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Table 1 Included DHTP total hip replacement quality indicators

From: Testing the construct validity of hospital care quality indicators: a case study on hip replacement

Total hip replacement   
Qi numbera Qi name Indicator typeb QI definition
qi1 Preoperative patient information S Definition: hospitals provide written or audio-visual preoperative patient information (yes/no)
qi2a Guideline thrombosis prophylaxis S Definition: hospitals have a guideline or protocol on thrombosis prophylaxis for cases of hip replacement (yes/no)
qi2b Thrombosis prophylaxis P Definition and Numerator: in hip replacement cases, the number of operations in which patients received medical thrombosis prophylaxis within 6 weeks and no more than 3 months after the operation
qi3a Complication register S Definition: an automated information system is available to provide insight into the occurrence of complications (e.g. wound infection, lung emboli) within 6 weeks of HR (yes/no)
qi3b Appointment within 6 weeks S Definition: to detect complications, a postoperative appointment is held within 6 weeks of a hip replacement (yes/no)
qi3c Orthopaedic registration form S Definition: in hip replacement cases, an orthopaedic registration form is used to register complications (yes/no)
qi3d Complications meeting S Definition: minuted meetings are held to discuss hip-replacement complications (number of meetings per year)
qi3e Improvement plan S Definition: minuted meetings are held to discuss hip-replacement complications, if necessary an improvement plan with the person in charge is assigned (yes/no)
qi4a Blood management guideline S Definition: a blood-management guideline or protocol to reduce perioperative administered in case of hip replacement is present (yes/no)
qi4b Transfusion of homologue blood P Definition and Numerator: in hip replacement cases, the number of operations in which patients did not receive transfusion of homologue blood
qi5a Guideline for antibiotic prophylaxis S Definition: a guideline/protocol is available for antibiotic prophylaxis in the event of hip replacement (yes/no)
qi5b Perioperative antibiotics P Definition and Numerator: in hip replacement cases, the number of operations in which perioperative antibiotics were administered
qi5c Antibiotics 60–15 min P Definition and Numerator: in hip replacement cases, the number of operations in which patients received antibiotics 60 to 15 min before incision
qi5d Wound infection O Definition and Numerator: in hip replacement cases, the number of patients with deep wound infections within 6 weeks of the operation
qi6 National prosthetic register S Definition: the hospital participates in the national arthroplasty register (yes/no)
  1. aAccording to number in DHTP hip and knee replacement indicator set
  2. bS structure, P process, O outcome