Risk-adjusted number-between failures charting procedures for monitoring a patient care process for acute myocardial infarctions.
Risk-adjusted charts for monitoring a surgical or patient care process have recently gained prominence in the literature. To monitor a patient care process, especially to detect deterioration is crucial in saving patients' lives. In this paper, a new charting procedure is developed for monitoring a patient care process for patients admitted to a hospital with acute myocardial infarctions. This procedure is based on the number-between failures by taking the patients' risks into account. When there is a change in the risk distribution of incoming patients, it is demonstrated that this procedure will behave properly while the non-risk-adjusted counterpart will signal incorrectly that the patient care process has changed. The setting up of this chart to monitor a patient care process for patients with acute myocardial infarctions is described in detail.
Gan
Fah Fatt
FF
Department of Statistics and Applied Probability, National University of Singapore, 6 Science Drive 2, Singapore 117546, Singapore. staganff@nus.edu.sg
Tan
Tess
T
D004282:Documentation; D006801:Humans; D009203:Myocardial Infarction / Q000601:surgery; D016017:Odds Ratio; D010346:Patient Care Management; D020379:Risk Adjustment / Q000706:statistics & numerical data