scholarly journals Is mortality a good indicator of the clinical quality of National Health Service hospitals? A cross-sectional study of outlier trusts for mortality indices using quality dashboards

JRSM Open ◽  
2014 ◽  
Vol 5 (8) ◽  
pp. 205427041453332 ◽  
Author(s):  
Ian Diley ◽  
Padmanabhan Badrinath ◽  
Sarah Annon
2019 ◽  
Vol 25 (1) ◽  
pp. 13-21
Author(s):  
Elizabeth Cecil ◽  
Alex Bottle ◽  
Aneez Esmail ◽  
Charles Vincent ◽  
Paul Aylin

Objectives To assess whether mortality alerts, triggered by sustained higher than expected hospital mortality, are associated with other potential indicators of hospital quality relating to factors of hospital structure, clinical process and patient outcomes. Methods Cross-sectional study of National Health Service hospital trusts in England (2011–2013) using publicly available hospital measures reflecting organizational structure (mean acute bed occupancy, nurse/bed ratio, training satisfaction and proportion of trusts with low National Health Service Litigation Authority risk assessment or in financial deficit); process (mean proportion of eligible patients who receive percutaneous coronary intervention within 90 minutes) and outcomes (mean patient satisfaction scores, summary measures of hospital mortality and proportion of patients harmed). Mortality alerts were based on hospital administrative data. Results Mortality alerts were associated with structural indicators and outcome indicators of quality. There was insufficient data to detect an association between mortality alerts and the process indicator. Conclusions Mortality alerts appear to reflect aspects of quality within an English hospital setting, suggesting that there may be value in a mortality alerting system in highlighting poor hospital quality.


Author(s):  
Rhaylla Maria Pio Leal Jaques ◽  
Elaine Carininy Lopes da Costa ◽  
Gisela Maria de Assis ◽  
Aline Costa de Oliveira ◽  
laudia Daniella Avelino Vasconcelos Benício ◽  
...  

Objective: To investigate the profile of intestinal eliminations in women. Method: Cross-sectional study conducted with 41 women seen at a women’s health center in the state of Piauí in Brazil. For data collection, a form was used containing the sociodemographic data and questionnaires that assessed the data on the intestinal elimination pattern with questions based on the Rome IV criteria and the Bristol scale. Results: Of the 41 participants, 56.1% reported consuming one to two servings of fruits or vegetables per day and 51.2% consumed more than two liters of water per day. Regarding the patterns of intestinal elimination, 39% had feces in the Bristol 3 category. As for the Rome IV criteria, 21 (51.2%) women were considered constipated and the frequency of evacuation was statistically significant with the presence of constipation. Conclusion: There was a significant number of women with constipation. There was a need to develop actions that help to cope with the problem and improve the quality of life of this population.


BMJ Open ◽  
2018 ◽  
Vol 8 (11) ◽  
pp. e021822 ◽  
Author(s):  
Yaxin Zhu ◽  
Jie Liu ◽  
Bo Qu ◽  
Zhe Yi

ObjectivesThe aim of the study was to examine the relations among quality of life (QOL), loneliness and health-related characteristics in a sample of Chinese older people.DesignCross-sectional study.SettingCommunities in Dandong city, Liaoning province, China.ParticipantsSample of 732 older people aged 60 and older who were living in Dandong, Liaoning province, China.MethodsA questionnaire was administered to the participants face-to-face. The questionnaire contained four sections: demographic characteristics, health-related characteristics, the EQ-5D Scale and the UCLA Loneliness Scale. The t-test, F-test and multivariable linear regression analyses were performed to individually test associations between the demographic data, health-related characteristics, loneliness and QOL.ResultsChronic diseases, loneliness, age and smoking status were negatively associated with QOL (p<0.05). Satisfaction with health services, income and physical activity were positively associated with QOL (p<0.05).ConclusionsLoneliness, chronic diseases and health service satisfaction were important factors related to low QOL among older people in China. The findings indicate that reducing loneliness, managing chronic diseases and improving the health service may help to improve the QOL for older people.


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