint was neck pain, followed by patients seeking care with no presenting complaints (14%) and patients with extremity complaints (8%). Groin pain, hip pain, balance problems, headaches, and visceral complaints were also reported. Conclusion: The most common reasons that older patients presented for chiropractic care were for back and neck pain. The case mix was considered similar to practices in the country.

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van Dael, Jackie, Tom W. Reader, Alex Gillespie, Ana Luisa Neves, Ara Darzi e Erik K. Mayer. "Learning from complaints in healthcare: a realist review of academic literature, policy evidence and front-line insights". BMJ Quality & Safety 29, n. 8 (4 febbraio 2020): 684–95. http://dx.doi.org/10.1136/bmjqs-2019-009704.

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IntroductionA global rise in patient complaints has been accompanied by growing research to effectively analyse complaints for safer, more patient-centric care. Most patients and families complain to improve the quality of healthcare, yet progress has been complicated by a system primarily designed for case-by-case complaint handling.AimTo understand how to effectively integrate patient-centric complaint handling with quality monitoring and improvement.MethodLiterature screening and patient codesign shaped the review’s aim in the first stage of this three-stage review. Ten sources were searched including academic databases and policy archives. In the second stage, 13 front-line experts were interviewed to develop initial practice-based programme theory. In the third stage, evidence identified in the first stage was appraised based on rigour and relevance, and selected to refine programme theory focusing on what works, why and under what circumstances.ResultsA total of 74 academic and 10 policy sources were included. The review identified 12 mechanisms to achieve: patient-centric complaint handling and system-wide quality improvement. The complaint handling pathway includes (1) access of information; (2) collaboration with support and advocacy services; (3) staff attitude and signposting; (4) bespoke responding; and (5) public accountability. The improvement pathway includes (6) a reliable coding taxonomy; (7) standardised training and guidelines; (8) a centralised informatics system; (9) appropriate data sampling; (10) mixed-methods spotlight analysis; (11) board priorities and leadership; and (12) just culture.DiscussionIf healthcare settings are better supported to report, analyse and use complaints data in a standardised manner, complaints could impact on care quality in important ways. This review has established a range of evidence-based, short-term recommendations to achieve this.

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Hiivala, Nora, Helena Mussalo-Rauhamaa e Heikki Murtomaa. "Can patients detect hazardous dental practice? A patient complaint study". International Journal of Health Care Quality Assurance 28, n. 3 (20 aprile 2015): 274–87. http://dx.doi.org/10.1108/ijhcqa-05-2014-0052.

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Purpose – The purpose of this paper is to: determine the prevalence and distribution of patient/family-generated, dentistry-related complaints to Regional State Administrative Agencies (AVIs) and the National Supervisory Authority for Welfare and Health (Valvira) in Finland from 2000 to 2011, study patient/family safety incident experiences and other reasons for complaints, assess complaint validity and evaluate factors associated with disciplinary processes against dentists. Design/methodology/approach – Data included closed cases handled by AVIs and Valvira (2000-2011) against dental practitioners or dental practice units (n=782). The authors analysed the complaints distribution and examined the antecedent factors and circumstances. Findings – This study demonstrated that patients/families can detect many dental treatment hazards, substandard processes and even serious safety risks rather well. The investigation processes revealed some physical harm or potential patient safety (PS) risks in more than half the alleged cases. Many complaints accumulated against certain individuals and statistically significant positive correlations were found between some patient/family complaints, dentist-specific variables and disciplinary actions. Practical implications – Patient/family-generated complaints must be taken seriously and seen as relatively good safety risk indicators. However, more knowledge on how patients might cooperate with dental care providers to prevent errors is needed. Originality/value – This work provides a unique opportunity to learn from several dentistry-related patient complaints. Despite some limitations, patient complaints appear to be useful as a complementary source together with other PS study methods.

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Più fonti

Tesi sul tema "Patient complaints"

Hsieh, Yahui Sophie Public Health &amp Community Medicine Faculty of Medicine UNSW. "Rethinking quality of care in the context of patient complaints: the response of a hospital organisation to complaints in Taiwan". Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2005. http://handle.unsw.edu.au/1959.4/28209.

