Letters Mortality and hospital ranking

Can hospital mortality comparisons ever be fit for purpose?

BMJ 2013; 347 doi: https://doi.org/10.1136/bmj.f6898 (Published 19 November 2013) Cite this as: BMJ 2013;347:f6898
  1. Walter Holland, emeritus professor of public health1,
  2. Martin McKee, professor of European public health2
  1. 1London School of Economics, London WC2A 2AE, UK
  2. 2London School of Hygiene and Tropical Medicine, London, UK
  1. w.w.holland{at}lse.ac.uk

Nicholl and colleagues describe the well known limitations of comparisons of hospital mortality.1 2 3 They also mention another—the choice of whether to include post-discharge mortality and, if so, over what period.1 They conclude that “It might therefore be better to have two indicators of performance—an in-hospital measure and a two week post-discharge one. This would …

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