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International Journal for Quality in Health Care 15:361-362 (2003)
© 2003 International Society for Quality in Health Care

Letter to the Editor

The use of statistical process control methods in monitoring clinical performance

Anthony P. Morton

Queensland University of Technology, Tarragindi, Queensland, Australia

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

To the Editor: The article by Spiegelhalter and colleagues [1] and the Counterpoint papers by Benneyan and Borgman [2], Lim [3], and Bolsin and Colson [4] deserve further comment. At least two issues should be raised, the first of which, the primacy of systems, is of crucial importance.

Benneyan and Borgman state that ‘Fostering greater and more widespread use of these methods remains a significant challenge’. In Australia, statistical process control (SPC) methods were implemented with enthusiasm in the mid-1980s, as the Australian Council on Healthcare Standards (ACHS) embarked on widespread hospital accreditation. They quickly fell into . . . [Full Text of this Article]


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