An inspectorate for the health service?

@article{Oldham1997AnIF,
  title={An inspectorate for the health service?},
  author={John . Oldham},
  journal={BMJ},
  year={1997},
  volume={315},
  pages={896 - 897}
}
  • J. Oldham
  • Published 11 October 1997
  • Medicine, Political Science
  • BMJ
Imagine yourself being listed for a day case procedure, organising work and home around the date, arriving anxiously at the ward only to be turned away. The reason? Your body mass index does not meet that hospital's criteria. This happened last week to one of our patients. The clinical decision may have been correct but the process of care failed. It is the cumulative effect of such instances together with knowledge of the wide variation that exists in clinical outcomes for similar cohorts of… 
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References

SHOWING 1-10 OF 37 REFERENCES
Indicators of clinical performance
  • M. Mckee
  • Medicine, Political Science
    BMJ
  • 1997
Last week, Baroness Jay announced that Britain's Department of Health, in association with the BMA, intends to publish measures of clinical performance. This means that, in future, potential patients
Medical associations: guilds or leaders?
TLDR
Leading improvement requires most medical associations to change both their attitude and agenda, and the change in attitude is necessary because the associations' traditional aim will not suffice to meet the social need for improved care.
Variations in Processes and Structures of Cardiac Surgery Practice
TLDR
It is concluded that large variations in practice patterns are present in the six pilot hospitals, which should allow for a study of the effect of these variations on cardiac surgical outcomes.
Adult open heart surgery in New York State. An analysis of risk factors and hospital mortality rates.
TLDR
This study analyzes data from New York State's new Cardiac Surgery Reporting System to determine the set of significant clinical risk factors and to identify cardiac surgical centers most likely to have serious quality-of-care problems.
Fortnightly Review: Lessons from international experience in controlling pharmaceutical expenditure II: influencing doctors
TLDR
Policy policies influencing doctors' prescribing of drugs--particularly the use of budgetary restrictions, information and feedback, and guidelines--are reviewed and the impact of these policies is evaluated.
A regional intervention to improve the hospital mortality associated with coronary artery bypass graft surgery. The Northern New England Cardiovascular Disease Study Group.
TLDR
It is concluded that a multi-institutional, regional model for the continuous improvement of surgical care is feasible and effective and may have applications in other settings.
A regional prospective study of in-hospital mortality associated with coronary artery bypass grafting. The Northern New England Cardiovascular Disease Study Group.
TLDR
The observed differences in in-hospital mortality rates among institutions and among surgeons in northern New England are not solely the result of differences in case mix as described by these variables and may reflect differences in currently unknown aspects of patient care.
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