Journal article

Using control charts to monitor quality of hospital care with administrative data

Michael Coory, Stephen Duckett, Kirstine Sketcher-Baker

INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE | OXFORD UNIV PRESS | Published : 2008

Abstract

OBJECTIVE: Nearly all hospital-specific comparative analyses, based on administrative data, are presented using cross-sectional displays. In this paper, we compare cross-sectional analyses with sequential monitoring using control charts. DESIGN: ANALYSIS: of administrative data to compare cross-sectional funnel plots with one type of control chart: the risk-adjusted, expected-minus-observed plot. SETTING: Eighteen tertiary and base hospitals in Queensland, Australia, for the two financial years 2003-04 and 2004-05. PARTICIPANTS: Patients admitted with acute myocardial infarction. MAIN OUTCOME MEASURE: Risk-adjusted, 30-day, in-hospital, mortality rates. RESULTS: There were no outliers on th..

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