Acute risk change (ARC) identifies outlier institutions in perioperative cardiac surgical care when the standardized mortality ratio cannot T.G. Coulson,

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Acute risk change (ARC) identifies outlier institutions in perioperative cardiac surgical care when the standardized mortality ratio cannot T.G. Coulson, M. Bailey, C.M. Reid, L. Tran, D.V. Mullany, J. Parker, P. Hicks, D. Pilcher British Journal of Anaesthesia Volume 117, Issue 2, Pages 164-171 (August 2016) DOI: 10.1093/bja/aew180 Copyright © 2016 The Author(s) Terms and Conditions

Fig 1 Funnel plots showing acute risk change (ARC; expressed as a percentage absolute change in risk of death), AusSCORE standardized mortality ratio (SMR), and APACHE III SMR as a measure of institutional performance between 2008 and 2011 (institutions=18, n=16 656). British Journal of Anaesthesia 2016 117, 164-171DOI: (10.1093/bja/aew180) Copyright © 2016 The Author(s) Terms and Conditions

Fig 2 Funnel plots showing acute risk change (ARC) as a measure of institutional performance separated into calendar years. The number of units participating in the database increased through the study period. British Journal of Anaesthesia 2016 117, 164-171DOI: (10.1093/bja/aew180) Copyright © 2016 The Author(s) Terms and Conditions