Table 1.

QIs focusing on the diagnostic process.

QIs as a ratio (nominator: denominator)	Acceptable range (%)	Median, range 1–9
Patients with acute pharyngotonsillitis
Number of patients fulfilling 2–3 modified Centor criteria examined with a StrepA test: number of patients fulfilling 2–3 modified Centor criteria	80–100	9*
Number of patients fulfilling 0-1 modified Centor criteria examined with a StrepA test: number of patients fulfilling 0-1 modified Centor criteria	0–10	9*
Number of systemically unwell patients fulfilling 4–5 modified Centor criteria examined with a StrepA test: number of systemically unwell patients fulfilling 4–5 modified Centor criteria	0–10	3
Patients with acute otitis media
Number of patients >6 months fulfilling one or more diagnostic criteriaa and reduced mobility of the eardrumb: number of patients >6 months	70–100	8*
Number of patients >6 months with an evaluation of the eardrum mobilityb: number of patients >6 months	70–100	8*
Number of patients >6 months with reduced mobility of the eardrumb: number of patients >6 months	80–100	7
Patients with acute rhinosinusitis
Number of patients with >10 days symptom duration or increasing symptoms after 5 days: number of patients	90–100	9*
Number of patients with three or more symptomsc: number of patients	90–100	9*
Number of patients examined with a CRP test: number of patients	80–100	2
Patients with acute bronchitis
Number of patients examined with a CRP test: number of patients	20–80	2
Patients with pneumonia
Number of patients fulfilling less than two diagnostic criteriad: number of patients	0–20	9*
Number of patients examined with a CRP test: number of patients	80–100	9*
Number of patients with a CRP test <20 mg/l: number of patients	0–20	8*
Number of patients examined with an X-ray of thorax: number of patients	0–30	8*
Patients with acute exacerbation of COPD
Number of patients with acute exacerbation of dyspnea, coughing and/or expectoration greater than the daily variation: number of patients	90–100	9*
Patients whom the doctor suspects have a lower RTI
Number of patients seen on the same day: number of patients	80–100	9*

^*Consensus of appropriateness.

^aAcute onset of ear pain, injected eardrum, bulging eardrum.

^bEvaluated by tympanometry or pneumatic otoscopy.

^cNasal congestion, nasal discharge, pain in the face/teeth, reduced sense of smell, fever.

^dSymptoms of lower RTI (cough ± expectoration), emerging findings on examination of the chest (tachypnea, damping and/or auscultation of murmurs), signs of systemic disease (systemically unwell and/or temperature >38 °C).