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Letters Hospital mortality ratios

What about community standardised mortality ratios?

BMJ 2010; 340 doi: (Published 25 May 2010) Cite this as: BMJ 2010;340:c2749
  1. Mark J Dayer, consultant1
  1. 1Taunton and Somerset NHS Trust, Taunton TA1 5DA
  1. markdayer{at}

    The hospital standardised mortality ratio may not be a good measure of a hospital’s quality,1 but it focuses attention on the quality of a hospital’s performance.

    Clinical coding has undoubted problems,2 despite its central importance. It is improving but still inadequate. In a system where hospitals are required to assess themselves, clinical coders risk being put …

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