Horrigan makes an important point with respect to clinical protocols that are implemented in an excessively rigid manner. However, as stated in our article,1 the data provided by the Burns Registry of Australia and New Zealand (BRANZ) indicate only that there is a need for an ongoing analysis of data that identifies relevant factors contributing to improved outcomes, and for the implementation of a quality improvement program to disseminate such practices.
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- 1. Cleland H, Greenwood JE, Wood FM, et al. The Burns Registry of Australia and New Zealand: progressing the evidence base for burn care. Med J Aust 2016; 204: 195. <MJA full text>
- 2. Watterson D, Cleland H, Darton A, et al. Developing clinical quality indicators for a bi-national burn registry. Burns 2011; 37: 1296.
- 3. Greenwood JE. The development of surgical protocols for the management of burn injury. ANZ J Surg 2006; 76: 805-811.
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