Given the likely extent of scientific misconduct, new ideas for preventing it are welcome. However, more thought needs to be given to how to ranktheelementsof the "slippery slope between honest errors and intentional fraud" proposed by Magne Nylenna and Sigmund Simonsen (June 10, p 1882),at least as far as clinical research is concerned. If one assesses the sins they have ranked in terms of their potential for doing harm to patients, biased reporting of research surely has far more serious practical j consequences than undeserved! authorship and plagiarism.
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