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Table 2 Example of non-comparability of SMRs

From: Direct risk standardisation: a new method for comparing casemix adjusted event rates using complex models

Casemix group

National standard death rate

Hospital A: Death rate

Hospital A: Casemix proportions

Hospital B: Death rate

Hospital B: Casemix proportions

1. High risk

0.9

0.8

0.4

0.8

0.3

2. Low risk

0.1

0.2

0.6

0.2

0.7

SMR

  

O = (0.4×0.8) + (0.6×0.2)

 

O = (0.3×0.8) + (0.7×0.2)

   

E = (0.4×0.9) + (0.6×0.1)

 

E = (0.3×0.9) + (0.7×0.1)

   

SMR = 105

 

SMR = 112