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Adverse event rates as measures of hospital performance

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  • Hauck, Katharina
  • Zhao, Xueyan
  • Jackson, Terri

Abstract

Adverse event or complication rates are increasingly advocated as measures of hospital quality and performance. Objective of this study is to analyse patient-complexity adjusted adverse events rates to compare the performance of hospitals in Victoria, Australia. We use a unique hospital dataset that routinely records adverse events which arise during the admission. We identify hospitals with below or above average performance in comparison to their peers, and show for which types of hospitals risk adjusting makes biggest difference.

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Bibliographic Info

Article provided by Elsevier in its journal Health Policy.

Volume (Year): 104 (2012)
Issue (Month): 2 ()
Pages: 146-154

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Handle: RePEc:eee:hepoli:v:104:y:2012:i:2:p:146-154

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Web page: http://www.elsevier.com/locate/healthpol

Related research

Keywords: Adverse events; Medical errors; Complications; Hospital quality; Patient complexity;

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  1. Kim Rose Olsen & Andrew Street, 2008. "The analysis of efficiency among a small number of organisations: How inferences can be improved by exploiting patient-level data," Health Economics, John Wiley & Sons, Ltd., vol. 17(6), pages 671-681.
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  3. Jonathon Ehsani & Stephen Duckett & Terri Jackson, 2007. "The incidence and cost of cardiac surgery adverse events in Australian (Victorian) hospitals 2003–2004," The European Journal of Health Economics, Springer, vol. 8(4), pages 339-346, December.
  4. Mauro Laudicella & Kim Rosen Olsen & Andrew Street, 2009. "What explains variation in the costs of treating patients in English obstetrics specialties?," Working Papers 049cherp, Centre for Health Economics, University of York.
  5. Cameron,A. Colin & Trivedi,Pravin K., 2005. "Microeconometrics," Cambridge Books, Cambridge University Press, number 9780521848053, April.
  6. Frank A. Sloan & Gabriel A. Picone & Donald H. Taylor, Jr. & Shin-Yi Chou, 1998. "Hospital Ownership and Cost and Quality of Care: Is There a Dime's Worth of Difference?," NBER Working Papers 6706, National Bureau of Economic Research, Inc.
  7. Nazmi Sari, 2002. "Do competition and managed care improve quality?," Health Economics, John Wiley & Sons, Ltd., vol. 11(7), pages 571-584.
  8. Gloria J. Bazzoli & Hsueh-Fen Chen & Mei Zhao & Richard C. Lindrooth, 2008. "Hospital financial condition and the quality of patient care," Health Economics, John Wiley & Sons, Ltd., vol. 17(8), pages 977-995.
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