Klinikum Mutterhaus der Borromäerinnen gGmbH Standort Mitte/Nord

Quality results

Treatment sector: Premature and newborn care (PM-NEO)

Information about this treatment area (documentation)

Designation	Neonatologie
Shortcut	NEO
Number of cases	425
Documentation rate	101.65 %

Summary result:

In 8 of 8 quality characteristics, the quality objective was achieved.
No assessment is possible for any quality characteristic

Number of patients treated: 425

Quality objective achieved
Quality objective not achieved

The results in detail

Show national result

Quality criterion

Hospital result
and target area

Quality objective
achieved?

All information

This ist how rarely live births died during hospital stay (at least 1,500 g, at least 32 weeks, not previously treated in any other pediatric clinic)

Hospital: 0,00 %

Sentinel Event

Quality objective achieved

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This is how rarey very small premature babies died during hospital stay (under 1,500 g, earlier than 32 weeks, not previously treated in any other pediatric clinic)

Hospital: Data protection

No information due to data protection

as rarely as possible

Evaluation is not available

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Ratio of actual to expected number of deceased very small premature babies (under 1,500 g, earlier than 32 weeks, not previously treated in any other pediatric clinic)

Hospital: 0,54

as rarely as possible

Evaluation is not available

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This is how rarely serious brain hemorrhages have occurred in very small premature babies

Hospital: Data protection

No information due to data protection

as rarely as possible

Evaluation is not available

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Ratio of the actual number to the previously expected number of serious cerebral haemorrhages in very small pre-term neonates who have not previously been treated in any other paediatric clinic (individual risks of the pre-term neonates were taken into account)

Hospital: 1,87

as rarely as possible

Evaluation is not available

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This is how rarely serious cerebral hemorrhages with surgery due to an accumulation of excess fluid in the brain (so-called hydrocephalus) have occurred

Hospital: Data protection

No information due to data protection

as rarely as possible

Evaluation is not available

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This is how rarely serious intestinal damage has occurred in very small premature babies

Hospital: 0,00 %

as rarely as possible

Evaluation is not available

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Ratio of the actual number to the previously expected number of serious intestinal injuries in very small pre-term neonates who have not previously been treated in any other paediatric clinic (individual risks of the pre-term neonates were taken into account)

Hospital: 0,00

as rarely as possible

Evaluation is not available

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This is how rarely serious damage to the bowel occurred that required surgery or therapy

Hospital: 0,00 %

as rarely as possible

Evaluation is not available

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This is how rarely serious lung damage has occurred in very small premature babies

Hospital: 13,95 %

as rarely as possible

Evaluation is not available

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Ratio of the actual number to the previously expected number of serious lung damage in very small pre-term neonates who have not previously been treated in any other paediatric clinic (individual risks of the pre-term neonates were taken into account)

Hospital: 2,00

as rarely as possible

Evaluation is not available

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This is how rarely serious damage to the retina of the eye has occurred in very small premature babies

Hospital: 0,00 %

as rarely as possible

Evaluation is not available

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Ratio of the actual number to the previously expected number of serious retinal damage in very small pre-term neonates who have not previously been treated in any other paediatric clinic (individual risks of the pre-term neonates were taken into account)

Hospital: 0,00

as rarely as possible

Evaluation is not available

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Ratio of the actual number to the previously expected number of premature babies with severe birth defects (deceased, severe cerebral hemorrhage, severe damage to the intestines, lungs or retina of the eye)

Hospital: 1,31

Target area: at most 1,79

Quality objective achieved

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Hospital: 0,54

Evaluation is not available

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Hospital: 1,69

Evaluation is not available

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Hospital: 0,00

Evaluation is not available

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Hospital: 2,44

Evaluation is not available

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Hospital: 0,00

Evaluation is not available

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Ratio of the actual number to the previously expected number of children with an infection that they acquired in hospital

Hospital: 1,86

Target area: at most 2,92

Quality objective achieved

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Ratio of the actual number to the previously expected number of ventilated children with air accumulation between the lungs and the chest wall (based on children who had not previously been treated in any other paediatric hospital - individual risks of the children were taken into account)

Hospital: 1,32

Target area: at most 2,68

Quality objective achieved

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This is how rarely a puncture (with a needle) or drainage (with a suction tube) was not performed on ventilated premature and newborn babies with an accumulation of air in the pleura (pneumothorax) to remove the air

Hospital: Data protection

No information due to data protection

as rarely as possible

Evaluation is not available

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This is how rarely a single puncture (with a needle) was necessary on ventilated premature babies and newborns with an accumulation of air in the pleura (pneumothorax) to remove the air

Hospital: 0,00 %

as rarely as possible

Evaluation is not available

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So rarely in ventilated premature and newborn babies with an accumulation of air in the pleura (pneumothorax), several punctures (with a needle) or a drainage (with a suction tube) were necessary to remove the air

Hospital: Data protection

No information due to data protection

as rarely as possible

Evaluation is not available

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This is how rarely an inappropriately large increase in the child's head circumference occurred in hospital

Hospital: Data protection

No information due to data protection

Target area: at most 19,49 %

Quality objective achieved

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This is how often a hearing test was carried out

Hospital: 96,23 %

Target area: at least 95,00 %

Quality objective achieved

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Ratio of the actual number to the previously expected number of very small pre-term neonates with a body temperature below 36 degrees Celsius upon admission to hospital (based on pre-term neonates with a birth weight below 1,500 grams or a gestation period of less than 32 weeks - individual risks of the pre-term neonates were taken into account)

