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Höj hospitalsstandardiseret mortalitetsratio er ikke altid et udtryk for dårlig kvalitet
Engelsk titel: High hospital standardized mortality ratio does not always indicate low quality Läs online Författare: Lund, Cecilia Margareta ; Christophersen, Sten ; Kofoed-Enevoldsen, Allan Språk: Dan Antal referenser: 8 Dokumenttyp: Artikel UI-nummer: 15047989

Tidskrift

Ugeskrift for Laeger 2015;177(3)259-61 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Hospital standardized mortality ratio (HSMR) is increasingly used to assess quality of care. At Frederiksberg Hospital HSMR increased significantly during the first and second quarter in 2012. We therefore reviewed records of all deceased, including patients deceased during the comparative period in 2011 (n = 413). Information about cancer and infection with Clostridium difficile was specifically noted. We found that the increasing HSMR reflected an increase in the number of terminal cancer patients. Thus, insufficient adjustment for a change in case-mix explained the higher HSMR.