Abstract

The Royal College of Physicians’ Guidance on safe medical staffing (GoSMS) report proposes staff numbers per 30-bed medical ward for expert clinical decision makers (ECDM), senior clinical decision makers (SCDM) and competent clinical decision makers (CCDM). The report recognised that outcome data in relation to medical staffing levels are limited. The Summary Hospital level Mortality Indicator (SHMI) is the adjusted measure of mortality calculated for hospital providers comparing actual with expected …

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