Development of a dementia assessment quality database.

Objective: Increased focus on the quality of health care requires tools and information to address and improve quality. One tool to evaluate and report the quality of clinical health services is quality indicators based on a clinical database.

Method: The Capital Region of Denmark runs a quality database for dementia evaluation in the secondary health system.

[Analysis of quality data based on national clinical databases].

There is little agreement on the philosophy of measuring clinical quality in health care. How data should be analyzed and transformed to healthcare information is an ongoing discussion. To accept a difference in quality between health departments as a real difference, one should consider to which extent the selection of patients, random variation, confounding and inconsistency may have influenced results.

[Publication of healthcare quality data to citizens--status and perspectives].

Public quality reports are intended to stimulate active consumer participation by enabling consumers to make informed choices about their healthcare providers. Despite all efforts, public reporting has been shown not to be effective in stimulating consumers to choose their healthcare provider based on performance information in Denmark and other countries. Numerous barriers are identified.

Timing of heparin prophylaxis and bleeding complications in hysterectomy a nationwide prospective cohort study of 9,949 Danish women.

Objective: To examine bleeding complications and thromboembolic events in relation to timing of heparin prophylaxis after hysterectomy.

Design: Nationwide prospective cohort study with 30 days post-operative follow-up within the Danish Hysterectomy Database (DHD).

Setting: All gynecological departments in Denmark (n=31).

Establishment of a national Danish hysterectomy database: preliminary report on the first 13,425 hysterectomies.

Objective: To describe the concept and early results from the Danish Hysterectomy Database (DHD).

Design: Nationwide prospective cohort.

Setting: Denmark.

[The Danish Hysterectomy Database seen from a public health-economic perspective].

Introduction: National clinical databases are a tool for quality improvement in clinical divisions. Furthermore, they can be used to make the quality of health care contributions visible to the population, as part of the free choice of hospital. Using data from one of the Danish nationwide databases, this article is the first to illustrate the potential economic resource gains from the use of these databases.

Hysterectomy in Denmark. An analysis of postoperative hospitalisation, morbidity and readmission.

Introduction: The aim of this study was to describe the incidence of "standard" hysterectomy in Denmark, including surgical procedure, postoperative hospitalisation, morbidity, mortality and readmission rate within 30 days.

Material And Methods: Analysis of data from the Danish National Patient Register for a two-year period (1998-2000) concerning hysterectomies for benign indications, carcinoma in situ cervicis uteri and endometrial carcinoma stage I. A stratified sample of 821 discharge resumés was reviewed for detection of complications.

[Hysterectomy in Denmark. An analysis of postoperative hospitalization, morbidity and readmission].

Introduction: The aim of this study was to demonstrate the incidence of "standard" hysterectomy in Denmark, including surgical route, postoperative hospitalisation, morbidity, mortality, and readmission rate within 30 days.

Material And Methods: We analysed data from the Danish National Patient Register over a two-year period (1998-2000) on hysterectomies for benign indications, carcinoma in situ cervicis uteri, and cancer corporis uteri stage 1. A stratified sample of 821 discharge résumés was reviewed for detection of complications.

[Esophageal resections in Denmark 1997-2000].

Introduction: We evaluated the changes in Denmark since the 1980s in the incidence, management and outcome of oesophageal resections.

Material And Methods: The national patient hospital register and discharge information from the hospitals were examined for the number of oesophageal resections performed, the length of the postoperative stay, readmission, postoperative complications, and hospital mortality in the period 1/1-1997 to 30/6-2000.

Results: Twenty-six departments in 18 hospitals performed 476 resections.

[Will publication of quality indicators in the health service improve the quality? International experiences and Danish perspectives].

It is well known that publication of hospital quality indicators may lead to improving of treatments. But the publication can also have some negative side effects: Focus may shift to the evaluated areas at the expense of non-evaluated areas. The most ill patients may be sorted out and high risk patients may be transferred to other hospitals or discharged in order to avoid their dying during hospitalisation and improve statistics.