The use of QI at a national level is a suitable method to focus on quality in healthcare. Independently of public access to the results, a local or national ICU network will have a lot to gain from engaging in the process of first finding and defining QI and later retrieval of data. This can also be used in a more stringent way by benchmarking, but even without such formal listing, comparable units will immediately spot if they are deviating from the mainstream. Those units with particularly good results can be approached in order that others can learn from their experience. Using national QI in this way, the quality circle: Plan, Do, Evaluate, Change can be put into action, and hopefully contribute to improved healthcare.

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