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The study explores the management of patient complaints at a private hospital in Taiwan (i.e. the Case Hospital). The case study aims to identify factors which influence the response of the hospital to patient complaints and whether it incorporates information derived from patient complaints in its quality improvement efforts. The study was conducted in two stages. The first stage was a cross-institutional comparison of quality management systems between a hospital in Britain and a hospital in Taiwan. The study explored how these hospitals managed patient complaints and whether they took such feedback into account in reviewing priority of services. The second stage included a detailed case study of the hospital in Taiwan (the Case Hospital), exploring the hospital???s responses to patient complaints, along with the factors which may have influenced these responses. The study was designed to triangulate data through the use of a multi-method approach to derive converging or diverging empirical evidence from a variety of data sources. Data were obtained through interviews with hospital senior managers, a senior social worker, government officials, and managers of non-government organisations. A questionnaire survey was administered to managers, and the Critical Incident Technique (CIT), along with observation, was applied, as well as analysis of documents. Principally, this study adopts the techniques of thematic analysis (Lincoln and Guba, 1985a) with an interpretivist approach to analyse the empirical data. The results of the study indicate that although the Case Hospital appeared to be concerned about patients??? complaints, it did not respond in a systematic way to the messages received. Hospital managers appeared to merely attempt to pacify complainants while ignoring the underlying causes of their complaints. It was evident that there were no protocols in place as to how staff should handle complaints, and as a result, the hospital was failing to use the information about systemic problems provided by patient complaints to make any sustainable quality improvement. In other words, whilst the Case Hospital was attempting to resolve patient complaints on a case-by-case basis (doing things right for the patient, or in the terms of Argyris (1990), using ???single-loop??? learning), it was not reviewing or acting on these complaints as a collective group to identify systemic problems and deficiencies (doing right things, i.e. ???double-loop??? learning). The study found that the organisational response to complaints was influenced by features of the complaints and institutional attributes. Features of complaints affected the response pathways to complaints, such as patients??? status, the severity of complaints, and the nature of complaints. In terms of systemic features, the organisational response to complaints was influenced by the interaction between managerial factors (e.g. organisational structure and organisational culture), operational factors (e.g. documentation and communication), and technical factors (e.g. complaints handling techniques and information systems). The values of the top hospital management have been recognised as a powerful influence on these factors. Generally, results show that although the Case Hospital tends to take action to address individual complainants, there was no evidence of sustainable quality improvement within the organisation as a result of complaints data. The study recommends that if the hospital intends to use patient complaints to improve quality of clinical care, a ???double-loop??? learning strategy should be adopted within the organisation. This study also argues that governments need to take more responsibility and demand more accountability from hospitals, in terms of complaints handling. The individual hospital would thus be able to respond to patient complaints in a systemic way. Hospitals need to be more accountable when using patient complaints to drive quality improvement in the future.

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Santos, Emmylou C. "Effects of patient and physician gender on the assessment of a medical complaint". Scholarly Commons, 2003. https://scholarlycommons.pacific.edu/uop_etds/2725.

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This study investigated the effects of gender, both patient and physician, on how a medical complaint is perceived and acted upon by health professionals. A 2 x 2 factorial design was used, with gender of physician and patient as the two factors, respectively. The participants were physicians (M.D.s) who were recruited by approaching local hospitals/clinics and requesting their participation in the research. They were asked to respond to a patient vignette and a questionnaire assessing the physician's beliefs about and intentions toward the patient. Using a 2 x 2 ANOVA with a specified .05 significance level, no statistically significant differences were found in the assessment of the perceived seriousness of a medical complaint, in the aggressiveness of the work-up provided, and in the diagnoses given to patients. The findings from this study are of value in exploring the existence of gender bias in the medical setting. The absence of gender bias, as it occurred in this study, is an encouraging finding for members of the health care community.

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Lagerkvist, Linnea, e Minna Murto. "Anmälningar till patientnämnden gällande kommunikation". Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-294546.

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Bakgrund: I mötet med vården upplever många patienter att kommunikationen och bemötandet brister. Den nya Patientlagen är avsedd för att förbättra situationen. Patientklagomål som har skickats in till patientnämnden kan hjälpa till att förstå faktorer och hinder som finns och vilka delar av Patientlagen som behöver implementeras bättre för att förbättra kvalitet av vården för alla. Syfte: Att granska klagomål om kommunikation inkomna till en patientnämnd vad gäller bakgrundsfaktorer bland patienterna, analysera anmälningarna utifrån Patientlagens bestämmelser samt undersöka vilka åtgärder de har lett till. Metod: En empirisk studie med beskrivande design med en kvantitativ ansats användes. Materialet samlades in från en patientnämnds databas i Sverige. Alla ärenden som handlade om kommunikation på ett sjukhus i Mellansverige och som kom in under 2015 inkluderades. Resultat: I de flesta fall anmälde patienten själv (72,7 %) händelsen och de var ofta kvinnor (61,7 %). Medelåldern på de som anmälde var 44 år. Det verksamhetsområde som gav flest anmälningar var ortopedi (13,7 %). Anmälningarna visade problem med att uppfylla Patientlagens kapitel om inledande bestämmelser, information, samtycke och delaktighet. Patientnämnden hade kontakt med vården i över hälften av fallen samtidigt som en femtedel av anmälningarna inte ledde till någon åtgärd. Slutsats: I vården finns det brister på hur Patientlagens krav uppfylls för till exempel information, samtycke och delaktighet. Mer uppmärksamhet borde ges till att utveckla fungerande kommunikation mellan vården, patienten och anhöriga.
Background: There is a lot of room for improvement in how patients experience their communication with the health care providers. The new Patient Law is intended to improve the situation. Patient complaints that are submitted to the Patient Advisory Committee can help to understand the factors and barriers that exist and which parts of the Patient Law that need more implementation to make health care better for all. Objective: This study examined complaints about communication that had been sent in to one Patient Advisory Committee in Sweden. From the complaints the study examined who makes the complaint (patient/relative, gender and age), in which care unit most of the complaints occur in and to which paragraphs of the Patient Law the complaint could be classified into. Finally the study examined what measures had been taken because of the complaints. Method: An empirical study with descriptive design with quantitative approach was used. The complaints were gathered from one Patient Advisory Committees database. All complaints concerning communication in one hospital in Sweden that were sent in during 2015 were included. Results: In the majority of all cases the patient reported the complaints themselves (72,7 %) and they were mostly women (61,7 %) The average age of those whom the complaints were about was 44 years. The care unit that got most complaints was orthopedics (13,7 %). The reports showed problems implementing Swedish Patient law’s chapter on initial regulations, information, consent and participation. The Patient Advisory Committee had contact with the health care providers in over 50 % of the cases but in 20 % of the cases the complaints did not lead to any measures. Conclusion: There are a lot of deficiencies in adhering to the Patient Laws requi,,rements for instance for information, approval and participation and more attention should be given to developing a well-functioning communication between the health care personnel, the patient and the relatives.

