The PSRO, Quality-Assurance Blues

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Abstract
An increasing number of clinicians are becoming involved in programs designed to assess and assure the quality of medical care, such as the Professional Standards Review Organization (PSRO) reviews or the Joint Commission on Accreditation of Hospitals Performance Evaluation Procedure (PEP) audits. Few of those involved at the local level believe that these efforts have made much progress. At the national level, the Institute of Medicine1 and the Department of Health, Education, and Welfare2 have recently expressed similar skepticism. A report in this issue of the Journal highlights the problem. Sanazaro and Worth carefully describe a quality-assurance program involving 5400 . . .