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CONCLUSIONS Statistical process control charts can provide surgeons with early warning of systematic poor performance. They are robust to volume-outcome influences, since the outcome is tested sequentially after each procedure or patient. They have application in a specialty with low frequencies of operations such as children's surgery. TYPE OF STUDY Diagnostic test. LEVEL OF EVIDENCE Level II. Crown All rights reserved.PURPOSE Sun-exposure can cause health problems, including melanoma and nonmelanoma skin cancer, especially in Australi