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The Lancet
Summary
The
English National Health Service published outcome information for
individual surgeons for ten specialties in June, 2013. We looked at
whether individual surgeons do sufficient numbers of procedures to be
able to reliably identify those with poor performance. For some
specialties, the number of procedures that a surgeon does each year is
low and, as a result, the chance of identifying a surgeon with increased
mortality rates is also low. Therefore, public reporting of individual
surgeons' outcomes could lead to false complacency. We recommend use of
outcomes that are fairly frequent, considering the hospital as the unit
of reporting when numbers are low, and avoiding interpretation of no
evidence of poor performance as evidence of acceptable performance.
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