Comment in

• Do hospital standardized mortality ratios measure patient safety? HSMRs in the Winnipeg Regional Health Authority.

  Penfold RB, Dean S, Flemons W, Moffatt M. Penfold RB, et al. Healthc Pap. 2008;8(4):8-24; discussion 69-75. doi: 10.12927/hcpap.2008.19972. Healthc Pap. 2008. PMID: 18667867
• Understanding and using the hospital standardized mortality ratio in Canada: challenges and opportunities.

  Wen E, Sandoval C, Zelmer J, Webster G. Wen E, et al. Healthc Pap. 2008;8(4):26-36; discussion 69-75. doi: 10.12927/hcpap.2008.19973. Healthc Pap. 2008. PMID: 18667868
• In defence of the hospital standardized mortality ratio.

  Jarman B. Jarman B. Healthc Pap. 2008;8(4):37-42; discussion 69-75. doi: 10.12927/hcpap.2008.19974. Healthc Pap. 2008. PMID: 18667869
• Hospital standardized mortality ratio: the way forward in Ontario.

  McKinley J, Gibson D, Ardal S. McKinley J, et al. Healthc Pap. 2008;8(4):43-9; discussion 69-75. doi: 10.12927/hcpap.2008.19975. Healthc Pap. 2008. PMID: 18667870
• Hospital standardized mortality ratio is a useful burning platform.

  Zahn C, Baker M, MacNaughton J, Flemming C, Bell R. Zahn C, et al. Healthc Pap. 2008;8(4):50-3; discussion 69-75. doi: 10.12927/hcpap.2008.19976. Healthc Pap. 2008. PMID: 18667871
• Data may reveal real issues.

  Figler S. Figler S. Healthc Pap. 2008;8(4):54-6; discussion 69-75. doi: 10.12927/hcpap.2008.19977. Healthc Pap. 2008. PMID: 18667872
• CIHI's hospital standardized mortality ratio: friend or foe?

  Brien SE, Ghali WA. Brien SE, et al. Healthc Pap. 2008;8(4):57-61; discussion 69-75. doi: 10.12927/hcpap.2008.19978. Healthc Pap. 2008. PMID: 18667873
• Measure for measure? The challenge of new thinking about patient safety.

  Sheps SB. Sheps SB. Healthc Pap. 2008;8(4):62-7; discussion 69-75. doi: 10.12927/hcpap.2008.19979. Healthc Pap. 2008. PMID: 18667874