Quality control of gynecological operations in Sweden: How and what? GYNOP Swedish National Quality...
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Transcript of Quality control of gynecological operations in Sweden: How and what? GYNOP Swedish National Quality...
![Page 1: Quality control of gynecological operations in Sweden: How and what? GYNOP Swedish National Quality Register of Gynecological Surgery .](https://reader036.fdocuments.net/reader036/viewer/2022062314/56649cdc5503460f949a6e2f/html5/thumbnails/1.jpg)
Quality control
of gynecological operations
in Sweden:
How and what?
GYNOPSwedish National Quality Register of Gynecological Surgery
www.gynop.org
![Page 2: Quality control of gynecological operations in Sweden: How and what? GYNOP Swedish National Quality Register of Gynecological Surgery .](https://reader036.fdocuments.net/reader036/viewer/2022062314/56649cdc5503460f949a6e2f/html5/thumbnails/2.jpg)
Emil Nüssler
HOW?Measurements for Improved Quality in Healthcare
SingaporeChinaIndiaScotlandEnglandAustraliaCanada
+Denmark+Germany+ ….
TOP – DOWN
Government + departments...
Quality indicators
RecommandationsStandards
CertificationAccreditation
National statistics
![Page 3: Quality control of gynecological operations in Sweden: How and what? GYNOP Swedish National Quality Register of Gynecological Surgery .](https://reader036.fdocuments.net/reader036/viewer/2022062314/56649cdc5503460f949a6e2f/html5/thumbnails/3.jpg)
Emil Nüssler
Sweden
+ Australia?
BOTTOM – UP….
Enthusiasts + nerds...
HOW?Measurements for Improved Quality in Healthcare
![Page 4: Quality control of gynecological operations in Sweden: How and what? GYNOP Swedish National Quality Register of Gynecological Surgery .](https://reader036.fdocuments.net/reader036/viewer/2022062314/56649cdc5503460f949a6e2f/html5/thumbnails/4.jpg)
Emil Nüssler
Sweden BOTTOM – UP….
Enthusiasts + nerds...
Rapidly growing number registries in the nineties
1997 Gynop
2007 ”the local authorities and regions took the responsibility of the continuing operation, development, and financing of the registries”
HOW?Measurements for Improved Quality in Healthcare
![Page 5: Quality control of gynecological operations in Sweden: How and what? GYNOP Swedish National Quality Register of Gynecological Surgery .](https://reader036.fdocuments.net/reader036/viewer/2022062314/56649cdc5503460f949a6e2f/html5/thumbnails/5.jpg)
Emil Nüssler
Sweden BOTTOM – UP….
Sweden today...
8 ”competence centres”
78 ”accepted” national quality registries
24 ” candidate” registries
HOW?Measurements for Improved Quality in Healthcare
![Page 6: Quality control of gynecological operations in Sweden: How and what? GYNOP Swedish National Quality Register of Gynecological Surgery .](https://reader036.fdocuments.net/reader036/viewer/2022062314/56649cdc5503460f949a6e2f/html5/thumbnails/6.jpg)
Emil Nüssler
Database
LaparoscopyHystero-scopy
HOW? The gynaecological family 1997
![Page 7: Quality control of gynecological operations in Sweden: How and what? GYNOP Swedish National Quality Register of Gynecological Surgery .](https://reader036.fdocuments.net/reader036/viewer/2022062314/56649cdc5503460f949a6e2f/html5/thumbnails/7.jpg)
Emil Nüssler
Database
Benign abd. surgery
Adnex
Hystero-scopy
Malignanttumours
Prolapse
Incon-tinence
HOW? The gynecological family since 2006
![Page 8: Quality control of gynecological operations in Sweden: How and what? GYNOP Swedish National Quality Register of Gynecological Surgery .](https://reader036.fdocuments.net/reader036/viewer/2022062314/56649cdc5503460f949a6e2f/html5/thumbnails/8.jpg)
Emil Nüssler
Pre-op questionnaire
Questionnaire1 year post-op
Questionnaire 8 weeks post-OP
PATIENT DOCTOR
![Page 9: Quality control of gynecological operations in Sweden: How and what? GYNOP Swedish National Quality Register of Gynecological Surgery .](https://reader036.fdocuments.net/reader036/viewer/2022062314/56649cdc5503460f949a6e2f/html5/thumbnails/9.jpg)
Emil Nüssler
Pre-OP questionnaire
Questionnaire1 year post-OP
Questionnaire 8 weeks post-OP
Status at ADMISSION
OPERATION
Status at DISCHARGE
PATIENT DOCTOR
8 weeks - assessment
1 year - assessment
![Page 10: Quality control of gynecological operations in Sweden: How and what? GYNOP Swedish National Quality Register of Gynecological Surgery .](https://reader036.fdocuments.net/reader036/viewer/2022062314/56649cdc5503460f949a6e2f/html5/thumbnails/10.jpg)
Emil Nüssler
CARE orientedMedical perfection
PATIENT orientedFitness for purpose
MANAGEMENT orientedValue for money
WHAT? QUALITY?????
