Survival curves to support quality improvement in hospitals with excess 30-day mortality after acute myocardial infarction, cerebral stroke and hip fracture: A before-after study

BMJ Open

Volumn 5, Issue 3, 2015, Pages

  Kristoffersen, Doris Tove ^a   Helgeland, Jon ^a   Waage, Halfrid Persdatter ^b   Thalamus, Jacob ^b   Clemens, Dirk ^c   Lindman, Anja Schou ^a   Rygh, Liv Helen ^a   Tjomsland, Ole ^a,d  

^a NORWEGIAN KNOWLEDGE CENTRE FOR THE HEALTH SERVICES   (Norway)

^b TELEMARK HOSPITAL   (Norway)

^c INNLANDET HOSPITAL TRUST   (Norway)

^d South Eastern Norway Regional Health Authority   (Norway)

Author keywords

[No Author keywords available]

Indexed keywords

FIBRINOLYTIC AGENT;

ACUTE HEART INFARCTION; ARTICLE; CEREBROVASCULAR ACCIDENT; CHARLSON COMORBIDITY INDEX; CLINICAL PATHWAY; FEMALE; FIBRINOLYTIC THERAPY; HEALTH CARE QUALITY; HIP FRACTURE; HOSPITALIZATION; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MORTALITY; OBSERVATIONAL STUDY; ST SEGMENT ELEVATION; ST SEGMENT ELEVATION MYOCARDIAL INFARCTION; SURVIVAL RATE; ACUTE DISEASE; ADOLESCENT; ADULT; AGED; ANTERIOR WALL MYOCARDIAL INFARCTION; EPIDEMIOLOGY; HIP FRACTURES; HOSPITAL; HOSPITAL MORTALITY; MIDDLE AGED; MYOCARDIAL INFARCTION; NORWAY; OUTCOME ASSESSMENT; STANDARDS; STATISTICS AND NUMERICAL DATA; STROKE; SURVIVOR; TOTAL QUALITY MANAGEMENT; VERY ELDERLY; YOUNG ADULT;

ACUTE DISEASE; ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; ANTERIOR WALL MYOCARDIAL INFARCTION; CONTROLLED BEFORE-AFTER STUDIES; FEMALE; HIP FRACTURES; HOSPITAL MORTALITY; HOSPITALIZATION; HOSPITALS; HUMANS; MALE; MIDDLE AGED; MYOCARDIAL INFARCTION; NORWAY; OUTCOME ASSESSMENT (HEALTH CARE); QUALITY IMPROVEMENT; QUALITY INDICATORS, HEALTH CARE; STROKE; SURVIVORS; YOUNG ADULT;

EID: 84926432175     PISSN: None     EISSN: 20446055     Source Type: Journal    
DOI: 10.1136/bmjopen-2014-006741     Document Type: Article

References (53)

