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Annex A > Chapter 19 - Statistics Relating to the Clinical Performance of Paediatric Cardiac Surgical Services in Bristol Compared with Other Specialist Centres during the Period 1984 to 1995


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Chapter 19 - Statistics Relating to the Clinical Performance of Paediatric Cardiac Surgical Services in Bristol Compared with Other Specialist Centres during the Period 1984 to 1995

Introduction: purpose and scope of the chapter

Section one: statistics relating to clinical performance available to clinicians in Bristol during the period 1984 to 1995

Statistics relating to clinical performance produced by the clinicians in Bristol

Logs

Accessibility, availability and use of logs

Annual statistical summaries

The Annual Reports on paediatric cardiology and cardiac surgery

Statistics produced for audit and other meetings

The returns made to the UKCSR

The South West Congenital Heart Register

The METASA System and the Patient Analysis and Tracing System

Statistics relating to clinical performance at other specialist centres (for the purpose of comparison) available from external sources

The United Kingdom Cardiac Surgical Register (UKCSR)

Working Party reports

Statistics relating to clinical outcomes available from professional meetings, contacts and journals as a means of comparison

Professional meetings, other professional contacts and professional journals

Other statistics relating to clinical performance

Patient Administration System

The CHKS Report

Hospital Episode Statistics

Section two: the views of the Inquiry's Experts on the interpretation of statistics relating to clinical performance which were available to clinicians in Bristol during the period 1984 to 1995

Statistics relating to clinical performance produced by the clinicians in Bristol

Statistics relating to clinical performance at other specialist centres (for the purpose of comparison) available from external sources

The UKCSR

Professional journals

Section three: the principal conclusions of the Inquiry's Experts on statistics

The Experts' summary of their principal conclusions

The principal conclusions in greater detail

Section four: the evidence of the Inquiry's Experts relating to post-operative morbidity

Terminology

Identifying morbidity in the form of brain damage following heart surgery in children

The nature and extent of post-operative morbidity in Bristol

Post-operative morbidity in Bristol compared with other specialist centres

The Experts' overall conclusions

Section five: views on the interpretation, reliability and validity of the evidence on statistics received by the Inquiry

Comments of the clinicians at Bristol (and others) on the evidence of the Experts on statistics received by the Inquiry, and the Experts' responses

The interpretation of the statistical evidence relating to clinical performance in Bristol

The national sources of statistics used to compare clinical performance

The statistical methods used by the Experts to analyse the data

Differences in the data presented in the evidence of the Inquiry's Experts and the data submitted by the Bristol surgeons

The Bristol surgeons' formal written comments on the Experts' Overview Report and the Experts' responses

Assessments of the Experts' Overview Report


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