 Commissioned analysis of surgical performance using routine data: lessons from the Bristol inquiryDavid J. Spiegelhalter, Paul Aylin, Nicola G. Best, Stephen J. W. Evans and Gordon D. Murray Journal of the Royal Statistical Society Series A, 2002, vol. 165, issue 2, 191-221 Abstract: The public inquiry into paediatric cardiac surgery at the Bristol Royal Infirmary commissioned the authors to design and conduct analyses of routine data sources to compare surgical outcomes between centres. Such analyses are necessarily complex in this context but were further hampered by the inherent inconsistencies and mediocre quality of the various sources of data. Three levels of analysis of increasing sophistication were carried out. The reasonable consistency of the results arising from different sources of data, together with a number of sensitivity analyses, led us to conclude that there had been excess mortality in Bristol in open heart operations on children under 1 year of age. We consider criticisms of our analysis and discuss the role of statisticians in this inquiry and their contribution to the final report of the inquiry. The potential statistical role in future programmes for monitoring clinical performance is highlighted. Date: 2002 Downloads: (external link) Related works: Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text Persistent link: https://EconPapers.repec.org/RePEc:bla:jorssa:v:165:y:2002:i:2:p:191-221 Ordering information: This journal article can be ordered from Access Statistics for this article Journal of the Royal Statistical Society Series A is currently edited by A. Chevalier and L. Sharples More articles in Journal of the Royal Statistical Society Series A from Royal Statistical Society Contact information at EDIRC. |
Is your work missing from RePEc? Here is how to contribute.
Questions or problems? Check the EconPapers FAQ or send mail to .
EconPapers is hosted by the
School of Business at Örebro University.