Titre :
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HOSPITAL AND PATIENT CHARACTERISTICS ASSOCIATED WITH DEATH AFTER SURGERY : A STUDY OF ADVERSE OCCURRENCE AND FAILURE TO RESCUE (1992)
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Auteurs :
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J.H. SILBER ;
et al.
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Type de document :
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Article
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Dans :
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Medical care (vol. 30, n° 7, 1992/07)
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Pagination :
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15 p.
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Langues:
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Anglais
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Mots-clés :
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Hôpital
;
Mortalité
;
Complication postopératoire
;
Qualité soins
;
Chirurgie
;
Etats Unis
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Résumé :
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We asked if the factors that predict overall mortality following two common surgical procedures are different from those that predict adverse occurences during the hospitalization or death after an adverse occurence, which we refer to as "failure to rescue"...The death rate was associated with both hospital and patient characteristics. The advers occurence rate was associated primarily with patient characteristics. In contrast, failure to rescue was associated more with hospital characteristics, and was less influenced by patient admission severity of illness as measured by the Medisgroups score. We concluded that factors associated with hospital failure to rescue are different from factors associated with adverse occurences or death. Understanding the reasons behind variation in mortality rates across hospitals should improve our ability to use mortality statistics to help hospitals upgrade the quality of care. (R.A.)
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