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Table 4 Distribution of the nominally scaled clinical performance results according to the online ratings on RateMDs

From: A cross-sectional study assessing the association between online ratings and clinical quality of care measures for US hospitals: results from an observational study

  Scaled survey ratings Narrative comment sentiment
  One star Two stars Three stars Four stars Five stars p Positive Neutral Negative p
Healthcare Associated Infections           
Central Line-Associated Bloodstream Infection (CLABSI)           
Better than the US national benchmark 20.9% 24.5% 22.7% 22.1% 25.7% ** 23.1% 12.3% 25.5% **
No different than the US national benchmark 49.4% 37.2% 40.3% 39.7% 20.4%   42.3% 39.5% 26.7%  
Worse than the US national benchmark 0.6% 0.0% 1.1% 0.0% 0.0%   0.4% 1.2% 0.0%  
Number of cases too small 1.2% 0.5% 3.3% 1.0% 6.1%   2.0% 1.2% 4.1%  
Not available 27.9% 37.8% 32.6% 37.2% 47.8%   32.2% 45.7% 43.8%  
Catheter-Associated Urinary Tract Infections (CAUTI)           
Better than the US national benchmark 8.1% 8.2% 9.9% 8.1% 4.8% ** 9.1% 7.4% 5.8% **
No different than the US national benchmark 49.4% 40.8% 45.9% 40.6% 30.6%   44.9% 35.8% 35.4%  
Worse than the US national benchmark 15.7% 16.3% 12.2% 14.7% 11.8%   15.1% 12.3% 12.2%  
Number of cases too small 1.2% 0.5% 3.3% 1.0% 6.1%   2.0% 1.2% 4.1%  
Not available 25.6% 34.2% 28.7% 35.5% 46.7%   28.8% 43.2% 42.6%  
MRSA blood Laboratory-identified Events (bloodstream infections)           
Better than the US national benchmark 4.1% 2.6% 1.7% 1.0% 1.3% ** 2.9% 1.3% 1.2% *
No different than the US national benchmark 53.5% 50.3% 48.6% 52.5% 41.0%   50.2% 48.8% 45.9%  
Worse than the US national benchmark 3.5% 2.6% 7.2% 3.0% 0.9%   4.7% 1.3% 1.7%  
Number of cases too small 1.7% 0.0% 3.3% 1.0% 5.2%   2.2% 0.0% 3.5%  
Not available 37.2% 44.6% 39.2% 42.4% 51.5%   40.0% 48.8% 47.7%  
Clostridium difficile (C.diff.) Laboratory identified Events           
Better than the US national benchmark 19.8% 16.4% 17.7% 13.2% 14.4% ** 17.5% 13.8% 14.2% **
No different than the US national benchmark 42.4% 48.2% 56.9% 54.3% 42.4%   52.2% 56.3% 41.0%  
Worse than the US national benchmark 15.7% 7.7% 6.6% 11.7% 7.0%   10.2% 6.3% 9.3%  
Number of cases too small 1.7% 0.0% 3.3% 1.0% 5.2%   2.2% 0.0% 3.5%  
Not available 20.3% 27.7% 15.5% 19.8% 31.0%   18.0% 23.8% 32.0%  
Readmissions Complications and Deaths           
Serious blood clots after surgery           
Better than the US national benchmark 6.4% 7.7% 6.1% 3.5% 5.2% * 6.9% 3.8% 4.1%  
No different than the US national benchmark 62.6% 52.6% 60.6% 61.1% 47.4%   58.3% 55.0% 53.3%  
Worse than the US national benchmark 7.6% 10.7% 8.9% 8.6% 8.7%   9.5% 7.5% 8.7%  
Number of cases too small 1.2% 0.0% 3.9% 1.0% 5.7%   2.0% 1.3% 3.8%  
Not available 22.2% 29.1% 20.6% 25.8% 33.0%   23.3% 32.5% 30.1%  
Accidental cuts and tears from medical treatment           
Better than the US national benchmark 4.1% 3.1% 2.8% 4.5% 3.9% * 3.3% 2.5% 4.7%  
No different than the US national benchmark 65.1% 60.5% 66.7% 62.6% 48.7%   63.9% 58.8% 53.8%  
Worse than the US national benchmark 7.6% 7.2% 6.7% 6.1% 7.8%   7.3% 6.3% 7.0%  
Number of cases too small 1.2% 0.0% 3.9% 1.0% 5.2%   2.2% 0.0% 3.5%  
Not available 22.1% 29.2% 20.0% 25.8% 34.3%   23.3% 32.5% 31.1%  
Collapsed lung due to medical treatment           
Better than the US national benchmark 0.6% 1.0% 0.6% 0.5% 0.4% * 0.9% 1.3% 0.3%  
No different than the US national benchmark 74.3% 66.3% 75.0% 71.6% 59.1%   71.8% 65.0% 64.2%  
Worse than the US national benchmark 1.8% 3.6% 1.1% 1.0% 2.2%   2.0% 1.3% 1.7%  
Number of cases too small 1.2% 0.0% 3.9% 1.0% 5.2%   2.2% 0.0% 3.5%  
Not available 22.2% 29.1% 19.4% 25.9% 33.0%   23.1% 32.5% 30.2%  
Serious complications (PSI-90-SAFETY)           
Better than the US national benchmark 3.5% 2.6% 3.3% 5.1% 3.0% * 3.3% 1.3% 4.1%  
No different than the US national benchmark 66.3% 60.2% 68.0% 61.6% 50.4%   64.5% 58.8% 54.9%  
Worse than the US national benchmark 7.0% 8.2% 5.5% 6.6% 7.0%   7.1% 7.5% 6.4%  
Number of cases too small 1.2% 0.0% 3.3% 1.0% 5.2%   1.8% 0.0% 3.5%  
Not available 22.1% 29.1% 19.9% 25.8% 34.3%   23.3% 32.5% 31.1%  
Rate of readmission after discharge from hospital (hospital-wide)           
Better than the US national benchmark 10.4% 9.2% 14.9% 10.6% 15.7% * 11.7% 8.8% 14.0%  
No different than the US national benchmark 72.3% 70.4% 68.5% 71.7% 70.7%   70.9% 73.8% 69.8%  
Worse than the US national benchmark 15.0% 14.3% 9.9% 16.2% 8.3%   12.8% 11.3% 12.8%  
Number of cases too small 0.0% 5.6% 3.3% 0.0% 2.2%   2.4% 5.0% 1.5%  
Not available 2.3% 0.5% 3.3% 1.5% 3.1%   2.4% 1.3% 2.0%  
  1. Chi-square test (* p < 0.05; ** p < 0.001)