Abstract
Samuel Beckett wrote “Ever tried. Ever failed. No matter. Try again. Fail again. Fail better.” Fiona Moss and I tried some time ago to produce a structure for publication of quality improvement reports on behalf of this journal that would facilitate and encourage their publication;1 the BMJ subsequently adopted the structure for their authors.2 Now, several years on from these first attempts, Davidoff and Batalden suggest new publication guidelines that build on this earlier version.3 These should be welcomed—in the spirit of improvement and intellectual evolution, it would be very surprising if the first attempt were to remain unchanged and unchallenged.