Surgical key procedures in 2011 in the individual surgical wards of the intervention hospital.

<p>Individual immediate outcome indicators in the three surgical wards of the intervention hospital in 2011.</p

Surgical key procedures over 2006, 2009 and 2011 in the intervention hospital.

<p>Immediate outcome indicators in surgical care in the intervention hospital 2006, 2009, 2011.</p>*<p>indicates significant change,</p><p>↑indicates improvement,</p><p>↓indicates decline.</p

Surgical key procedures over 2006, 2009, 2011 in the intervention hospital.

<p>The black line indicates the benchmark of 80%. One key procedure (ward round, surgical performance) score over benchmark in 2006, one (surgical performance) in 2009 and in 2011. There are four key procedures (preoperative care; ward performance; ward round; surgical performance) with an immediate outcome indicator of more than 80%.</p

Surgical key procedures over 2006, 2009 and 2011 in the control group.

<p>Immediate outcome indicators in surgical care in the control group 2006, 2009, 2011.</p>*<p>indicates significant change,</p><p>↑indicates improvement,</p><p>↓indicates decline.</p

Structure of the Hospital Performance Assessment Tool.

<p>There are twelve focal points (maternity, surgery, pediatrics, medicine, laboratory, pharmacy, radiology, blood bank, management, maintenance, waste and hygiene, water and power). Key procedures consist of individual items that are structured in form of checklists. The assessment is conducted with the checklist of the items. The checklist with all items for the key procedure “discharge (observation)” in the clinical focal point surgery is given.</p

Surgical key procedures over 2006, 2009, 2011 in the control group.

<p>The black line indicates the benchmark of 80%. One key procedure (surgical performance) scores over benchmark in 2006, one (surgical performance) and in 2011 there is no key procedures with an immediate outcome indicator of more than 80%. Five procedures (discharge (observation); inpatient care; ward performance; postoperative care; surgical performance) have lower performance levels in 2011 than in 2006.</p

Immediate outcome indicators for Postoperative Inpatient Care in the intervention hospital 2009 to 2011.

<p>Immediate outcome indicators from 2009, 2010, 2011. 2009 is the baseline assessment. Significance was tested 2010 (t2) against 2009 (t1), 2011 (t3) against 2010 (t2) and 2011 (t3) against 2009 (t1). Significant improvement is marked with *↑. Significant decline was marked *↓. Confidence interval is given for the differences of overall immediate outcome of the key procedure in 2009, 2010 and 2011.</p><p>Immediate outcome indicators for Postoperative Inpatient Care in the intervention hospital 2009 to 2011.</p

Structural quality in the intervention hospital 2009 to 2011.

<p>Significance was tested 2010 (t2) against 2009 (t1), 2011 (t3) against 2010 (t2) and 2011 (t3) against 2009 (t1).</p><p>Structural quality in the intervention hospital 2009 to 2011.</p

Surgical Case Fatality Rate for the intervention hospital and the control group before and after intervention.

<p>Figures were taken from the annual hospital reports, the annual regional reports and individual hospitals’ documentations. SCFR = Surgical Case Fatality Rate; before intervention = 2009; after intervention = 2010 or 2011, resp., as there was not always available in both years</p><p>Surgical Case Fatality Rate for the intervention hospital and the control group before and after intervention.</p

Immediate outcome indicators for Postoperative Inpatient Care in the Control Group 2009 to 2011.

<p>Immediate outcome indicators from 2009, 2010, 2011. 2009 is the baseline assessment. Significance was tested 2010 (t2) against 2009 (t1), 2011 (t3) against 2010 (t2) and 2011 (t3) against 2009 (t1). Significant improvement is marked with *↑. Significant decline was marked *↓. Confidence interval is given for the differences of overall immediate outcome of the key procedure in 2009, 2010 and 2011.</p><p>Immediate outcome indicators for Postoperative Inpatient Care in the Control Group 2009 to 2011.</p