1. Mackenzie SJ, Goldmann DA, Perla RJ, et al. Measuring hospital-wide mortality-pitfalls and potential. J Healthc Qual 2014 doi:10.1111/jhq.12080 [Epub ahead of print 7 Aug 2014].
2. AHRQ. AHRQuality Indicators. Agency for Healthcare Research and Quality (AHRQ). http://www.qualityindicators.ahrq.gov/ (accessed 17 Feb 2015).
3. Bridgewater B, Irvine D, Keogh B. NHS transparency. BMJ 2013;347:f4402.
4. Mainz J, Hansen AM, Palshof T, et al. National quality measurement using clinical indicators: the Danish national indicator project. J Surg Oncol 2009;99:500-4.
5. OECD. Health at a Glance. OECD Publishing, 2011. http://www.oecd-ilibrary.org/social-issues-migration-health/health-at-a-glance-2011-health-glance-2011-en (accessed 17 Feb 2015).
6. Brand C, Landgren F, Staley C, et al. Hospital Mortality Indicator (HMI) review. Melbourne, Australia: Commissioned by the Australian Commission on Safety and Qaulity in Health Care, 2013.
7. Helsenorge. https://helsenorge.no/kvalitetsindikatorer (accessed 17 Feb 2015).
8. Helgeland J, Damgaard K, Kristoffersen DT, et al. Variasjon i 30 dagers overlevelse etter innleggelse i norske sykehus - interrimanalyse fra forskningsprosjekt. Nasjonalt kunnskapssenter for helsetjenesten, ed. 2011:1-27. http://www.kunnskapssenteret.no/publikasjoner/30-dagers-overlevelse-etter-innleggelse-i-norske-sykehus-interimanalyse-fra-forskningsprosjektet-178115 (accessed 12 Mar 2015).
9. Ettinger WH, Hylka SM, Phillips RA, et al . When things go wrong: the impact of being a statistical outlier in publicly reported coronary artery bypass graft surgery mortality data. Am J Med Qual 2008;23:90-5.
10. Luce JM, Thiel GD, Holland MR, et al . Use of risk-adjusted outcome data for quality improvement by public hospitals. West J Med 1996;164:410-14.
11. Mannion R, Goddard M. Public disclosure of comparative clinical performance data: lessons from the Scottish experience. J Eval Clin Pract 2003;9:277-86.
12. Parry GJ, Carson-Stevens A, Luff DF, et al. Recommendations for evaluation of health care improvement initiatives. Acad Pediatr 2013;13(6 Suppl):S23-30.
13. The Deming Institute. The plan, do, study, act (PDSA) cycle. https://deming.org/theman/theories/pdsacycle (accessed 17 Feb 2015).
14. Kaplan EL, Meier P. Nonparametric estimation from incomplete observations. J Am Stat Assoc 1958;53:457-81.
15. Hosmer DW, Lemeshow S, May S. Applied survival analysis: regression modeling of time to event data. Wiley, 2011.
16. Rich JT, Neely JG, Paniello RC, et al. A practical guide to understanding Kaplan-Meier curves. Otolaryngol Head Neck Surg 2010;143:331-6.
17. Skatteetaten. The National Registry 2014. http://www.skatteetaten.no/en/Person/National-Registry/This-is-the-National-Registry/ (accessed 17 Feb 2015).
18. WHO. http://www.who.int/classifications/icd/en/ (accessed 17 Feb 2015).
19. Kristoffersen DT, Helgeland J, Clench-Aas J, et al. Comparing hospital mortality -how to count does matter for patients hospitalized for acute myocardial infarction (AMI), stroke and hip fracture. BMC Health Serv Res 2012;12:364.
20. DeLong ER, Peterson ED, DeLong DM, et al. Comparing risk-adjustment methods for provider profiling. Stat Med 1997;16:2645-64.
21. Hosmer DW, Lemeshow S. Applied logistic regression. Wiley, 2004.
22. Quan HD, Li B, Couris CM, et al. Updating and validating the Charlson comorbidity index and score for risk adjustment in hospital discharge abstracts using data from 6 countries. Am J Epidemiol 2011;173:676-82.
23. Clench-Aas J, Helgeland J, Dimoski T, et al. Methodological develpment and evaluation of 30-day mortality as a quality indicator for Norwegian hospitals. Oslo, Norway: Nasjonalt kunnskapssenter for helsetjenesten, 2005:1-198. http://www.kunnskapssenteret.no/en/publications/methodological-development-and-evaluation-of-30-day-mortality-as-quality-indicator-for-norwegian-hospitals
24. Benjamini Y, Hochberg Y. Controlling the false discovery rate: a practical and powerful approach to multiple testing. J R Stat Soc Ser B 1995;57:289-300.
25. Harrington DP, Fleming TR. A class of rank test procedures for censored survival data. Biometrika 1982;69:553-66.
26. Lindman AS, Hassani S, Kristoffersen DT, et al. 30-dagers overlevelse og reinnleggelse ved norske sykehus for 2013. Oslo, Norway: Norwegian Knowledge Centre for the Health Services, 2014:39. http://www.kunnskapssenteret.no/publikasjoner/30-dagers-overlevelse-og-reinnleggelse-ved-norske-sykehus-for-2013 (accessed 12 Mar 2015).
27. Hamm CW, Bassand J-P, Agewall S, et al. ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: the Task Force for the management of acute coronary syndromes (ACS) in patients presenting without persistent ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J 2011;32:2999-3054.
