Hospital adverse events and control charts: the need for a new paradigm

Morton, A., Clements, A. and Whitby, M. (2009) Hospital adverse events and control charts: the need for a new paradigm. Journal of Hospital Infection, 73 3: 225-231. doi:10.1016/j.jhin.2009.07.026

Author Morton, A.
Clements, A.
Whitby, M.
Title Hospital adverse events and control charts: the need for a new paradigm
Journal name Journal of Hospital Infection   Check publisher's open access policy
ISSN 0195-6701
Publication date 2009-11
Year available 2009
Sub-type Article (original research)
DOI 10.1016/j.jhin.2009.07.026
Volume 73
Issue 3
Start page 225
End page 231
Total pages 7
Editor S. J. Dancer
Place of publication London, United Kingdom
Publisher W.B. Saunders & Co.
Collection year 2010
Language eng
Subject C1
920208 Health Policy Evaluation
111709 Health Care Administration
Abstract Control charts are being increasingly used to summarise sequential rates of hospital adverse events (AEs). They are designed to detect departures from stable, predictable processes and are therefore appropriate when information about the mean value and variability of the relevant time-series data is available, from when the process is or has been in a stable, predictable state. This is often the case with binary data AEs such as surgical site infections and surgical mortality. However, it may not always be possible to determine the stable predictable rate at which events such as patient falls, pressure ulcers, medication errors or new isolates of a multiresistant organism (MRO) occur. Furthermore, such a rate may sometimes not exist, as is frequently the case with antibiotic usage and MRO prevalence data. It may then be better to employ time-series methods to analyse and present the data. A convenient approach is to employ spline-regression or a generalised additive model.
Keyword Adverse events
Control charts
Data analysis
Time-series methods
Q-Index Code C1
Q-Index Status Confirmed Code

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2010 Higher Education Research Data Collection
School of Public Health Publications
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Citation counts: TR Web of Science Citation Count  Cited 6 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 6 times in Scopus Article | Citations
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Created: Sun, 06 Dec 2009, 00:05:27 EST