Evaluation and clinical improvement requires responsiveness, scientific method, audit and due process applicable to all.

摘要

Performance is not the same as audit. Inability, using clinical indicators, to 'drive' improvement in clinical practice was attributed to the lack of a computerized data collection system, by Brand et al. The fact that they set out to test whether improved clinical effectiveness and safety occurred instead of access and efficiency, which are clinical concerns, does not have anything to do with the fact that theirs is, to make the most of it, a two-part study to determine whether a data collection system is better than no data collection system, and phase three, which they have not addressed, is likely to be whether a palm-held interactive Internet connecting and data storage device, 'pod', is better than no 'pod'.