Skip to main content

Reducing hospital mortality: Incremental change informed by structured mortality review is effective.

Tiwari, D., O'Donnell, A., Renaut, R., Richardson, T. and Allen, S., 2020. Reducing hospital mortality: Incremental change informed by structured mortality review is effective. Future Healthcare Journal, 7 (2), 143 - 148.

Full text available as:

[img]
Preview
PDF
143.full.pdf - Published Version

359kB

DOI: 10.7861/fhj.2019-0022

Abstract

Hospital mortality rates have frequently been improved by identifying diagnostic groups with high mortality and targeting interventions to those specific groups. We found that high residual inpatient mortality persisted after targeted measures had achieved an initial reduction, and that the causes were spread across a wide range of diagnostic groups. Further interventions were put in place consisting of a structured electronic mortality form and systematised mortality scrutiny and reporting (primary intervention) accompanied by a number of quality improvement interventions arising from the mortality analysis (secondary interventions). We found that those interventions were associated with progressive improvements in mortality rates and average lengths of inpatient stay over the 5-year study period. Winter quarter mortality improvements reached a high level of statistical significance but could not be attributed to changes in any particular diagnostic groups. We conclude that progress with mortality improvements is probably best achieved by applying both code-targeted and general interventions simultaneously.

Item Type:Article
ISSN:2514-6645
Uncontrolled Keywords:Hospital mortality ratios ; diagnostic codes ; quality improvement
Group:Faculty of Health & Social Sciences
ID Code:35127
Deposited By: Unnamed user with email symplectic@symplectic
Deposited On:01 Feb 2021 14:47
Last Modified:15 Aug 2021 08:27

Downloads

Downloads per month over past year

More statistics for this item...
Repository Staff Only -