Hospital: 0,00

Target area: at most 2,50

Quality objective achieved

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Ratio of the actual number to the previously expected number of pre-term neonates whose body temperature was found to be below 36 degrees Celsius when they were admitted to hospital (based on pre-term neonates with a birth weight of more than 1,500 grams or a gestation period of more than 31 weeks - individual risks of the pre-term neonates were taken into account)

Hospital: 1,13

Target area: at most 2,13

Quality objective achieved

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Code ID	51070
Result (%)	0,00
Evaluation through structured dialogue	The result is in the target area - the quality target is therefore considered to have been fully achieved. (R10)
Population	362
Events observed	0
Anticipated events	0,00
Result trend compared with the previous reporting year	eingeschränkt/nicht vergleichbar
Comparison with the previous reporting year	eingeschränkt/nicht vergleichbar
National result (%)	0,21
Target range (reference range)	Sentinel Event
Confidence interval nationwide (%)	0,18 - 0,25
Hospital confidence interval (%)	0,00 - 1,05
Reference infection	No
Type of value	QI
Relation to the procedure	DeQS
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG It should be noted that this computational result may not be influenced exclusively by the respective institution. For example, the severity of illnesses or concomitant diseases of the patients have an impact on the result. The reference range indicates the range in which the results of an indicator are assessed as normal. A facility with a result outside the reference range is initially computationally conspicuous, which usually results in an analysis in the structured dialog. It should be noted that an indicator result outside the reference range is not synonymous with a poor quality of the facility in the quality aspect considered here. The deviation can also e.g. be traceable to incorrect documentation or to individual cases. Quality is assessed in the context of the structured dialogue with the institutions. Due to adjustments to the QS filter, the results of this quality indicator can only be compared to the previous year's results to a limited extent. Further information on the adjustments made can be found in the description of the quality indicators at the following link: https://iqtig.org/qs-verfahren/.

Code ID	51832
Result (%)	Data protection
Evaluation through structured dialogue
Population	Data protection
Events observed	Data protection
Anticipated events	Data protection
Result trend compared with the previous reporting year
Comparison with the previous reporting year
National result (%)	3,67
Target range (reference range)
Confidence interval nationwide (%)	3,30 - 4,08
Hospital confidence interval (%)	0,00 - 0,00
Reference infection	No
Type of value	TKez
Relation to the procedure	DeQS
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG This transparency indicator is part of the index indicator Quality index of preterm delivery. This is a transparency measure. Transparency indicators do not meet the formal criteria of a quality indicator because they have no reference area and therefore do not trigger a structured dialogue. The results are independent and are not directly linked to a quality indicator. However, transparency indicators indicate essential quality aspects of the supply process and thus increase transparency and the information content. More information on the key figure concept can be found in the following link: https://www.g-ba.de/downloads/39-261-3380/2018-06-21_Qb-R_Freigabe-IQTIG-Bericht_Kennzahlen_inkl-Anlagen.pdf. It should be noted that this computational result may not be influenced exclusively by the respective institution. For example, the severity of illnesses or concomitant diseases of the patients have an impact on the result. Due to adjustments to the QS filter, the results of this transparency indicator can only be compared to the previous year's results to a limited extent. Further information on the adjustments made can be found in the description of the respective transparency key figure at the following link: https://iqtig.org/qs-verfahren/. For this transparency indicator, children with a birth weight of less than 1,500 g or a gestation period of less than 32 + 0 weeks are referred to as very small premature babies.

Code ID	51837
Result	0,54
Evaluation through structured dialogue
Population	Data protection
Events observed	Data protection
Anticipated events	Data protection
Result trend compared with the previous reporting year
Comparison with the previous reporting year
National result	0,93
Target range (reference range)
Confidence interval nationwide	0,83 - 1,03
Hospital confidence interval	0,10 - 2,83
Reference infection	No
Type of value	TKez
Relation to the procedure	DeQS
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG This transparency indicator is part of the index indicator Quality index of preterm delivery. This is a transparency measure. Transparency indicators do not meet the formal criteria of a quality indicator because they have no reference area and therefore do not trigger a structured dialogue. The results are independent and are not directly linked to a quality indicator. However, transparency indicators indicate essential quality aspects of the supply process and thus increase transparency and the information content. More information on the key figure concept can be found in the following link: https://www.g-ba.de/downloads/39-261-3380/2018-06-21_Qb-R_Freigabe-IQTIG-Bericht_Kennzahlen_inkl-Anlagen.pdf. This transparency indicator is a risk-adjusted transparency indicator. A risk adjustment compensates for the different composition of the patient groups from different institutions. This leads to a fairer comparison because there are patient-related risk factors (such as comorbidities) that systematically influence the result without an institution being responsible for e.g. the following more frequent complications can be attributed to it. For example, the result of the transparency index of a facility with many high-risk cases can be compared more statistically with the result of a facility with many low-risk cases. The risk factors are compiled from patient characteristics that were classified as risk-relevant as part of the development of the transparency indicators and which can be practically documented. Due to adjustments to the QS filter, the results of this transparency indicator can only be compared to the previous year's results to a limited extent. Further information on the adjustments made can be found in the description of the respective transparency key figure at the following link: https://iqtig.org/qs-verfahren/. For this transparency indicator, children with a birth weight of less than 1,500 g or a gestation period of less than 32 + 0 weeks are referred to as very small premature babies.

