What is an example of a chief complaint?

What is an example of a chief complaint?

A chief complaint is a statement, typically in the patient’s own words: “my knee hurts,” for example, or “I have chest pain.” On occasion, the reason for the visit is follow-up, but if the record only states “patient here for follow-up,” this is an incomplete chief complaint, and the auditor may not even continue with …

What is the purpose of a chief complaint?

Chief complaints—also commonly referred to as presenting problems, clinical syndromes, or reasons for visit—are important because the chief complaint often guides diagnostic decision making and care. It is also a vital data element collected by regional and state public health systems to monitor for disease outbreaks.

What should the chief complaint be?

A chief complaint should comprise a concise statement describing the symptom, problem, condition, diagnosis, physician-recommended return or other factors that establish the reason for the encounter in the patient’s own words (e.g., aching joints, rheumatoid arthritis, gout, fatigue, etc.).

What are the main complaints of the patient?

5 Common Patient Complaints in Healthcare

• Long Wait Times. One of the most stressful parts of going to the doctor’s office or the emergency room is waiting to be seen by the physician.
• Issues with Staff Members.
• Amount of Time Spent with Doctor.
• Insurance and Billing.
• Lack of Communication and Dismissiveness.

How do you ask a chief complaint of a patient?

A chief complaint of pain is one of the most common encountered by practitioners in any specialty….The “Magnificent Seven”

1. Location: Where is the pain now?
2. Onset: How did the pain start?
3. Duration: How long has the pain been present?
4. Severity: How bad is the pain now?
5. Quality: What type of pain is it?

How do I find a chief complaint?

The chief complaint is obtained by the Physician in the initial part of the visit when the medical history is being taken.It will be elicited by asking the patient what brings them to be seen?and what major symptoms or problems they are experiencing?

What is medical complaint?

A medical complaint is any written or spoken expression of dissatisfaction with a healthcare service in Dubai. We aim to handle your complaints openly and promptly but ask you to please restrict your complaints to medical issues only.

How do I get a chief complaint?

What is the most common patient complaint?

Studies have found that the vast majority of hospital patient complaints are related to the customer service they receive, specifically in the areas of:

• Staff/Patient Communication: 53 percent.
• Long Wait Times: 35 percent.
• Practice Staff Behavior: 12 percent.
• Billing Discrepencies: 2 percent.

What is the most common reason for patient complaints?

The main reasons for complaints were related to attitude/conduct (28.8%), professional skills (17.8%), patient expectations (16.2%), waiting time (10.0%) and communication (7.8%). Forty-three percent of complaints were evaluated as justifiable, 38% not justifiable and 19% inconclusive.

Does chief complaint have to be in patients own words?

Elements of History Chief complaint (CC): The CC is the reason for the visit as stated in the patient’s own words. This must be present for each encounter, and should reference a specific condition or complaint (e.g., patient complains of abdominal pain).

Do you need a chief complaint for every patient?

Many physicians don’t realize that a chief complaint is required for every type of encounter. It may be a somatic complaint from the patient (e.g., “headache” or “shortness of breath”) or it may be a statement from the physician which defines the purpose for the visit (e.g., “follow-up for hypertension”).

What does chief complaint mean in medical terms?

Advertisement. A Chief complaint is the medical term used to describe the primary problem of the patient that led the patient to seek medical attention and of which they are most concerned.

How to write chief complaint?

1) Take down the patient’s name, age, height, weight and chief complaint or complaints. 2) Gather the primary history. Ask the patient to expand on the chief complaint or complaints. 3) Expand with the secondary history. This is where you ask about any symptoms the patient is experiencing that are related to the chief complaint. 4) Take the tertiary history. This is anything in the patient’s past medical history that may have something to do with the current chief complaint. 5) Include a review of symptoms. This is simply a list, by area of the body, of anything that the patient feels might not be normal. 6) Interview the patient for a past medical history. This is background information on anything having to do with the patient’s health, not just the current chief complaint.

What is the most common chief complaint?

Prevalence. Certain complaints are more common in certain settings and among certain populations. Fatigue has been reported as one of the ten most common reasons for seeing a physician. In acute care settings, such as emergency rooms, reports of chest pain are among the most common chief complaints.