$30.00
Phone, fax or email orders:sales [at] infoservices [dot] com [dot] au
'Measuring and reporting mortality in hospital patients' aims to develop national indicators of in-hospital mortality and was one of several projects conducted as part of the National Indicators Project commissioned by the Australian Commission on Safety and Quality in Health Care. The project has two parts: a literature review focussing on methods for analysing and reporting in-hospital mortality, and a modelling project aimed at identifying national indicators of hospital mortality that can be implemented now and in the future.
Authored by Ben-Tovim D, Woodman R, Harrison J, Pointer S, Hakendorf P & Henley G.
Published 13 March 2009 ; ISBN-13 978 1 74024 904 1; AIHW cat. no. HSE 69; 146pp.; $30.00
Download free
Help with downloads
Publication table of contents
Preliminary material
(99KB PDF)
Title and verso pages
Contents
Acknowledgments
Abbreviations
Summary (HTML)
Body section
Introduction
(35KB PDF)
1.1 Context of the report
1.2 Structure of the report
Review of the literature
(159KB PDF)
2.1 General introduction: in-hospital mortality
2.2 Introduction to the literature review
2.3 Search method
2.4 Considerations in the development of mortality as an indicator
2.5 Model development
2.6 Inter-hospital variation and risk-adjustment models
2.7 Inter hospital variation and random variation
2.8 The relationship between variations in hospital mortality and other measures
2.9 Presentation of information about in-hospital mortality
2.10 Conclusions
Measuring in-hospital mortality in Australia
(50KB PDF)
3.1 Current in-hospital mortality reporting in Australia
3.2 Mortality rates in Australian hospitals
3.3 The analytic strategy
Methods
(62KB PDF)
4.1 Data
4.2 Single-year analysis: 2005-06
4.3 Calculation of HSMRs
4.4 Graphical methods of presentation
4.5 Case selection
4.6 Model checking
4.7 Calculation of 95% confidence intervals
4.8 Further development of the risk model
4.9 Longitudinal analysis
4.10 Statistical software
Results
(1MB PDF) 1
5.1 Inclusions and exclusions
5.2 Model building and the effect of covariates on odds of in-hospital mortality
5.3 Discriminatory and explanatory power
5.4 Goodness of fit
5.5 Individual HSMRs and their 95% confidence intervals
5.6 Caterpillar plots
5.7 Funnel plots
5.8 Model development
5.9 Inclusion of SEIFA
5.10 Longitudinal analysis
Discussion
(96KB PDF)
6.1 Can we produce in-hospital mortality indicators using Australian administrative data?
6.2 How might in-hospital mortality indicators be used at different levels in Australia?
6.3 Are the in-hospital mortality indicators valid and reliable?
6.4 Presentation and use of indicators of in-hospital mortality
6.5 What are the methodological obstacles to producing mortality indicators in Australia now?
6.6 International benchmarking
6.7 Conclusion
End matter
(220KB PDF)
References
Appendixes
Diagnoses accounting for 80% of in-hospital deaths
Summary tables of HSMRs in 2005-06
Funnel plots of HSMRs in 2005-06
Caterpillar plots
Data issues
National Hospital Morbidity Database
Errors, inconsistencies and uncertainties
Quality of ICD-10-AM coded data
List of tables
List of figures
Notes and corrections
The current version of the publication is presented above. Previous versions
of files that have been updated or corrected are presented below.
A correction has been made to figure 9.The previous figure did not reflect
the data presented in table 16. (5 February 2010)
