Surgical mortality as an indicator of hospital quality: The problem with small sample size

JAMA

Volumn 292, Issue 7, 2004, Pages 847-851

  Dimick, Justin B ^a,b,c   Welch, H Gilbert ^a,b   Birkmeyer, John D ^c  

^a VA MEDICAL CENTER   (United States)

^b DARTMOUTH MEDICAL SCHOOL   (United States)

^c UNIVERSITY OF MICHIGAN HEALTH SYSTEM   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMINAL AORTA ANEURYSM; ARTICLE; CALCULATION; CHILDHOOD DISEASE; CORONARY ARTERY BYPASS GRAFT; CRANIOTOMY; ESOPHAGUS RESECTION; HEALTH CARE QUALITY; HOSPITAL MANAGEMENT; HUMAN; MAJOR CLINICAL STUDY; MORTALITY; PANCREAS RESECTION; PEDIATRIC SURGERY; PRIORITY JOURNAL; PROBLEM SOLVING; QUALITY CONTROL; RELIABILITY; SURGICAL MORTALITY; TOTAL HIP PROSTHESIS; UNITED STATES; EPIDEMIOLOGY; HEART SURGERY; HIP ARTHROPLASTY; HOSPITAL; SAMPLE SIZE; STANDARD; SURGERY; UTILIZATION REVIEW;

AORTIC ANEURYSM, ABDOMINAL; ARTHROPLASTY, REPLACEMENT, HIP; CARDIAC SURGICAL PROCEDURES; CORONARY ARTERY BYPASS; CRANIOTOMY; ESOPHAGECTOMY; HEALTH CARE SURVEYS; HOSPITAL MORTALITY; HOSPITALS; HUMANS; PANCREATECTOMY; QUALITY INDICATORS, HEALTH CARE; SAMPLE SIZE; SAMPLING STUDIES; SURGICAL PROCEDURES, OPERATIVE; UNITED STATES;

EID: 4043076922     PISSN: 00987484     EISSN: None     Source Type: Journal    
DOI: 10.1001/jama.292.7.847     Document Type: Article

References (11)

1. Coronary Artery Bypass Surgery in New York State: 1989-1991. Albany: New York State Dept of Health; 1992.
2. A Consumer Guide to Coronary Artery Bypass Graft Surgery. Harrisburg: Pennsylvania Health Care Cost Containment Council; 1991.
3. Coronary Artery Bypass Graft Surgery in New Jersey: 1994-1995. Trenton: New Jersey Dept of Health and Senior Services; 1997.
4. The California Report on Coronary Artery Bypass Graft Surgery: 1997-1998 Hospital Data. Sacramento: Pacific Business Group on Health and the California Office of Statewide Health Planning and Development; 2001.
5. Milstein A, Galvin RS, Delbanco SF, Salber P, Buck CR Jr. Improving the safety of health care: the Leap-frog initiative. Eff Clin Pract. 2000;3:313-316.
6. AHRQ Quality Indicators-Guide to Inpatient Quality Indicators: Quality of Care in Hospitals-Volume, Mortality, and Utilization. Rockville, Md: Agency for Healthcare Research and Quality; 2002. AHRQ Publication 02-R0204.
7. Freiman JA, Chalmers TC, Smith H Jr, Kuebler RR. The importance of beta, the type II error and sample size in the design and interpretation of the randomized control trial: survey of 71 "negative" trials. N Engl J Med. 1978;299:690-694.
8. Healthcare Cost and Utilization Project (HCUP-9). Nationwide Inpatient Sample, Release 9. Rockville, Md: Agency for Healthcare Research and Quality; 2000.
9. International Classification of Diseases, Ninth Revision, Clinical Modification. Washington, DC: Public Health Service, US Dept of Health and Human Services; 1988.
10. Khuri SF, Daley J, Henderson WG. The comparative assessment and improvement of the quality of surgical care in the Department of Veterans Affairs. Arch Surg. 2002;137:20-27.
11. Birkmeyer JD, Stukel TA, Siewers AE, Goodney PP, Wennberg DE, Lucas FL. Surgeon volume and operative mortality in the United States. N Engl J Med. 2003;349:2117-2127.