Funnel plots for comparing institutional performance
Copyright policy )Funnel plots for comparing institutional performance
Abstract‘Funnel plots’ are recommended as a graphical aid for institutional comparisons, in which an estimate of an underlying quantity is plotted against an interpretable measure of its precision. ‘Control limits’ form a funnel around the target outcome, in a close analogy to standard Shewhart control charts. Examples are given for comparing proportions and changes in rates, assessing association between outcome and volume of cases, and dealing with over‐dispersion due to unmeasured risk factors. We conclude that funnel plots are flexible, attractively simple, and avoid spurious ranking of institutions into ‘league tables’. Copyright © 2004 John Wiley & Sons, Ltd.
- Medical Research Council United Kingdom
- University of Cambridge United Kingdom
- MRC Biostatistics Unit United Kingdom
Biometry, Adolescent, Quality Assurance, Health Care, Infant, Cross-Sectional Studies, England, Pregnancy, Risk Factors, Outcome Assessment, Health Care, Pregnancy in Adolescence, Odds Ratio, Humans, Female, Cardiac Surgical Procedures, Coronary Artery Bypass
Biometry, Adolescent, Quality Assurance, Health Care, Infant, Cross-Sectional Studies, England, Pregnancy, Risk Factors, Outcome Assessment, Health Care, Pregnancy in Adolescence, Odds Ratio, Humans, Female, Cardiac Surgical Procedures, Coronary Artery Bypass
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