Clinical quality registries for clinician-level reporting: strengths and limitations

Susannah Ahern, Sue M Evans, Ingrid Hopper and Arul Earnest
Med J Aust 2018; 208 (7): . || doi: 10.5694/mja17.00644
Published online: 16 April 2018

We thank Sypek and colleagues for their response to our article1 and their discussion regarding appropriate identification and management of outliers from clinical quality registries. We agree that outliers may occur at both site and clinician level; however, issues of statistical validity are particularly pertinent at the clinician level, where activity volume is generally lower and there are potential consequences for the individual clinician.

  • Susannah Ahern1,2
  • Sue M Evans1
  • Ingrid Hopper1
  • Arul Earnest1

  • 1 Monash University, Melbourne, VIC
  • 2 University of Melbourne, Melbourne, VIC


Competing interests:

No relevant disclosures.


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