Identifying unusual performance in Australian and New Zealand intensive care units from 2000 to 2010.

ABSTRACT:

Background

The Australian and New Zealand Intensive Care Society (ANZICS) Adult Patient Database (APD) collects voluntary data on patient admissions to Australian and New Zealand intensive care units (ICUs). This paper presents an in-depth statistical analysis of risk-adjusted mortality of ICU admissions from 2000 to 2010 for the purpose of identifying ICUs with unusual performance.

Methods

A cohort of 523,462 patients from 144 ICUs was analysed. For each ICU, the natural logarithm of the standardised mortality ratio (log-SMR) was estimated from a risk-adjusted, three-level hierarchical model. This is the first time a three-level model has been fitted to such a large ICU database anywhere. The analysis was conducted in three stages which included the estimation of a null dis

SUBMITTER: Solomon PJ 

PROVIDER: S-EPMC4021168 | biostudies-literature | 2014 Apr

REPOSITORIES: biostudies-literature