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International Journal for Quality in Health Care 15:5-06 (2003)
© 2003 International Society for Quality in Health Care

Counterpoint

Risk-adjusted sequential probability ratio tests and longitudinal surveillance methods

James C. Benneyan and Alicia D. Borgman

Northeastern University, Boston, MA, USA

The first 10% of the full text of this article appears below.

Use of statistical process control in health care

Statistical methods can play an important role in detecting changes in many hospital processes, including mortality and adverse event rates. Several surveillance methods have an established history of use within health care, while others such as standard and modified statistical process control (SPC) are experiencing growing interest. The retrospective use of SPC by Spiegelhalter et al. [1] is an excellent example of the potential role that risk-adjusted control charts could have played in earlier detection of higher mortality rates in the Bristol Royal Infirmary and of general practitioner Harold Shipman.

Statistical control charts were first developed in the 1920s by Walter Shewhart at Bell Laboratories [2], popularized by physicist and statistician W. Edwards . . . [Full Text of this Article]

Special-purpose control charts and statistical issues

Risk-adjustment
Chart sensitivity
Rare events
Other statistical issues
Summary


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