Are medical outliers associated with worse patient outcomes? A retrospective study within a regional NHS hospital using routine data.

ABSTRACT:

Objective

To explore the quality and safety of patients' healthcare provision by identifying whether being a medical outlier is associated with worse patient outcomes. A medical outlier is a hospital inpatient who is classified as a medical patient for an episode within a spell of care and has at least one non-medical ward placement within that spell.

Data sources

Secondary data from the Patient Administration System of a district general hospital were provided for the financial years 2013/2014-2015/2016. The data included 71 038 medical patient spells for the 3-year period.

Study design

This research was based on a retrospective, cross-sectional observational study design. Multivariate logistic regression and zero-truncated negative binomial regression were used to e

SUBMITTER: Stylianou N 

PROVIDER: S-EPMC5588983 | biostudies-literature | 2017 May

REPOSITORIES: biostudies-literature