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Freiberg, Alice, Maria Girbig, Ulrike Euler, Julia Scharfe, Albert Nienhaus, Sonja Freitag e Andreas Seidler. "Influence of the Kinaesthetics care conception during patient handling on the development of musculoskeletal complaints and diseases - A scoping review". BioMed Central, 2016. https://tud.qucosa.de/id/qucosa%3A30133.

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The Kinaesthetics care conception is a nursing approach for patient handling which aims to prevent work-related complaints and diseases. The evidence about the influence of Kinaesthetics on musculoskeletal disorders among persons who handle patients is unclear to date. The purposes of the scoping review are to gain insight into the current state of research regarding the clinical effectiveness of Kinaesthetics (in terms of perceived exertion and musculoskeletal complaints) among persons who handle patients and to identify potential research gaps. A scoping review was conducted. The search strategy comprised a systematic search in electronic databases (MEDLINE, EMBASE, AMED, CINAHL), a hand search, a fast forward search (Web of Science) and a Google scholar-search. The review process was carried out independently by two reviewers. Methodological quality was assessed for all studies using three methodological main categories (reporting quality, internal validity, external validity). Thirteen studies with different study designs were included. Seven studies investigated musculoskeletal complaints and nine studies the perceived exertion of nursing staff. Most studies were of very low methodology. Most studies reported a decrease of musculoskeletal complaints and perceived exertion due to Kinaesthetics. In conclusion, there is only little evidence of very low quality about the effectiveness of Kinaesthetics. Out of the studies it could be assumed that Kinaesthetics may decrease the patient handling related perceived exertion and musculoskeletal pain of persons who handle patients. But an overestimation of these results is likely, due to inadequate methodology of included studies. As a result, no clear recommendations about the effectiveness of the Kinaesthetics care conception can be made yet. Since a research gap was shown, further high quality intervention studies are necessary for clarifying the effectiveness of Kinaesthetics.

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Freiberg, Alice, Maria Girbig, Ulrike Euler, Julia Scharfe, Albert Nienhaus, Sonja Freitag e Andreas Seidler. "Influence of the Kinaesthetics care conception during patient handling on the development of musculoskeletal complaints and diseases - A scoping review". Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2017. http://nbn-resolving.de/urn:nbn:de:bsz:14-qucosa-217822.

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Lee, Robert Henry. "Comments, compliments and complaints : the use of patient feedback in the management of hospitals in the National Health Service in England". Thesis, King's College London (University of London), 2015. http://kclpure.kcl.ac.uk/portal/en/theses/comments-compliments-and-complaints(f800a5ff-be32-48e6-875e-76b3b38a091a).html.

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Feedback from patients has become increasingly important in the provision of health care and the management of health services in many countries in the last 30 years. Government policy in England and the published research literature from different countries have focused more on the collection than on the use of patient feedback. There are significant gaps in the research literature relating to the ways in which patient feedback is used in the management of health services. The purpose of this research is to examine how feedback from patients is (or is not) used in the management of hospitals in the National Health Service in England. This thesis contains the results of a qualitative study of the use of patient feedback in two purposively selected NHS foundation trusts in England. Data were collected through interviews with managers, from government and Trust documents and websites, and through the observation of meetings. The findings show that qualitative feedback about patients’ subjective experience of their illness and services is used by managers to engage with and motivate staff, but that the quantified results of surveys are used to establish criteria and standards for service improvement. Although compliments and commendations by patients are used to praise staff they are not used to help set explicit standards for service improvement. Boards of directors sometimes use feedback from patients to help set strategies for quality improvement, but appear not subsequently to use that feedback explicitly to monitor the implementation of these strategies or assure the quality of services. The thesis fills gaps in the published literature by demonstrating that, although patient feedback is used in a variety of ways in the management of staff and in the development of strategies to improve the quality of services, managers in general and boards of directors in particular do not always use that feedback systematically to assure and improve the standards of service for patients.

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Jangland, Eva. "The Patient–Health-professional Interaction in a Hospital Setting". Doctoral thesis, Uppsala universitet, Institutionen för kirurgiska vetenskaper, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-151420.

