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Editorial
March 13, 2002

Public Profiling of Clinical Performance

Author Affiliations

Author Affiliation: Faculty of Medicine, University of Toronto, MSB 2109, 1 King's College Circle, Toronto, Ontario.

JAMA. 2002;287(10):1323-1325. doi:10.1001/jama.287.10.1323

The Great Clinical Report Card Dream plays out along these lines . . . skulking in the shadows are the incompetent physicians and surgeons of Hospital X. Protecting them is a legion of spineless clinical managers and hospital administrators who purport to practice total quality management, continuous quality improvement, and other forms of self-evaluation and performance enhancement. In truth, their clinical processes remain flawed, and their outcomes are statistically beyond the pale.

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