Relative mortality analysis: A new tool to evaluate clinical performance in trauma centers
| Autor: | William F. Barnhardt, Jeffrey S. Young, Madeline E. Kotoriy, Nicholas J. Napoli, Laura E. Barnes |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
High probability
medicine.medical_specialty business.industry Trauma center Public Health Environmental and Occupational Health Outcome measures Target groups Clinical performance Relative mortality 030208 emergency & critical care medicine medicine.disease 03 medical and health sciences Patient population 0302 clinical medicine Emergency medicine medicine 030212 general & internal medicine Metric (unit) Medical emergency Safety Risk Reliability and Quality business Safety Research |
| Zdroj: | IISE Transactions on Healthcare Systems Engineering. 7:181-191 |
| ISSN: | 2472-5587 2472-5579 |
| DOI: | 10.1080/24725579.2017.1325948 |
| Popis: | Improving trauma performance relies on outcome measures to target groups of patients with suboptimal outcomes. However, this is difficult when examining trauma data sets dominated by patients with high probability of survival (POS). The W-Score, a standard metric for evaluating trauma performance, disproportionately weights these populations and inaccurately represents effectiveness across the entire patient spectrum. We introduce the Relative Mortality Performance Trend (RMPT) and the Relative Mortality Metric (RMM), which provide valuable insight into trauma center performance at all levels of acuity and establish a more reliable metric for evaluating performance. We validate this method using data from a Level 1 trauma center over a 20-year period, where 89.39% of the patient population has a POS > .90. The RMPT groups patient populations by acuity levels, which allows us to identify changes in performance and isolate areas for improvement. We significantly outperformed the anticipated mortalit... |
| Databáze: | OpenAIRE |
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