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The overall aim of the thesis was to describe patient−health-professional interactions in a hospital setting, with a specific focus on the surgical care unit. The thesis consists of four studies and includes both qualitative and quantitative studies. Content analysis and phenomenography were used in the qualitative studies; the quantitative study was an intervention study with a three-phase quasi-experimental design. The findings of study I showed that patient complaints to a local Patients’ Advisory Committee about negative interactions with health professionals most often concerned the perceived insufficiencies of information, respect, and empathy. The findings of study II showed that experiences of negative interactions with health professionals caused long-term consequences for individual patients and reduced patients’ confidence in upcoming consultations. The findings of the phenomenographic study (III) showed that surgical nurses understand an important part of their work in qualitatively different ways, which can be presented as a hierarchy of increasing complexity and comprehensiveness. In the most restricted understanding, surgical nurses focus on the work task, whereas in the others surgical nurses demonstrate increasing degrees of patient-centeredness. Finally, the results of study IV showed that an uncomplicated intervention that invited patients to express their daily questions and concerns in writing (using the ‘Tell-us card’) improved the patients’ perceptions of participation in their care in a surgical care unit. For further implementation of the Tell-us card to succeed, it needs to be prioritized and supported by leaders in ongoing quality improvement work. The value of a patient-focused interaction needs to be the subject of ongoing discussions in surgical care units. Patients’ stories of negative interactions could be used as a starting point for discussions in professional reflection sessions. It is important to discuss and become aware of different ways of understanding professional interactions and relationships with patients; these discussions could open up new areas of professional development. Providing patients an opportunity to ask their questions and express their concerns in writing, and using this information in the patient−health-professional interaction, could be an important step towards improved patient participation.

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Leclercq, Valérie. "Guérir, travailler, désobéir: Une histoire des interactions hospitalières avant l’ère du « patient autonome » (Bruxelles, 1870-1930)". Doctoral thesis, Universite Libre de Bruxelles, 2017. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/253764.

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English :Between 1870 and 1930, medicine on the heels of the Pastorian revolution underwent profound changes while the hospital – a charitable institution traditionally dedicated to the care of the poor – was fast becoming one of the central sites of Western health care. Yet, it was still decades away from the advent of "patient rights" and the rise to prominence of the ethics of patient autonomy. What moral culture, then, prevailed inside hospitals and shaped the encounter between patients and health care professionals? What logics underlay interactions between the former and the latter? These are the questions that this thesis aims to answer. Drawing from the archives of two public hospitals in Brussels as well as from a series of deontological, literary, religious and jurisprudential sources, this work sits at the intersection of the social history of medicine, the history of authoritarian institutions, the history of patients and the history of medical ethics. It offers an examination of therapeutics interactions that primarily focuses on the day-to-day practices of various groups of historical actors (patients, doctors, interns, catholic nuns, priests, administrators, etc.). With an eye on the larger social context, it attempts to give a new historical depth to topics borrowed from the field of medical ethics, such as medical authority, care relationships, experimentation, religious healing, truth and benevolent lies, etc. By mining a rich collection of letters written by patients and their family members to the hospital administration, this thesis also sheds light on the views and actions of hospital users. Ultimately, it reveals the hospital as structured by a complex moral economy that is the expression of the deep paternalistic outlook of western societies. In this economy, therapeutic interactions rest on an ambiguous system of moral reciprocity that encourages the simultaneous performance of charitable love and social domination, of docility and rebellion.------------Français :Entre 1870 et 1930, la médecine, enrichie par les nouvelles possibilités de l’anesthésie, exultant devant le miracle antiseptique et les promesses de la révolution pastorienne, subit une transformation profonde. L’hôpital public, institution charitable traditionnellement dédiée au soin des populations pauvres, est en passe de devenir un des sites centraux de la thérapeutique occidentale. Pourtant, cette période de formation décisive de la médecine moderne est encore à des décennies de l’avènement des « droits des patients » et de ce bouleversement majeur qui verra, au milieu du 20ème siècle, l’éthique médicale entièrement reformulée autour de la notion d’autonomie du malade. Quelle culture morale prévaut alors à l’intérieur des institutions hospitalières et détermine les formes de la rencontre entre les patients et les soignants? Quels logiques sous-tendent l’agir des premiers et des seconds, dans le cadre de toutes ces activités qui amènent ceux-ci à interagir ensemble ?Ce sont les questions auxquelles cette thèse a l’ambition de répondre. Le contexte hospitalier lui-même est abordé ici comme un révélateur des dynamiques sociales structurant plus largement non seulement la médecine de l’époque, mais aussi les sociétés occidentales avant la Seconde Guerre mondiale.Les archives des hôpitaux bruxellois St-Jean et St-Pierre, supplémentées par une série de sources déontologiques, littéraires, religieuses et jurisprudentielles, constituent le terrain d’étude à partir duquel s’élaborent les propositions nombreuses de cette thèse. L’objet central de celle-ci – les interactions en milieu hospitalier – se situe à la croisée de quatre courants historiographiques :l’histoire sociale de la médecine, le récit interactionniste des institutions autoritaires, l’histoire des patients et l’histoire de l’éthique médicale. Prêtant une attention particulière aux pratiques des acteurs historiques, Guérir, travailler, désobéir se structure autour de six chapitres. Ceux-ci abordent des thématiques aussi variées que l’autorité des acteurs hospitaliers, la communication entre patients et soignants, ou encore la relation soignante. La thèse interroge aussi la dimension « utilitaire » de la rencontre thérapeutique dans un contexte de médecine publique (usage des corps de malades pauvres pour la science, l’enseignement, etc), les pratiques de détournement de l’institution hospitalière par les malades, et la nature du dialogue mettant en lien ces mêmes malades et l’administration hospitalière en cas de plainte. Au final, ce travail de recherche met à jour une économie morale complexe, expression du paternalisme profond des sociétés occidentales, qui fait reposer les interactions thérapeutiques sur un système ambigu de réciprocité morale.
Doctorat en Histoire, histoire de l'art et archéologie
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Andela, Marie. "Considérations conceptuelle, méthodologique et contextuelle du travail émotionnel : impacts sur le burnout, les troubles somatiques des soignants et les risques de maltraitance des patients". Thesis, Besançon, 2014. http://www.theses.fr/2014BESA1006.

