“Mirror, Mirror on the Wall”: Learning From Reflections on Quality
Feedback is critical to improving quality of care, yet many hospitals lack the ability to generate data at the provider level. Physicians greatly appreciate knowledge of their own clinical outcomes and opportunities to learn from colleagues to improve quality. Many centers do not have the ability to provide such data; instead the quality of patient care become reflected in very blunt measures such as morbidity and mortality rounds and patient complaints. Such systems lack the ability to support physicians to improve quality of care because the feedback is often negative (and sometimes punitive) and because the opportunities for learning to improve practice are limited to traditional methods such as continuous medical education activities.