Evidence map›Paper›PMID 34535455›Full record

ArticleBMJ open quality2021

Can compliment and complaint data inform the care of individuals with chronic subdural haematoma (cSDH)?

Katherine Jones, Benjamin Davies, Daniel J Stubbs, Alexander Komashie, Rowan M Burnstein, Peter Hutchinson, Thomas Santarius, Alexis J Joannides

Open access · goldAbstract read
In one paragraph

Article in BMJ open quality, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 30% of its field
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

8 authors at 1 institution in 1 country.

Katherine JonesUniversity of Cambridge School of Clinical Medicine, Cambridge, UK.ORCID 0000-0002-8347-4978
Benjamin DaviesAcademic Neurosurgery, University of Cambridge, Cambridge, UK bd375@cam.ac.uk.
Daniel J StubbsUniversity Division of Anaesthesia, University of Cambridge, Cambridge, UK.
Alexander KomashieThe Healthcare Improvement Studies (THIS) Institute, University of Cambridge, Cambridge, Cambridgeshire, UK.ORCID 0000-0002-0715-4729
Rowan M BurnsteinNeurocritical Care Department and Department of Anaesthesia, University of Cambridge, Cambridge, Cambridgeshire, UK.
Peter HutchinsonAcademic Neurosurgery, University of Cambridge, Cambridge, UK.
Thomas SantariusAcademic Neurosurgery, University of Cambridge, Cambridge, UK.
Alexis J JoannidesAcademic Neurosurgery, University of Cambridge, Cambridge, UK.
University of Cambridge · GB

Funding

Wellcome TrustWellcome Trust 204017/Z/16/Z
6 · The paper itself

Abstract

objectivesTo explore the frequency and nature of complaints and compliments reported to Patient Advice and Liaison (PALS) in individuals undergoing surgery for a chronic subdural haematoma (cSDH).

designA retrospective study of PALS user interactions. SUBJECTS: Individuals undergoing treatment for cSDH between 2014 and 2019.

methodsPALS referrals from patients with cSDH between 2014 and 2019 were identified. Case records were reviewed and data on the frequency, nature and factors leading up to the complaint were extracted and coded according to Healthcare Complaints Analysis Tool (HCAT).

resultsOut of 531 patients identified, 25 (5%) had a PALS interaction, of which 15 (3%) were complaints and 10 (2%) were compliments. HCAT coding showed 8/15 (53%) of complaints were relationship problems, 6/15 (33%) a management problem and 1/15 (7%) other. Of the relationship problems, 6 (75%) were classed as problems with communication and 2 (25%) as a problem with listening. Of the compliments, 9/10 (90%) related to good clinical quality and 1/10 (10%) to staff-patient relationship. Patients were more likely to register a compliment than family members, who in turn were more likely to register a complaint (p<0.005). Complaints coded as a relationship problem had 2/8 (25%) submitted by a patient and 6/8 (75%) submitted by a relative.

conclusionsUsing the HCAT, routinely collected PALS data can easily be coded to quantify and provide unique perspective on tertiary care, such as communication. It is readily suited to quality improvement and audit initiatives.

Indexed as

Hematoma, Subdural, ChronicCommunicationHumansQuality ImprovementRetrospective Studieshealth services researchpatient satisfactionquality improvementquality measurement

Identifiers

PMID34535455
PMCPMC8451295
OpenAlexW3200338507

What OpenQuestion holds

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LicenceCC BY
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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.