![Page 11: Quality control of gynecological operations in Sweden: How and what? GYNOP Swedish National Quality Register of Gynecological Surgery .](https://reader036.fdocuments.net/reader036/viewer/2022062314/56649cdc5503460f949a6e2f/html5/thumbnails/11.jpg)
Emil Nüssler
on NATIONAL LEVEL ?
What do we do with our data? COMPARISON
![Page 12: Quality control of gynecological operations in Sweden: How and what? GYNOP Swedish National Quality Register of Gynecological Surgery .](https://reader036.fdocuments.net/reader036/viewer/2022062314/56649cdc5503460f949a6e2f/html5/thumbnails/12.jpg)
Emil Nüssler
Uninformative for the clinician
on NATIONAL LEVEL =
What do we do with our data? COMPARISON
![Page 13: Quality control of gynecological operations in Sweden: How and what? GYNOP Swedish National Quality Register of Gynecological Surgery .](https://reader036.fdocuments.net/reader036/viewer/2022062314/56649cdc5503460f949a6e2f/html5/thumbnails/13.jpg)
Emil Nüssler
Uninformative for the clinician
Irrelevant for the patient
on NATIONAL LEVEL =
What do we do with our data? COMPARISON
![Page 14: Quality control of gynecological operations in Sweden: How and what? GYNOP Swedish National Quality Register of Gynecological Surgery .](https://reader036.fdocuments.net/reader036/viewer/2022062314/56649cdc5503460f949a6e2f/html5/thumbnails/14.jpg)
Emil Nüssler
Uninformative for the clinician
Irrelevant for the patient
Boring, for quality-minded professionals
on NATIONAL LEVEL =
What do we do with our data? COMPARISON
![Page 15: Quality control of gynecological operations in Sweden: How and what? GYNOP Swedish National Quality Register of Gynecological Surgery .](https://reader036.fdocuments.net/reader036/viewer/2022062314/56649cdc5503460f949a6e2f/html5/thumbnails/15.jpg)
Emil Nüssler
COMPARISON
on CLINIC + INDIVIDUAL LEVEL ?
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Emil Nüssler
COMPARISON
”IMPOSSIBLE”on CLINICAL + INDIVIDUAL LEVEL =
![Page 17: Quality control of gynecological operations in Sweden: How and what? GYNOP Swedish National Quality Register of Gynecological Surgery .](https://reader036.fdocuments.net/reader036/viewer/2022062314/56649cdc5503460f949a6e2f/html5/thumbnails/17.jpg)
Emil Nüssler
COMPARISON
”IMPOSSIBLE”
because of ….
CASE MIX………
POLITICS………
MONEY…………
EGO…………….
TRADITIONS…..
..anything goes..
on CLINIC + INDIVIDUAL LEVEL =
![Page 18: Quality control of gynecological operations in Sweden: How and what? GYNOP Swedish National Quality Register of Gynecological Surgery .](https://reader036.fdocuments.net/reader036/viewer/2022062314/56649cdc5503460f949a6e2f/html5/thumbnails/18.jpg)
Emil Nüssler
COMPARISON
YES WE CAN…
Comparable Patient Groups
Dynamic Benchmark
on CLINICAL + INDIVIDUAL LEVEL =
![Page 19: Quality control of gynecological operations in Sweden: How and what? GYNOP Swedish National Quality Register of Gynecological Surgery .](https://reader036.fdocuments.net/reader036/viewer/2022062314/56649cdc5503460f949a6e2f/html5/thumbnails/19.jpg)
Emil Nüssler
COMPARISON on NATIONAL LEVEL
![Page 20: Quality control of gynecological operations in Sweden: How and what? GYNOP Swedish National Quality Register of Gynecological Surgery .](https://reader036.fdocuments.net/reader036/viewer/2022062314/56649cdc5503460f949a6e2f/html5/thumbnails/20.jpg)
Emil Nüssler
COMPARISON on CLINICAL LEVEL version 2006
Einfache Prolapsoperationen
![Page 21: Quality control of gynecological operations in Sweden: How and what? GYNOP Swedish National Quality Register of Gynecological Surgery .](https://reader036.fdocuments.net/reader036/viewer/2022062314/56649cdc5503460f949a6e2f/html5/thumbnails/21.jpg)
Emil Nüssler
Einfache Prolapsoperationen
Dynamic Benchmark
COMPARISON on CLINICAL LEVEL version 2009
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Emil Nüssler
Einfache Prolapsoperationen
COMPARISON on CLINICAL LEVEL version 2012
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Emil Nüssler
What do we do with our data?
Production reports
Special reports
”Open report”(Öppna Jämförelser)
Gyn. Departments ”annual report”
Scientific research ”for all”
Pre-op informationof patients
Clinical data + ”Rapportgenerator”
![Page 24: Quality control of gynecological operations in Sweden: How and what? GYNOP Swedish National Quality Register of Gynecological Surgery .](https://reader036.fdocuments.net/reader036/viewer/2022062314/56649cdc5503460f949a6e2f/html5/thumbnails/24.jpg)
Quality control
ain’t easy…..
Thank youfor listening!
[email protected] National Quality Register of Gynecological Surgery
www.gynop.org