On the basis of the International Quality Indicator Project, the Hirslanden Group surveys the main indicators «Unplanned re-admission», «Unplanned re-operation», «Documented falls», and «Bedsores», thus making an important contribution towards assessing outcome quality in medicine.

These key figures are relevant for determining possible improvement measures and thus ensure a continuous optimisation process. Two things are to be taken into account when interpreting the measurements: Firstly, the differences between the hospitals must be interpreted with regard to the respective services they offer. Secondly, a robust trend statement is only possible in a multi-year comparison, as the changes measured annually are smaller than the confidence intervals. These confidence intervals indicate the range within which the true value most likely (95%) lies. The length of the confidence interval depends on multiple factors. The frequency of the incident type observed has a particularly great influence. The more rarely it occurs, the wider the confidence interval is.

Unplanned readmission

Patients with multiple illnesses have an increased risk of unplanned re-admission. Even if the re-admission cannot be prevented completely, the graph shows that we have been able to continuously reduce the rate in the last three years.

Filter
Reset filter
back
    back

      Unplanned readmission (<= 15 days)

      (2020* data)

      		 HI IP AA AK ST/ MG BI RO PM BS SA CC BC SH LC LI GR Total

      Number of unplanned readmissions
      		 216 55 161 31
      		 330
      		 22
      		 14 17
      		 85 50
      		 46
      		 21
      		 71 38
      		 49
      		 1 1'207
      Number of discharges 18'435 5'644 10'060 4'419 15'255 4'362 2'512 1'982
      		 4'427 6'829 4'218 3'013 7'141 3'798 3'875 984 96'954
      % 1.17 0.97 1.60 0.70 2.16
      		 0.50 0.56 0.86
      		 1.92
      		 0.73
      		 1.09 0.70 0.99 1.00 1.26 0.10
      		 1.24

      *Due to the change of the IQIP indicator readmission, no data are available for the year 2021.

      AA = Hirslanden Klinik Aarau 
      CC = Clinique Cecil, Lausanne  
      LC       = Clinique La Colline, Geneva
      RO = Klinik Am Rosenberg, Heiden  
      ST = Klinik St. Anna, Lucerne
      LI = Klinik Linde, Biel

      AK = AndreasKlinik Cham Zug    
      BI = Klinik Birshof, Münchenstein Basle
      HI = Klinik Hirslanden, Zurich  
      MG = St. Anna in Meggen 
      SA = Salem-Spital, Bern 

      BC = Clinique Bois-Cerf, Lausanne
      BS = Klinik Beau-Site, Bern
      IP = Klinik Im Park, Zurich  
      PM       = Klinik Permanence, Bern  
      SH = Klinik Stephanshorn, St.Gallen
      GR = Clinique des Grangettes, Geneva

      Unplanned return to the operating theatre

      The unplanned return of a patient to surgery can have various causes and may be due to the patient’s illness or diagnosis and the resulting risk of complications. An unplanned return to surgery is not always unavoidable. The interdisciplinary treatment team strives to keep the risk of a return to surgery as low as possible. The graph shows that, despite the number of operations increasing each year, the current rate continues to be just under 1%.

      Filter
      Reset filter
      back
        back

          Unplanned return to the operating theatre (2021 data)

          		 HI IP AA AK ST/ MG BI RO PM BS SA CC BC SH LI LC GR Total
          Number of cases of unplanned return to the operating theatre 291 115 84 28 113 5 17 10 101 80 48 7 94 63 38 14 1'108
          Number of operations 17'194 8'825 7'577 4'346 9'661 4'305 2'249 2'903 7'548 6'817 3'942 4'040 6'182 4'486 4'917 4'328 99'320
          % 1.69 1.30 1.11 0.64 1.17 0.12 0.76 0.34 1.34 1.17 1.22 0.17 1.52 1.40 0.77 0.32 1.12

          AA = Hirslanden Klinik Aarau 
          CC = Clinique Cecil, Lausanne  
          LC           = Clinique La Colline, Geneva
          RO = Klinik Am Rosenberg, Heiden  
          ST = Klinik St. Anna, Lucerne
          LI = Klinik Linde, Biel

          AK = AndreasKlinik Cham Zug    
          BI = Klinik Birshof, Münchenstein Basle
          HI = Klinik Hirslanden, Zurich  
          MG = St. Anna in Meggen 
          SA = Salem-Spital, Bern 

          BC = Clinique Bois-Cerf, Lausanne
          BS = Klinik Beau-Site, Bern
          IP = Klinik Im Park, Zurich  
          PM           = Klinik Permanence, Bern  
          SH = Klinik Stephanshorn, St.Gallen
          GR = Clinique des Grangettes, Geneva

          Documented falls

          Falls in healthcare institutions are a patient safety risk and can largely be avoided with multifactorial interventions. The recording of falls, what leads up to them and their consequences helps us to improve fall prevention. As a healthcare institution, we are required to concern ourselves with the topic of falls, strategically establish fall prevention in companies as part of quality assurance and boost the awareness of interdisciplinarity for this topic.

