Dialysis Practices That Distinguish Facilities with Below- versus Above-Expected Mortality
Author(s) -
Brennan Spiegel,
Roger Bolus,
Amar A. Desai,
Philip Zagar,
Tom Parker,
John A. Moran,
Matthew D. Solomon,
Osman Khawar,
Matthew Gitlin,
Jennifer Talley,
Allen R. Nissenson
Publication year - 2010
Publication title -
clinical journal of the american society of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.755
H-Index - 151
eISSN - 1555-905X
pISSN - 1555-9041
DOI - 10.2215/cjn.01620210
Subject(s) - medicine , likert scale , dialysis , cross sectional study , health facility , family medicine , emergency medicine , environmental health , health services , population , psychology , developmental psychology , pathology
Mortality rates vary widely among dialysis facilities even after adjustment with standardized mortality ratios (SMRs). This variation may occur because top-performing facilities use practices not shared by others, because the SMR fails to capture key patient characteristics, or both. Practices were identified that distinguish top- from bottom-performing facilities by SMR.
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