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L’objectif de cette recherche est de contribuer à mieux comprendre l’impact du travail émotionnel dans l’émergence du burnout et des troubles somatiques des soignants. Pour cela, le premier chapitre commence par exposer le concept de travail émotionnel, son histoire, son évolution et ses liens avec le burnout et les troubles somatiques. Tout en développant la critique sociologique du travail émotionnel d’Hochschild, nous exposons sa pertinence dans le contexte actuel de l’institution hospitalière. L’évolution du concept est ensuite présentée et nous proposons de nous focaliser sur l’approche intra psychique du travail émotionnel. Celle-ci privilégie trois composantes du concept : la dissonance émotionnelle, l’acting de profondeur et l’acting de surface. A partir de cette approche, notre revue de la littérature expose les liens de ces trois composantes au burnout, aux troubles somatiques et à la performance des salariés. Diverses problématiques associées à l’état actuel des connaissances portant sur le lien entre le travail émotionnel et la santé des salariés sont alors abordées et les chapitres suivants proposent d’apporter, par le biais d’études empiriques, des éléments de réponses à celles-ci. Le deuxième chapitre expose les problématiques liées aux limites méthodologiques des mesures actuelles du concept de travail émotionnel. Une mesure alternative est proposée : celle-ci distingue les deux processus de régulation jusqu’ici confondus dans la conceptualisation de l’acting de profondeur, à savoir la réévaluation cognitive et le déploiement attentionnel ; les deux stratégies de régulations expressives jusqu’ici confondues dans la conceptualisation de l’acting de surface, à savoir la suppression et l’amplification expressive des émotions. Enfin, ces processus de régulation ont clairement été dissociés de l’état de dissonance émotionnelle. Nos résultats présentent plusieurs intérêts. Premièrement, ils indiquent que la dissonance émotionnelle constitue la composante du travail émotionnel la plus fortement associée au burnout et aux troubles somatiques. Deuxièmement, cette étude révèle que les mesures actuelles de l’acting de surface et de profondeur englobent différents processus aux effets opposés sur le burnout. Alors que la suppression expressive des émotions est liée de façon positive au burnout, l’amplification expressive des émotions l’est de façon négative. Et si la réévaluation cognitive s’avère une stratégie de régulation négativement liée au burnout, le déploiement attentionnel apparaît plus délétère à la santé des salariés. Afin de déterminer la valeur ajoutée du travail émotionnel au modèle exigences-ressources, le troisième chapitre évalue les liens entre celui-ci et le burnout en prenant en considération différents stresseurs/ressources organisationnelles (exigences émotionnelles, charge de travail, justice organisationnelle…). Basées sur les principes du modèle exigences-ressources, les données indiquent que les composantes du travail émotionnel expliquent une part de variance importante du burnout et des troubles somatiques au-delà des parts de variance expliquées par les exigences et le manque de ressources organisationnelles. Puisque la dissonance émotionnelle joue un rôle prédominant dans l’émergence du burnout, le quatrième chapitre évalue dans quelle mesure la réflexivité des équipes de travail permet de modérer ses effets négatifs sur la santé des salariés. Les données indiquent que la réflexivité sociale modère les effets de la dissonance sur le burnout. Enfin, le chapitre cinq explore les liens entre le travail émotionnel, le burnout et la maltraitance des soignants vis-à-vis des patients. Les résultats confirment l’impact de la dissonance émotionnelle et du burnout sur les comportements de maltraitance. En effet, le burnout et la dissonance médiatisent les effets des stresseurs liés à l’environnement de travail sur la maltraitance
The aim of this research was to better understand the links between emotional labor, burnout and somatic complaints. The first chapter constitutes a literary review that exposes the concept, its history, and its links with burnout and somatic complains: Hochschild’s sociological analysis of emotional labor is developed and its relevance to the hospital context is exposed. The evolution of the concept is then presented and we propose to focus on the intra psychic perspective of emotional labor which pays attention to three components of the concept: emotional dissonance, surface acting and deep acting. Based on this approach, we realized a literature review that exposed the associations between these three components and burnout, somatic complaints and job performance. Diverse problems associated with the comprehension of the impact of emotional labor on health outcomes are developed. The second chapter exposes the problems associated with the limitations of the measure used to evaluate the concept of emotional labor. An alternative measure is proposed: this one distinguishes the two emotion regulation processes included in the conceptualization of deep acting, which are, re-evaluation and attentional deployment. It also distinguishes the two expressive regulation strategies included in the conceptualization of surface acting, that are expressive suppression and expressive amplification. Finally, these emotion regulation processes are separate from the emotional dissonance state. Our results present several issues: First, they indicate that emotional dissonance is positively associated with burnout and somatic complains and that the variance part of these two variables are broadly explained by the emotional dissonance state. Second, they reveal that surface acting and deep acting measures include different processes with opposite effects on burnout: while expressive suppression is positively linked with burnout, expressive amplification is negatively related to it. Moreover, re-evaluation presents a positive impact on health outcomes while attentional deployment has a negative impact on them. The aim of the third chapter is to determine the added value of emotional labor to the job demands-resources model: links between emotional labor, burnout and somatic complaints were analyzed by taking into account different organizational demands and resources (emotional demands, workload, organizational justice…). Based on the job-demands-resources principles, our result show that emotional labor components explain a great part of burnout and somatic complaints beyond the parts of variance explained by demands and lack of resources. As emotional dissonance plays a determinant role in the burnout process, the fourth chapter examines to what extent reflexivity among work teams moderates its negative effects. Results indicate that social reflexivity moderates burnout induced by emotional dissonance. Finally, chapter five explores the links between emotional labor, burnout and mistreatments toward patients. Results confirmed the link between emotional dissonance and burnout on mistreatments. Indeed, burnout and emotional dissonance mediate the effects of stressors linked with the work context on mistreatment

