Was Rodney Ledward a statistical outlier? Retrospective analysis using routine hospital data to identify gynaecologists' performance

British Medical Journal

Volumn 330, Issue 7497, 2005, Pages 929-932

  Harley, Mike ^a   Mohammed, Mohammed A ^a   Hussain, Shakir ^a   Yates, John ^a   Almasri, Abdullah ^a  

^a UNIVERSITY OF BIRMINGHAM   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CONTROLLED STUDY; DIAGNOSIS RELATED GROUP; GYNECOLOGY; HUMAN; MALE; MALPRACTICE; MULTIVARIATE ANALYSIS; NORMAL HUMAN; PERFORMANCE; PRIORITY JOURNAL; RETROSPECTIVE STUDY; STATISTICS; CLINICAL COMPETENCE; CLINICAL TRIAL; CONSULTATION; HEALTH CARE QUALITY; INFORMATION PROCESSING; MULTICENTER STUDY; PATIENT CARE; PUBLIC HOSPITAL; STANDARD; STATISTICAL ANALYSIS; UNITED KINGDOM;

CLINICAL COMPETENCE; CONSULTANTS; DATA COLLECTION; DATA INTERPRETATION, STATISTICAL; ENGLAND; EPISODE OF CARE; GYNECOLOGY; HOSPITALS, PUBLIC; HUMANS; MULTIVARIATE ANALYSIS; QUALITY INDICATORS, HEALTH CARE; RETROSPECTIVE STUDIES;

EID: 17844393852     PISSN: 09598146     EISSN: None     Source Type: Journal    
DOI: 10.1136/bmj.38377.675440.8F     Document Type: Article

References (9)

1. Department of Health. The report of the inquiry into quality and practice within the National Health Service arising from the actions of Rodney Ledward. (The Ritchie report.) London: Stationery Office, 2000.
2. Department of Health. An organisation with a memory: report of an expert group on learning from adverse events in the NHS chaired by the chief medical officer. London: Stationery Office, 2000.
3. Department of Health. Report of the public inquiry into children's heart surgery at the Bristol Royal Infirmary 1984-1995: Learning from Bristol. (The Kennedy report.) London: Stationery Office, 2001.
4. Rousseeuw PJ, Leroy AM. Robust regression and outlier detection. New York: Wiley, 1987.
5. Lilford RJ, Mohammed MA, Spiegelhalter D, Thomson R. Use and misuse of process and outcome data in managing performance of acute medical care: avoiding institutional stigma. Lancet 2004;363:1147-54.
6. Spiegelhalter D, Murray G, McPherson K, Macfarlane A, Evans S, Curnow R, et al. Monitoring clinical performance: a statistical perspective. Submission to the Bristol Inquiry, 2002.
7. Aylin P, Alves B, Best N, Cook A, Elliot P, Evans SJ, et al. Comparison of UK paediatric cardiac surgical performance by analysis of routinely collected data 1984-96: was Bristol an outlier? Lancet 2001;358:181-7.
8. Mohammed MA, Rathbone A, Myers P, Patel D, Onions H, Stevens A. An investigation into general practitioners associated with high patient mortality flagged up through the Shipman inquiry: retrospective analysis of routine data. BMJ 2004;328:1474-7.
9. BBC News Online. The second surgeon: Janardan Dhasmana. http://news.bbc.co.uk/1/hi/health/1136419.stm (accessed July 2004).