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Published online by Cambridge University Press: 05 December 2011
It is with some pride that members of the nursing profession point to Florence Nightingale as one of the forerunners in developing quality evaluation in health care. Her interest and belief in the necessity of routine collection of hospital data for comparative purposes is well documented. Given the clarity of the vision and the force with which it was communicated it is interesting to speculate why nursing did not directly or immediately benefit from Nightingale's vision. It was almost a century before mechanisms were in place to allow some of Nightingale's recommendations to be realised.