Evidence map›Paper›PMID 40127953›Full record

ArticleBMJ open quality2025

Feedback from bereaved relatives via Medical Examiners: what kinds of concerns are raised?

Saskie Dorman, Becky Protopsaltis, Ryan Barter, Andy Brogan

Abstract read
In one paragraph

Article in BMJ open quality, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Saskie DormanPalliative Medicine, University Hospitals Dorset NHS Foundation Trust, Poole, UK saskie.dorman@nhs.net.ORCID http://orcid.org/0009-0007-6803-9859
Becky ProtopsaltisBereavement & Medical Examiner Services, University Hospitals Dorset NHS Foundation Trust, Poole, UK.
Ryan BarterEast Dorset Medical Examiner Service, Poole, UK.
Andy BroganEasier Inc, Waterlooville, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Relatives can offer important insights into the quality of care. In England, the Medical Examiner (ME) system has been introduced to identify if there are any causes for concern relating to the cause of death or the person's care in their final illness. We reviewed feedback from bereaved relatives to identify opportunities for improvement. Routinely collected data (date and place of death, demographics, relationship to the person who had died, concerns raised via the ME system) were collated over 12 months (March 2023 to February 2024, East Dorset, UK). Each comment recorded in the ME records was read by one of the authors and issues identified were coded as themes. Concerns were recorded in 8% and appreciative comments in 12%. The most frequent concerns raised related to family/carer communication (56% of concerns raised). Feedback also reported issues relating to access, delays and care which did not attend to what mattered. Effective feedback loops and meaningful action are important elements of generative governance.

Indexed as

BereavementCoroners and Medical ExaminersFamilyFeedbackEnglandFemaleHumansMaleAudit and feedbackClinical GovernanceCommunicationHealthcare quality improvementPalliative Care

Identifiers

PMID40127953
PMCPMC11934399

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.