NOCA launched the first National Audit of Hospital Mortality Report on Thursday 15th December 2016 at an event held in the Royal College of Surgeons in Ireland.
Hospital mortality is one of many potential outcome measures which can be used as a quality indicator to improve care. The first report presents an analysis of mortality from the National Audit of Hospital Mortality between 2013 and 2015. There are 44 acute publicly funded hospitals contributing data to the audit. The report presents information across five key diagnoses: acute myocardial infarction (AMI), heart failure, ischaemic stroke, haemorrhagic stroke and chronic obstructive pulmonary disease (COPD) & bronchiectasis in a clear and transparent manner which will be of interest to patients.
This report presents a crude in-hospital mortality rate between 2005 and 2015.
- In AMI there was a significant reduction in deaths per 100 admissions from 11.1 deaths in 2005 to 5.9 in 2015.
- For heart failure, there was a small but significant reduction from 9.6 deaths in 2005 to 7.9 in 2015.
- For ischaemic stroke, there was a small but significant reduction from 14.2 deaths in 2005 to 10.5 in 2015.
- There was almost no change for haemorrhagic stroke and COPD & bronchiectasis.
This report also presents standardised mortality ratios (SMR) for in-hospital mortality in 2015 (2013-2015 combined for haemorrhagic stroke). All hospitals were within the expected range for AMI, heart failure, ischaemic and haemorrhagic stroke with one hospital outside the expected range for COPD & bronchiectasis. This hospital has welcomed the NAHM report and is currently carrying out a detailed review.
This report cannot be used to compare hospitals to one another. No two hospitals are expected to be the same, as hospitals have very different case mix or patient profiles.
Copies of the report are available here
If you have any queries in relation to Major Trauma Audit, please contact us at email@example.com