2007
DOI: 10.1136/qshc.2006.019885
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Making use of mortality data to improve quality and safety in general practice: a review of current approaches

Abstract: Objective: To review studies of the use of mortality data in quality and safety improvement in general practice. Design: Narrative review. Methods: Search of Medline, Embase and CINAHL for articles reporting mortality monitoring or mortality reviews in general practice. The included articles were reported in English and of any study design, excluding case reports and comment pieces. Studies of palliative care and bereavement, and of primary care programmes in developing countries, were excluded. Results: 229 a… Show more

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Cited by 17 publications
(11 citation statements)
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“…Postoperative mortality is an objective endpoint that can be used to evaluate anesthesia safety, within and between institutions, and to test the effectiveness of changes in practice (Baker et al 2007). Our findings suggest that 48 h postoperative mortality at our hospital occurs at a rate of 5.7 per 1000 operations (0.57%).…”
Section: Discussionmentioning
confidence: 99%
“…Postoperative mortality is an objective endpoint that can be used to evaluate anesthesia safety, within and between institutions, and to test the effectiveness of changes in practice (Baker et al 2007). Our findings suggest that 48 h postoperative mortality at our hospital occurs at a rate of 5.7 per 1000 operations (0.57%).…”
Section: Discussionmentioning
confidence: 99%
“…Although this has some face validity, there is no strong evidence that such a system would improve the quality of care. 18 However, for the parallel aim of murder detection, then mortality monitoring could at best operate as a backstop to catch a prolific serial killer who has evaded detection by other means. …”
Section: Implications For Future Research and Practicementioning
confidence: 99%
“…It is also unclear whether it is possible to combine open, collaborative systems of investigation in quality improvement, with the confidential, forensic investigation required for murder detection. 10,11,18 Secondly, the choice of monitoring over 3 years is to some extent arbitrary. The choice was informed by real data on Scottish practice stability, and the use of monitoring that was being examined.…”
Section: Strengths and Limitations Of The Studymentioning
confidence: 99%
“…In peacetime, accurate and timely mortality data serve as an important tool in population forecasting, as indicators of a population's welfare, and for planning and developing health services and programmes and evaluating them [1][3]. In humanitarian crises (natural and man-made), such information serves a different purpose, mainly to evaluate the severity of the crisis, both at its onset and as it evolves over time [4].…”
mentioning
confidence: 99%