LUP-Klinikum am Crivitzer See gGmbH

Quality results

Treatment sector: Pressure ulcer (decubitus): prevention through nursing measures (DEK) Explanation

Designation Pflege: Dekubitusprophylaxe
Shortcut DEK
Number of cases 57
Documentation rate 31.6 %
Hospital comment Im Zuge von Personalwechsel im Bereich der Verantwortlichkeiten der Qualitätssicherung, sowohl bei den ärztlichen QS-Verantwortlichen als auch bei der QS-Koordinatorin, sind bedauerlicherweise interne Prozesse bei der Prüfung der bestätigten QS-Fälle nicht vollständig durchgeführt worden. Dies führte dazu, dass die Dokumentationsbögen zwar ordnungsgemäß bearbeitet, jedoch nicht freigegeben wurden. Dadurch sind die Ergebnisse in der Dokumentation nicht vollständig reflektiert worden.

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: 57

Quality objective achieved
Quality objective not achieved

The results in detail

Quality criterion
Hospital result
and target area
Quality objective
achieved?
All information
Ratio of actual to the previously expected number of patients who developed a pressure ulcer (moderate to very severe, grade 2 - 4) in hospital
National result: 1,06
Hospital: Data protection

No information due to data protection

as rarely as possible
Quality objective achieved
So rarely did a very severe pressure ulcer (grade 4) develop during the hospital stay
National result: 0,00 Anzahl
Hospital: Data protection

No information due to data protection

Sentinel Event
Quality objective achieved
So rarely did patients develop pressure ulcers of unknown severity in hospital
National result: 0,01 %
Hospital: Data protection

No information due to data protection

as rarely as possible
Evaluation is not available
So few patients developed severe pressure ulcers (grade 3) in hospital
National result: 0,06 %
Hospital: Data protection

No information due to data protection

as rarely as possible
Evaluation is not available
So few patients developed moderate pressure ulcers (grade 2) in hospital
National result: 0,35 %
Hospital: Data protection

No information due to data protection

as rarely as possible
Evaluation is not available