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
Department of Perioperative Medicine, Anaesthesia and Pain Management, Geelong Hospital, Geelong, Victoria, Australia
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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 [17]. 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 [1012]. In pursuit of this goal the article by Spiegelhalter et al. in this issue is
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