Special or Theme Issue

Do HSMRs really measure patient safety? 

Leatt P; Wen E; Sandoval C; Zelmer J; Webster G; Jarman B; McKinley J; Gibson D; Ardal S; Zahn C; Baker M; MacNaughton J; Flemming C; Bell R; Figler S; Brien SE; Ghali WA; Sheps SB; Penfold RB; Dean S; Flemons W; Moffatt M.

This special issue discusses the pros and cons of the hospital standardized mortality ratio (HSMR) measurement tool for improving patient safety and quality in the Canadian health care system.