0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Medical Audit

William R. Halliday, MD
JAMA. 1977;238(14):1501. doi:10.1001/jama.1977.03280150071019.
Text Size: A A A
Published online

ABSTRACT

To the Editor.—  Rosenberg's negative COMMENTARY on "Medical Audit JCAH Style" applies perhaps with even more force to review of cases with chronic pain by the Professional Service Review Organization (PSRO). In March 1976 in Seattle the Washington State Medical Association co-sponsored a symposium on "Surgery for Chronic Low Back Pain: Is It Obsolete?" John Stewart, MD, a very respected Seattle orthopedist, presented an impressive and equally negative analysis of "Quality Control at the Hospital Level" in such cases, by PSRO or otherwise.It is increasingly evident that in contrast to acute disease, the outcomes of many forms of treatment of chronic disease often are not clear for three years or more. The number of cases of unsuccessful low back surgery for chronic back pain, owing their poor results to in-hospital problems tracked by length of stay or any other discharge criteria, appears to be insignificant. Development of new long-term

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();