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Great fluctuation in mortality rates Dutch hospitals

In Dutch hospitals every year between 1,4 and 2,7 percent of the patients dies. This is shown by raw mortality rates of 2009 that have been made public by the Dutch Hospital Association (NVZ) and the Dutch Federation of University Medical Centers (NFU). 

The recently published death rates have not been corrected on for example age, gender or seriousness of the disease.

Highest mortality rates
Hospitals with the highest mortality rates are: the Franciscus Hospital in Roosendaal (2,73), the Orbis Medical Center in Sittard-Geleen (2,72), the Atrium Medical Center in Brunssum, Heerlen and Kerkrade (2,72), the Hospital Gelderse Vallei in Ede and Bennekom (2,7) en the Slingeland Hospital in Doetinchem (2,59).
 
Lowest mortality rates
The mortality rates are the lowest in the Amsterdam Sint Lucas Andreas Hospital (1,44), the Martini Hospital Groningen (1,51), the Sionsberg in Dokkum (1,55), the Hofpoort Hospital Woerden, the University Medical Center St. Radboud (1,66) and the Diaconessenhuis Utrecht (1,66).
 
Reluctance
In a corresponding article in NVZ and NFU admit that they were reluctant to make the raw death rates public. Reason to publicize them anyway is the ‘increasing pressure of the media, patient associations, the politics and the Health Care Inspectorate (IGZ)’. According to the interbranch organizations these numbers do not mean that much. “They are raw mortality rates, they are not corrected and therefore not mutual comparable. Which is also not the intent of the publication of hospital data”, Wim van Harten says, both chairman of NVZ and director of the Netherlands Cancer Institute-Antonie van Leeuwen Hospital. He is managerially responsible for the national expert group that is engaged in the formulation of quality indicators in hospitals. 
 
Primary source: Zorgvisie