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Profant, Judith. "Fatigue and sleep complaints in women treated for breast cancer /". Diss., Connect to a 24 p. preview or request complete full text in PDF format. Access restricted to UC campuses, 2004. http://wwwlib.umi.com/cr/ucsd/fullcit?p3129934.

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Libri sul tema "Patient complaints"

Capstick, Brian. Patient complaints and litigation. Birmingham: National Association of Health Authorities in England and Wales, 1985.

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May, Marlynn L. Patients and doctors disputes: Patients' complaints and what they do about them. Madison, Wis: Institute for Legal Studies, University of Wisconsin-Madison, Law School, 1986.

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Ontario. Ministry of Health. Joint Policy and Planning Committee. Examining the process of handling patient complaints at the Ministry of Health: Final project report. [Toronto]: Joint Policy and Planning Committee, 1994.

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Patient-client-employee complaint programs: An organizational systems model. Springfield, Ill., U.S.A: C.C. Thomas, 1985.

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Resolving patient complaints: A step-by-step guide to effective service recovery. Gaithersburg, Md: Aspen, 1995.

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Resolving patient complaints: A step-by-step guide to effective service recovery. 2^a ed. Boston: Jones and Bartlett Publishers, 2003.

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Complaints and grievances in psychotherapy: A handbook of ethical practice. London: Routledge, 1998.

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Pickell, Garfield C. PS patient simulation: Deborah Murphy , a 20-year-old white female at 34 weeks gestation, with complaints of ankle swelling and fatigue. Springfield, Ill: Southern Illinois University School of Medicine, 1986.

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Effective complaint handling in health care. Chicago, Ill: American Hospital Pub., 1990.

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Aging, Illinois Department on. Residents' rights for people in long term care facilties (Korean). Springfield, Ill.]: Illinois Department on Aging, 2001.

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Capitoli di libri sul tema "Patient complaints"

Campbell, Tavis S., Jillian A. Johnson, Kristin A. Zernicke, Amy Wachholtz, J. Rick Turner, Manjunath Harlapur, Daichi Shimbo e Antti Uutela. "Unexplained Patient Complaints". In Encyclopedia of Behavioral Medicine, 2019. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4419-1005-9_101840.

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Chokroverty, Sudhansu. "Approach to the Patient with Sleep Complaints". In Sleep Disorders Medicine, 451–73. New York, NY: Springer New York, 2017. http://dx.doi.org/10.1007/978-1-4939-6578-6_26.

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Klyshinsky, Eduard, Valeriya V. Gribova, Carina Shakhgeldyan, Elena A. Shalfeeva, Dmitry B. Okun, Boris I. Geltser, Tatiana A. Gorbach e Olesia D. Karpik. "Formalization of Medical Records Using an Ontology: Patient Complaints". In Communications in Computer and Information Science, 143–53. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-39575-9_14.

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Thomas, Michael R., e Ranjan Roy. "Social and Family Issues and the Elderly Chronic Pain Patient". In The Changing Nature of Pain Complaints over the Lifespan, 171–87. Boston, MA: Springer US, 1999. http://dx.doi.org/10.1007/978-1-4899-1890-1_10.

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Luyten, Patrick, e Peter Fonagy. "An Integrative, Attachment-Based Approach to the Management and Treatment of Patients with Persistent Somatic Complaints". In Improving Patient Treatment with Attachment Theory, 127–44. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-23300-0_9.

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Leape, Lucian L. "Partners in Progress: Patient Safety in the UK". In Making Healthcare Safe, 203–13. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-71123-8_13.

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AbstractIn 1997, Britons were shocked by a report from the General Medical Council (GMC) of a series of deaths from bungled surgery at the Bristol Royal Infirmary. In response to parents’ complaints, the GMC had launched an investigation into the high mortality of cardiac surgery of children at the Infirmary. It found that of 53 children who were operated on, 29 had died and 4 suffered severe brain damage. Three surgeons were found guilty of serious professional misconduct, and two were stricken from the medical register [1].

