PAUL E. BERMAN, M.D.
To the editor: I wish to take issue with the principle of "comprehensive statistical monitoring" presented by Dr. Virgil Slee in "PSRO and the Hospital's Quality Control" (Ann Intern Med 81:97-106, 1974).
Some shortcomings have been discovered in this method of review. The first is that in at least three studies done at our institution on the subject of myocardial infarction using diagnostic criteria of a positive ECG, or elevated enzymes plus a suspicious ECG, there was a frequency of incorrect diagnosis of from 3% to 15%. Because Dr. Slee's system has never included an effective diagnosis screen (the diagnosis
BERMAN PE. Quality Control. Ann Intern Med. ;82:424–425. doi: 10.7326/0003-4819-82-3-424
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Published: Ann Intern Med. 1975;82(3):424-425.
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