Demanding safe staffing levels to ensure quality nursing care

Explaining differences in English hospital death rates using routinely collected data

Objectives To ascertain hospital inpatient mortality in England and to determine which factors best explain variation in standardised hospital death ratios. Design Weighted linear regression analysis of routinely collected data over four years, with hospital standardised mortality ratios as the dependent variable. Setting England. Subjects Eight million discharges from NHS hospitals when the primary diagnosis was one of the diagnoses accounting for 80% of inpatient deaths. Main outcome measures Hospital standardised mortality ratios and predictors of variations in these ratios.

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Journal: Volume 318, 5 June 1999

Authors: Brian Jarman, Simon Gault, Bernadette Alves, Amy Hider, Susan Dolan, Adrian Cook, Brian Hurwitz, Lisa I Iezzoni

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