Document Zbl 1508.62296

Khosravi, Ramezan; Owlia, Mohammad Saleh; Fallahnezhad, Mohammad Saber; Amiri, Amirhossein

Phase I risk-adjusted control charts for surgical data with ordinal outcomes. (English) Zbl 1508.62296

Commun. Stat., Theory Methods 47, No. 18, 4422-4432 (2018).

Summary: In recent years, risk-adjusted control charts that account for the preoperative risk of patients have been widely used for monitoring of surgical outcomes. Generally, risk-adjusted control charts have been developed on the basis of a binary classification of surgical outcomes. However, for a patient who survives an operation, it is reasonable to consider different grades of recovery in an ordinal manner. On the other hand, Phase I monitoring of risk-adjusted control charts has been neglected. Hence, in this paper, a general Phase I risk-adjusted control chart is proposed to monitor ordinal outcomes of surgical outcomes. The proposed risk-adjusted model is developed on the basis of proportional odds logistic regression models. The application of the proposed model is illustrated by analyzing the data in a case study and its performance is evaluated using a Monte Carlo simulation study.

Cited in 2 Documents

MSC:

62P30	Applications of statistics in engineering and industry; control charts
62P10	Applications of statistics to biology and medical sciences; meta analysis

Keywords:

risk-adjusted control charts; surgical outcomes; proportional odds logistic regression; cumulative link models; phase I monitoring

Software:

ordinal

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References:

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