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Invited Critique
March 2010

What Makes a “Good” Quality Indicator?Comment on “Quality Indicators for Evaluating Trauma Care”

Author Affiliations

Author Affiliation: Department of Surgery, University of Michigan, Ann Arbor.

Arch Surg. 2010;145(3):295. doi:10.1001/archsurg.2009.291

In their study, Stelfox and colleagues conduct a literature review to identify QIs for trauma. The authors should be commended for their exhaustive literature review and valuable contribution to the literature. However, the present article lacks a definition of what makes a “good” QI. This lack of a standard for evaluating measures limits the conclusions that can draw from this study. Although the authors close with a set of candidate measures, they are unable to describe why these measures are selected, other than a gestalt that they were mentioned most frequently.

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