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Quality results
Krankenhaus Tabea Hamburg

G-IQI 5.1 As of: 16.04.2018
Year 2016
Year 2017
`

IQM Quality indicators

The translations of the indicators of the G-IQI 5.1 and CH-IQI 5.1 are partially preliminary, subject to correction.

Manual

Results of previous version

QSR-Results perennial

Quality report

IQM
Target value

Source

Reference values respectively target values derive from the following sources:
  1. Federal Statistical Office, detailed diagnostic data of patients 2015 as calculation basis for the individual expected values of the hospitals.
  2. FDZ of the statistical offices of the Federation and the Länder, DRG-Statistics 2015. Own calculations.
  3. Source 1 and source 2.
  4. Kaiser D (2007) Mindestmengen aus thoraxchirurgischer Sicht. Chirurg, 78(11):1012-1017

IQM
Average value

Number of cases

The IQM quantity information (total) is given as an average value and in brackets as a median.

Hospital Effective value

Number of cases

Hospital
Expected value

The expected value includes the expected mortality of our patients according to age and gender and is only indicated for those indicators with comparative figures of the federal average which allow calculations.

SMR

The SMR (standardized mortality ratio) is the quotient of the mortality observed (average value) and the expected value.
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Diseases of the Heart

Acute Myocardial Infarction (AMI)

Secundary diagnosis AMI, in-hospital mortality

age > 19

Observed value

1

19,4%

4.994 of 25.701

19,5%

4.963 of 25.507

0,00%

0 of 2

0,00%

0 of 2

Heart Failure

Principle diagnosis heart failure, in-hospital mortality, observed

age > 19

< Expected value

1

7,1%

10.370 of 146.189

0,00%

0 of 1

7,3%

0,00

age 65 - 84

< Expected value

1

5,8%

5.047 of 87.132

0,00%

0 of 1

7,3%

Left-sided heart failure, share coded as NYHA IV

Information

1

49,7%

48.740 of 98.107

100,0%

1 of 1

Cardiac arrhythmia

Patients with cardiac arrhythmia as principal diagnosis

Quantity information

2

434,2 (257)

152.397

1

Geriatric medicine

Malnutrition of elderly patients

Malnourished patients, age > 65, without tumor diseases

Information

1

1,1%

24.471 of 2.320.826

1,1%

24.815 of 2.350.888

0,04%

1 of 2.656

0,04%

1 of 2.646

Patients fed by tube/infusion

Information

1

2,4%

580 of 24.471

2,5%

615 of 24.815

0,00%

0 of 1

0,00%

0 of 1

Diseases of the Lung

Chronic obstructive pulmonary disease (COPD)

Chronic obstructive pulmonary disease (COPD without malignancy), in-hospital mortality

age > 19

< Expected value

1

4,0%

2.608 of 65.072

0,00%

0 of 1

2,5%

0,00

thereof COPD without malignancy, FEV1 >= 50% and <70%, in-hospital mortality

Information

1

0,99%

90 of 9.094

0,00%

0 of 1

Share of COPD without malignancy coded with FEV1 unspecified (target: below 5%)

Information

1

27,5%

17.898 of 65.072

0,00%

0 of 1

Diseases of the visceral organs

Diseases of the large bowel and rectum

Inpatient treatments for ulcerative colitis or Crohn's disease (PDX + SDX)

Quantity information

2

112,4 (68)

41.466

114,2 (70)

42.023

18

33

Diseases of the skeletal system

Cancer of the skeletal system

Cancer of the skeletal system (PDX)

Quantity information

2

47,9 (7)

14.706

49,4 (8)

14.634

12

17

Endoprosthetics

Hip replacement for coxarthrosis and chronic hip arthritis, in-hospital mortality

< 0,16%

1

0,15%

63 of 40.646

0,13%

53 of 41.153

0,00%

0 of 333

0,00%

0 of 474

Hip replacement for hip fracture, in-hospital mortality

Observed value

1

5,8%

843 of 14.568

5,3%

781 of 14.866

0,00%

0 of 1

0,00%

0 of 1

Hip replacement for other diagnoses, in-hospital mortality

Observed value

1

4,8%

252 of 5.230

4,8%

257 of 5.330

0,00%

0 of 27

0,00%

0 of 36

Hip replacement for coxarthrosis and hip arthritis, share of cases with non-surgical complications

