Performance monitoring should take costs to heart

BMJ 2004; 329 doi: https://doi.org/10.1136/bmj.329.7470.856 (Published 07 October 2004) Cite this as: BMJ 2004;329:856
  1. Sheila M Bird, senior statistician (sheila.bird@mrc-bsu.cam.ac.uk)
  1. MRC Biostatistics Unit, Cambridge CB2 2SR

    EDITOR—The three papers on the performance of cardiac surgeons in the issue of 21 August show that expertise combined with statistical thinking can lead to rational performance monitoring without bullying overtones, disputed targets, or misconceived “naming and shaming.”15

    Publicly naming individual surgeons as “not meeting” even the 99.99% standard proposed by Keogh et al remains problematic if the underlying problem is commonly discovered to be …

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