Risk-Adjusted Cumulative Sum for Early Detection of Hospitals With Excess Perioperative Mortality.

ABSTRACT:

Importance

National surgical quality improvement programs lack tools for early detection of quality or safety concerns, which risks patient safety because of delayed recognition of poor performance.

Objective

To compare the risk-adjusted cumulative sum (CUSUM) with episodic evaluation for early detection of hospitals with excess perioperative mortality.

Design, setting, and participants

National, observational, hospital-level, comparative effectiveness study of 697 566 patients. Identification of hospitals with excess, risk-adjusted, quarterly 30-day mortality using observed to expected ratios (ie, current criterion standard in the Veterans Affairs Surgical Quality Improvement Program) was compared with the risk-adjusted CUSUM. Patients included in the study underwent

SUBMITTER: Chen VW 

PROVIDER: S-EPMC10448363 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature