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Can even high-ranked hospitals get better?

Wall Street Journal (subscription required), June 10, 2008

Hospitals that receive high marks for coronary-bypass outcomes still may not be doing all they can to avoid preventable deaths from the procedure, according to a study. Researchers reviewed 347 deaths from coronary-bypass surgery at nine Ontario hospitals and found that 32% of them likely resulted from lapses in established procedures and other preventable shortcomings. The findings indicate that relying solely on hospital report cards misses a critical opportunity to improve quality of care.