Observational study to determine the utility of hospital administrative data to support case finding of English patients at higher risk of severe healthcare-related harm.

ABSTRACT:

Objectives

To identify ways of using routine hospital data to improve the efficiency of retrospective reviews of case records for identifying avoidable severe harm DESIGN: Development and testing of thresholds and criteria for two indirect indicators of healthcare-related harm (long length of stay (LOS) and emergency readmission) to determine the yield of specified harms coded in Hospital Episode Statistics (HES).

Setting

Acute National Health Service hospitals in England.

Participants

HES for acute myocardial infarction (AMI), bowel cancer surgery and hip replacement admissions from 2014 to 2015.

Interventions

Case-mix-adjusted linear regression models were used to determine expected LOS. Different thresholds were examined to determine the association with har

SUBMITTER: Hogan H 

PROVIDER: S-EPMC6596963 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature