Which of the following process can be judged as having highest quality of care?

Which of the following process can be judged as having highest quality of care?
A . Successful completion of a surgical operation
B. Successful completion of a surgical operation and a good recovery
C. Successful completion of a surgical operation, a good recovery and ascertaining that the operation was indicated
D. Successful completion of a surgical operation, a good recovery and ascertaining that the operation was not indicated

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Answer: C