Observed value

1

3,2%

1.281 of 40.646

3,1%

1.262 of 41.153

1,5%

5 of 333

2,5%

12 of 474

Hip revision surgery without fracture or infection, in-hospital mortality

< 1,01%

1

0,98%

52 of 5.299

1,2%

65 of 5.212

0,00%

0 of 55

0,00%

0 of 71

thereof hip revision surgery with special prosthesis, in-hospital mortality

Information

1

1,0%

11 of 1.066

1,3%

14 of 1.097

0,00%

0 of 8

0,00%

0 of 9

Hip revision surgery for fracture or infection, in-hospital mortality

Observed value

1

3,7%

95 of 2.538

4,0%

113 of 2.837

0,00%

0 of 12

0,00%

0 of 16

Knee replacement for gonarthrosis and chronic knee arthritis, in-hospital mortality

< 0,09%

1

0,07%

28 of 38.092

0,06%

24 of 38.640

0,00%

0 of 362

0,00%

0 of 314

Knee replacement for other diagnoses, in-hospital mortality

Observed value

1

0,39%

10 of 2.568

0,46%

15 of 3.243

0,00%

0 of 19

0,00%

0 of 25

Knee replacement for gonarthrosis and knee arthritis, share of cases with non-surgical complications

Observed value

1

2,5%

936 of 38.092

2,3%

894 of 38.640

1,7%

6 of 362

2,5%

8 of 314

Revision of knee replacement without fracture or infection, in-hospital mortality

< 0,21%

1

0,39%

15 of 3.873

0,22%

9 of 4.067

0,00%

0 of 33

0,00%

0 of 31

thereof knee revision surgery with special prosthesis, in-hospital mortality

Information

1

0,35%

5 of 1.418

0,13%

2 of 1.483

0,00%

0 of 5

0,00%

0 of 9

Revision of knee replacement for fracture or infection, in-hospital mortality

Observed value

1

1,5%

22 of 1.494

1,7%

26 of 1.541

0,00%

0 of 7

0,00%

0 of 5

Hip or knee replacement for cancer, in-hospital mortality

Observed value

1

7,2%

154 of 2.130

6,7%

149 of 2.220

0,00%

0 of 3

0,00%

0 of 4

Hip fracture

Femoral neck fracture, in-hospital mortality

age > 19

< Expected value

1

5,5%

1.274 of 22.968

5,3%

1.237 of 23.538

0,00%

0 of 1

0,00%

0 of 1

2,1%

0,00

1,8%

0,00

age 60 - 69

< Expected value

1

1,8%

43 of 2.400

1,8%

45 of 2.482

0,00%

0 of 1

0,00%

0 of 1

2,1%

1,8%

Intertrochanteric hip fracture, in-hospital mortality

age > 19

< Expected value

1

5,0%

1.076 of 21.425

0,00%

0 of 1

1,7%

0,00

Spinal surgery

Surgery of the spine and medulla except local interventions for pain management

Quantity information

2

318,3 (171)

104.092

328,5 (181)

104.469

603

715

Share of surgeries of the spine, surgeries of the medulla/spinal canal

Quantity information

2

87,2 (32)

22.312

89,3 (34)

23.044

96

125

Spinal fusion or vertebral body replacement for cancer, in-hospital mortality

Observed value

1

7,4%

235 of 3.177

0,00%

0 of 1

Spinal fusion or vertebral body replacement for trauma, in-hospital mortality

Observed value

1

3,3%

423 of 12.853

3,6%

484 of 13.567

0,00%

0 of 11

0,00%

0 of 11

Surgery of the spine in case of discitisor or osteomyelitis, in-hospital mortality

Observed value

1

7,1%

159 of 2.233

7,0%

158 of 2.266

0,00%

0 of 4

0,00%

0 of 4

Complex reconstructions of the spine (without cancer or trauma), in-hospital mortality