Code ID	51076
Result (%)	Data protection
Evaluation through structured dialogue
Population	Data protection
Events observed	Data protection
Anticipated events	Data protection
Result trend compared with the previous reporting year
Comparison with the previous reporting year
National result (%)	2,97
Target range (reference range)
Confidence interval nationwide (%)	2,64 - 3,35
Hospital confidence interval (%)	0,00 - 0,00
Reference infection	No
Type of value	TKez
Relation to the procedure	DeQS
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG This transparency indicator is part of the index indicator Quality index of preterm delivery. This is a transparency measure. Transparency indicators do not meet the formal criteria of a quality indicator because they have no reference area and therefore do not trigger a structured dialogue. The results are independent and are not directly linked to a quality indicator. However, transparency indicators indicate essential quality aspects of the supply process and thus increase transparency and the information content. More information on the key figure concept can be found in the following link: https://www.g-ba.de/downloads/39-261-3380/2018-06-21_Qb-R_Freigabe-IQTIG-Bericht_Kennzahlen_inkl-Anlagen.pdf. It should be noted that this computational result may not be influenced exclusively by the respective institution. For example, the severity of illnesses or concomitant diseases of the patients have an impact on the result. Due to adjustments to the QS filter, the results of this transparency indicator can only be compared to the previous year's results to a limited extent. Further information on the adjustments made can be found in the description of the respective transparency key figure at the following link: https://iqtig.org/qs-verfahren/. For this transparency indicator, children with a birth weight of less than 1,500 g or a gestation period of less than 32 + 0 weeks are referred to as very small premature babies.

Code ID	50050
Result	1,87
Evaluation through structured dialogue
Population	Data protection
Events observed	Data protection
Anticipated events	Data protection
Result trend compared with the previous reporting year
Comparison with the previous reporting year
National result	0,95
Target range (reference range)
Confidence interval nationwide	0,84 - 1,07
Hospital confidence interval	0,64 - 5,00
Reference infection	No
Type of value	TKez
Relation to the procedure	DeQS
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG This transparency indicator is part of the index indicator Quality index of preterm delivery. This is a transparency measure. Transparency indicators do not meet the formal criteria of a quality indicator because they have no reference area and therefore do not trigger a structured dialogue. The results are independent and are not directly linked to a quality indicator. However, transparency indicators indicate essential quality aspects of the supply process and thus increase transparency and the information content. More information on the key figure concept can be found in the following link: https://www.g-ba.de/downloads/39-261-3380/2018-06-21_Qb-R_Freigabe-IQTIG-Bericht_Kennzahlen_inkl-Anlagen.pdf. This transparency indicator is a risk-adjusted transparency indicator. A risk adjustment compensates for the different composition of the patient groups from different institutions. This leads to a fairer comparison because there are patient-related risk factors (such as comorbidities) that systematically influence the result without an institution being responsible for e.g. the following more frequent complications can be attributed to it. For example, the result of the transparency index of an institution with many high-risk cases can be compared more statistically with the result of an institution with many low-risk cases. The risk factors are compiled from patient characteristics that were classified as risk-relevant as part of the development of the transparency indicators and which can be practically documented. Due to adjustments to the QS filter, the results of this transparency indicator can only be compared to the previous year's results to a limited extent. Further information on the adjustments made can be found in the description of the respective transparency key figure at the following link: https://iqtig.org/qs-verfahren/. For this transparency indicator, children with a birth weight of less than 1,500 g or a gestation period of less than 32 + 0 weeks are referred to as very small premature babies.

Code ID	222200
Result (%)	Data protection
Evaluation through structured dialogue
Population	Data protection
Events observed	Data protection
Anticipated events	Data protection
Result trend compared with the previous reporting year
Comparison with the previous reporting year
National result (%)	1,08
Target range (reference range)
Confidence interval nationwide (%)	0,90 - 1,31
Hospital confidence interval (%)	0,00 - 0,00
Reference infection	No
Type of value	TKez
Relation to the procedure	DeQS
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG Although key figures represent quality, their results do not enable a direct assessment of the quality of care (due to the lack of a reference range) and they are also not suitable for direct quality comparisons (due to the lack of mathematical adjustment). However, they are usually published in direct connection with a quality indicator, the results of which are supplemented by the key figures (imputed and supplementary key figures). They therefore contribute to increasing the comprehensibility of the quality results. The transparency indicators, which are to be distinguished from these, represent aspects of care for which there are no quality indicators, but which are nevertheless important for presenting the quality of care. Further information on key figures can be found at the following link: https://iqtig.org/veroeffentlichungen/kennzahlenkonzept/.

Code ID	51838
Result (%)	0,00
Evaluation through structured dialogue
Population	48
Events observed	0
Anticipated events	0,00
Result trend compared with the previous reporting year
Comparison with the previous reporting year
National result (%)	1,77
Target range (reference range)
Confidence interval nationwide (%)	1,53 - 2,05
Hospital confidence interval (%)	0,00 - 7,41
Reference infection	No
Type of value	TKez
Relation to the procedure	DeQS
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG This transparency indicator is part of the index indicator Quality index of preterm delivery. This is a transparency measure. Transparency indicators do not meet the formal criteria of a quality indicator because they have no reference area and therefore do not trigger a structured dialogue. The results are independent and are not directly linked to a quality indicator. However, transparency indicators indicate essential quality aspects of the supply process and thus increase transparency and the information content. More information on the key figure concept can be found in the following link: https://www.g-ba.de/downloads/39-261-3380/2018-06-21_Qb-R_Freigabe-IQTIG-Bericht_Kennzahlen_inkl-Anlagen.pdf. It should be noted that this computational result may not be influenced exclusively by the respective institution. For example, the severity of illnesses or concomitant diseases of the patients have an impact on the result. Due to adjustments to the QS filter, the results of this transparency indicator cannot be compared with the previous year's results. Further information on the adjustments made can be found in the description of the respective transparency key figure at the following link: https://iqtig.org/qs-verfahren/. For this transparency indicator, children with a birth weight of less than 1,500 g or a gestation period of less than 32 + 0 weeks are referred to as very small premature babies.

