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Using hospital standardised mortality ratios to assess quality of care--proceed with extreme caution

Scott, Ian A., Brand, Caroline A., Phelps, Grant E., Barker, Anna L. and Cameron, Peter A. 2011, Using hospital standardised mortality ratios to assess quality of care--proceed with extreme caution, Medical journal of Australia, vol. 194, no. 12, pp. 645-648.

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Title Using hospital standardised mortality ratios to assess quality of care--proceed with extreme caution
Author(s) Scott, Ian A.
Brand, Caroline A.
Phelps, Grant E.
Barker, Anna L.
Cameron, Peter A.
Journal name Medical journal of Australia
Volume number 194
Issue number 12
Start page 645
End page 648
Total pages 4
Publisher Australasian Medical Publishing Company
Place of publication Melbourne, Vic.
Publication date 2011-01
ISSN 1326-5377
Summary Australian Health Ministers have endorsed the hospital standardised mortality ratio (HSMR) as a key indicator of quality and safety, and efforts are currently underway towards its national implementation. In the United Kingdom, Canada, the Netherlands and the United States, the HSMR has been used for several years within organisations to monitor performance and response to various quality and safety programs. In the UK and Canada, the HSMR is also publicly reported and used to compare performance between hospitals. The validity and reliability of the HSMR as a screening tool for distinguishing low-quality from high-quality hospitals remain in doubt, and it has not yet been proven that HSMR reporting necessarily leads to worthwhile improvement in quality of care and patient outcomes.
Language eng
Field of Research 119999 Medical and Health Sciences not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C2.1 Other contribution to refereed journal
Copyright notice ©2011, Australasian Medical Publishing Company
Persistent URL http://hdl.handle.net/10536/DRO/DU:30064336

Document type: Journal Article
Collection: School of Medicine
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