What about community standardised mortality ratios?BMJ 2010; 340 doi: https://doi.org/10.1136/bmj.c2749 (Published 25 May 2010) Cite this as: BMJ 2010;340:c2749
- Mark J Dayer, consultant1
- 1Taunton and Somerset NHS Trust, Taunton TA1 5DA
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 …