Limited external reproducibility restricts the use of medical record review for benchmarking.
Dorthe O KleinRoger RennenbergRijk GansRoelien EntingRichard KoopmansMartin H PrinsPublished in: BMJ open quality (2019)
We still believe that MRR is suitable for the detection of general issues concerning patient safety. However, based on the outcomes of this study, we would advise to be careful when using MRR for benchmarking.