Author Affiliation: Faculty of Medicine, University of Toronto, MSB 2109, 1 King's College Circle, Toronto, Ontario.
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.
Naylor CD. Public Profiling of Clinical Performance. JAMA. 2002;287(10):1323–1325. doi:10.1001/jama.287.10.1323