Code ID	51843
Result	0,00
Evaluation through structured dialogue
Population	48
Events observed	0
Anticipated events	1,03
Result trend compared with the previous reporting year
Comparison with the previous reporting year
National result	0,86
Target range (reference range)
Confidence interval nationwide	0,75 - 1,00
Hospital confidence interval	0,00 - 3,46
Reference infection	No
Type of value	TKez
Relation to the procedure	DeQS
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG This transparency indicator is part of the index indicator Quality index of preterm delivery. This is a transparency measure. Transparency indicators do not meet the formal criteria of a quality indicator because they have no reference area and therefore do not trigger a structured dialogue. The results are independent and are not directly linked to a quality indicator. However, transparency indicators indicate essential quality aspects of the supply process and thus increase transparency and the information content. More information on the key figure concept can be found in the following link: https://www.g-ba.de/downloads/39-261-3380/2018-06-21_Qb-R_Freigabe-IQTIG-Bericht_Kennzahlen_inkl-Anlagen.pdf. This transparency indicator is a risk-adjusted transparency indicator. A risk adjustment compensates for the different composition of the patient groups from different institutions. This leads to a fairer comparison because there are patient-related risk factors (such as comorbidities) that systematically influence the result without an institution being responsible for e.g. the following more frequent complications can be attributed to it. For example, the result of the transparency index of a facility with many high-risk cases can be compared more statistically with the result of a facility with many low-risk cases. The risk factors are compiled from patient characteristics that were classified as risk-relevant as part of the development of the transparency indicators and which can be practically documented. Due to adjustments to the QS filter, the results of this transparency indicator cannot be compared with the previous year's results. Further information on the adjustments made can be found in the description of the respective transparency key figure at the following link: https://iqtig.org/qs-verfahren/. For this transparency indicator, children with a birth weight of less than 1,500 g or a gestation period of less than 32 + 0 weeks are referred to as very small premature babies.

Code ID	222201
Result (%)	0,00
Evaluation through structured dialogue
Population	48
Events observed	0
Anticipated events	0,00
Result trend compared with the previous reporting year
Comparison with the previous reporting year
National result (%)	1,08
Target range (reference range)
Confidence interval nationwide (%)	0,89 - 1,30
Hospital confidence interval (%)	0,00 - 7,41
Reference infection	No
Type of value	TKez
Relation to the procedure	DeQS
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG Although key figures represent quality, their results do not enable a direct assessment of the quality of care (due to the lack of a reference range) and they are also not suitable for direct quality comparisons (due to the lack of mathematical adjustment). However, they are usually published in direct connection with a quality indicator, the results of which are supplemented by the key figures (imputed and supplementary key figures). They therefore contribute to increasing the comprehensibility of the quality results. The transparency indicators, which are to be distinguished from these, represent aspects of care for which there are no quality indicators, but which are nevertheless important for presenting the quality of care. Further information on key figures can be found at the following link: https://iqtig.org/veroeffentlichungen/kennzahlenkonzept/.

Code ID	51079
Result (%)	13,95
Evaluation through structured dialogue
Population	43
Events observed	6
Anticipated events	0,00
Result trend compared with the previous reporting year
Comparison with the previous reporting year
National result (%)	6,99
Target range (reference range)
Confidence interval nationwide (%)	6,39 - 7,64
Hospital confidence interval (%)	6,56 - 27,26
Reference infection	No
Type of value	TKez
Relation to the procedure	DeQS
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG This transparency indicator is part of the index indicator Quality index of preterm delivery. This is a transparency measure. Transparency indicators do not meet the formal criteria of a quality indicator because they have no reference area and therefore do not trigger a structured dialogue. The results are independent and are not directly linked to a quality indicator. However, transparency indicators indicate essential quality aspects of the supply process and thus increase transparency and the information content. More information on the key figure concept can be found in the following link: https://www.g-ba.de/downloads/39-261-3380/2018-06-21_Qb-R_Freigabe-IQTIG-Bericht_Kennzahlen_inkl-Anlagen.pdf. It should be noted that this computational result may not be influenced exclusively by the respective institution. For example, the severity of illnesses or concomitant diseases of the patients have an impact on the result. Due to adjustments to the QS filter, the results of this transparency indicator can only be compared to the previous year's results to a limited extent. Further information on the adjustments made can be found in the description of the respective transparency key figure at the following link: https://iqtig.org/qs-verfahren/. For this transparency indicator, children with a birth weight of less than 1,500 g or a gestation period of less than 32 + 0 weeks are referred to as very small premature babies.

Code ID	50053
Result	2,00
Evaluation through structured dialogue
Population	43
Events observed	6
Anticipated events	3,00
Result trend compared with the previous reporting year
Comparison with the previous reporting year
National result	1,11
Target range (reference range)
Confidence interval nationwide	1,01 - 1,21
Hospital confidence interval	0,94 - 3,91
Reference infection	No
Type of value	TKez
Relation to the procedure	DeQS
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG This transparency indicator is part of the index indicator Quality index of preterm delivery. This is a transparency measure. Transparency indicators do not meet the formal criteria of a quality indicator because they have no reference area and therefore do not trigger a structured dialogue. The results are independent and are not directly linked to a quality indicator. However, transparency indicators indicate essential quality aspects of the supply process and thus increase transparency and the information content. More information on the key figure concept can be found in the following link: https://www.g-ba.de/downloads/39-261-3380/2018-06-21_Qb-R_Freigabe-IQTIG-Bericht_Kennzahlen_inkl-Anlagen.pdf. This transparency indicator is a risk-adjusted transparency indicator. A risk adjustment compensates for the different composition of the patient groups from different institutions. This leads to a fairer comparison because there are patient-related risk factors (such as comorbidities) that systematically influence the result without an institution being responsible for e.g. the following more frequent complications can be attributed to it. For example, the result of the transparency index of a facility with many high-risk cases can be compared more statistically with the result of a facility with many low-risk cases. The risk factors are compiled from patient characteristics that were classified as risk-relevant as part of the development of the transparency indicators and which can be practically documented. Due to adjustments to the QS filter, the results of this transparency indicator can only be compared to the previous year's results to a limited extent. Further information on the adjustments made can be found in the description of the respective transparency key figure at the following link: https://iqtig.org/qs-verfahren/. For this transparency indicator, children with a birth weight of less than 1,500 g or a gestation period of less than 32 + 0 weeks are referred to as very small premature babies.