28. Steg PG, James SK, Atar D, et al; Task Force on the management of ST-segment elevation acute myocardial infarction of the European Society of Cardiology (ESC). ESC Guidelines for the management of acute myocardial infarction in patients presenting with STsegment elevation. Eur Heart J 2012;33:2569-619.
29. Norwegian Myocardial Infarction Register. http://www.hjerteinfarktregisteret.no/ (accessed 17 Feb 2015).
30. In Safe Hands. http://www.pasientsikkerhetsprogrammet.no/no/I+trygge+hender (accessed 17 Feb 2015).
31. Helsedirektoratet. Nasjonal retningslinje for behandling og rehabilitering ved hjerneslag. IS-1688. Oslo, 2010:1-199.
32. Sundseth A, Faiz KW, Rønning OM, et al. Factors related to knowledge of stroke symptoms and risk factors in a Norwegian stroke population. J Stroke Cerebrovasc Dis 2014;23:1849-55.
33. Norwegian Stroke Registry. http://www.stolav.no/ norskhjerneslagregister (accessed 17 Feb 2015).
34. Langhorne P, Fearon P, Ronning OM, et al. Stroke unit care benefits patients with intracerebral hemorrhage: systematic review and metaanalysis. Stroke 2013;44:3044-9.
35. Xian Y, Holloway RG, Chan PS, et al. Association between stroke center hospitalization for acute ischemic stroke and mortality. JAMA 2011;305:373-80.
36. Dubois RW. Inherent limitations of hospital death rates to assess quality. Int J Technol Assess Health Care 1990;6:220-8.
37. Bottle A, Jarman B, Aylin P. Strengths and weaknesses of hospital standardised mortality ratios. BMJ 2011;342:c7116.
38. Jarman B, Gault S, Alves B, et al. Explaining differences in English hospital death rates using routinely collected data. BMJ 1999;318:1515-20.
39. Wright J, Dugdale B, Hammond I, et al. Learning from death: a hospital mortality reduction programme. J R Soc Med 2006;99:303-8.
40. Jones HE, Spiegelhalter DJ. Accounting for regression-to-the-mean in tests for recent changes in institutional performance: analysis and power. Stat Med 2009;28:1645-67.
41. Teasdale GM. Learning from Bristol: report of the public inquiry into children's heart surgery at Bristol Royal Infirmary 1984-1995. Br J Neurosurg 2002;16:211-16.
42. Vesseur J. Een tekortschietend zorgproces. Een onderzoek naar de kwaliteit en veiligheid van de cardiochirurgische zorgketen voor volwassenen in het UMC St Radboud te Nijmegen, 2006. http://www.trouw.nl/tr/nl/4324/Nieuws/article/detail/1454484/2006/04/25/Verbod-op-hartoperaties-ziekenhuis-Nijmegen.dhtml (accessed 12 Mar 2015).
43. Sinclair CM. Report of the Manitoba pediatric cardiac surgery inquest. http://www.pediatriccardiacinquest.mb.ca/ (accessed 17 Feb 2015).
44. Dyer C. Bristol inquiry condemns hospital's "club culture". BMJ 2001;323:181.
45. Francis R. Robert Francis Inquiry report into Mid-Staffordshire NHS Foundation Trust. Secondary Robert Francis Inquiry report into Mid-Staffordshire NHS Foundation Trust 2010. http://webarchive.nationalarchives.gov.uk/20130107105354/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH-113018 (accessed 17 Feb 2015).
46. Inquiry TMSNFT. Final Report of The Independent Inquiry Into Care Provided By Mid Staffordshire NHS Foundation Trust. Vols I and II. In: Office TS, ed. London, 2010.
47. Scotland N. Rapid Review of the Safety and Quality of Care for Acute Adult Patients in NHS Lanarkshire. Secondary Rapid Review of the Safety and Quality of Care for Acute Adult Patients in NHS Lanarkshire 2013. http://www.healthcareimprovementscotland.org/our-work/governance-and-assurance/programme-resources/nhs-lanarkshire-review.aspx (accessed 17 Feb 2015).
48. De Vos M, Graafmans W, Kooistra M, et al. Using quality indicators to improve hospital care: a review of the literature. Int J Qual Health Care 2009;21:119-29.
49. Parand A, Dopson S, Renz A, et al. The role of hospital managers in quality and patient safety: a systematic review. BMJ Open 2014;4:e005055.
50. Clay-Williams R, Nosrati H, Cunningham F, et al. Do large-scale hospital- and system-wide interventions improve patient outcomes: a systematic review. BMC Health Serv Res 2014;14:369.
51. Urbach DR, Govindarajan A, Saskin R, et al. Introduction of surgical safety checklists in Ontario, Canada. N Engl J Med 2014;370:1029-38.
52. Lindman AS, Tomic O, Hassani S, et al. 30-Dagers overlevelse. Institusjonsrapporter. Oslo: Norwegian Knowledge Centre for the Health Services, 2015. http://www.kunnskapssenteret.no/publikasjoner/30dagers-overlevelse.rapporter-for-institusjoner-helseforetak-og-regionale-helseforetakrt
53. Lindahl AK, Talsnes O, Figved W, et al. Tiltak for økt overlevelse etter hoftebrudd. Oslo: Norwegian Knowledge Centre for the Health Services, 2014:25. http://www.kunnskapssenteret.no/publikasjoner/tiltak-for-okt-overlevelse-etter-hoftebrudd