Letters The death of death rates?
Time to abandon the use of HSMRs in the NHSBMJ 2015; 351 doi: https://doi.org/10.1136/bmj.h4308 (Published 11 August 2015) Cite this as: BMJ 2015;351:h4308
View Full Text
- Jammi N Rao, public health physician and non-executive director, Heart of England NHS Foundation Trust1
- 1Gorway Lodge, Walsall WS1 3BB, UK
The latest evidence on the lack of correlation between avoidable mortality and the hospital standardised mortality ratio (HSMR) should lead us to abandon its use.1 2
The use of HSMRs has been questioned before, 3 4 and there remain serious theoretical objections that have never been adequately addressed by its proponents.5
As the chair of my trust’s …
Log in using your username and password
Log in through your institution
Subscribe from £173 *
Subscribe and get access to all BMJ articles, and much more.
* For online subscription
Access this article for 1 day for:
£38 / $45 / €42 (excludes VAT)
You can download a PDF version for your personal record.