Johanniter-Krankenhaus Geesthacht GmbH

Quality results

Treatment sector: Pacemaker: First use (09/1) Explanation

Designation Herzschrittmacher-Implantation
Shortcut 09/1
Number of cases 12
Documentation rate 100 %
Hospital comment Die Dokumentationsrate wurde krankenhausbezogen berechnet.

Summary result:

In 12 of 12 quality characteristics, the quality objective was achieved.
No assessment is possible for any quality characteristic


Number of patients treated: 12

Quality objective achieved
Quality objective not achieved

The results in detail

Quality criterion
Hospital result
and target area
Quality objective
achieved?
All information
Hospital: 100,00 %
Target area: at least 90,00 %
Quality objective achieved
The pacemaker system was selected on the basis of recognised scientific recommendations
Hospital: 100,00 %
Target area: at least 90,00 %
Quality objective achieved
The choice of the pacemaker system was appropriate according to scientific standards. This concerns pacemaker systems that should be used in most cases
Hospital: 100,00 %
as often as possible
Evaluation is not available
The choice of the pacemaker system was appropriate according to scientific standards. This concerns pacemaker systems that should be used in less than half of cases
Hospital: 0,00 %
as rarely as possible
Evaluation is not available
The choice of the pacemaker system was appropriate according to scientific standards. This concerns specialist pacemaker systems that should only be used in individual cases
Hospital: 0,00 %
Target area: at most 10,00 %
Quality objective achieved
Duration of the operation (based on operations where a pacemaker was inserted for the first time or the housing of the pacemaker was replaced)
Hospital: 100,00 %
Target area: at least 60,00 %
Quality objective achieved
Hospital: Data protection

No information due to data protection

Target area: at most 3,44
Quality objective achieved
Various measurements during the operation have shown that the pacemaker’s wires were functioning properly
Hospital: 81,82 %
Target area: at least 90,00 %
Quality objective achieved
Why?
Hospital: 0,00 %
Target area: at most 2,60 %
Quality objective achieved
Unintentional change of position or malfunction of the pacemaker’s wires (probes)
Hospital: 0,00 %
Target area: at most 3,00 %
Quality objective achieved
Hospital: 100,00 %
Evaluation is not available
Ratio of the actual number to the previously expected number of patients who died during their hospital stay (the individual risks of the patients were taken into account)
Hospital: Data protection

No information due to data protection

Target area: at most 4,29
Quality objective achieved
Why?
So rarely did the pacemaker housing have to be replaced within four years after initial insertion because the battery was exhausted (applies to pacemakers with one or two leads)
Hospital: 0,00 %
Sentinel Event
Quality objective achieved
Ratio of the number of problems encountered to the previously expected number (the individual risks of the patients were taken into account). The problems occurred in connection with an operation where a pacemaker was inserted (probe or pocket problems) and led to a new operation within one year
Hospital: Data protection

No information due to data protection

Target area: at most 2,77
Quality objective achieved
Ratio of the actual number to the previously expected number of infections or complications that occurred which led to a new operation within one year (individual risks of the patients were taken into account)
Hospital: 0,00
Target area: at most 6,14
Quality objective achieved