HELIOS Hanseklinikum Stralsund

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Quality results

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

Information about this treatment area (documentation)

Designation	Pflege: Dekubitusprophylaxe
Shortcut	DEK
Number of cases	236
Documentation rate	88.6 %
Hospital comment	Die Dokumentationsrate wurde krankenhausbezogen berechnet.

Summary result:

In 2 of 2 quality characteristics, the quality objective was achieved.
For 2 quality characteristics, no assessment is possible.

Number of patients treated: 236

Quality objective achieved
Quality objective not achieved

The results in detail

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Quality criterion

Hospital result
and target area

Quality objective
achieved?

All information

Ratio of the actual number to the previously expected number of patients suffering from a pressure sore (decubitus) during hospitalisation (patients in whom pressure caused a reddening of the skin that could not be pushed away but the skin was still intact (degree of decubitus/ category 1) were not considered - individual risks of the patients were taken into account)

Hospital: 0,00

Target area: at most 2,32

Quality objective achieved

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Patients in whom a pressure sore (decubitus) developed in at least one place during their stay in hospital: The pressure sore reached down to the muscles, bones or joints and resulted in the mortification of muscles, bones or supporting structures (e.g. tendons or joint capsules) (decubitus grade/ category 4)

Hospital: 0,00 Fälle

Sentinel Event

Quality objective achieved

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

The results in detail

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Quality criterion

Hospital result

Quality objective
achieved?

All information

Hospital: 0,00 %

No assessment foreseen

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Hospital: 0,00 %

No assessment foreseen

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Code ID	52009
Result	0,00
Evaluation through structured dialogue	The result is in the target area - the quality target is therefore considered to have been fully achieved. (R10)
Population	0
Events observed	0
Anticipated events	0,00
Result trend compared with the previous reporting year	eingeschränkt/nicht vergleichbar
Comparison with the previous reporting year	unverändert
National result	1,05
Target range (reference range)	<= 2,32 (95, Perzentil)
Confidence interval nationwide	1,04 - 1,06
Hospital confidence interval	0,00 - 2,73
Reference infection	No
Type of value	QI
Relation to the procedure	QSKH
Reference to other QA results
Sorting
Risk-adjusted rate	0
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG

Code ID	52010
Result	0,00
Evaluation through structured dialogue	The result is in the target area - the quality target is therefore considered to have been fully achieved. (R10)
Population	1846
Events observed	0
Anticipated events	0,00
Result trend compared with the previous reporting year	eingeschränkt/nicht vergleichbar
Comparison with the previous reporting year	unverändert
National result	0,00
Target range (reference range)	Sentinel Event
Confidence interval nationwide	0,00 - 0,00
Hospital confidence interval	0,00 - 0,00
Reference infection	No
Type of value	QI
Relation to the procedure	QSKH
Reference to other QA results
Sorting
Risk-adjusted rate	0
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. 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	52326
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	1846
Events observed	0
Anticipated events	0,00
Result trend compared with the previous reporting year	eingeschränkt/nicht vergleichbar
Comparison with the previous reporting year	eingeschränkt/nicht vergleichbar
National result (%)	0,33
Target range (reference range)	Nicht definiert
Confidence interval nationwide (%)	0,33 - 0,33
Hospital confidence interval (%)	0,00 - 0,21
Reference infection	No
Type of value	TKez
Relation to the procedure	QSKH
Reference to other QA results
Sorting
Risk-adjusted rate	0
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG

Code ID	521801
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	1846
Events observed	0
Anticipated events	0,00
Result trend compared with the previous reporting year	eingeschränkt/nicht vergleichbar
Comparison with the previous reporting year	eingeschränkt/nicht vergleichbar
National result (%)	0,06
Target range (reference range)	Nicht definiert
Confidence interval nationwide (%)	0,06 - 0,06
Hospital confidence interval (%)	0,00 - 0,21
Reference infection	No
Type of value	TKez
Relation to the procedure	QSKH
Reference to other QA results
Sorting
Risk-adjusted rate	0
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG