A surgeon's performance cannot be separated from that of the institution because quality depends heavily on institutional systems.

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• A persistently low safe interest rate signals that capital is not very productive at the margin, an underlying economic problem rather than a policy variable. OBOlivier Blanchard1 Jun 2022surgical outcomes
• A single risk-adjusted summary of a surgeon's results risks giving spurious credibility to analyses that ignore non-patient influences. DSDavid Spiegelhalter19 Aug 2004surgical outcomes
• Casemix makes it unwise to publish surgeons' unadjusted mortality figures for comparison. DSDavid Spiegelhalter19 Aug 2004surgical outcomes
• Measuring outcomes of medical or surgical interventions is part of good practice, but publishing individual doctors' results remains controversial. DSDavid Spiegelhalter19 Aug 2004surgical outcomes
• Non-risk-adjusted mortality data cannot support patient choice and only signal that a fuller review is required. DSDavid Spiegelhalter19 Aug 2004surgical outcomes

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