Key issues in outcomes measurement.

Exploring and monitoring outcomes within routine clinical practice is central to high quality patient care. It is however a complex and challenging task. Multiple interests in outcomes information are apparent and different perspectives on what counts as an 'effective' intervention or 'successful' outcome. The paper provides insight into ways to explore and monitor the desired outcomes of key participants to the health care process. In particular, it outlines the approach of the outcomes grid, and applies this to services for genitourinary medicine.