Table of contents

  • Preliminary material (99KB PDF)
    • Title and verso pages
    • Contents
    • Acknowledgments
    • Abbreviations
    • Summary
  • Body section
    1. Introduction (35KB PDF)
      • 1.1 Context of the report
      • 1.2 Structure of the report
    2. 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
    3. 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
    4. 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
    5. 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
    6. 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
      1. Diagnoses accounting for 80% of in-hospital deaths
      2. Summary tables of HSMRs in 2005-06
      3. Funnel plots of HSMRs in 2005-06
      4. Caterpillar plots
      5. Data issues
        • National Hospital Morbidity Database
        • Errors, inconsistencies and uncertainties
        • Quality of ICD-10-AM coded data
    • List of tables
    • List of figures
  1. Notes and corrections