Code ID	51078
Result (%)	0,00
Evaluation through structured dialogue
Population	29
Events observed	0
Anticipated events	0,00
Result trend compared with the previous reporting year
Comparison with the previous reporting year
National result (%)	4,57
Target range (reference range)
Confidence interval nationwide (%)	4,00 - 5,21
Hospital confidence interval (%)	0,00 - 11,70
Reference infection	No
Type of value	TKez
Relation to the procedure	DeQS
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG This transparency indicator is part of the index indicator Quality index of preterm delivery. This is a transparency measure. Transparency indicators do not meet the formal criteria of a quality indicator because they have no reference area and therefore do not trigger a structured dialogue. The results are independent and are not directly linked to a quality indicator. However, transparency indicators indicate essential quality aspects of the supply process and thus increase transparency and the information content. More information on the key figure concept can be found in the following link: https://www.g-ba.de/downloads/39-261-3380/2018-06-21_Qb-R_Freigabe-IQTIG-Bericht_Kennzahlen_inkl-Anlagen.pdf. It should be noted that this computational result may not be influenced exclusively by the respective institution. For example, the severity of illnesses or concomitant diseases of the patients have an impact on the result. Due to adjustments to the QS filter, the results of this transparency indicator can only be compared to the previous year's results to a limited extent. Further information on the adjustments made can be found in the description of the respective transparency key figure at the following link: https://iqtig.org/qs-verfahren/. For this transparency indicator, children with a birth weight of less than 1,500 g or a gestation period of less than 32 + 0 weeks are referred to as very small premature babies.

Code ID	50052
Result	0,00
Evaluation through structured dialogue
Population	29
Events observed	0
Anticipated events	1,15
Result trend compared with the previous reporting year
Comparison with the previous reporting year
National result	1,08
Target range (reference range)
Confidence interval nationwide	0,94 - 1,23
Hospital confidence interval	0,00 - 2,95
Reference infection	No
Type of value	TKez
Relation to the procedure	DeQS
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG This transparency indicator is part of the index indicator Quality index of preterm delivery. This is a transparency measure. Transparency indicators do not meet the formal criteria of a quality indicator because they have no reference area and therefore do not trigger a structured dialogue. The results are independent and are not directly linked to a quality indicator. However, transparency indicators indicate essential quality aspects of the supply process and thus increase transparency and the information content. More information on the key figure concept can be found in the following link: https://www.g-ba.de/downloads/39-261-3380/2018-06-21_Qb-R_Freigabe-IQTIG-Bericht_Kennzahlen_inkl-Anlagen.pdf. This transparency indicator is a risk-adjusted transparency indicator. A risk adjustment compensates for the different composition of the patient groups from different institutions. This leads to a fairer comparison because there are patient-related risk factors (such as comorbidities) that systematically influence the result without an institution being responsible for e.g. the following more frequent complications can be attributed to it. For example, the result of the transparency index of a facility with many high-risk cases can be compared more statistically with the result of a facility with many low-risk cases. The risk factors are compiled from patient characteristics that were classified as risk-relevant as part of the development of the transparency indicators and which can be practically documented. Due to adjustments to the QS filter, the results of this transparency indicator can only be compared to the previous year's results to a limited extent. Further information on the adjustments made can be found in the description of the respective transparency key figure at the following link: https://iqtig.org/qs-verfahren/. For this transparency indicator, children with a birth weight of less than 1,500 g or a gestation period of less than 32 + 0 weeks are referred to as very small premature babies.

Code ID	51901
Result	1,31
Evaluation through structured dialogue	The result is in the target area - the quality target is therefore considered to have been fully achieved. (R10)
Population	48
Events observed	9
Anticipated events	6,88
Result trend compared with the previous reporting year	eingeschränkt/nicht vergleichbar
Comparison with the previous reporting year	eingeschränkt/nicht vergleichbar
National result	1,00
Target range (reference range)	<= 1,79 (95. Perzentil)
Confidence interval nationwide	0,94 - 1,05
Hospital confidence interval	0,71 - 2,23
Reference infection	No
Type of value	QI
Relation to the procedure	DeQS
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG The aim of risk adjustment is to balance out the different patient structures in different facilities. Ideally, this leads to a fair comparison of the different facilities, as patients have individual risk factors (such as concomitant diseases) that systematically influence the quality result, without one facility being responsible for more frequent complications, for example. With the help of risk adjustment, the quality result of a facility with many high-risk cases, for example, can be statistically compared more fairly with the quality result of a facility with many low-risk cases. Further information on risk adjustment can be found at the following link: https://iqtig.org/das-iqtig/wie-wir-arbeiten/grundlagen/standard-titel/ The reference range indicates the results at which a facility can be assumed to provide good quality of care, although deviations are possible. The reference range thus defines a benchmark for the evaluation of facilities. A result outside the reference range is initially considered conspicuous. This usually results in an analysis by means of a statement procedure. It should be noted that a quality result outside the reference range is not synonymous with a lack of quality of the facility in the quality aspect under consideration here. The deviation may also be due, for example, to incorrect documentation, special medical features of the patient population or individual cases. The assessment of quality is carried out within the framework of the defined procedure in the statement procedure. Further information on reference areas can be found at the following link: https://iqtig.org/das-iqtig/wie-wir-arbeiten/grundlagen/standard- titel/ Due to adjustments to the calculation rule or inclusion/exclusion criteria for the cases to be documented in the QA procedure, the quality result is only comparable with the previous year's results to a limited extent. Further information on the adjustments made can be found in the description of the quality indicators and key figures at the following link: https://iqtig.org/qs-verfahren/. Prematurity is the most important cause of morbidity and mortality in childhood (Swamy et al. 2008, [Anonymous] 2008). For preterm infants between 24+0 and 32+0 weeks of gestation or with a birth weight below 1,500 g, it is often not possible to reliably determine the quality of outcome due to the low prevalence, because random fluctuations are very pronounced (Dimick et al. 2004, Heller 2008).

