Guide to Complaint Handling in Health Care Services
Guide to Complaint Handling in Health Care Services
Guide to Complaint Handling in Health Care Services
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<strong>Compla<strong>in</strong>t</strong> follow-up record<br />
(<strong>to</strong> be completed by staff member)<br />
<strong>Compla<strong>in</strong>t</strong> number<br />
1. Receipt of compla<strong>in</strong>t/feedback<br />
Date of receipt:<br />
Staff member receiv<strong>in</strong>g compla<strong>in</strong>t:<br />
Department:<br />
How was compla<strong>in</strong>t communicated? <strong>in</strong> person <strong>in</strong> writ<strong>in</strong>g telephone<br />
2. Action taken<br />
Detail immediate action taken and whether resolved at po<strong>in</strong>t of service:<br />
3. Seriousness assessment<br />
Record seriousness assessment rat<strong>in</strong>g and who referred <strong>to</strong> for action or <strong>in</strong>formation:<br />
SAM score<br />
Referred <strong>to</strong><br />
4 Local level<br />
<strong>Compla<strong>in</strong>t</strong>s manager<br />
3 Local level<br />
<strong>Compla<strong>in</strong>t</strong>s manager<br />
Department manager<br />
2/1 <strong>Compla<strong>in</strong>t</strong>s manager<br />
Department manager<br />
Executive management<br />
Quality team<br />
DOM, DON<br />
Follow up required? By whom?<br />
Sett<strong>in</strong>g up your system/<strong>to</strong>ols 41