© 2005 BMJ Publishing Group & Royal College of Paediatrics and Child Health
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On October 9, 2004 the BMJ published an article that examined the cardiac surgical mortality in 11 English paediatric centres.1 Over three time periods (1991 to 1995; 1996 to 1999; 1999 to 2002) the mortality in Bristol declined from 29% to 5%, to 3%. During the last two time periods the mortality rate was consistent with that of the other centres. These are stunning results. What are the lessons learned? First, it was the initial reports of high mortality rates after surgery in Bristol in the lay press that focused national attention on the problem. This was followed by a government inquiry and a Department of Health report (Learning from Bristol: the Department of Healths response to the Report of the public inquiry into childrens heart surgery at the Bristol Royal Infirmary 19841995). It is not in the interest of medicine to rely on the press to report variation in
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