Universität zu Köln

Theisen, S., Drabik, A., Luengen, M. and Stock, S. (2011). Quality Assurance in German Hospitals - Federal Quality of Care Monitoring vs. Evaluation of Routine Clinical Data. A Head-to-Head Comparison on the Example of Pressure Ulcers. Gesundheitswesen, 73 (12). S. 803 - 810. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-4421

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Abstract

Quality assurance is a backbone for the provision of health care. This has lead to the introduction of systems to evaluate and improve patient care. Currently, a 29-category monitoring is mandatory for all German hospitals (EQS, Einrichtungsubergreifende Qualitatssicherung). Since 2007, the incidence rate of pressure ulcers as an indicator for quality of care has been incorporated. A concern associated with the EQS is the requirement for active data entry by doctors and nurses, whereas the US-based patient safety indicator PSI 3 - pressure ulcer relies on routine clinical data without the need for additional documentation. In this study, we perform a head-to-head comparison of the 2 methods and analyze the feasibility of implementing the PSI 3 system in German hospitals on the example of pressure ulcer incidence in a German academic hospital. Our analysis shows that the usage of the PSI 3 is feasible. In particular, all clinical data are readily available. Critical advantages of the PSI 3 include the low time consumption and the positive economic impact due to increased workflow. A prerequisite for the accuracy of the PSI 3 is the careful distinction and documentation of whether a condition (in our case: pressure ulcers) is pre-existing or hospital-acquired. In this regard, the accurate documentation of admission diagnoses is a potential weakness because these are not essential for reimbursement from health insurances and thus tend to be less well documented. In the US and Australia this problem has been addressed by introducing present on admission tabs into patient records. In conclusion, our study demonstrates that the usage of a quality assurance system based on routinely acquired clinical data in German hospitals is feasible, and encourages further evaluation.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Theisen, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Drabik, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Luengen, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Stock, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-483729
DOI:	10.1055/s-0030-1262865
Journal or Publication Title:	Gesundheitswesen
Volume:	73
Number:	12
Page Range:	S. 803 - 810
Date:	2011
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1439-4421
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PATIENT SAFETY INDICATORS; AGENCY; RISK Multiple languages Public, Environmental & Occupational Health Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/48372