Hospital standardized mortality ratios

Hospital standardized mortality ratios.

Variations in the Hospital Standardized Mortality Ratios in Korea

OBJECTIVES The hospital standardized mortality ratio (HSMR) has been widely used because it allows for robust risk adjustment using administrative data and is important for improving the quality of patient care. METHODS All inpatients discharged from hospitals with more than 700 beds (66 hospitals) in 2008 were eligible for inclusion. Using the claims data, 29 most responsible diagnosis (MRDx...

Hospital Standardized Mortality Ratio

HSMR is calculated as a ratio of the actual number of deaths to the expected number of deaths among patients in acute care hospitals. An HSMR of 100 indicates there is no difference between the hospital’s mortality rate and the overall average rate. Therefore a rate greater than 100 means the hospital’s mortality rate is higher than the overall average and a rate lower than 100 means the hospit...

Hospital quality measures: are process indicators associated with hospital standardized mortality ratios in French acute care hospitals?

BACKGROUND Results of associations between process and mortality indicators, both used for the external assessment of hospital care quality or public reporting, differ strongly across studies. However, most of those studies were conducted in North America or United Kingdom. Providing new evidence based on French data could fuel the international debate on quality of care indicators and help inf...

Performance of in-hospital mortality prediction models for acute hospitalization: Hospital Standardized Mortality Ratio in Japan

OBJECTIVE In-hospital mortality is an important performance measure for quality improvement, although it requires proper risk adjustment. We set out to develop in-hospital mortality prediction models for acute hospitalization using a nation-wide electronic administrative record system in Japan. METHODS Administrative records of 224,207 patients (patients discharged from 82 hospitals in Japan ...