Evidence map›Paper›PMID 38621805›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2024

Operational failures in general practice: a consensus-building study on the priorities for improvement.

Carol Sinnott, Ahmed Alboksmaty, Jordan M Moxey, Katherine I Morley, Sarah Parkinson, Jenni Burt, Mary Dixon-Woods

Open access · hybridAbstract readConsensus Statement
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Acutely ill children, safety netting, and NHS printers.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
  2. 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

7 authors at 3 institutions in 2 countries.

Carol SinnottThe Healthcare Improvement Studies (THIS) Institute, Cambridge.ORCID 0000-0002-8620-7461
Ahmed AlboksmatyThe Healthcare Improvement Studies (THIS) Institute, Cambridge.ORCID 0000-0001-5570-3609
Jordan M MoxeyTHIS Labs, Cambridge.ORCID 0000-0003-0165-7963
Katherine I MorleyRAND Europe, Cambridge.ORCID 0000-0002-2725-5535
Sarah ParkinsonRAND Europe, Cambridge.ORCID 0000-0002-2858-1842
Jenni BurtTHIS Labs, Cambridge.ORCID 0000-0002-0037-274X
Mary Dixon-WoodsThe Healthcare Improvement Studies (THIS) Institute, Cambridge.ORCID 0000-0002-5915-0041
University of Cambridge · GBRAND Europe · GBTris Pharma (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSystem problems, known as operational failures, can greatly affect the work of GPs, with negative consequences for patient and professional experience, efficiency, and effectiveness. Many operational failures are tractable to improvement, but which ones should be prioritised is less clear.

aimTo build consensus among GPs and patients on the operational failures that should be prioritised to improve NHS general practice. DESIGN AND

settingTwo modified Delphi exercises were conducted online among NHS GPs and patients in several regions across England.

methodBetween February and October 2021, two modified Delphi exercises were conducted online: one with NHS GPs, and a subsequent exercise with patients. Over two rounds, GPs rated the importance of a list of operational failures (

resultsSixty-two GPs responded to the first Delphi exercise, and 53.2% (

conclusionThis study identified the highest-priority operational failures in general practice according to GPs and patients, and indicates where improvement efforts relating to operational failures in general practice should be focused.

Indexed as

General PracticeQuality ImprovementDelphi TechniqueEnglandFemaleGeneral PractitionersHumansMaleState MedicineDelphi techniquegeneral practiceoperational failuresorganisational efficiencyprimary health carequality improvement

Identifiers

PMID38621805
PMCPMC11044020
OpenAlexW4388573250

What OpenQuestion holds

Textmetadata
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.