Mr. Doctor,
Do not mislead others. The numbers are scores, based on statistical indexing skills, after factoring in all statistically significant considerations.
This is funny! Shocked by index!!! Apparently, lots of people don't read. Those numbers mean nothing, except for comparison purposes, i.e. the distance from the mean.
Hopefully none of us will be part of the statistics.
I have been to few the hospitals mentioned. 4 1/2 years ago, my wife was 10 weeks into pregnancy. She was bleeding and we went to Grand River hospital. After 7 hours, one doctor visited us. He stayed for about 3 minutes. I asked about progesterone, he said he never heard about it. When I complained about waiting so long, his comment was "complain to the government for budget shortage". Needless to say, my wife had a miscarriage. You would understand my attitude towards Grand River.
7 years ago, I went to Scarborough General with my father. He was complaining about chest pain. He was admit right away. After numerous blood test and some X-ray, nobody visited him for another 5 hours before he was released from hospital. All this time, there were many people waiting at the emergency. One old guy complained to the nurse he should say he had a heart attack... Many years after that, one of my friend did use that trick. She was then giving some morphine. She later describe to me how she felt after the shot. She will never do that again.
My wife was 40 years old when we had our boy. We stayed at North York General. It was all good!
恕我眼拙,我没有在原文中看到有何危害相关因素的统计学分析描述。
统计学咱也学过一些,如果要考虑,那么就要分组,年龄,性别,种族,病种,病情轻重。。。在原文中没有看到任何相关描述,只是说把姑息治疗(palliative care)的病人(大多是癌症晚期)去除了。
所以这种临床统计的结果根本就没多大可信度。
再说原文中说的mortality rate肯定是病死率无疑吧?
我当然知道那是个评分(Score).
具体操作是以加拿大医院平均死亡率为标尺,给100分。
其它的医院100分以上的,反应死亡率高过平均,比如说Scarborough General Hospital得到了135的高分,低于100的,反应死亡率低于平均,比如University Health Network得了87的低分。但你不能说这两个医院的死亡率是135%和87%,那谁还敢去看病?
“The number attributed to a hospital doesn't represent number of deaths, but a score. With the number 100 representing the national average, hospital ranking above 100 means a mortality ratio above the national average, while a score below means a lower mortality rate.”
Mr. Doctor,
Do not mislead others. The numbers are scores, based on statistical indexing skills, after factoring in all statistically significant considerations.
This is funny! Shocked by index!!! Apparently, lots of people don't read. Those numbers mean nothing, except for comparison purposes, i.e. the distance from the mean.
Mr. Doctor,
Do not mislead others. The numbers are scores, based on statistical indexing skills, after factoring in all statistically significant considerations.
This is funny! Shocked by index!!! Apparently, lots of people don't read. Those numbers mean nothing, except for comparison purposes, i.e. the distance from the mean.
觉得你也很FUNNY~~
250,000这个数字也是INDEX吗?你眼睛长着是用来喘气的吗? 🙄
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Sedona
2008-11-27 15:20
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0
谢谢您的Research,简直是触目惊心!!!
This is funny! Shocked by index!!! Apparently, lots of people don't read. Those numbers mean nothing, except for comparison purposes, i.e. the distance from the mean.
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liuhaodoctor
2008-11-27 15:00
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上面这个统计多少说明点问题,当然这个评分也受很多因素的限制。
因为前来医院就诊病人的病情并不相同。
没有太大的参考价值。
举例来说:
Scarborough Grace Hospital: 110 慈恩
Sunnybrook Health Sciences Centre: 104 新宁
看上去相差不多,但据我说知多伦多大部分创伤急诊(比如车祸,枪击)都送往新宁医院,这必然会增加病人的死亡率,但实质上新宁医院的规模庞大,人员众多,设备技术到位,在多伦多地区的口碑是相当好,完全可以比肩University Health Network 下属的三家医院。当然UHN的三家医院以及附近的Mt. Sinai Hospital (西乃山), Toronto hospital for sick children(儿童病院)以及Women college hospital 都是第一流的服务水平。
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mahu
2008-11-27 14:46
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--------------------------------------------------------------------------------
Hospital Standardized Mortality Ratio
(Score of 100 represents the national average, palliative care not included.)
Toronto
North York General: 99
Mt. Sinai Hospital: N/A
St. Michael's Hospital: 91
Scarborough General Hospital: 135
Scarborough Grace Hospital: 110
Sunnybrook Health Sciences Centre: 104
Toronto East General Hospital: 104
University Health Network: 87
William Osler Health Centre Etobicoke General Hospital : 98
Humber River Regional Hospitals: N/A
GTA
Credit Valley Health Centre, Mississauga: 102
Richmond Hill: York Central Hospital: 101
Rouge Valley Health System: 106
Newmarket: Southlake Regional Health Centre: 100
Oakville Trafalgar Hospital: 91
Oshawa: Lakeridge Health Centre: 96
Trillium Health Centre, Mississauga: 99
William Osler Health Centre Peel Memorial Hospital: 81
Other Selected Ontario Cities
Barrie: Royal Victoria Hospital: 89
Burlington: Joseph Brant Memorial Hospital: 99
Guelph General Hospital: 91
McMaster Hospital, Hamilton: 88
Niagara Health System St. Catharines: 135
Peterborough Regional Health Care Centre: 109
London Health Sciences Centre: 112
See the full report here (.pdf file)
谢谢您的Research,简直是触目惊心!!! 😮 😮 😮
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kingswaydrive
2008-11-27 14:25
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0
http://www.citynews.ca/news/news_17254.aspx
Cdn. Hospitals Release Mortality Rates For The First Time
Friday November 30, 2007
CityNews.ca Staff
Three of Ontario's hospitals, including one in the GTA, made the bottom five in a new report ranking death rates at facilities across the country.