Code ID	51136_51901
Result	0,54
Evaluation through structured dialogue
Population	Data protection
Events observed	Data protection
Anticipated events	Data protection
Result trend compared with the previous reporting year
Comparison with the previous reporting year
National result	0,93
Target range (reference range)
Confidence interval nationwide	0,83 - 1,03
Hospital confidence interval	0,10 - 2,83
Reference infection	No
Type of value	KKez
Relation to the procedure	DeQS
Reference to other QA results	51901
Sorting	1
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG

Code ID	51141_51901
Result	1,69
Evaluation through structured dialogue
Population	Data protection
Events observed	Data protection
Anticipated events	Data protection
Result trend compared with the previous reporting year
Comparison with the previous reporting year
National result	1,01
Target range (reference range)
Confidence interval nationwide	0,88 - 1,17
Hospital confidence interval	0,47 - 5,62
Reference infection	No
Type of value	KKez
Relation to the procedure	DeQS
Reference to other QA results	51901
Sorting	2
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG

Code ID	51146_51901
Result	0,00
Evaluation through structured dialogue
Population	45
Events observed	0
Anticipated events	0,71
Result trend compared with the previous reporting year
Comparison with the previous reporting year
National result	0,88
Target range (reference range)
Confidence interval nationwide	0,74 - 1,05
Hospital confidence interval	0,00 - 4,98
Reference infection	No
Type of value	KKez
Relation to the procedure	DeQS
Reference to other QA results	51901
Sorting	3
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG

Code ID	51156_51901
Result	2,44
Evaluation through structured dialogue
Population	41
Events observed	6
Anticipated events	2,46
Result trend compared with the previous reporting year
Comparison with the previous reporting year
National result	1,12
Target range (reference range)
Confidence interval nationwide	1,01 - 1,23
Hospital confidence interval	1,15 - 4,74
Reference infection	No
Type of value	KKez
Relation to the procedure	DeQS
Reference to other QA results	51901
Sorting	4
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG

Code ID	51161_51901
Result	0,00
Evaluation through structured dialogue
Population	22
Events observed	0
Anticipated events	0,68
Result trend compared with the previous reporting year
Comparison with the previous reporting year
National result	0,96
Target range (reference range)
Confidence interval nationwide	0,80 - 1,17
Hospital confidence interval	0,00 - 4,80
Reference infection	No
Type of value	KKez
Relation to the procedure	DeQS
Reference to other QA results	51901
Sorting	5
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG

Code ID	50060
Result	1,86
Evaluation through structured dialogue	The result is in the target area - the quality target is therefore considered to have been fully achieved. (R10)
Population	375
Events observed	9
Anticipated events	4,84
Result trend compared with the previous reporting year	eingeschränkt/nicht vergleichbar
Comparison with the previous reporting year	eingeschränkt/nicht vergleichbar
National result	1,04
Target range (reference range)	<= 2,92 (95. Perzentil)
Confidence interval nationwide	0,97 - 1,10
Hospital confidence interval	0,98 - 3,48
Reference infection	No
Type of value	QI
Relation to the procedure	DeQS
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG This indicator is a risk-adjusted indicator. A risk adjustment compensates for the different composition of the patient groups from different institutions. This leads to a fairer comparison, since there are patient-related risk factors (such as comorbidities) that systematically influence the indicator result without an institution being responsible for e.g. the following more frequent complications can be attributed to it. For example, the indicator result of a facility with many high-risk cases can be compared more statistically with the result of a facility with many low-risk cases. The risk factors are compiled from patient characteristics that were classified as risk-relevant as part of the development of quality indicators and which can be practically documented. The reference range indicates the range in which the results of an indicator are assessed as normal. A facility with a result outside the reference range is initially computationally conspicuous, which usually results in an analysis in the structured dialog. It should be noted that an indicator result outside the reference range is not synonymous with a poor quality of the facility in the quality aspect considered here. The deviation can also e.g. be traceable to incorrect documentation or to individual cases. Quality is assessed in the context of the structured dialogue with the institutions. Due to adjustments to the QS filter, the results of this quality indicator can only be compared to the previous year's results to a limited extent. Further information on the adjustments made can be found in the description of the quality indicators at the following link: https://iqtig.org/qs-verfahren/.

