Involving community may be way forward post-Shipman

doi:10.1136/bmj.326.7397.1038

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Anthony P Morton, visiting staff (apmorton@bigpond.com.au)

Princess Alexandra Hospital, Brisbane, Queensland 4102, Australia

EDITOR—Baker et al monitored mortality in general practice after Shipman.1 A statistical monitoring process with high enough sensitivity to detect murder would almost certainly give many false positive signals. This could cause severe damage both to practitioners and to their relationships with their patients.

A statistical monitoring process with high enough specificity to avoid false positive signals may …