          Filter
          Reset filter
          back
            back

              ‰ = 1 per mille : 1 per mille corresponds to 1/10 of one percent (%)

              Documented falls, falls per 1,000 treatment days (2021 data)

              		 HI IP AA AK ST/ MG BI RO PM BS SA CC BC SH LI LC GR Total
              Number of falls 2313
              		 98 116 36 227 25 16 18 60 95 55 36 83 60 28 46 1'312
              Number of treatment days 101'614 26'111 44'180 13'862 61'544 14'146 10'820 7'647 26'192 34'339 23'543 14'679 29'934 23'908 16'259 21'948 470'726
              Falls per 1,000 treatment days 3.09 3.75 2.63 2.60 3.69 1.77
              		 1.48 2.35 2.29 2.77 2.34 2.45
              		 2.77 2.51 1.72 2.10 2.79

              AA = Hirslanden Klinik Aarau 
              CC = Clinique Cecil, Lausanne  
              LC               = Clinique La Colline, Geneva
              RO = Klinik Am Rosenberg, Heiden  
              ST = Klinik St. Anna, Lucerne
              LI = Klinik Linde, Biel

              AK = AndreasKlinik Cham Zug    
              BI = Klinik Birshof, Münchenstein Basle
              HI = Klinik Hirslanden, Zurich  
              MG = St. Anna in Meggen 
              SA = Salem-Spital, Bern 

              BC = Clinique Bois-Cerf, Lausanne
              BS = Klinik Beau-Site, Bern
              IP = Klinik Im Park, Zurich  
              PM               = Klinik Permanence, Bern  
              SH = Klinik Stephanshorn, St.Gallen
              GR = Clinique des Grangettes, Geneva

              Pressure ulcers

              Any skin lesion caused by sustained pressure and leading to a destruction of the underlying tissue is known as a bedsore. A bedsore, also known as decubitus, mostly occurs over bony prominences and is divided into stages or severities based on the degree of the observed tissue injury. As shown in the graph, we have been able to continuously reduce the average rate of bedsores since 2018.

              Filter
              Reset filter
              back
                back

                  ‰ = 1 per mille : 1 per mille corresponds to 1/10 of one percent (%)

                  Pressure ulcers

                  (2021 data)

                  		 HI IP AA AK ST/ MG BI RO PM BS SA CC BC SH LI LC GR Total
                  Number of pressure ulcers 29 6 14 2 23 6 9 19 33 72 20 18 36 37 9 17 350
                  Number of treatment days
                  		 101'614 26'111 44'180 13'860 61'544 14'146 10'820 7'647 26'192 34'339 23'543 14'679 29'934 23'908 16'259 21'948 470'726
                  Pressure ulcers per 1,000 treatment days 0.29
                  		 0.23 0.32 0.14 0.37 0.42 0.83 2.48 1.26 2.10 0.85 1.23 1.20 1.55 0.55 0.77 0.74

                  AA = Hirslanden Klinik Aarau 
                  CC = Clinique Cecil, Lausanne  
                  LC                   = Clinique La Colline, Geneva
                  RO = Klinik Am Rosenberg, Heiden  
                  ST = Klinik St. Anna, Lucerne
                  LI = Klinik Linde, Biel

                  AK = AndreasKlinik Cham Zug    
                  BI = Klinik Birshof, Münchenstein Basle
                  HI = Klinik Hirslanden, Zurich  
                  MG = St. Anna in Meggen 
                  SA = Salem-Spital, Bern 

                  BC = Clinique Bois-Cerf, Lausanne
                  BS = Klinik Beau-Site, Bern
                  IP = Klinik Im Park, Zurich  
                  PM                   = Klinik Permanence, Bern  
                  SH = Klinik Stephanshorn, St.Gallen
                  GR = Clinique des Grangettes, Geneva