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2023-12-28

Spiegelhalter D, Grigg O, Kinsman R, Treasure T. Risk-adjusted sequential probability ratio tests: applications to Bristol, Shipman and adult cardiac surgery. International Journal for Quality in Health Care. 2003;15(1):7.

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Empirical study

Groups

Organisations - hospitals

Stat. process control

A powerfully persuasive argument for the use of statistical process control analytics in healthcare. This technique was used to clearly demonstrate significantly deficient pediatric cardiac surgery outcomes in a service compared with peer groups many years before this became impossible to ignore. So too in the case of patient deaths at the hand of GP mass murderer. The power of these simple statistical techniques so clearly demonstrated in this important paper is still less well recognised than it deserves.

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