To the Editor: I was extremely surprised to note that there was no mention of the Australian Council on Healthcare Standards’ (ACHS) extensive national clinical database (http://www.achs.org.au/ClinicalIndicators) in the recent article by Evans and colleagues on clinical-quality registries.1 Since 1993, commencing with a small set of generic indicators that were of limited value, the ACHS has been collecting clinical data through its clinical indicator (CI) program as part of its accreditation process.
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