“…Such quality documentation can be used to improve the services provided. One of the means to survey and document clinical quality is by clinical quality indicators based on consecutively reported data from the daily clinical practice (Collopy, 2000;Kazandjian, Wicker, Ogunbo, & Silverman, 2005). Clinical quality databases have been shown to be a tool to provide information capable of improving clinical quality (Black, 2003;Collopy, 2000;Endahl & Utzon, 2002;Reuben, Shekelle, & Wenger, 2003).…”