Krankenhaus Neuwerk "Maria von den Aposteln" gGmbH

Quality results

Treatment sector: Breast surgery (MC)

Designation Mammachirurgie
Shortcut 18/1
Number of cases 42
Documentation rate 102.38 %

Summary result:

In 10 of 10 quality characteristics, the quality objective was achieved.
No assessment is possible for one quality characteristic


Number of patients treated: 42

Quality objective achieved
Quality objective not achieved

The results in detail

Quality criterion
Hospital result
and target area
Quality objective
achieved?
All information
This is how often tissue was removed and examined before the operation to confirm the diagnosis
Hospital: 100,00 %
Target area: at least 95,00 %
Quality objective achieved
This is how often microcalcifications in the breast tissue were marked with a wire before the operation
Hospital: Data protection

No information due to data protection

Target area: at least 80,95 %
Quality objective achieved
This is how often suspicious breast tissue without microcalcifications was marked with a wire before the operation
Hospital: 100,00 %
Target area: at least 54,43 %
Quality objective achieved
This is how often the tissue marked with a wire by X-ray and then removed was checked during the operation
Hospital: 100,00 %
Target area: at least 95,00 %
Quality objective achieved
This is how often the tissue marked by ultrasound with a wire and then removed was checked during the operation
Hospital: Data protection

No information due to data protection

Target area: at least 95,00 %
Assessment not possible
This is how rarely the lymph nodes in the armpit were completely removed in patients with early-stage breast cancer
Hospital: Data protection

No information due to data protection

Sentinel Event
Quality objective achieved
This is how rarely the lymph nodes in the armpit were completely removed in patients with early-stage breast cancer and breast-conserving surgery
Hospital: Data protection

No information due to data protection

Target area: at most 5,00 %
Quality objective achieved
So often only the sentinel lymph nodes were removed - a subsequent examination confirmed that this was medically justified
Hospital: 100,00 %
Target area: at least 90,00 %
Quality objective achieved
So rarely have patients been given a reflection period of less than 7 days between diagnosis and surgery
Hospital: 0,00 %
Target area: at most 7,69 %
Quality objective achieved
So rarely were follow-up operations necessary because the malignant tumours were incompletely removed in the first operation or only removed without a sufficient safety margin
Hospital: Data protection

No information due to data protection

Target area: at most 20,77 %
Quality objective achieved
This is how often breast cancer treatment was discussed at interdisciplinary tumour conferences and individually planned further
Hospital: 100,00 %
Target area: at least 97,82 %
Quality objective achieved