Observed value

1

0,58%

10 of 1.732

0,35%

6 of 1.725

0,00%

0 of 10

0,00%

0 of 11

Spinal fusion or vertebral body replacement, 1 level (without cancer, trauma, complex reconstr.), in-hospital mortality

Observed value

1

0,13%

15 of 11.936

0,12%

14 of 11.302

0,00%

0 of 116

0,00%

0 of 173

Spinal fusion or vertebral body replacement, 2 levels (without cancer, trauma, complex reconstr.), in-hospital mortality

Observed value

1

0,19%

11 of 5.719

0,27%

15 of 5.496

0,00%

0 of 58

0,00%

0 of 57

Spinal fusion or vertebral body replacement, 3 or more levels (without cancer, trauma, complex reconstr.), in-hospital mortality

Observed value

1

0,67%

23 of 3.413

0,86%

31 of 3.600

0,00%

0 of 23

0,00%

0 of 30

Spinal discectomy (without cancer, Trauma, complex reconstr.), in-hospital mortality

< 0,035%

1

0,031%

8 of 26.219

0,019%

5 of 25.824

0,000%

0 of 150

0,000%

0 of 158

Spinal decompression without other spinal surgery, in-hospital mortality

Observed value

1

0,1%

10 of 9.643

0,05%

5 of 10.154

0,00%

0 of 144

0,00%

0 of 163

Vertebroplasty or kyphoplasty (without cancer, complex reconstr., discectomy, vertebral body replacement), in-hospital mortality

Observed value

1

0,58%

46 of 7.912

0,35%

26 of 7.484

0,00%

0 of 24

0,00%

0 of 24

Other surgeries of the spine or medulla, in-hospital mortality

Observed value

1

1,8%

350 of 19.132

1,5%

306 of 19.874

0,00%

0 of 63

0,00%

0 of 83

Spinal discectomy (without cancer, trauma, complex reconstr.), share of cases with non-surgical complications

Observed value

1

0,59%

156 of 26.219

0,55%

141 of 25.824

0,00%

0 of 150

0,63%

1 of 158

Local spinal interventions for pain management (without other spinal surgery)

Quantity information

2

117,7 (45)

36.726

110,3 (37)

34.850

293

228

Treatment of spinal diseases (PDX) without spinal surgery or local interventions

Quantity information

2

210 (177)

76.443

196,4 (167)

71.694

10

17

Diseases of the skin

Diseases of the skin

Inpatient treatment for melanoma (PDX)

Quantity information

2

54,6 (4)

13.092

54,7 (4)

13.567

81

111

Inpatient treatment for dermatitis and eczema (PDX)

Quantity information

2

54,3 (8)

18.015

1

Inpatient treatment for psoriasis (PDX)

Quantity information

2

39,6 (3)

7.176

1

Intensive care

Intensive care

Sepsis (as secondary diagnosis), in-hospital mortality

Information

1

31,2%

20.841 of 66.718

31,8%

21.286 of 66.925

0,00%

0 of 1

0,00%

0 of 2

Length of stay (LOS) for selected diseases / procedures

Length of stay (LOS) for selected diseases / procedures

Length of stay

excluding psychiatry and early rehabilitation

Information

1

5,9

36.925.768 of 6.247.120

5,8

36.342.429 of 6.230.303

3,2

24.197 of 7.491

3,3

25.432 of 7.750

Hip replacement for coxarthrosis and chronic hip arthritis, LOS

excluding early rehabilitation

Information

1

10,5

419.079 of 39.971

9,9

400.101 of 40.433

8,2

2.732 of 333

8,3

3.925 of 474

Knee replacement for gonarthrosis and chronic knee arthritis, LOS

excluding early rehabilitation

Information

1

10,1

382.216 of 37.695

9,6

366.678 of 38.237

8,5

3.059 of 362

8,3

2.591 of 314

Supplementary information

Supplementary information

Share of inpatient cases displayed in all G-IQI/CH-IQI indicators

except psychiatry

Information

1

66,7%

4.227.132 of 6.340.254

67,3%

4.261.401 of 6.331.725

46,3%

3.470 of 7.491

47,0%

3.642 of 7.750