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. 2004 Aug 21;329(7463):450-4.
doi: 10.1136/bmj.329.7463.450.

The legacy of Bristol: public disclosure of individual surgeons' results

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The legacy of Bristol: public disclosure of individual surgeons' results

Bruce Keogh et al. BMJ. .

Abstract

Measurement of outcomes from medical or surgical interventions is part of good practice, but publication of individual doctors' results remains controversial. The authors discuss this issue in the context of cardiothoracic surgery

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Figures

Figure 1
Figure 1
Proposed method of presentation of surgeon specific data in cardiac surgery. Pagano and Rooney were recently appointed, so the full three years of data are not available

Comment in

References

    1. Learning from Bristol: the report of the public inquiry into children's heart surgery at the Bristol Royal Infirmary 1984-1995. www.bristolinquiry.org.uk/final_report/index.htm (accessed 9 August 2004).
    1. Chassin MR, Hannan EL, DeBuono BA. Benefits and hazards of reporting medical outcomes publicly. New Engl J Med 1996;334: 394-8. - PubMed
    1. Keogh B, Dussek J, Watson D, Magee P, Wheatley D. Public confidence and cardiac surgical outcome. BMJ 1998;316: 1759-60. - PMC - PubMed
    1. Treasure T, Utley M, Bailey A. Assessment of whether in-hospital mortality for lobectomy is a useful standard for the quality of lung cancer surgery: retrospective study. BMJ 2003;327: 73-5. - PMC - PubMed
    1. Marshall M, Sheklle P, Brook R, Leatherman S. Dying to know: public release of information about quality of healthcare. London: Nuffield Trust and Rand, 2000.

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