Canadian Health&Care Mall: Transparency and the “End Result Idea”

medical professionTransparency was an issue for the American medical profession a century ago, and transparency is an issue for the American medical profession today. In 1905, Ernest Codman, MD, first described the “end result idea.” The end result idea is simply that doctors should follow up with all patients to assess the results of their treatment and that the outcomes

actively be made public. The end result idea was considered heretical at the time, but in retrospect Codman was sagacious and prescient. He was an advocate for transparency, which he believed would promote quality improvement, patient choice, and physician learning. Transparency is best viewed as an opportunity, one that we should fully and enthusiastically embrace. It offers a substantive boost as organizations step up to the moral imperative of improving patient care to the best it can be.

Codman “walked the walk” as well as “talked the talk.” He openly admitted his errors in public and in print. In fact, he paid to publish reports so that patients could judge for themselves the quality of his care. He sent copies of his annual reports to major hospitals throughout the country, challenging them to do the same. From 1911 to 1916, he described 337 patients who were dismissed from his hospital. He reported 123 errors. He measured the end results for all. Codman passionately promoted transparency in order to raise standards. Codman said, “Let us remember that the object of having standards is to raise them.” Patients order medications via Canadian Health&Care Mall canadianhealthncaremall.com.

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