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Tack, Jan F. "Approach to the Patient with Dyspepsia and Related Functional Gastrointestinal Complaints". In Yamada' s Textbook of Gastroenterology, 651–56. Oxford, UK: John Wiley & Sons, Ltd, 2015. http://dx.doi.org/10.1002/9781118512074.ch35.

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Sifneos, Peter E. "Certain Common Complaints of Prospective STAPP Patients". In Short-Term Dynamic Psychotherapy, 3–14. Boston, MA: Springer US, 1987. http://dx.doi.org/10.1007/978-1-4899-0843-8_1.

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Thomas, Michael R., e Ranjan Roy. "Families of Chronic Pain Patients". In The Changing Nature of Pain Complaints over the Lifespan, 123–40. Boston, MA: Springer US, 1999. http://dx.doi.org/10.1007/978-1-4899-1890-1_7.

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"Patient Complaints". In Essential Management Skills for Pharmacy and Business Managers, 373–80. Productivity Press, 2013. http://dx.doi.org/10.1201/b14816-22.

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Atti di convegni sul tema "Patient complaints"

ElMessiry, Adel, Zhe Zhang, William O. Cooper, Thomas F. Catron, Jan Karrass e Munindar P. Singh. "Leveraging Sentiment Analysis for Classifying Patient Complaints". In BCB '17: 8th ACM International Conference on Bioinformatics, Computational Biology, and Health Informatics. New York, NY, USA: ACM, 2017. http://dx.doi.org/10.1145/3107411.3107421.

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Weiss, Yossi, e Nachman Ash. "Be a Leader, Be Accountable to Patient Complaints". In Annual Global Healthcare Conference. Global Science and Technology Forum (GSTF), 2012. http://dx.doi.org/10.5176/2251-3833_ghc12.34.

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Shiner, Naomi. "O36 Evaluation of a patient complaints simulated activity". In Abstracts of the Association for Simulation Practice in Healthcare Annual Conference, 6th to 7th November 2017, Telford, UK. The Association for Simulated Practice in Healthcare, 2017. http://dx.doi.org/10.1136/bmjstel-2017-aspihconf.57.

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Kusumadewi, Sri, Chanifah Indah Ratnasari e Linda Rosita. "Natural language parsing of patient complaints in Indonesian language". In 2015 International Conference on Science and Technology (TICST). IEEE, 2015. http://dx.doi.org/10.1109/ticst.2015.7369373.

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Laksono, Teguh Puji, Ahmad Fathan Hidayatullah e Chanifah Indah Ratnasari. "Speech to Text of Patient Complaints for Bahasa Indonesia". In 2018 International Conference on Asian Language Processing (IALP). IEEE, 2018. http://dx.doi.org/10.1109/ialp.2018.8629161.

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Song, Haowei, Gangmin Li, Size Hou, YuanYing Qu, Hai-Ning Liang e Xuming Bai. "Translate and Summarize Complaints of Patient to Electronic Health Record by BiLSTM-CNN Attention model". In 2019 12th International Congress on Image and Signal Processing, BioMedical Engineering and Informatics (CISP-BMEI). IEEE, 2019. http://dx.doi.org/10.1109/cisp-bmei48845.2019.8965711.

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Satyaprakash, Mathur Neha, Pratibha Singh e Suyasha Vyas. "Early stage adenocarcinoma of cervix with ovarian micrometastasis". In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685281.

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Introduction: Adenocarcinoma of cervix is a rare malignancy of cervix. It is an aggressive tumour with high incidence of metastasis. Ovarian metastasis in early stage adenocarcinoma is rare. Metastasis is usually seen when there is some other coexisting finding. In premenopausal patient and low risk category, ovarian metastasis is very rare. Case Report: The present case is a 40 yrs old parous women, with complaints of discharge per vaginum. Her colposcopy showed an erosion on the lower lip. Radical hysterectomy with bilateral oophorectomy was planned. The histopathology was a well differentiated adenocarcinoma with surface ovarian metastasis on one side. Discussion: Early stage adenocarcinoma of cervix can rarely present with ovarian metastasis. Thus radical surgery with oophorectomy is a an aggressive but practical approach in these patients.

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van Dael, J., AT Gillespie, TW Reader e EK Mayer. "OP85 Patient and staff perceptions of safety and risk: triangulating patient complaints and staff incident reports towards a dual perspective on adverse events". In Society for Social Medicine and Population Health Annual Scientific Meeting 2020, Hosted online by the Society for Social Medicine & Population Health and University of Cambridge Public Health, 9–11 September 2020. BMJ Publishing Group Ltd, 2020. http://dx.doi.org/10.1136/jech-2020-ssmabstracts.84.

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Nagy, Diána. "Possibilities of Digitalization and Service Design in the Development of Patient Adherence". In New Horizons in Business and Management Studies. Conference Proceedings. Corvinus University of Budapest, 2021. http://dx.doi.org/10.14267/978-963-503-867-1_05.

