Intended for healthcare professionals

Letters Hospital mortality ratios

A plea for reason

BMJ 2010; 340 doi: (Published 25 May 2010) Cite this as: BMJ 2010;340:c2744
  1. Brian Jarman, emeritus professor1,
  2. Paul Aylin, clinical reader in epidemiology and public health1,
  3. Alex Bottle, lecturer in medical statistics1
  1. 1Dr Foster Unit at Imperial, Department of Primary Care and Public Health, School of Public Health, Imperial College, Jarvis House, London EC1A 9LA
  1. b.jarman{at}

    Many of the arguments in the article by Lilford and Pronovost and the editorial by Black add nothing new to the debate on monitoring the quality of care.1 2 3 We recommend section G and appendix 9 from the Francis inquiry report on Mid Staffordshire for an independent review of these issues.4

    The …

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