Ernest Amory Codman’s end result system, aimed at achieving “perfection” in surgery by analyzing and improving cases that fell short, was initially rejected by his colleagues. Codman’s revolutionary idea laid the foundation for the quality movement in healthcare, including patient safety and the value equation. Despite facing ostracization and financial difficulties, Codman’s contributions were later recognized as fundamental in medicine, highlighting the importance of his end result system in improving surgical outcomes.
Editorial by Nakayama DK in Am Surg