Table 1.
Included DHTP total hip replacement quality indicators
| 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) |
aAccording to number in DHTP hip and knee replacement indicator set
b S structure, P process, O outcome