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Wow. I could not agree more with Dr. Brilli's suggestion. I think benchmark's are a useful barometer of basic level of performance from a quality standpoint but certainly not comprehensive. I agree that we need higher impact measures to guide us in the complex medical environment of the 21st century. I have often thought in addition to a clearer measure of harm done to patients (harm index) we should have a culture index with an individual score given to each physician and nurse based on a history of performance, personality and communication skill evaluation. The more difficult personalities and poor communication skill increases risks to patients.
Thanks for the heads up on the article!

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