Does transparency improve quality? lessons learnt from cardiac surgery . BCIS meeting 2006 Ben Bridgewater SMUHT. History of cardiac surgical audit. Cardiac surgery register since 1977. History of cardiac surgical audit. Cardiac surgery register since 1977 UK database since 1994.
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BCIS meeting 2006
Mortality significantly higher
than average – Dr Foster
Mortality significantly lower
than average – Healthcare commission
Increased predicted risk
Decreased observed mortality
Because it has driven data collection and use
See also Burack 1999, Schneider and Epstein 1996, Narins 2005