Scarborough General Hospital has the third highest rate of deaths in Canada, and the Toronto area's highest - according to the Canadian Institute for Health Information's (CIHI) study. The highest rate belonged to Grand River Hospital K.W. Health Centre in Kitchener, Ont., while Niagara Health System St. Catharines General in St. Catharines, Ont. came in second. Rounding out the bottom five, Burnaby Hospital in Burnaby, B.C. and Red Deer Regional Hospital in Red Deer, Alta.
It's the first time hospital mortality rates have been released to the public, and the report included 85 acute care hospitals and 42 health regions in all provinces excluding Quebec. The numbers are supposed to represent how well hospitals avoid preventable deaths. (See rankings below) The number attributed to a hospital doesn't represent number of deaths, but a score. With the number 100 representing the national average, hospital ranking above 100 means a mortality ratio above the national average, while a score below means a lower mortality rate.
"Hospitals and health care providers are continuously looking for ways to improve quality of care for their patients," says Graham W. S. Scott, Chair of the Board of Directors of CIHI, in a statement. "The HSMR (hospital standardized mortality ratio) builds on this good work by providing another important tool to better understand in-hospital mortality and identify areas for improvement."
The highest ranking GTA hospital was the University Health Network, which scored an 87. The University Health Network includes Toronto General, Princess Margaret, and Toronto Western Hospitals.
No Ontario hospitals made the top five (in terms of lowest mortality rates). They are, in order: The Moncton Hospital in Moncton, N.B., Foothills Medical Centre in Calgary, Alta., Regina General Hospital in Regina, Sask., Peter Lougheed Centre in Calgary, Alta., and Saint John Regional Hospital in Saint John, N.B.
The impetus for releasing these numbers is to improve patient care across the board and allow hospitals to see where they could be making improvements. The Ontario government has already mandated that the facilities must report injuries or death rates for certain procedures on their websites in addition to wait time statistics.
More than 250,000 have died in Canadian hospitals outside Quebec in the last three years.
--------------------------------------------------------------------------------
Hospital Standardized Mortality Ratio
(Score of 100 represents the national average, palliative care not included.)
Toronto
North York General: 99
Mt. Sinai Hospital: N/A
St. Michael's Hospital: 91
Scarborough General Hospital: 135
Scarborough Grace Hospital: 110
Sunnybrook Health Sciences Centre: 104
Toronto East General Hospital: 104
University Health Network: 87
William Osler Health Centre Etobicoke General Hospital : 98
Humber River Regional Hospitals: N/A
GTA
Credit Valley Health Centre, Mississauga: 102
Richmond Hill: York Central Hospital: 101
Rouge Valley Health System: 106
Newmarket: Southlake Regional Health Centre: 100
Oakville Trafalgar Hospital: 91
Oshawa: Lakeridge Health Centre: 96
Trillium Health Centre, Mississauga: 99
William Osler Health Centre Peel Memorial Hospital: 81
Other Selected Ontario Cities
Barrie: Royal Victoria Hospital: 89
Burlington: Joseph Brant Memorial Hospital: 99
Guelph General Hospital: 91
McMaster Hospital, Hamilton: 88
Niagara Health System St. Catharines: 135
Peterborough Regional Health Care Centre: 109
London Health Sciences Centre: 112
See the full report here (.pdf file)
I am Minhong Pan's husband. I have done some research on the Internet. Some reports said the pregnant mass bleeding happends 1 out of 8000 in North America. But this hospital have this happend at least 3 times in 6 months (including one case in June and fortunetly the pregnant was saved). Such a high rate means there should be medical malpractice with it. I already have a lawyer to sue the hospital. If Mr. Guo wants to join me, please feel free to contact me at 416-624-8830. Right now I cannot type Chinese, should anybody can let Mr. Guo know my number will be appreciated. Thanks.
我来翻译一下,以防万一郭先生不熟悉英文:
我是潘红明的丈夫。我已经在互联网上做了一些查询。一些报道说,孕妇大出血发生率在北美地区是 1/8000。但这个医院在6个月内发生了至少有3次这样的事故(包括1例发生在6月的那次.所幸那个产妇活了下来.)。这样高的医疗事故率意味着是行医不当。我已经请了一个律师准备起诉医院。如果郭先生想和我联合起诉,请随时与我联系 416-624-8830 。现在,我不能输入中文(所以用了英文),如果谁能将此事告知郭先生及我的电话号码.我将感谢。谢谢。
福建移民士嘉堡慈恩医院产后昏迷死亡