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The Attentional Set Shifting Task: A Measure of Cognitive Flexibility in Mice

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Clinical performance indicators: intolerance for variety?

Abhijit Basu¹, Rosemary Howell, Deepa Gopinath

¹University Hospital of South Manchester, Wythenshawe, UK. babuabhijitbasu@googlemail.com

International Journal of Health Care Quality Assurance

|June 12, 2010

Summary

Assessing National Health Service (NHS) hospital performance is challenging due to inconsistent clinical indicators. This study suggests using standardized activities for accurate hospital performance measurement.

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Area of Science:

Healthcare Management
Clinical Performance Measurement
Hospital Administration

Background:

National Health Service (NHS) hospitals face continuous scrutiny regarding performance.
Independent bodies recommend clinical indicators for assessing non-financial hospital performance.

Purpose of the Study:

To critically analyze the performance of a single UK hospital against recommended clinical indicators.
To elucidate the difficulties in measuring clinical performance within the NHS.

Main Methods:

Utilized 12 months of data presented to the Hospital Trust Board.
Included previous years' data where available for comparative analysis.

Main Results:

Hospital performance calculation proved extremely difficult due to complex ratios.
Lack of standardization in indicators led to ambiguous interpretations of performance (better, worse, or indifferent).

Conclusions:

Direct comparison with other hospitals was precluded due to a lack of similar analyses in existing literature.
Highlights the inherent inconsistency in performance indicators, cautioning against reward-rebuke systems.
Suggests using standardized, easily controlled activities or internal historical data for more reliable hospital performance measurement.