Explaining differences in English hospital death rates using routinely collected data

British Medical Journal

Volumn 318, Issue 7197, 1999, Pages 1515-1520

  Jarman, Brian ^b   Gault, Simon ^b   Alves, Bernadette ^b   Hider, Amy ^b   Dolan, Susan ^b   Cook, Adrian ^b   Hurwitz, Brian ^b   Hezzoni, Lisa ^a  

^a HARVARD MEDICAL SCHOOL   (United States)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; EMERGENCY; GENERAL PRACTITIONER; HOSPITAL; HOSPITAL PHYSICIAN; HUMAN; MORTALITY; PRIORITY JOURNAL; REGRESSION ANALYSIS; UNITED KINGDOM;

EID: 0033019723     PISSN: 09598146     EISSN: None     Source Type: Journal    
DOI: 10.1136/bmj.318.7197.1515     Document Type: Article

References (51)

1. 1 Nightingale F. Notes on hospitals. 3rd ed. London: Longman Green, 1863.
2. 2 Buckle F. Vital and economical statistics of the hospitals, infirmaries, etc of England and Wales for the year 1863. London: Churchill, 1865.
3. 3 National Confidential Enquiry into Perioperative Deaths (NCEPOD). Report 1992. London: NCEPOD, 1992.
4. 4 Jarman B, Lang H, Ruggles R, Wallace M, Gault S, Astin P. The contribution of London's academic medicine to healthcre and the economy - report commissioned by the deans of the medical schools of the University of London. London: University of London, 1997.
5. 5 Commission on Professional Hospital Activities. Risk adjusted hospital mortality norms 1986 workbook. Ann Arbor, MI: CPHA, 1987.
6. 6 DuBois RW, Rogers WH, Moxley JH, Draper D, Brook RH. Hospital inpatient mortality: is it a predictor of quality? N Engl J Med 1987;317: 1674-80.
7. 7 Fottler DM, Slovensky DJ, Rogers SJ. Public release of hospital specific death rates, guidelines for health care executives. Hosp Health Serv Administration 1987;32(3):343-56.
8. 8 Blunberg MS. Comments on HCFA hospital death rate statistical outliers. Health Serv Res 1987;21:715-39.
9. 9 Thomas JW, Hofer TP. Research evidence on the validity of risk-adjusted mortality rate as a measure of hospital quality of care. Med Care Res Rev 1998;55:371-404.
10. 10 Chassin MR, Park RE, Lohr KN, Keesey J, Brook RH. Differences among hospitals in Medicare patient mortality. Health Serv Res 1989;24:1-31.
11. 11 Bradbury RC, Stearns FE, Steen PM. Interhospital variations in admission severity adjusted hospital mortality and morbidity. Health Serv Res 1991;26:407-24.
12. 12 Al-Haider AS, Wan TTH. Modelling organizational determinants of hospital mortality. Health Serv Res 1991;26:303-23.
13. 13 Park RE, Brook RH, Kosecoff J, Keesey J, Rubenstein L, Keeler E. Explaining variations in hospital death rates, randomness, severity of illness, quality of care. JAMA 1990;264:484-90.
14. 14 Iezzoni LI, Ash AS, Shwartz M, Daley J, Hughes JS, Mackiernan YD. Judging hospitals by severity-adjusted mortality rates: the influence of the severity-adjustment method. Am J Public Health. 1996;86:1379-87.
15. 15 Iezzoni LI. The risks of risk adjustment. JAMA 1997;278:1600-7.
16. 16 Goss MEW, Read JI. Evaluating the quality of hospital care through severity adjusted death rates: some pitfalls. Med Care 1974;12:202.
17. 17 Thomas JW, Holloway JJ, Guire KE. Validating risk-adjusted mortality as an indicator for quality of care. Inquiry 1993;30:6-22.
18. 18 Hartz AJ, Gottlieb MS, Kuhn EM, Rimm AA. The relationship between adjusted hospital mortality and the results of peer review. Health Serv Res 1993;27:765-77.
19. 19 Lipworth L, Lee JAH, Morris JN. Case fatality in teaching and nonteaching hospitals, 1956-1959. Lancet 1963;i:71.
20. 20 Palmer HR, Reilly MC. Individual and institutional variables which may serve as indicators of quality of medical care. Med Care 1979;18:693-717.
21. 21 Luft HS, Hunt SS. Evaluation of individual hospital quality through outcome statistics. JAMA 1986;255:2780.
