title: Relationship between patient complaints and surgical complications.
abstract: BACKGROUND
  Patient complaints are associated with increased malpractice risk but it is unclear if complaints might be associated with medical complications. The purpose of this study was to determine whether an association exists between patient complaints and surgical complications.
  
  
  METHODS
  A retrospective analysis of 16,713 surgical admissions was conducted over a 54 month period at a single academic medical center. Surgical complications were identified using administrative data. The primary outcome measure was unsolicited patient complaints.
  
  
  RESULTS
  During the study period 0.9% of surgical admissions were associated with a patient complaint. 19% of admissions associated with a patient complaint included a postoperative complication compared with 12.5% of admissions without a patient complaint (p = 0.01). After adjusting for surgical specialty, co-morbid illnesses and length of stay, admissions with complications had an odds ratio of 1.74 (95% confidence interval 1.01 to 2.98) of being associated with a complaint compared with admissions without complications.
  
  
  CONCLUSIONS
  Admissions with surgical complications are more likely to be associated with a complaint than surgical admissions without complications. Further research is necessary to determine if patient complaints might serve as markers for poor clinical outcomes.
authors.affiliation: Division of General Internal Medicine, Vanderbilt University Medical Center, Nashville, TN 37212-2637, USA. Harvey.Murff@med.va.gov
authors.forename: H J
authors.initials: HJ
authors.lastname: Murff
authors.forename: D J
authors.initials: DJ
authors.lastname: France
authors.forename: J
authors.initials: J
authors.lastname: Blackford
authors.forename: E L
authors.initials: EL
authors.lastname: Grogan
authors.forename: C
authors.initials: C
authors.lastname: Yu
authors.forename: T
authors.initials: T
authors.lastname: Speroff
authors.forename: J W
authors.initials: JW
authors.lastname: Pichert
authors.forename: G B
authors.initials: GB
authors.lastname: Hickson
mesh_terms: D000328:Adult; D000368:Aged; D016001:Confidence Intervals; D003627:Data Interpretation, Statistical; D019992:Databases as Topic; D005260:Female; D006785:Hospitals, University; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D010343:Patient Admission; D017060:Patient Satisfaction; D011183:Postoperative Complications; D011787:Quality of Health Care; D012189:Retrospective Studies; D012307:Risk Factors; D017751:Safety Management; D013514:Surgical Procedures, Operative / Q000009:adverse effects*; D013714:Tennessee