BMC Health Services Research

official impact factor 1.72

Open Access Research article

What is the empirical evidence that hospitals with higher-risk adjusted mortality rates provide poorer quality care? A systematic review of the literature

David W Pitches, Mohammed A Mohammed and Richard J Lilford*

Author Affiliations

Department of Public Health and Epidemiology, University of Birmingham, Birmingham, UK

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BMC Health Services Research 2007, 7:91 doi:10.1186/1472-6963-7-91

Published: 20 June 2007

Additional files

Additional File 1:

Search strategy PDF 11K

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Additional file 4:

Relationship between risk-adjusted mortality and processes of care by several strata – type of correlation, condition and organisation. Bracketed () figures are the most optimistic intuitive count if the three studies from Additional File 2 are included in which the relationship between quality of care and mortality was influenced by one outlier hospital. PDF 17K

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Additional file 2:

Studies that directly correlate processes of care with risk-adjusted mortality PDF 44K

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Additional file 3:

Studies that indirectly correlate process with outcome PDF 29K

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