22. 22 Hartz AJ, Krakauer H, Kuhn EM, Young M, Jacobsen SJ, Greer G. Hospital characteristics and mortality rates. N Engl J Med 1989;321:1720-5.
23. 23 Department of Health. Hospital episode statistics. England: financial years 1991-92, 1992-93, 1993-94 and 1994-95. London: DoH, 1993-1996.
24. 24 Office of Population Censuses and Surveys. 1991 census definitions. Great Britain. London: HMSO, 1992.
25. 25 Dale A, Marsh C, eds. The 1991 census users guide. London: HMSO, 1993.
26. 26 NHS Executive. Hospital and ambulance services: the patient's charter comparative performance guide 1993-1994. London: Department of Health, 1995.
27. 27 Department of Health. Waiting times for first outpatient appointments in England: quarter ended 30 September 1994. Statistical bulletin 1995/3. London: DoH, 1995.
28. 28 Department of Health. GMS (general medical services) GMP (general medical practitioner) census. London: DoH, 1997.
29. 29 Bruster S, Jarman B, Bosanquet N, Weston D, Erens R, Delbanco TL. The patient's view - a national survey of hospital patients. BMJ 1994;309:1542-6.
30. 30 Jarman B. Underprivileged areas: validation and distribution of scores. BMJ 1984;289:1587-92.
31. 31 Townsend P, Phillimore P, Beattie A. inequalities in health in the Northern region. Bristol: Northern RHA, University of Bristol, 1986.
32. 32 Carstairs V, Morris R. Deprivation and health in Scotland. Aberdeen: Aberdeen University Press, 1991.
33. 33 Office of Population Censuses and Surveys. Classification of occupations 1980. London: HMSO, 1980.
34. 34 Greenfield S, Aronow HU, Elashoff RM, Watanabe D. Flaws in mortality data: the hazards of ignoring cornorbid disease. JAMA 1988;260:2253-5.
35. 35 Green J, Wintfeld N, Sharkey P, Passman LJ. The importance of severity of illness in assessing hospital mortality. JAMA 1990;263:241-6.
36. 36 Dicing with death rates (editorial). Lancet 1993;341:1183-1.
37. 37 Orchard C. Comparing health care outcomes. BMJ 1994;308:1493-6.
38. 38 McKee M, Hunter D. Mortality league tables: do they inform or mislead? Qual Health Care 1995;4:5-12.
39. 39 Goldfarb MG, Coffey RM. Case mix differences between teaching and non-teaching hospitals. Inquiry 1987;24:68-84.
40. 40 Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chrom Dis 1987;40:373-83.
41. 41 Orchard C. Measuring the effects of casemix on outcomes. J Eval Clin Pract 1996;2:111-21.
42. 42 Royston JP. A simple method for evaluating the Shapiro Francia W test for non-normality. Statistician 1983;32:297-30.
43. 43 Royston P, Altman DG. Regression using fractional polynomials of continuous covariates: parsimonious parametric modelling (with discussion). Appl Stat 1994;43:429-67.
44. 44 Vincent C. Framework for analysing risk and safety in clinical medicine. BMJ 1998;316:1154-7.
45. 45 OECD. Health data a comparative analysis of 29 countries. Paris: OECD, 1998.
46. 46 Kassirer JP. Hospitals, heal yourselves. N Engl J Med 1999;340:309-10.
47. 47 Goldstein H, Spiegelhalter DJ. League tables and their limitations: statistical issues in comparisons of institutional performance (with discussion). J R Stat Soc A 1996;159:385-443.
48. 48 Roemer MR, Friedman JW. Doctors in hospitals: medical staff organization and hospital performance. Baltimore: Johns Hopkins University, 1971.
49. 49 Selker HP. Systems for comparing actual and predicted mortality rates: characteristics to promote co-operation in improving hospital care. Ann Intern Med 1993;118:820-2.
50. 50 NHS Executive. Faster access to modern treatment': how NICE appraisal will work. London: Department of Health, 1999.
51. 51 McKee M. Indicators of clinical performance. BMJ 1997;315:142. (Accepted 19 May 1999)