Case-mix adjusted hospital mortality is a poor proxy for preventable mortality: a modelling study.
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SUBMITTER: Girling AJ
PROVIDER: S-EPMC3551201 | biostudies-literature | 2012 Dec
REPOSITORIES: biostudies-literature
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Case-mix adjusted hospital mortality is a poor proxy for preventable mortality: a modelling study.
Girling Alan J AJ Hofer Timothy P TP Wu Jianhua J Chilton Peter J PJ Nicholl Jonathan P JP Mohammed Mohammed A MA Lilford Richard J RJ
BMJ quality & safety 20121015 12
Risk-adjustment schemes are used to monitor hospital performance, on the assumption that excess mortality not explained by case mix is largely attributable to suboptimal care. We have developed a model to estimate the proportion of the variation in standardised mortality ratios (SMRs) that can be accounted for by variation in preventable mortality. The model was populated with values from the literature to estimate a predictive value of the SMR in this context-specifically the proportion of thos ...[more]
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