Comparing hospital perinatal mortality rates: a quality improvement instrument.


This article describes the development of a reliable measurement instrument for the quality of perinatal care. The Hospital Perinatal Mortality Comparison (HPMC) predicts the expected perinatal mortality for individual hospitals, based on the perinatal mortality experienced in a group of similar newborns in a large reference population. Out of the 76 hospitals analyzed in 1990, 2 performed significantly better and 5 performed significantly worse than expected according to the logistic regression model. These results may lead to the identification of opportunities for improving the process of medical care in these hospitals.

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@article{Holthof1993ComparingHP, title={Comparing hospital perinatal mortality rates: a quality improvement instrument.}, author={B Holthof and Philip J Prins}, journal={Medical care}, year={1993}, volume={31 9}, pages={801-7} }