Kliniken im Naturpark Altmühltal, Klinik Kösching

Quality results

Treatment sector: Pacemaker: First use (HSMDEF-HSM-IMPL) Explanation

Information about this treatment area (documentation)

Designation	Herzschrittmacher - Implantation
Shortcut	09/1
Number of cases	31
Documentation rate	100 %
Hospital comment	Die Dokumentationsrate wurde krankenhausbezogen berechnet.

Summary result:

In one of the 1 quality characteristics, the quality objective was achieved.
No assessment is possible for one quality characteristic

Number of patients treated: 31

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

Duration of the operation (based on operations where a pacemaker was inserted for the first time or the housing of the pacemaker was replaced)

Hospital: Data protection

No information due to data protection

Target area: at least 60,00 %

Quality objective achieved

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Various measurements during the operation have shown that the pacemaker?s wires were functioning properly

Hospital: Data protection

No information due to data protection

Target area: at least 90,00 %

Assessment not possible

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Code ID	52139
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 (%)	88,55
Target range (reference range)	>= 60,00 %
Confidence interval nationwide (%)	88,34 - 88,76
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 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.

Code ID	52305
Result (%)	Data protection
Evaluation through structured dialogue	An evaluation is not possible because there were no patients in the hospital to whom this quality criterion could be applied. (N01)
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	eingeschränkt/nicht vergleichbar
National result (%)	95,12
Target range (reference range)	>= 90,00 %
Confidence interval nationwide (%)	95,03 - 95,20
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. So e.g. the disease severity or concomitant diseases of the patients have an influence on the result. This indicator is a so-called quality index. This means that several measurements are evaluated per treatment case and that not only cases with a pacemaker implantation, but also cases with a revision, a system change or an explantation of the pacemaker are considered. The aim is to consider an increased number of measurements and thus to reduce the number of cases prevalence problem (Heller 2010). If the number of cases is low at the site level, there is a risk that computational anomalies arise randomly due to a few individual cases. 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. Heller, G (2010): Quality assurance with routine data - current status and further development. Chapter 14. In: Klauber, J: Geraedts, M: Friedrich, J: Hospital Report 2010: Focus: Hospital care in crisis? Stuttgart: Schattauer, 239-254. ISBN: 978-3794527267.