Cleland and colleagues1 have analysed the data collected from the Burns Registry of Australia and New Zealand. The main purpose for the development of health care registries is to monitor and measure the effectiveness and quality outcomes of clinical care,2 thus enabling professionals to improve standards and treatments to patients by providing optimal care and management. The authors concluded that there was significant variation in management and outcomes of patients treated for severe and complex burn injury. They recommended further analysis and development of the registry in order to put in place clinical guidelines to improve the quality of care for patients with burn injury across Australia and New Zealand.1 While I agree with the importance of understanding the variations in practice and outcomes, it is also important to understand the authors’ definition of “evidence-informed clinical guidelines”, as implementing a practice that is too proscriptive or rigid may hinder the resilience of health care.
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