ArticleInternational journal for quality in health care : journal of the International Society for Quality in Health Care2014
Relationship between preventable hospital deaths and other measures of safety: an exploratory study.
Article in International journal for quality in health care : journal of the International Society for Quality in Health Care, 2014. 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 6 papers.
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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.
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Who cites it
6 citing papers in PubMed.
- Preventable in-hospital deaths and years of life lost were uncommon among patients in a Finnish secondary teaching hospital.Archives of public health = Archives belges de sante publique · 2025Article
- What is the relationship between mortality alerts and other indicators of quality of care? A national cross-sectional study.Journal of health services research & policy · 2020Article
- Contribution of adverse events to death of hospitalised patients.BMJ open quality · 2019Article
- National hospital mortality surveillance system: a descriptive analysis.BMJ quality & safety · 2018Article
- [Peer review-can we detect risk factors and errors to improve the quality of patient care?]Der Urologe. Ausg. A · 2018Article
- Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis.BMJ (Clinical research ed.) · 2015Article
Corrections and comments
- Erratum issued
Authors and funding
6 authors.
Funding
Abstract
objectiveTo explore associations between the proportion of hospital deaths that are preventable and other measures of safety.
designRetrospective case record review to provide estimates of preventable death proportions. Simple monotonic correlations using Spearman's rank correlation coefficient to establish the relationship with eight other measures of patient safety.
settingTen English acute hospital trusts.
participantsOne thousand patients who died during 2009.
resultsThe proportion of preventable deaths varied between hospitals (3-8%) but was not statistically significant (P = 0.94). Only one of the eight measures of safety (Methicillin-resistant Staphylococcus aureus bacteraemia rate) was clinically and statistically significantly associated with preventable death proportion (r = 0.73; P < 0.02). There were no significant associations with the other measures including hospital standardized mortality ratios (r = -0.01). There was a suggestion that preventable deaths may be more strongly associated with some other measures of outcome than with process or with structure measures.
conclusionsThe exploratory nature of this study inevitably limited its power to provide definitive results. The observed relationships between safety measures suggest that a larger more powerful study is needed to establish the inter-relationship of different measures of safety (structure, process and outcome), in particular the widely used standardized mortality ratios.
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