Measuring the process of care is not always straightforward

EDITOR,—Huw T O Davies and Iain K Crombie identify the problems of monitoring outcomes to assess quality of care and suggest that the process of care may be easier to measure and interpret.1 This idea seems attractive, but Davies and Crombie sensibly add two caveats. We wish to discuss these further, illustrating some of the problems with an example from stroke medicine.

Firstly, the authors state that measuring process as an indicator of quality is appropriate …