PMID: 8614170May 1, 1996Paper

Comorbidity-adjusted complication risk: a new outcome quality measure

Medical Care
D J BrailerJ Huang

Abstract

The measurement of inpatient complications his received substantial attention in recent years because mortality rates and other outcome measures often appear unable to discriminate superior from inferior hospital care. Complication measurement holds out the promise of being more sensitive to variations in patient care because complications occur more frequently than do mortalities, and because complications are more direct consequences of the process of care. The authors developed a new measure of complications that seeks to give insight into the patient care given by different hospitals or physicians by using commonly available data. Specifically, this measure is based on a decision-theoretic model that estimates the probability of a complication for combinations of admitting and secondary International Classification of Diseases, 9th Revision, Clinical Modification diagnoses. The measure can be evaluated at the patient level, or aggregated and risk-adjusted for the population of a given care provider (eg, physician or hospital). When applied to a set of patient-level UB- 82/92 data, this measure estimates the risk of complication for any member of a population, controlling for comorbidity, and hence is designated comorbidity-...Continue Reading

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Citations

Jul 22, 2009·Health Economics·Andrew Ryan
Nov 27, 2009·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Andrew M RyanStanley S Wallack
Sep 8, 2011·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Carmen TsangPaul Aylin
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Nov 21, 1997·Medical Care·P H Mitchell, S M Shortell
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Dec 8, 2009·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Eugene A KrochMichael Duan
Feb 15, 2012·Cancer·Juan P WisniveskyEmilia Bagiella
Oct 2, 2013·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Richard A BankowitzJohn Martin
Nov 15, 2013·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·John S HughesRichard Averill
Jan 7, 2000·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·E J ZarlingR Kohli
Jan 10, 2006·Lippincott's Case Management : Managing the Process of Patient Care·B DoyleE Mullin
Jan 2, 2007·Annals of Surgery·Arden M MorrisKevin G Billingsley
May 2, 2002·Journal of the American Geriatrics Society·Gina BravoLise Messier
Sep 19, 2014·Journal of Orthopaedic Trauma·Mariano E Menendez, David Ring
Oct 1, 1996·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·M V PaulyS V Williams
Jan 21, 2015·Annals of Oncology : Official Journal of the European Society for Medical Oncology·J MalhotraJ P Wisnivesky
Jul 1, 1996·The Joint Commission Journal on Quality Improvement·D J BrailerK Zakrewski
Apr 12, 2007·Joint Commission Journal on Quality and Patient Safety·Sanford TolchinJohn J Garbo

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