Hospital factors associated with discharge bias in ICU performance measurement.

ABSTRACT:

Objective

Performance assessments based on in-hospital mortality for ICU patients can be affected by discharge practices such that differences in mortality may reflect variation in discharge patterns rather than quality of care. Time-specific mortality rates, such as 30-day mortality, are preferred but are harder to measure. The degree to which the difference between 30-day and in-hospital ICU mortality rates-or "discharge bias"-varies by hospital type is unknown. The aim of this study was to quantify variation in discharge bias across hospitals and determine the hospital characteristics associated with greater discharge bias.

Design

Retrospective cohort study.

Setting

Nonfederal Pennsylvania hospital discharges in 2008.

Patients

Eligible patients were 18 years

SUBMITTER: Reineck LA 

PROVIDER: S-EPMC7895487 | biostudies-literature | 2014 May

REPOSITORIES: biostudies-literature