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Development of an EDP Tool for Internal Quality Control within the Context of the Legal Quality Assurance for the Stationary Cataract Operation, Comprehensive case lump sum

Tobis M. F., Spraul C. W., Höhn S., Lang G. E., Lang G. K.,
Universität Ulm, Augenklinik und Poliklinik (Ulm)

Purpose: Since January 2002 a new catalogue of criteria has been introduced for inpatient cataract surgery in order to meet legal quality control (QC) requirements. In this study we demonstrate a tool which enables us to use the raw data for creating a data set which can be used to meet legal QC requirements and in addition to perform our own internal quality control.
Method: Each inpatient at our hospital receives an EDP medical letter at the end of his/her stay in the hospital. The data for this medical letter are retrieved partly from the central patient management system and partly are provided by the ophthalmologist who is in charge for the patient. After input of these data, the QC module is opened up and the necessary data for the legal QC requirements are extracted. These information can be rechecked and if necessary completed. On the other hand, the raw data can be used for in-house quality control.
Results: Besides providing the necessary data for the legal QC requirements we were able to perform in-house quality control. Thus upcoming problems, e.g. systematic discrepancies between target and manifest postoperative refraction can be addressed in an appropriate way. The QC data for in-house analysis should be extended by the following parameters: keratometry, coding of the cataract surgeon, the used biometry tool, the physician who has performed the biometry and the used IOL formula.
Conclusions: Our QC tools enable us to meet the requirements of legally provided QC and enable us to perform our internal quality control.