Every fourth hospital has a quality problem

Christina Bachmann, 70, had respect for before the back surgery, not only because of the intervention, but also because of the healing then. In the case of a good friend, a similar Operation was not satisfactory. You had to then for weeks again and again to the hospital. First of all, you had a lot of pain, then a stubborn infection came, the had to be in the hospital to be treated.

patients hope after a treatment in the hospital, everything will soon be better. This is usually the case, but not always. This week, published by ANQ national Association for quality development in hospitals and clinics, the results of a study on the re-admissions of patients.

An important aspect for the patients

The result is worrying: 47 of 195 surveyed hospitals and hospital locations in Switzerland, had tickets in 2016, significantly more than could be expected. More than twice as many as in the previous year. The data raise the hospitals on behalf of the cantons. This forward them to the Federal office for statistics, which are checked and processed. That takes time, which is why the data are about two years old, when the results are published.

shows The number of re-admissions, although only a partial aspect of the quality of treatment in a hospital. It is one of the patient is crucial: Namely, when and how you will be discharged home, and whether you need to suddenly back to the hospital. The number of re-admissions is therefore a "valid indicator of the quality measurement," according to the study.

is Not only small, but also very large hospitals are affected

The investigation, the evaluation carefully: First, is calculated for each hospital, how many re-admissions are expected, depending on Patientenmix, complexity of cases or the range of disciplines. Only if the number of exceeds re-admissions and a further overlying significance level, admissions to a hospital to many preventable.

according to the latest study, not only small hospitals, but also very large, such as the island hospital of Bern or the University hospital of Lausanne are Affected. In the green area of the University hospital of Geneva is working. The value of the University hospital of Zurich have been calculated, but for the second Time in a row due to a problem with the data is not published. Also at the request of the Sunday newspaper want to leave the company is not in the cards. For the same reason, ten further results from the Canton of Zurich are missing in the statistics. In the next year, this should be fixed.

the regional Central hospitals have admissions there is a Problem with avoidable. In St. Gallen or in Baden AG if the value is too high. The University hospital in Basel, and the cantonal hospitals in Lucerne, Aarau and Winterthur have had tickets in 2016, however, less than expected.

"apparently, some of the pressure"

Regula Heller, the Director of the study, ANQ, is surprised by the doubling of the concerned hospitals. "In previous years, the number of hospitals with eye-catching values are roughly stable or even slightly declining," she says. Heller checked first, the accuracy of the data. But the result did not change, were additional could be carried out investigations to find out what the increase in re-admissions. They showed that the decline in average length of stay influenced in the hospital for the result, however, the increase in re-admissions can thus not fully explain. It was necessary to await further development, says Heller.

The study recommends that hospitals with a high re-entry rate, itself carry out investigations. You should break down the data according to their areas of expertise or groups of the same diagnosis under the microscope. Self-analysis, whether it comes to certain days of the week to more resignations, the number of patients that must then occur again later, could be useful, says Heller. But apparently not all of the institutions. "Not all hospitals have made something up by now from the results of the study," she says. "It takes obviously a little pressure."

in The cantons of Bern and Basel-country are particularly badly affected

No Canton has so many hospitals with high values of the Canton of Bern, where a total of nine sites lie above the expected value. A pattern of who it affects, is not apparent: in addition to the island's hospital, the hospital centre of Biel is affected; the similar to large hospital Thun is less than the value. While the regional hospital in Burgdorf saw too many re-entries, is the about same size as the hospital in Münsingen significantly below the Norm.

Gundekar gable, spokesman for the Berne Directorate of Health, rejected the suggestion. The data would have only generated a limited, a part of the re-recordings by way of internal transfers between hospitals within a group. This is not the case, however. The study attributed these re-admissions, such as Regula Heller confirmed. After all, gable promises that the Canton to take up the matter. You will consider whether he should call in the affected hospitals position. The Inselspital Bern had a question on the possible causes and any measures unanswered.

Before the Operation to check

also notable is the Region of Basel, next to the Region of Bern. There will be voted on in February by the merger of the hospitals of the two half-cantons. The two large sites in the Basel-land in Liestal and Bruderholz have clearly tickets to many preventable. In the city, one has the situation apparently under control: Not a single hospital appears in the statistics with a value that is too high. The cantonal hospital Basel country, says it is already working, the recommendations of previous studies to implement and to improve the quality at the springs.

Christina Bachmann has come through her surgery fine, by the way. A further stay in hospital was not necessary. And also, your girlfriend is better now. In the future, you can look for before the procedure, in ANQ, whether it be in surgery in the hospital, where they, excessively many re-entries.

(Sunday newspaper)

Created: 15.12.2018, 21:44 Uhr