Enlisting Help in the Analysis of Practice

  • Phil P. Manning
  • Lois Debakey


Most people find it threatening to have their work reviewed. For professionals, the threat may be real, since society often judges their shortcomings harshly and may devise regulatory, even punitive, solutions. A few physicians may, indeed, require regulatory sanctions, and all can benefit from reminders of their errors of omission and commission. Careful, constructive analysis of events in practice can motivate physicians to continue their education, whereas draconian penalties may drive some underground. The data on their practices then become unreliable, and their opportunity to profit from experience is lost. We distinguish clearly between formal external quality-assurance mechanisms and the improvement in medical practice that ensues from a well-motivated physician’s voluntary analysis of his practice.


Family Practice External Auditor National Diabetes Data Group External Analysis Professional Liability 
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Copyright information

© Springer Science+Business Media New York 1987

Authors and Affiliations

  • Phil P. Manning
    • 1
  • Lois Debakey
    • 2
    • 3
  1. 1.School of MedicineUniversity of Southern CaliforniaLos AngelesUSA
  2. 2.Baylor College of MedicineHoustonUSA
  3. 3.New OrleansUSA

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