Code ID	50062
Result	1,32
Evaluation through structured dialogue	The result is in the target area - the quality target is therefore considered to have been fully achieved. (R10)
Population	178
Events observed	6
Anticipated events	4,55
Result trend compared with the previous reporting year	eingeschränkt/nicht vergleichbar
Comparison with the previous reporting year	eingeschränkt/nicht vergleichbar
National result	1,02
Target range (reference range)	<= 2,68 (95. Perzentil)
Confidence interval nationwide	0,96 - 1,09
Hospital confidence interval	0,61 - 2,80
Reference infection	No
Type of value	QI
Relation to the procedure	DeQS
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG This indicator is a risk-adjusted indicator. A risk adjustment compensates for the different composition of the patient groups from different institutions. This leads to a fairer comparison, as there are patient-related risk factors (such as comorbidities) that systematically influence the indicator result without an institution being responsible for e.g. the following more frequent complications can be attributed to it. For example, the indicator result of a facility with many high-risk cases can be compared more statistically with the result of a facility with many low-risk cases. The risk factors are compiled from patient characteristics that were classified as risk-relevant as part of the development of quality indicators and which can be practically documented. The reference range indicates the range in which the results of an indicator are assessed as normal. A facility with a result outside the reference range is initially computationally conspicuous, which usually results in an analysis in the structured dialog. It should be noted that an indicator result outside the reference range is not synonymous with a poor quality of the facility in the quality aspect considered here. The deviation can also e.g. be traceable to incorrect documentation or to individual cases. Quality is assessed in the context of the structured dialogue with the institutions. Due to adjustments to the QS filter, the results of this quality indicator can only be compared to the previous year's results to a limited extent. Further information on the adjustments made can be found in the description of the quality indicators at the following link: https://iqtig.org/qs-verfahren/.

Code ID	222000_50062
Result (%)	Data protection
Evaluation through structured dialogue
Population	Data protection
Events observed	Data protection
Anticipated events	Data protection
Result trend compared with the previous reporting year
Comparison with the previous reporting year
National result (%)	0,99
Target range (reference range)
Confidence interval nationwide (%)	0,89 - 1,11
Hospital confidence interval (%)	0,00 - 0,00
Reference infection	No
Type of value	EKez
Relation to the procedure	DeQS
Reference to other QA results	50062
Sorting	1
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG Although indicators represent quality, their results do not allow a direct assessment of the quality of care (due to the lack of a reference range) and they are not suitable for direct quality comparisons (due to the lack of mathematical adjustment). However, they are usually published in direct connection with a quality indicator, the results of which are supplemented by the indicator values (imputed and supplementary indicators). They thus contribute to an increase in the comprehensibility of the quality results. The transparency indicators, which are to be distinguished from these, represent aspects of care for which there are no quality indicators, but which are nevertheless important for presenting the quality of care. More detailed information on ratios can be found at the following link: https://iqtig.org/veroeffentlichungen/kennzahlenkonzept.

Code ID	222001_50062
Result (%)	0,00
Evaluation through structured dialogue
Population	178
Events observed	0
Anticipated events	0,00
Result trend compared with the previous reporting year
Comparison with the previous reporting year
National result (%)	0,18
Target range (reference range)
Confidence interval nationwide (%)	0,14 - 0,23
Hospital confidence interval (%)	0,00 - 2,11
Reference infection	No
Type of value	EKez
Relation to the procedure	DeQS
Reference to other QA results	50062
Sorting	2
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG Although indicators represent quality, their results do not allow a direct assessment of the quality of care (due to the lack of a reference range) and they are not suitable for direct quality comparisons (due to the lack of mathematical adjustment). However, they are usually published in direct connection with a quality indicator, the results of which are supplemented by the indicator values (imputed and supplementary indicators). They thus contribute to an increase in the comprehensibility of the quality results. The transparency indicators, which are to be distinguished from these, represent aspects of care for which there are no quality indicators, but which are nevertheless important for presenting the quality of care. More detailed information on ratios can be found at the following link: https://iqtig.org/veroeffentlichungen/kennzahlenkonzept.

Code ID	222002_50062
Result (%)	Data protection
Evaluation through structured dialogue
Population	Data protection
Events observed	Data protection
Anticipated events	Data protection
Result trend compared with the previous reporting year
Comparison with the previous reporting year
National result (%)	1,45
Target range (reference range)
Confidence interval nationwide (%)	1,33 - 1,59
Hospital confidence interval (%)	0,00 - 0,00
Reference infection	No
Type of value	EKez
Relation to the procedure	DeQS
Reference to other QA results	50062
Sorting	3
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG Although indicators represent quality, their results do not allow a direct assessment of the quality of care (due to the lack of a reference range) and they are not suitable for direct quality comparisons (due to the lack of mathematical adjustment). However, they are usually published in direct connection with a quality indicator, the results of which are supplemented by the indicator values (imputed and supplementary indicators). They thus contribute to an increase in the comprehensibility of the quality results. The transparency indicators, which are to be distinguished from these, represent aspects of care for which there are no quality indicators, but which are nevertheless important for presenting the quality of care. More detailed information on ratios can be found at the following link: https://iqtig.org/veroeffentlichungen/kennzahlenkonzept.

Code ID	52262
Result (%)	Data protection
Evaluation through structured dialogue	The result is in the target area - the quality target is therefore considered to have been fully achieved. (R10)
Population	Data protection
Events observed	Data protection
Anticipated events	Data protection
Result trend compared with the previous reporting year	eingeschränkt/nicht vergleichbar
Comparison with the previous reporting year	eingeschränkt/nicht vergleichbar
National result (%)	9,79
Target range (reference range)	<= 19,49 % (95. Perzentil)
Confidence interval nationwide (%)	9,28 - 10,32
Hospital confidence interval (%)	0,00 - 0,00
Reference infection	No
Type of value	QI
Relation to the procedure	DeQS
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG It should be noted that this computational result may not be influenced exclusively by the respective institution. For example, the severity of illnesses or concomitant diseases of the patients have an impact on the result. The reference range indicates the range in which the results of an indicator are assessed as normal. A facility with a result outside the reference range is initially computationally conspicuous, which usually results in an analysis in the structured dialog. It should be noted that an indicator result outside the reference range is not synonymous with a poor quality of the facility in the quality aspect considered here. The deviation can also e.g. be traceable to incorrect documentation or to individual cases. Quality is assessed in the context of the structured dialogue with the institutions. Due to adjustments to the QS filter, the results of this quality indicator can only be compared to the previous year's results to a limited extent. Further information on the adjustments made can be found in the description of the quality indicators at the following link: https://iqtig.org/qs-verfahren/.

