Evidence map›Paper›PMID 28971881›Full record

ArticleBMJ quality & safety2018

Wisdom of patients: predicting the quality of care using aggregated patient feedback.

Alex Griffiths, Meghan P Leaver

Abstract read
In one paragraph

Article in BMJ quality & safety, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 6 pooled it
–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

45 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  11. Involving Service Users in Care Regulation: A Scoping Review of Empirical Literature.International journal of health policy and management · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

Alex GriffithsCentre for Analysis of Risk and Regulation, London School of Economics and Political Science, London, UK.ORCID 0000-0002-1819-7513
Meghan P LeaverDepartment of Psychological and Behavioural Science, London School of Economics and Political Science, London, UK.ORCID 0000-0001-8605-0823

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Care Quality Commission (CQC) is responsible for ensuring the quality of healthcare in England. To that end, CQC has developed statistical surveillance tools that periodically aggregate large numbers of quantitative performance measures to identify risks to the quality of care and prioritise its limited inspection resource. These tools have, however, failed to successfully identify poor-quality providers. Facing continued budget cuts, CQC is now further reliant on an 'intelligence-driven', risk-based approach to prioritising inspections and a new effective tool is required.

objectiveTo determine whether the near real-time, automated collection and aggregation of multiple sources of patient feedback can provide a collective judgement that effectively identifies risks to the quality of care, and hence can be used to help prioritise inspections.

methodsOur

resultsAggregating patient feedback increases the volume and diversity of patient-centred insights into the quality of care. There is a positive association between the resulting collective judgement score and subsequent inspection outcomes (OR for being rated 'Inadequate' compared with 'Requires improvement' 0.35 (95% CI 0.16 to 0.76), Requires improvement/Good OR 0.23 (95% CI 0.12 to 0.44), and Good/Outstanding OR 0.13 (95% CI 0.02 to 0.84), with p<0.05 for all).

conclusionsThe collective judgement score can successfully identify a high-risk group of organisations for inspection, is available in near real time and is available at a more granular level than the majority of existing data sets. The collective judgement score could therefore be used to help prioritise inspections.

Indexed as

FeedbackPatient SatisfactionQuality of Health CareData CollectionEnglandHospitalsHumansInternetQuality ImprovementRegression AnalysisSocial MediaState Medicinepatient-centred carepatient satisfactionquality measurementrisk management

Identifiers

PMID28971881
PMCPMC5867435

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.