Informed Consent and Clinician Accountability

Acknowledgements; Introduction: accountability, informed consent and clinician performance information Justin Oakley and Steve Clarke; Part I. Accountability: Introduction; 1. Clinician report cards and the limits of evidence-based patient choice Michael Parker; 2. Report cards for institutions, not individuals Neil Levy; 3. Safety, accountability, and 'choice' after the Bristol inquiry Tom Sorell; 4. Public reports: putting patients in the picture requires a new relationship between doctors and patients Merrilyn Walton; 5. Adverse event disclosure: benefits and drawbacks for patients and clinicians Paul Barach and Michael Cantor; 6. Report cards and performance monitoring Stephen Bolsin and Liadain Freestone; Part II. Informed Consent: Introduction; 7. Informed consent and surgeons' performance Steve Clarke and Justin Oakley; 8. The value and practical limits of informed consent Merle Spriggs; 9. Against the informed consent argument for surgeon report cards David Neil; 10. Trust and the limits of knowledge David Macintosh; 11. Surgeons' report cards, heuristics, biases and informed consent Steve Clarke; 12. Report cards, informed consent and market forces A. J. Walsh; Part III. Reporting Performance Information: Introduction; 13. Is the reporting of an individual surgeon's clinical performance doing more harm than good for patient care? Silvana F. Marasco and Joseph E. Ibrahim; 14. Examining the link between publicly reporting health care quality and quality improvement Rachel M. Werner and David A. Asch; 15. Hospital and clinician performance data: what it can and cannot tell us Paul Aylin; 16. An ethical analysis of the defensive surgery objection to individual surgeon report cards Justin Oakley; 17. Surgeon report cards and the concept of defensive medicine Yujin Nagasawa; 18. Training, innovation and surgeons' report cards Tony Eyers; 19. Doctors' report cards: a legal perspective Ian Freckelton.