Hospital mortality: when failure is not a good measure of success

Shojania, Kaveh G.; Forster, Alan J.
July 2008
CMAJ: Canadian Medical Association Journal;7/15/2008, Vol. 179 Issue 2, p153
Academic Journal
Case Study
The article presents a case study of the outcomes-based perfomance measures for hospital mortality for specific conditions and procedures. Strategies have been proposed to measure and improve hospital performance efforts have included national patient safety agencies, mandatory accreditation and financial incentives. The article discusses the validity of the hospital's standardized mortality ratio wherein it must correlate with accepted measures of quality. The precise measurement of hospital performance that will provide similar quality of care where quality remained constant. The recommendation of supporters the use of the hospital standardized mortality ratio to monitor quality of care over time.


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