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International Journal for Quality in Health Care 15:1-02 (2003)
© 2003 International Society for Quality in Health Care


Counterpoint

Making the case for personal professional monitoring in health care

Stephen Bolsin and Mark Colson

Department of Perioperative Medicine, Anaesthesia and Pain Management, Geelong Hospital, Geelong, Victoria, Australia

The first 10% of the full text of this article appears below.

The use of databases to identify both good and bad (acceptable and unacceptable) trends in the performance of simple and complex procedures in medicine has a long history and was advocated by such important medical and nursing practitioners as Florence Nightingale, Ernest Codman, Lord Moynihan and others [1–7]. Unfortunately, not all of these committed clinicians have gained the respect of their local medical colleagues [2,8,9]. Thus the need for objectively endorsed systems to monitor the occurrence of adverse clinical outcomes in day-to-day practice is paramount [10–12]. In pursuit of this goal the article by Spiegelhalter et al. in this issue is . . . [Full Text of this Article]


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