Performance matters

doi:10.1136/bmj.330.7506.0-g

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Fiona Godlee (fgodlee@bmj.com), editor

It must be one of the worst nightmares of any clinician or parent—the failure to recognise or adequately treat a child with meningococcal infection. Death rates from meningococcal sepsis have not changed much over the past 20 to 30 years, despite growing appreciation of the benefits of aggressive management in intensive care. Perhaps this is because most children with meningococcal sepsis present to their local hospital and many die before they can be transferred to specialist intensive care units.

This is a disease where the quality of care really does mean the difference between life …