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Correspondence
To what extent are inpatient deaths preventable? The author's reply
  1. Helen Hogan1,
  2. Frances Healey2,
  3. Graham Neale3,
  4. Richard Thomson4,
  5. Charles Vincent3,
  6. Nick Black1
  1. 1Department of Health Services Research & Policy, London School of Hygiene & Tropical Medicine, London, UK
  2. 2National Patient Safety Agency, London, UK
  3. 3Clinical Safety Research Unit, Imperial College, London, UK
  4. 4Institute of Health and Society, University of Newcastle, Newcastle upon Tyne, UK
  1. Correspondence to Dr Helen Hogan, Department of Health Services Research & Policy, London School of Hygiene & Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, UK; helen.hogan{at}lshtm.ac.uk

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We are pleased that findings from our Preventable Incidents, Survival and Mortality Study (PRISM) study1 are consistent with Nash and Quinn's clinical experience. They raise the important point that published variation in hospital standardised mortality ratios (HSMRs) and its recent modified version, the summary hospital-level mortality indicator, between acute trusts and within individual trusts over time, is greater …

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