Quality indicators for hospitals and clinics in Switzerland:
Colon surgery, infection rate
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Meaningful risk-adjusted infection rates for colon surgery are currently available from 82 Swiss hospitals for the current period. A total of 7,016 patients were followed in these hospitals. The average hospital infection rate for colon surgery is 11.4%.
Clinique des Grangettes, Chêne-Bougeries has the lowest risk-adjusted infection rate for colon surgery (0.0% hospital-acquired infections). The following 4 hospitals / clinics have significantly better results (i.e. lower infection rates) for colon surgery:
In German-speaking Switzerland, the Hirslanden Klinik Linde, Biel has the lowest risk-adjusted infection rate for colon surgery. 10 hospitals show significantly worse results for colon surgery (i.e. higher infection rates). The following 5 hospitals / clinics have even highly significantly worse results for colon surgery:
Measured as the ratio of expected and observed numbers of infections after certain types of surgery.
Strengths:
Infections are risky and associated with more distress. A low infection rate is an indicator of good hygiene and a high quality treatment process. The infection rates are risk adjusted by Swissnoso using three additional measurements. This elaborate form of risk adjustment fulfills high scientific standards.
Limits:
Unfortunately, infection rates are not available for all interventions. It is not sure that results are transferable to similar interventions. Also, infection rates are only meaningful when a sufficient number of cases is reached. Especially with interventions with a low risk of infections the needed number of cases is very high and is only reached by large hospitals. For small hospitals it is often not possible to give a meaningful statement (while small case numbers are per se unfavorable, especially with complex interventions).