Open AccessEvaluating mortality outlier hospitals to improve the quality of care in emergency general surgery
Author(s) -
Robert D. Becher,
Michael P. DeWane,
Nitin Sukumar,
Marilyn Stolar,
Thomas M. Gill,
Adrian A. Maung,
Kevin M. Schuster,
Kimberly A. Davis
Publication year - 2019
Publication title -
the journal of trauma and acute care surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.25
H-Index - 187
eISSN - 2163-0763
pISSN - 2163-0755
DOI - 10.1097/ta.0000000000002271
Subject(s) - medicine , outlier , standardized mortality ratio , medicaid , confidence interval , health care , mortality rate , emergency medicine , statistics , mathematics , economics , economic growth
Expected performance rates for various outcome metrics are a hallmark of hospital quality indicators used by Agency of Healthcare Research and Quality, Center for Medicare and Medicaid Services, and National Quality Forum. The identification of outlier hospitals with above- and below-expected mortality for emergency general surgery (EGS) operations is therefore of great value for EGS quality improvement initiatives. The aim of this study was to determine hospital variation in mortality after EGS operations, and compare characteristics between outlier hospitals.