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[Correspondence] Essential need for quality in surgical health-care systems

We congratulate Donald Berwick and colleagues (July 21, p 194)1 for highlighting the need for health systems to achieve safe, effective, universal health-care coverage in the Era of Sustainable Development. The need is most apparent in surgery, obstetrics, and anaesthesia, in which adverse health-care events can have devastating consequences. Surgery can be deemed a reliable stress test for health-care facilities and indicative of overall quality as it requires the successful integration of multiple systems.