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Is money spent on quality improvement better spent on clinical care? — Yes

J Alasdair Millar
Med J Aust 2011; 194 (12): . || doi: 10.5694/j.1326-5377.2011.tb03147.x
Published online: 20 June 2011

Physician Alasdair Millar believes that QI siphons resources for little return and threatens health

YES Quality improvement (QI) is now a dominating influence in health care. The overall aims are good: to ensure patient safety, avoid errors and achieve optimum health “outcomes”. Who would dare criticise? I argue that clinical QI practice is failing to satisfy its ostensible aims and is a threat to health.


  • Southland Hospital, Invercargill, NZ.



Competing interests:

None identified.

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