Important Considerations for Interpreting the HSMR
There have been no changes to the HSMR methodology, so trending over time is possible. The HSMR is most useful to individual hospitals to track their own mortality trends. While the HSMR takes into consideration many of the factors associated with the risk of dying, it cannot adjust for every factor. It is important to note that the HSMR is not designed for comparisons between hospitals. The HSMR can be used to track the overall change in mortality resulting from a broad range of factors, including changes in the quality and safety of care delivered. However, the HSMR does not provide a specific measure of preventable deaths.
zhen2005 发表于 2011-12-9 14:52
不管叫HSMR methodology还是GO PI methodology, 关键是大部分相关因素没法准确的量化成数学上的变量和范围, 如何测量preventable death? 是不是凭人的感觉决定是取1.1还是10.9? 大部分社会科学的统计都是没意义的伪科学.
Important Considerations for Interpreting the HSMR
There have been no changes to the HSMR methodology, so trending over time is possible. The HSMR is most useful to individual hospitals to track their own mortality trends. While the HSMR takes into consideration many of the factors associated with the risk of dying, it cannot adjust for every factor. It is important to note that the HSMR is not designed for comparisons between hospitals. The HSMR can be used to track the overall change in mortality resulting from a broad range of factors, including changes in the quality and safety of care delivered. However, the HSMR does not provide a specific measure of preventable deaths.