ArticleHealth services research2008
Hospital quality: a PRIDIT approach.
Article in Health services research, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
3 citing papers in PubMed.
- Associations between Hospital Quality Outcomes and Medicare Spending per Beneficiary in the USA.Healthcare (Basel, Switzerland) · 2021Article
- Quantifying patient satisfaction with process metrics using a weighted bundle approach.BMJ open quality · 2019Article
- Performing well in financial management and quality of care: evidence from hospital process measures for treatment of cardiovascular disease.BMC health services research · 2015Article
Corrections and comments
- Erratum issued
Authors and funding
1 author.
Funding
Abstract
backgroundAccess to high quality medical care is an important determinant of health outcomes, but the quality of care is difficult to determine.
objectiveTo apply the PRIDIT methodology to determine an aggregate relative measure of hospital quality using individual process measures.
designRetrospective analysis of Medicare hospital data using the PRIDIT methodology. SUBJECTS: Four-thousand-two-hundred-seventeen acute care and critical access hospitals that report data to CMS' Hospital Compare database. MEASURES: Twenty quality measures reported in four categories: heart attack care, heart failure care, pneumonia care, and surgical infection prevention and five structural measures of hospital type.
resultsRelative hospital quality is tightly distributed, with outliers of both very high and very low quality. The best indicators of hospital quality are patients given assessment of left ventricular function for heart failure and patients given beta-blocker at arrival and patients given beta-blocker at discharge for heart attack. Additionally, teaching status is an important indicator of higher quality of care.
conclusionsPRIDIT allows us to rank hospitals with respect to quality of care using process measures and demographic attributes of the hospitals. This method is an alternative to the use of clinical outcome measures in measuring hospital quality. Hospital quality measures should take into account the differential value of different quality indicators, including hospital "demographic" variables.
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