Evidence map›Paper›PMID 15933315›Full record

ArticleQuality & safety in health care2005

A qualitative study of why general practitioners may participate in significant event analysis and educational peer assessment.

P Bowie, J McKay, E Dalgetty, M Lough

Abstract read
In one paragraph

Article in Quality & safety in health care, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Observational
  2. Article
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  5. Article
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  7. Article
  8. Verifying appraisal evidence using feedback from trained peers: views and experiences of Scottish GP appraisers.The British journal of general practice : the journal of the Royal College of General Practitioners · 2009
    Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

P BowieDepartment of Postgraduate Medical Education, University of Glasgow, UK. paul.bowie@nes.scot.nhs.uk
J McKay
E Dalgetty
M Lough

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo explore the influences and perceived benefits behind general practitioners' willingness to participate in significant event analysis (SEA) and educational peer assessment.

designQualitative analysis of focus group transcripts.

settingGreater Glasgow Primary Care Trust.

participantsTwo focus group sessions involving 21 principals in general practice (GPs).

main outcome measuresGPs' perceptions of the reasons for and benefits of participating in SEA and associated educational peer assessment.

resultsPressure from accreditation bodies and regulatory authorities makes SEA compulsory for most participants who believe more in-depth event analyses are undertaken as a result. Some believed SEA was not an onerous activity while others argued that this depended on the complexity of the event. SEA that is linked to a complaint investigation may provide credible evidence to patients that their complaint is taken seriously. Writing up an event analysis is viewed as an educational process and may act as a form of personal catharsis for some. Event analyses are submitted for peer assessment for educational reward but are highly selective because of concerns about confidentiality, litigation, or professional embarrassment. Most participants disregard the opportunities to learn from "positive" significant events in favour of problem ones. Peer assessment is valued because there is a perception that it enhances knowledge of the SEA technique and the validity of event analyses, which participants find reassuring.

conclusionsThis small study reports mainly positive feedback from a select group of GPs on the merits of SEA and peer assessment.

Indexed as

Attitude of Health PersonnelMedical AuditPeer Review, Health CareSentinel SurveillanceAccreditationAdultCross-Sectional StudiesEducation, Medical, ContinuingEvidence-Based MedicineFemaleHumansMaleMiddle AgedMotivationPhysicians, FamilyPrimary Health Care

Identifiers

PMID15933315
PMCPMC1744028

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.