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BMJ 2005;330 (5 March), doi:10.1136/bmj.330.7490.0-e
All individual cardiac surgeons working in NHS hospitals in the North West health region perform to satisfactory standards. On page 506, Bridgewater (on behalf of all cardiac surgeons treating adults in the region) presents mortality data for named surgeons, adjusted for the severity of patients' condition, in two types of operation: coronary artery bypass graft and aortic valve surgery. Use of adjusted analysis should help to prevent risk-averse behaviour by surgeons and promote a culture of openness and transparency in healthcare delivery, say the authors.
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Credit: MAXIMILIAN STOCK LTD/SPL
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