|
BQS-Bundesauswertung
2006 |
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Hüft-Endoprothesen-Erstimplantation |
|
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Qualitätsindikatoren |
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|
Risikoadjustierte
postoperative Wundinfektion |
|
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|
Postoperative Wundinfektion: Stratifizierung
nach Risikoklassen gemäß NNIS¹ |
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Risikofaktor |
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Bedingung |
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Risikopunkt |
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ASA |
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ASA >= 3 |
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1 |
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OP-Dauer |
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OP-Dauer > 75%-Perzentile |
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1 |
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der OP-Dauerverteilung |
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in der Grundgesamtheit |
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hier: > 96 min |
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Wundkontaminations- |
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klassifikation |
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kontaminierter oder septischer Eingriff |
1 |
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Risikoklassen |
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0 |
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|
Patienten mit 0 Risikopunkten |
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1 |
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|
Patienten mit 1 Risikopunkt |
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2 |
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|
Patienten mit 2 Risikopunkten |
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3 |
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|
Patienten mit 3 Risikopunkten |
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|
¹ |
National Nosocomial Infections Surveillance
der Centers for Disease Control |
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|
Referenz: Culver et al: Surgical Wound
Infection Rates By Wound Class, |
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|
Operative Procedure, and Patient Risk Index |
|
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|
Am J Med 91:152 (1991) |
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|
|
|
|
|
|
Risikoadjustierte postoperative Wundinfektion |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
Postoperative Wundinfektion: Stratifizierung
nach Risikoklassen gemäß NNIS¹ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
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|
|
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|
|
Grundgesamtheit: |
|
Alle Patienten |
|
|
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|
|
|
|
|
|
|
|
Gesamt 2006 |
|
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|
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|
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|
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|
|
Anzahl |
|
|
|
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
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|
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|
|
|
|
|
Risikoklasse 0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
78.335 / 146.634 |
|
|
53,42% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Risikoklasse 1 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
55.782 / 146.634 |
|
|
38,04% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Risikoklasse 2 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
12.442 / 146.634 |
|
|
8,49% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Risikoklasse 3 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
75 / 146.634 |
|
|
0,05% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
¹ |
National Nosocomial Infections Surveillance
der Centers for Disease Control |
|
|
|
|
|
|
|
|
|
|
|
|
|
Referenz: Culver et al: Surgical Wound
Infection Rates By Wound Class, |
|
|
|
|
|
|
|
|
|
|
|
|
|
Operative Procedure, and Patient Risk Index |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Am J Med 91:152 (1991) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Risikoadjustierte postoperative Wundinfektion |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Postoperative Wundinfektion: Stratifizierung
nach Risikoklassen gemäß NNIS¹ |
|
|
|
|
|
|
|
Risikoklasse 0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Grundgesamtheit: |
|
Alle Patienten der Risikoklasse 0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gesamt 2006 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Anzahl |
|
|
|
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Alle Patienten mit postoperativer |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Wundinfektion |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
393 / 78.335 |
|
|
0,50% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Patienten mit postoperativer |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Wundinfektion (CDC A1) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(oberflächliche Wundinfektion) |
|
|
|
|
|
|
|
|
|
|
|
|
226 / 78.335 |
|
|
0,29% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Patienten mit postoperativer |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Wundinfektion |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(tiefe Wundinfektion (CDC A2) oder |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Infektion von Räumen und |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Organen (CDC A3)) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
167 / 78.335 |
|
|
0,21% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Postoperative Wundinfektion: Stratifizierung
nach Risikoklassen gemäß NNIS¹ |
|
|
|
|
|
|
|
Risikoklasse 1 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Grundgesamtheit: |
|
Alle Patienten der Risikoklasse 1 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
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|
Gesamt 2006 |
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|
|
|
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|
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|
Anzahl |
|
|
|
% |
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|
|
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|
|
|
|
|
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|
Patienten mit postoperativer |
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|
Wundinfektion |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
551 / 55.782 |
|
|
0,99% |
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|
Patienten mit postoperativer |
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|
Wundinfektion (CDC A1) |
|
