FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 353:1860-1861 October 27, 2005 Number 17 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF PDA Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear Related Article by Romano, P. S. Related Article by Williams, S. C. Related Article by Jha, A. K. PubMed Citation

To the Editor: Williams et al.¹ and Jha et al.² (July 21 issue) report improvement but variation among hospitals in a study mandated by the Joint Commission on Accreditation of Healthcare Organizations of measures of the quality of care for acute myocardial infarction, heart failure, and pneumonia. In an accompanying editorial, Romano³ speculates that some measures with major improvements, such as smoking-cessation counseling and discharge instructions, may have been "gamed," and the evidence for these measures as well as for pneumococcal vaccination is weak, particularly with regard to the elderly.⁴ Not surprisingly, mortality after acute myocardial infarction was unchanged, and . . . [Full Text of this Article]

HOME  |  SUBSCRIBE  |  SEARCH  |  CURRENT ISSUE  |  PAST ISSUES  |  COLLECTIONS  |  PRIVACY  |  HELP  |  beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2008 Massachusetts Medical Society. All rights reserved.