Author Affiliations: Departments of Medicine (Drs Muller and Detsky) and Health Policy Management and Evaluation (Dr Detsky), University of Toronto; Department of Medicine, St Michael's Hospital (Dr Muller), Mount Sinai Hospital, and University Health Nework (Dr Detsky), Toronto, Ontario, Canada.
Public reporting of hospital performance has been proposed as a means of improving quality of care while ensuring both transparency and accountability.1 Organizations feel pressure to perform well, deriving from their desire to protect market share and defend reputations. This pressure, if effectively harnessed, can lead to an increase in quality improvement activities and better patient outcomes, although the evidence supporting the latter claim is mixed.1
Muller MP, Detsky AS. Public Reporting of Hospital Hand Hygiene Compliance—Helpful or Harmful?. JAMA. 2010;304(10):1116-1117. doi:10.1001/jama.2010.1301