Code ID	50063
Result (%)	96,23
Evaluation through structured dialogue	The result is in the target area - the quality target is therefore considered to have been fully achieved. (R10)
Population	398
Events observed	383
Anticipated events	0,00
Result trend compared with the previous reporting year	eingeschränkt/nicht vergleichbar
Comparison with the previous reporting year	eingeschränkt/nicht vergleichbar
National result (%)	98,18
Target range (reference range)	>= 95,00 %
Confidence interval nationwide (%)	98,08 - 98,26
Hospital confidence interval (%)	93,88 - 97,70
Reference infection	No
Type of value	QI
Relation to the procedure	DeQS
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG The reference range indicates the range in which the results of an indicator are assessed as normal. A facility with a result outside the reference range is initially computationally conspicuous, which usually results in an analysis in the structured dialog. It should be noted that an indicator result outside the reference range is not synonymous with a poor quality of the facility in the quality aspect considered here. The deviation can also e.g. be traceable to incorrect documentation or to individual cases. Quality is assessed in the context of the structured dialogue with the institutions. Due to adjustments to the QS filter, the results of this quality indicator can only be compared to the previous year's results to a limited extent. Further information on the adjustments made can be found in the description of the quality indicators at the following link: https://iqtig.org/qs-verfahren/.

Code ID	50069
Result	0,00
Evaluation through structured dialogue	The result is in the target area - the quality target is therefore considered to have been fully achieved. (R10)
Population	48
Events observed	0
Anticipated events	2,06
Result trend compared with the previous reporting year	eingeschränkt/nicht vergleichbar
Comparison with the previous reporting year	eingeschränkt/nicht vergleichbar
National result	0,98
Target range (reference range)	<= 2,50 (95. Perzentil)
Confidence interval nationwide	0,89 - 1,08
Hospital confidence interval	0,00 - 1,72
Reference infection	No
Type of value	QI
Relation to the procedure	DeQS
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG This indicator is a risk-adjusted indicator. A risk adjustment compensates for the different composition of the patient groups from different institutions. This leads to a fairer comparison, since there are patient-related risk factors (such as comorbidities) that systematically influence the indicator result without an institution being responsible for e.g. the following more frequent complications can be attributed to it. For example, the indicator result of a facility with many high-risk cases can be compared more statistically with the result of a facility with many low-risk cases. The risk factors are compiled from patient characteristics that were classified as risk-relevant as part of the development of quality indicators and which can be practically documented. The reference range indicates the range in which the results of an indicator are assessed as normal. A facility with a result outside the reference range is initially computationally conspicuous, which usually results in an analysis in the structured dialog. It should be noted that an indicator result outside the reference range is not synonymous with a poor quality of the facility in the quality aspect considered here. The deviation can also e.g. be traceable to incorrect documentation or to individual cases. Quality is assessed in the context of the structured dialogue with the institutions. Due to adjustments to the QS filter, the results of this quality indicator can only be compared to the previous year's results to a limited extent. Further information on the adjustments made can be found in the description of the quality indicators at the following link: https://iqtig.org/qs-verfahren/. For this quality indicator, children with a birth weight of less than 1,500 g or a gestation period of less than 32 + 0 weeks are referred to as very small premature babies.

Code ID	50074
Result	1,13
Evaluation through structured dialogue	The result is in the target area - the quality target is therefore considered to have been fully achieved. (R10)
Population	364
Events observed	14
Anticipated events	12,41
Result trend compared with the previous reporting year	eingeschränkt/nicht vergleichbar
Comparison with the previous reporting year	eingeschränkt/nicht vergleichbar
National result	1,03
Target range (reference range)	<= 2,13 (95. Perzentil)
Confidence interval nationwide	0,99 - 1,07
Hospital confidence interval	0,68 - 1,86
Reference infection	No
Type of value	QI
Relation to the procedure	DeQS
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG This indicator is a risk-adjusted indicator. A risk adjustment compensates for the different composition of the patient groups from different institutions. This leads to a fairer comparison, since there are patient-related risk factors (such as comorbidities) that systematically influence the indicator result without an institution being responsible for e.g. the following more frequent complications can be attributed to it. For example, the indicator result of a facility with many high-risk cases can be compared more statistically with the result of a facility with many low-risk cases. The risk factors are compiled from patient characteristics that were classified as risk-relevant as part of the development of quality indicators and which can be practically documented. The reference range indicates the range in which the results of an indicator are assessed as normal. A facility with a result outside the reference range is initially computationally conspicuous, which usually results in an analysis in the structured dialog. It should be noted that an indicator result outside the reference range is not synonymous with a poor quality of the facility in the quality aspect considered here. The deviation can also e.g. be traceable to incorrect documentation or to individual cases. Quality is assessed in the context of the structured dialogue with the institutions. Due to adjustments to the QS filter, the results of this quality indicator can only be compared to the previous year's results to a limited extent. Further information on the adjustments made can be found in the description of the quality indicators at the following link: https://iqtig.org/qs-verfahren/.