Rheinland Klinikum Grevenbroich Elisabethkrankenhaus

Quality results

Treatment sector: Defibrillator (shock generator) for the treatment of cardiac arrhythmias: first implantation (HSMDEF-DEFI-IMPL) Explanation

Information about this treatment area (documentation)

Designation	Implantierbare Defibrillatoren-Implantation
Shortcut	09/4
Number of cases	11
Documentation rate	100 %
Hospital comment	Die Dokumentationsrate wurde krankenhausbezogen berechnet.

Summary result:

In 2 of 2 quality characteristics, the quality objective was achieved.
No assessment is possible for any quality characteristic

Number of patients treated: 11

Quality objective achieved
Quality objective not achieved

The results in detail

Hide national result

Quality criterion

Hospital result
and target area

Quality objective
achieved?

All information

Ratio of actual to expected number of patients who experienced tube or pouch problems related to the insertion of a shock generator and resulted in a repeat surgery within one year.

National result: 1,00
Hospital: 0,00

Target area: at most 2,65

Quality objective achieved

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Ratio of actual to expected number of patients who had infections or perforations of the casing through the skin associated with the insertion of a shock generator, leading to a repeat operation within one year.

National result: 1,00
Hospital: 0,00

Target area: at most 5,03

Quality objective achieved

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Code ID	132001
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	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	1,00
Target range (reference range)	<= 2,65 (95. Perzentil)
Confidence interval nationwide	0,92 - 1,08
Hospital confidence interval	0,00 - 32,86
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 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, for example, more frequent complications as a result. 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/. This indicator includes both events that occur before discharge from hospital and events that occur after discharge but can still be linked to the implantation.

Code ID	132002
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	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	1,00
Target range (reference range)	<= 5,03 (95. Perzentil)
Confidence interval nationwide	0,82 - 1,20
Hospital confidence interval	0,00 - 206,73
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, for example, more frequent complications as a result. 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/. This indicator includes both events that occur before discharge from hospital and events that occur after discharge but can still be linked to the implantation.