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Using data to evaluate hospital inpatient mortality.

P D Franklin¹, J P Legault

¹University Hospital-SUNY HSC, Syracuse, USA.

Journal of Nursing Care Quality

|January 5, 2000

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Hospital inpatient mortality is a key health care outcome indicator, but has limitations. This study guides the development and use of mortality data, including severity-adjusted metrics and unexpected mortality information.

Area of Science:

Health Services Research
Medical Informatics
Public Health

Background:

Hospital inpatient mortality is frequently used to assess healthcare quality.
Understanding the strengths and limitations of mortality data is crucial for accurate interpretation.
Development of robust mortality metrics requires careful consideration of data sources and methodologies.

Purpose of the Study:

To evaluate hospital inpatient mortality as a health care outcomes indicator.
To describe the development process for mortality-related data.
To provide guidance on using raw and severity-adjusted mortality data.

Main Methods:

Review of existing literature on healthcare outcome measurement.
Analysis of data development methodologies for hospital mortality.

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Guidance formulation based on identified strengths and limitations.

Main Results:

Mortality data offers valuable insights but possesses inherent limitations as a sole outcome measure.
Development of raw and severity-adjusted mortality data requires specific considerations.
Data on unexpected mortality and complications are essential for a comprehensive assessment.

Conclusions:

Hospital inpatient mortality is a useful, albeit imperfect, indicator of healthcare outcomes.
Standardized approaches to developing and reporting mortality data are recommended.
A multifaceted approach incorporating severity adjustment and complication data enhances outcome evaluation.