tag:blogger.com,1999:blog-32053362.post8877799081651534221..comments2024-03-26T00:25:34.026-04:00Comments on Not Running a Hospital: High standards in evidence at DukePaul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-32053362.post-45863796967179439332011-09-15T10:11:41.625-04:002011-09-15T10:11:41.625-04:00Interesting read. As mentioned above there are ot...Interesting read. As mentioned above there are other issues that if handled with different leadership could lead to problems. Quality leadership took ownership of the problem. That's a great point to see emphasizedAmyhttp://www.comp-complete.comnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-49784017960872895492011-09-14T20:26:37.815-04:002011-09-14T20:26:37.815-04:00I hadn't heard of this story. Thanks for bring...I hadn't heard of this story. Thanks for bringing it to light!Halie (Scrubs Editor)http://scrubsmag.com/noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-10376893984935797172011-09-14T10:46:32.785-04:002011-09-14T10:46:32.785-04:00The scientific review process is imperfect due to ...The scientific review process is imperfect due to imbedded incentives and misalignment of professional promotion (e.g. quantity over quality) to intellectual rigor. While slow to change given increasing intensity of competition for resources, business-as-usual clinical trials are increasingly challenged on scientific, methodological and ethical grounds.<br /><br />Had this not been a clinical trial, but a poorly conducted or documented medical procedure, or poorly reported measure on a quality spreadsheet, would it have been caught? If IRB, funding source, and professional peers did not adequately scrutinize the scientific merit of clinical research methodology, what hope is there for adequate oversight of actual clinical practice methodology?<br /><br />Who are the independent, sufficiently expert reviewers of medical practice? It obviously isn't CMS or Joint Commission. In years of quality improvement attention, I have never seen the issue of expert oversight of hospital quality remotely addressed. (And a preventable patient death is more likely than a poorly run clinical trial).Anonymousnoreply@blogger.com