Ethical considerations for classifying patients as ‘palliative’ when calculating Hospital Standardised Mortality Ratios
The Hospital Standardised Mortality Ratio (HSMR) is a commonly used measure of hospital mortality that is standardised for age, comorbidities and other factors. By tradition, this statistic has always excluded patients classified as ‘palliative’. The HSMR has never been validated as a reliable measu...
| Authors: | ; ; |
|---|---|
| Format: | Electronic Article |
| Language: | English |
| Check availability: | HBZ Gateway |
| Journals Online & Print: | Drawer...
|
| Fernleihe: | Fernleihe für die Fachinformationsdienste |
| Published: |
BMJ Publ.
2010
|
| In: |
Journal of medical ethics
Year: 2010, Volume: 36, Issue: 7, Pages: 387-390 |
| Online Access: |
Volltext (JSTOR) Volltext (lizenzpflichtig) Volltext (lizenzpflichtig) |
MARC
| LEADER | 00000caa a22000002 4500 | ||
|---|---|---|---|
| 001 | 1816139416 | ||
| 003 | DE-627 | ||
| 005 | 20230427161252.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 220908s2010 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1136/jme.2010.035451 |2 doi | |
| 035 | |a (DE-627)1816139416 | ||
| 035 | |a (DE-599)KXP1816139416 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 1 |2 ssgn | ||
| 100 | 1 | |a Downar, James |e VerfasserIn |4 aut | |
| 245 | 1 | 0 | |a Ethical considerations for classifying patients as ‘palliative’ when calculating Hospital Standardised Mortality Ratios |
| 264 | 1 | |c 2010 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 520 | |a The Hospital Standardised Mortality Ratio (HSMR) is a commonly used measure of hospital mortality that is standardised for age, comorbidities and other factors. By tradition, this statistic has always excluded patients classified as ‘palliative’. The HSMR has never been validated as a reliable measure of quality of care, and it can be very hard to interpret, partly due to difficulties with defining and applying the term ‘palliative’. In this paper, we review the Canadian experience with the palliative status flag, and explain why it is so difficult to define and apply consistently. We also highlight some potential concerns about clinicians labelling inpatients as ‘palliative’ during their admission. Finally, we propose an organisational ethics framework, and six specific suggestions for hospitals to use when publishing statistics such as the HSMR. | ||
| 601 | |a Patient | ||
| 700 | 1 | |a Sibbald, Robert |e VerfasserIn |4 aut | |
| 700 | 1 | |a Lazar, M. |e VerfasserIn |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Journal of medical ethics |d London : BMJ Publ., 1975 |g 36(2010), 7, Seite 387-390 |h Online-Ressource |w (DE-627)323607802 |w (DE-600)2026397-1 |w (DE-576)260773972 |x 1473-4257 |7 nnns |
| 773 | 1 | 8 | |g volume:36 |g year:2010 |g number:7 |g pages:387-390 |
| 856 | |3 Volltext |u http://www.jstor.org/stable/25699688 |x JSTOR | ||
| 856 | 4 | 0 | |u https://doi.org/10.1136/jme.2010.035451 |x Resolving-System |z lizenzpflichtig |3 Volltext |
| 856 | 4 | 0 | |u http://jme.bmj.com/content/36/7/387.abstract |x Verlag |z lizenzpflichtig |3 Volltext |
| 935 | |a mteo | ||
| 951 | |a AR | ||
| ELC | |a 1 | ||
| ITA | |a 1 |t 1 | ||
| LOK | |0 000 xxxxxcx a22 zn 4500 | ||
| LOK | |0 001 4185593295 | ||
| LOK | |0 003 DE-627 | ||
| LOK | |0 004 1816139416 | ||
| LOK | |0 005 20220908053520 | ||
| LOK | |0 008 220908||||||||||||||||ger||||||| | ||
| LOK | |0 035 |a (DE-Tue135)IxTheo#2022-08-02#2540707F66717F104E2F1E5207D4A8DCBAE002A3 | ||
| LOK | |0 040 |a DE-Tue135 |c DE-627 |d DE-Tue135 | ||
| LOK | |0 092 |o n | ||
| LOK | |0 852 |a DE-Tue135 | ||
| LOK | |0 852 1 |9 00 | ||
| LOK | |0 866 |x JSTOR#http://www.jstor.org/stable/25699688 | ||
| LOK | |0 935 |a ixzs |a ixrk |a zota | ||
| OAS | |a 1 |b inherited from superior work | ||
| ORI | |a SA-MARC-ixtheoa001.raw | ||