Improving quality through monitoring and reporting is a difficult task. Could this be another example of a failure of imposing an external standard to address the fundamental objective, similar to "teaching to the test"?
Association of Diagnostic Coding With Trends in Hospitalizations and Mortality of Patients With Pneumonia, 2003-2009, April 4, 2012, Lindenauer et al. 307 (13): 1405 — JAMA
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