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首页> 外文期刊>Journal of Health Services Research & Policy >Counting in-hospital deaths in England: a comparison of hospital computer systems and mortuary registers
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Counting in-hospital deaths in England: a comparison of hospital computer systems and mortuary registers

机译：英格兰的医院内死亡计数：医院计算机系统和停尸房记录仪的比较

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Objectives: In-hospital death counts derived from hospital computer systems have been used in England by annindependent company, ‘Dr Foster’, to rank the quality of care of hospitals, but the validity of the underlying datanremains unclear. This study compares counts of in-hospital deaths using two different sources – the hospitalncomputer system and the mortuary register – to determine: whether the counts of in-hospital deaths from these twonsources differed; qualitative explanations for possible sources of discrepancy; the direction and magnitude of anyndifferences; and the possible impact of any differences on the Dr Foster rankings.nMethods: The four highest and the four lowest National Health Service (NHS) hospitals in the West Midlands, asnranked by Dr Foster, participated. Each hospital was asked to compare the monthly counts of in-hospital deathsnfrom the hospital computer system and the hospital mortuary register for the . scal year 1999/2000.nResults: One hospital, with a computerised mortuary register, had identical counts of in-hospital deaths. Twonhospitals reported 4–5% more deaths and four hospitals reported fewer deaths (0.4–7%) from their hospitalncomputer system than from their mortuary register. These differences were not large enough to change their DrnFoster rankings. Wide discrepancies were noted on a monthly basis (range: 713.9% to +15.9%).nDiscussion: The differences between the two sources of in-hospital death counts were not large enough tonin uence the Dr Foster ranks but were suf. cient to raise concern about the validity and completeness of mortalityndata in the NHS.
机译：目标：英格兰的一家独立公司“福斯特博士”（Dr. Foster）使用源自医院计算机系统的医院内死亡计数来对医院的护理质量进行排名，但基础数据的有效性仍不清楚。这项研究使用两种不同的来源（医院计算机系统和太平间登记簿）比较医院内死亡计数，以确定：来自这两个来源的医院内死亡计数是否存在差异；定性解释可能的差异来源；任何分歧的方向和程度；方法：由福斯特博士（Foster）排名的西米德兰兹郡国家卫生服务（NHS）医院中排名前四的医院和排名前四的医院均参加了该研究。要求每家医院比较医院计算机系统和医院太平间登记处的每月住院死亡人数。结果：1999/2000会计年度。n结果：一家拥有计算机停尸房登记系统的医院，其院内死亡人数相同。医院医院报告的死亡计算机死亡率比停尸房登记系统高出4％至5％，四家医院报告的死亡率更低（0.4％至7％）。这些差异不足以改变其DrnFoster排名。每月发现差异较大（范围：713.9％至+15.9％）。n讨论：两种院内死亡计数来源之间的差异不足以使Foster博士的排名显得足够大，但已经足够。引起人们对NHS中死亡率数据的有效性和完整性的关注。

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