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Board Meeting Agenda July 2012 - Birmingham Children's Hospital

Board Meeting Agenda July 2012 - Birmingham Children's Hospital

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Deaths in the Paediatric Intensive Care Unit (PICU)<br />

CUSUM Charts<br />

Another way of representing outcome data is by cumulated sum charts. These can be used where there is<br />

a score available to give a risk of mortality for each individual patient. Currently this method is in use at<br />

BCH for intensive care and cardiac surgery patients.<br />

The charts use data from all patients, not just deaths, so are more powerful than SMR in detecting<br />

problems.<br />

For BCH, the PICU CUSUM<br />

is a good reflection of<br />

overall hospital mortality<br />

as over 70% of deaths at<br />

the hospital occur on<br />

PICU. There is no<br />

evidence of systemic care<br />

failures which could have<br />

contributed to deaths on<br />

PICU.

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