The other, and more important in critical circumstances, is "judgement". Whether I die because the surgeon was clumsy and nicked my aorta or because the surgeo

The other, and more important in critical circumstances, is "judgement". Whether I die because the surgeon was clumsy and nicked my aorta or because the surgeon exercised poor judgement by not counting sponges routinely so he left one that caused a fatal blood clot would be irrelevant to me because I would be dead. All that matters are outcomes based upon an apples to apples comparison of similar patient contexts.