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In parallel with the development of modern health systems and the growth of the welfare state, diseases have shifted towards chronic diseases. Today, instead of rapid-onset infections, most resources are focused on the long-term treatment of mostly lifelong chronic conditions. The condition for the effective use of therapies is to take the specified dose with the prescribed frequency and for the required period of time. If these parameters are met, we can talk about patient collaboration or adherence. For certain diseases and treatments, adherence is critically low. In the case of complex preparations to be taken several times a day, or diseases that do not cause serious, noticeable complaints, the initial number of patients treated is reduced to a fraction within a short time. As a result, economic harm is perceived not only by the patient but also by all those involved in the health care system, including pharmaceutical companies. However, the factors influencing patient collaboration vary widely. In order to achieve high adherence, the goal is to develop health services that coordinate the actors involved, the infrastructure, the communication, the material components to improve the user experience. As a user-centered methodology, service design can play a prominent role in the design of therapeutic services, contributing to the reduction of uncertainties in innovation processes. In my study, I assess the digital toolkit of patient education in Hungarian society. The aim is to explore digital tools and technologies that can contribute to the development of health awareness and education so that both science and the pharmaceutical and technology companies that exploit it can apply the results of research.

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Hegewald, J., W. Berge, P. Heinrich, R. Staudte, A. Freiberg, J. Scharfe, M. Girbig, A. Nienhaus e A. Seidler. "Do technical aids for patient handling prevent musculoskeletal complaints in health care workers? – A systematic review of intervention studies". In Prävention in Lebenswelten – 54. Jahrestagung der DGSMP – Die DGSMP Jahrestagung in Dresden findet statt unter Beteiligung des MDK Sachsen. Georg Thieme Verlag KG, 2018. http://dx.doi.org/10.1055/s-0038-1667604.

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Rapporti di organizzazioni sul tema "Patient complaints"

Miller, Kaleigh. US Guided Management of Undifferentiated Dyspneic Patient in the ED. University of Tennessee Health Science Center, marzo 2020. http://dx.doi.org/10.21007/com.lsp.2020.0001.

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Intro: Undifferentiated dyspnea can be a complicated presentation muddled by patient comorbidities and similar symptomology shared among etiologies. Some studies have shown increased mortality and length of stay in the hospital when incorrectly initially diagnosed in the ED. US has been shown more effective at differentiating these causes and improves diagnostic accuracy. This study will implement US exam upon initial exam of patient and chart time to diagnosis/treatment, length of stay in ED, length of stay in hospital admissions versus discharge rates, and 30 day mortality. ADHF and COPD/asthma patient differentiation will be the focus. Methods: Prospective cohort study of more than 18 years that present with the primary complaint of dyspnea with more than one complicating comorbid condition. Initial exam by physician will be accompanied by cardiothoracic US previously verified. Results: Study powered by previous year average of time to diagnosis of institution. Patient characteristics, distribution by diagnostic category, and characteristics found on US in correlation with diagnosis will be included for multivariate analysis. Conclusions: We expect to see a singificant difference in our time to diagnosis/treatment and mortality rate.

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Johnson, Corey, Colton James, Sarah Traughber e Charles Walker. Postoperative Nausea and Vomiting Implications in Neostigmine versus Sugammadex. University of Tennessee Health Science Center, luglio 2021. http://dx.doi.org/10.21007/con.dnp.2021.0005.

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Purpose/Background: Postoperative nausea and vomiting (PONV) is a frequent complaint in the postoperative period, which can delay discharge, result in readmission, and increase cost for patients and facilities. Inducing paralysis is common in anesthesia, as is utilizing the drugs neostigmine and sugammadex as reversal agents for non-depolarizing neuromuscular blockers. Many studies are available that compare these two drugs to determine if neostigmine increases the risk of PONV over sugammadex. Sugammadex has a more favorable pharmacologic profile and may improve patient outcomes by reducing PONV. Methods: This review included screening a total of 39 studies and peer-reviewed articles that looked at patients undergoing general anesthesia who received non-depolarizing neuromuscular blockers requiring either neostigmine or sugammadex for reversal, along with their respective PONV rates. 8 articles were included, while 31 articles were removed based on our exclusion criteria. These were published between 2014 and 2020 exclusively. The key words used were “neostigmine”, “sugammadex”, “PONV”, along with combinations “paralytic reversal agents and PONV”. This search was performed on the scholarly database MEDLINE. The data items were PONV rates in neostigmine group, PONV rates in sugammadex group, incidence of postoperative analgesic consumption in neostigmine group, and incidence of postoperative analgesic consumption in sugammadex group. Results: Despite numerical differences being noted in the incidence of PONV with sugammadex over reversal with neostigmine, there did not appear to be any statistically significant data in the multiple peer-reviewed trials included in our review, for not one of the 8 studies concluded that there was a higher incidence of PONV in one drug or the other of an y clinical relevance. Although the side-effect profile tended to be better in the sugammadex group than neostigmine in areas other than PONV, there was not sufficient evidence to conclude that one drug was superior to the other in causing a direct reduction of PONV. Implications for Nursing Practice: There were variable but slight differences noted between both drug groups in PONV rates, but it remained that none of the studies determined it was statically significant or clinically conclusive. This review did, however, note other advantages to sugammadex over neostigmine, including its pharmacologic profile of more efficiently reversing non-depolarizing neuromuscular blocking drugs and its more favorable pharmacokinetics. This lack of statistically significant evidence found within these studies consequentially does not support pharmacologic decision-making of one drug in favor of the other for reducing PONV; therefore, PONV alone is not a sufficient rationale for a provider to justify using one reversal over another at the current time until further research proves otherwise.

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