[Reasons for proximal femoral fracture surgery delays : Analysis of the structured dialog in Rheinland-Pfalz].
Unfallchirurg 2017;
119:936-942. [PMID:
27638550 DOI:
10.1007/s00113-016-0243-8]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
BACKGROUND
For the "preoperative stay" quality indicator , which is part of the external quality assurance for proximal femoral fractures (module 17/1), a tolerance range for surgery within 48 h after admission of ≤15 % is given.
MATERIALS AND METHODS
The structured dialog (2014) in Rheinland-Pfalz was analyzed with respect to reasons for delaying surgery for more than 48 h after admission.
RESULTS
A total of 331 cases were analyzed. In 60.7 % patient-related reasons and in 13.3 % administrative reasons were found. In 9.1 % the statements were not feasible. Due to a lack of software-related specifications in 7.3 % a wrong preoperative length of stay was generated. Wrong coding or a computer-related problem was found in 6.6 %. The most common reason for delay was the intake of an anticoagulant (25.7 %).
CONCLUSION
The significance of the quality indicator "Preoperative stay" without division into whether this was administrative or patient-related must be considered critically.
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