Patients classification System

tools for
Cost management

tools for
Quality management

tools for
HOSPITAL PLANNING

 

4  Why to choose US

4  implementation

4  ANECDOTE

4  contact

4  Logic

4  diagnoses

4  procedures

4  inpatients

4  outpatients

4  insurance

4  readmissions

4  reoperations

4  complications

4  deaths

4  length of stay

4  day surgery

4  unjustified stays

 

Aim                             to measure the quality of surgical interventions (cases / eligible population)

Cases                         A potentially avoidable reoperation may be considered as the consequence of an                                     adverse event or an inappropriate operation.

                                   Only reoperations performed during the same hospitalization are included. A reoperation is considered potentially avoidable if :
- it is related to an anatomic site opened or manipulated during the index intervention
- it is unplanned at the time of the index operation
- it reflects a surgical failure or a complication due to surgery rather than the worsening of the underlying disease.

                                    Potentially avoidable reoperations are identified by a computerized algorithm

4 algorithm

Eligible population    All therapeutic surgical interventions are eligible. A surgical intervention requires at least a breaking of skin or mucous membrane; punctures and injections are not considered surgical. A therapeutic intervention must include at least one non-diagnostic procedure, i.e. a simple biopsy is not included. Operations considered as eligible are listed in the step 1 of the algorithm.

Scientific validation Halfon P, Eggli Y, Matter M, Kallay C, van Melle G, Burnand B.

Risk-adjusted potentially avoidable reoperation rates computed from routine data help hospitals identify quality problems. J Clin epidemiology 2007;60(1):56-67

Eggli Y, Halfon P, Meylan D, Taffé P. Surgical safety and hospital volume across a wide range of interventions. Medical Care 2010; 48(11):962-71

Output                        4 SWISS RESULTS          4 INTERPRETATION        4 FILES

Training manual       4 FRENCH VERSION        4 GERMAN VERSION      4 ITALIAN VERSION

© SQLape s.à.r.l. 2014. Last update: 13.09.2017