Christophorus Kliniken Coesfeld – Dülmen – Nottuln, Standort Dülmen

Quality results

Treatment sector: Pacemaker: unit change (HSMDEF-HSM-AGGW) Explanation

Information about this treatment area (documentation)

Designation	Herzschrittmacher-Aggregatwechsel
Shortcut	09/2
Number of cases	15
Documentation rate	100 %
Hospital comment	Die ausgewerteten Behandlungsdaten stammen von mehreren Standorten des Krankenhauses. Aufgrund technischer Vorgaben des G-BA ist eine korrekte Standortzuordnung nicht immer verlässlich zu beurteilen. Hieraus kann sich eine Verzerrung der Ergebnisse ergeben. Gleiches gilt für etwaige Fallumstellungen nach MD-Verfahren mit entsprechenden Auswirkungen auf das QS-Verfahren und letztlich auch auf die Sollstatistik.

Summary result:

No assessment is possible for one quality characteristic

Number of patients treated: 15

Quality objective achieved
Quality objective not achieved

The quality characteristics not included in the summary result (see above) because an evaluation is not provided here:

The results in detail

Hide national result

Quality criterion

Hospital result

Quality objective
achieved?

All information

This is how rarely complications occurred during pacemaker aggregate replacement (other than malfunction or displacement of probes: including wound infections)

National result: 0,14 %
Hospital: 0,00 %

No assessment foreseen

Click here

Code ID	111801
Result (%)	0,00
Evaluation through structured dialogue	A target area was not defined for this quality criterion because an evaluation is not intended for technical reasons. (N02)
Population	5
Events observed	0
Anticipated events	0,00
Result trend compared with the previous reporting year	unverändert
Comparison with the previous reporting year	eingeschränkt/nicht vergleichbar
National result (%)	0,14
Target range (reference range)	Nicht definiert
Confidence interval nationwide (%)	0,09 - 0,23
Hospital confidence interval (%)	0,00 - 43,45
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 results at which a facility can be assumed to provide good quality of care, although deviations are possible. The reference range thus sets a benchmark for the assessment of facilities. A result outside the reference range is initially considered conspicuous. This usually entails 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 considered here. The deviation can also be due, for example, to faulty documentation, medical specificity of the patient collective or individual cases. The assessment of quality is carried out within the framework of the defined procedure in the comments procedure. More information on reference areas can be found at the following link: https://iqtig.org/das-iqtig/grundlagen/methodische-grundlagen.