title: [Reasons for proximal femoral fracture surgery delays : Analysis of the structured dialog in Rheinland-Pfalz].
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.
  
  
  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 %).
  
  
  CONCLUSIONS
  The significance of the quality indicator "Preoperative stay" without division into whether this was administrative or patient-related must be considered critically.
authors.affiliation: Klinik für Unfallchirurgie und Orthopädie 1, Westpfalz-Klinikum GmbH, Hellmut-Hartert-Str. 1, 67655, Kaiserslautern, Deutschland. thomas@ruffing.eu.|SQMed GmbH, Geschäftsstelle Qualitätssicherung Rheinland-Pfalz, Mainz, Deutschland. thomas@ruffing.eu.
authors.forename: T
authors.initials: T
authors.lastname: Ruffing
authors.affiliation: SQMed GmbH, Geschäftsstelle Qualitätssicherung Rheinland-Pfalz, Mainz, Deutschland.|Klinik für allgemeine Orthopädie, Endoprothetik und Kinderorthopädie, Katholisches Klinikum Koblenz-Montabaur, Koblenz-Montabaur, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Haunschild
authors.affiliation: SQMed GmbH, Geschäftsstelle Qualitätssicherung Rheinland-Pfalz, Mainz, Deutschland.|Klinik für Orthopädie und Unfallchirurgie, Evangelisches Krankenhaus Bad Dürkheim, Bad Dürkheim, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Egenolf
authors.affiliation: SQMed GmbH, Geschäftsstelle Qualitätssicherung Rheinland-Pfalz, Mainz, Deutschland.|Medizinischer Dienst der Krankenversicherung Rheinland-Pfalz, Kaiserslautern, Deutschland.
authors.forename: W
authors.initials: W
authors.lastname: Eymann
authors.affiliation: SQMed GmbH, Geschäftsstelle Qualitätssicherung Rheinland-Pfalz, Mainz, Deutschland.|Abteilung Chirurgie, Stadtklinik Frankenthal, Frankenthal, Deutschland.
authors.forename: D
authors.initials: D
authors.lastname: Jost
authors.affiliation: SQMed GmbH, Geschäftsstelle Qualitätssicherung Rheinland-Pfalz, Mainz, Deutschland.|Klinik für Unfallchirurgie und Orthopädie, Sankt Vincentius Krankenhaus Speyer, Speyer, Deutschland.
authors.forename: G
authors.initials: G
authors.lastname: Wallmen
authors.affiliation: SQMed GmbH, Geschäftsstelle Qualitätssicherung Rheinland-Pfalz, Mainz, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Burmeister
mesh_terms: D000368:Aged; D005260:Female; D005270:Femur Head / Q000601:surgery*; D005592:Fracture Fixation / Q000706:statistics & numerical data*; D005858:Germany / Q000453:epidemiology; D006620:Hip Fractures / Q000208:ethnology* / Q000601:surgery*; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D011300:Preoperative Care / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D061665:Time-to-Treatment / Q000706:statistics & numerical data*; D014850:Waiting Lists
keywords: External quality assurance; Module 17/1; Preoperative stay; Proximal femoral fractures; Reasons for delay in surgery