title: [Clinical quality measurement in anaesthesia from routine data. Examples of appendectomy and resection of the colon].
abstract: BACKGROUND
  There is no nationwide evaluation of the quality of anaesthesia in Germany. Thus, the aim of this study was to perform analyses using administrative routine data relating to this topic.
  
  
  METHODS
  Nationwide hospital claims data of patients insured with the local healthcare insurance fund (AOK) in the year 2007 were analyzed. Indicators from International Statistical Classification of Diseases and Related Health Problems-10, German modification (ICD-10-GM) diagnosis codes for possible anaesthesia complications were selected.
  
  
  RESULTS
  Based on the present data, it was not possible to validate indicators which can be applied to detect the quality of anaesthesia.
  
  
  CONCLUSIONS
  Administrative data seem to be an appropriated basis for measurement of quality of outcome in anaesthesiology. Further investigations should be performed to include the diagnosis present on admission. Moreover, there is a need for comparing routine data to the standardized data set, known as the "core data set anaesthesia".
authors.affiliation: Klinik für Anästhesiologie und Intensivmedizin, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625 Hannover, Deutschland. juettner.bjoern@mh-hannover.de
authors.forename: B
authors.initials: B
authors.lastname: Jüttner
authors.forename: K
authors.initials: K
authors.lastname: Stenger
authors.forename: G
authors.initials: G
authors.lastname: Heller
authors.forename: A
authors.initials: A
authors.lastname: Krause
authors.forename: C
authors.initials: C
authors.lastname: Günster
authors.forename: D
authors.initials: D
authors.lastname: Scheinichen
mesh_terms: D058109:Airway Management / Q000009:adverse effects; D000758:Anesthesia / Q000009:adverse effects / Q000592:standards*; D000777:Anesthetics / Q000009:adverse effects; D001062:Appendectomy / Q000592:standards*; D003106:Colon / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000592:standards*; D005858:Germany; D006801:Humans; D007345:Insurance Claim Review; D038801:International Classification of Diseases; D061214:Patient Safety; D011785:Quality Assurance, Health Care / Q000379:methods*; D016896:Treatment Outcome
chemical_list: D000777:Anesthetics