RSS HIGHLANDS LOCAL GROUP MEETING:
TITLE:
Commissioned analysis of surgical performance using routine data:
The Bristol Inquiry
SPEAKER: Nicky Best (Imperial College, London)
DATE: 4pm, Thursday 14 November 2002
VENUE: 7th floor conference room of the phase 2 part of the Institute of
Medical Sciences (IMS) building at the medical school, University of
Aberdeen.
Phase 2 is under the 1 in
http://www.abdn.ac.uk/central/vcampus/indexmed.hti
and to the right of the B in
http://www.abdn.ac.uk/central/vcampus/med_school.hti
The IMS building is a very modern 7 storey building of matt grey panels
with chrome chimneys.
TEA: from 3:45 pm (in the same room)
ABSTRACT:
The public inquiry into paediatric cardiac surgery at the Bristol Royal
Infirmary commissioned the speaker and colleagues to design and conduct
analyses of routine data sources in order to compare surgical outcomes
between centres.
Such analyses are necessarily complex in this context, but were further
hampered by the inherent inconsistencies and mediocre quality of the
various data sources. Three levels of analysis of increasing
sophistication were carried out. The reasonable consistency of the
results arising from different data sources, together with a number of
sensitivity analyses, led us to conclude that there had been excess
mortality in Bristol in open-heart operations on children under 1 year
of age.
This talk will discuss some the statistical and data issues involved in
carrying out this analysis,
and highlight the potential role of statistics in future programmes for
monitoring clinical performance.
Claus Mayer,
Secretary, Highlands Local Group
(http://www.maths.abdn.ac.uk/maths/department/rss/highlands.html)
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Claus-D. Mayer | http://www.bioss.ac.uk
Biomathematics & Statistics Scotland | email: [log in to unmask]
Rowett Research Institute | Telephone: +44 (0) 1224 716652
Aberdeen AB21 9SB, Scotland, UK. | Fax: +44 (0) 1224 716608
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