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Mortality Monitoring: Where are we now?

Dr Sharon Mayor Senior Lecturer in Healthcare Improvement at Cardiff University gives an update at today’s Reducing & Monitoring Avoidable Hospital Deaths conference on:

  • mortality monitoring: where are we now?
  • should hospital-wide mortality ratios be avoided?
  • looking forward: new ways to look at harm, mortality and avoidable deaths
  • engaging clinicians in assessing the safety of their care to stimulate improvement

Abstract of Dr Sharon Mayor’s presentation:

Mortality as a robust indicator of the quality of care provided by healthcare systems is contentious but highly emotive, engaging health service managers, professionals, patients and the public, politicians and the media. I will briefly outline the epidemiological use of mortality figures and how historically they have been used for service planning, service evaluation and benchmarking purposes. I will look specifically at the use of the HSMR at an organizational level, examining the strengths and limitations of their use as a stand-alone measure, before proposing a more comprehensive view of harm and mortality monitoring and it’s place within a quality assurance framework.

Current examples from across the UK will be used to outline different approaches to harm and mortality monitoring or measurement. I will draw from these: the basic principles; the measurement components; and finally, the information generated that may lead to the development of interventions aiming to improve the quality of care.

Finally, I will outline the role of the clinical professions and health service managers in engaging in harm and mortality measurement outlining how different professional groups may view quality issues from different lenses, which may have attendant implications for the composition of harm and mortality monitoring teams. Finally, the session will end with an assessment of how harm and mortality data may influence the prioritization and evaluation of quality improvement initiatives in clinical practice.

Dr Sharon Mayor’s full presentation is available for download at the end of this page.

Dr Sharon Mayor’s Biography:

Sharon Mayor is Senior Lecturer in Healthcare Quality at the Cochrane Institute of Primary Care and Public Health at Cardiff University. She has a background in Nursing, International Development and Epidemiology and has worked in the field of quality improvement in both service delivery and NHS settings. She is currently working on NIHR funded studies exploring and characterizing adverse events, in both UK primary and secondary care provision.  She sits on the National Mortality Review committee in Wales and is active within the Welsh Harm and Mortality collaborative.

Future conferences of interest:

Root Cause Analysis Conference: Investigating & Analysing Patient Safety Incidents
Wednesday 24 June 2015
ICO Conference Centre, London

Improving Patient Safety in Independent Healthcare
Wednesday 1 July 2015
Hallam Conference Centre, London

Reducing Medication Errors
Wednesday 1 July 2015
Manchester Conference Centre, Manchester

Eliminating Avoidable Pressure Ulcers
Thursday 2 July 2015
ICO Conference Centre, London

Managing when a Serious Clinical Incident Occurs
Wednesday 8 July 2015
Hallam Conference Centre, London

Leading your Organisation to Zero-Harm
Thursday 9 July 2015
Hallam Conference Centre, London

Eliminating Heel Pressure Ulcers
Thursday 24 September 2015
ICO Conference Centre, London

Reducing & Monitoring Avoidable Hospital Deaths attributable to problems in care
Thursday 8 October 2015
Hallam Conference Centre, London

Leading your Organisation to Zero-Harm
Thursday 22 October 2015
Manchester Conference Centre, Manchester

Eliminating Avoidable Pressure Ulcers
Wednesday 2 December 2015
Manchester Conference Centre, Manchester

Leading your Organisation to Zero-Harm
Thursday 10 December 2015
Hallam Conference Centre, London

 

 


Download: sharon-mayor_1031.pdf

21 May 2015

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