Table 6 Quality improvement (QI) strategies as applied in European hospitals: performance indicators or measures; total and per country*, numbers are positive responses in valid percentages (total item response in absolute numbers)
Specification of QI strategyTotalIrelandBelgiumFranceSpainPolandCzech Republic
Availability of AMI performance indicators:
    Door-to-needle time57.7 (291)68.2 (22)62.5 (24)45.2 (42)62.0 (92)51.6 (64)55.9 (34)
    Receipt of reperfusion70.3 (293)54.5 (22)75.0 (24)61.4 (44)66.7 (93)79.4 (63)76.5 (34)
    Aspirin use <24 h71.8 (291)68.2 (22)79.2 (24)59.1 (44)69.2 (91)82.5 (63)70.6 (34)
    Prescription ACE inhibitors at discharge67.5 (292)63.6 (22)73.9 (23)53.5 (43)59.1 (93)84.4 (64)67.6 (34)
    Prescription of β-blockers at discharge71.2 (288)63.6 (22)73.9 (23)51.2 (43)69.6 (92)87.3 (63)71.9 (32)
    Prescription of aspirin at discharge73.6 (288)68.2 (22)83.3 (24)58.1 (43)71.4 (91)85.5 (62)69.7 (33)
    Inpatient mortality74.4 (289)57.1 (21)79.2 (24)54.8 (42)87.0 (92)77.4 (62)70.6 (34)
Availability of performance indicators for the management of appendicitis:
    Prophylactic antibiotics53.8 (290)33.3 (21)43.5 (23)43.2 (44)65.2 (92)73.5 (68)13.3 (30)
    Negative appendectomy46.5 (288)33.3 (21)43.5 (23)42.2 (45)45.1 (91)53.0 (66)50.0 (30)
    Rate of lap versus open appendectomy51.0 (286)47.6 (21)60.9 (23)62.2 (45)58.7 (92)21.5 (65)64.3 (28)
    Perforated appendicitis operated 24 h after admittance42.0 (283)20.0 (20)39.1 (23)29.5 (44)40.7 (91)50.8 (63)56.7 (30)
    Wound infections68.2 (280)50.0 (20)47.8 (23)47.7 (44)77.8 (90)75.4 (61)80.0 (30)
Availability of performance indicators for deliveries:
    Induced labour rate67.5 (280)58.8 (17)75.0 (20)61.7 (47)60.5 (81)76.8 (69)62.5 (32)
    % Caesarean sections of total deliveries85.3 (278)64.7 (17)90.0 (20)83.7 (49)87.7 (81)91.0 (67)74.2 (31)
    VBAC rate54.0 (274)35.3 (17)50.0 (20)44.7 (47)55.8 (77)67.6 (68)51.6 (31)
    Deliveries with peridural anaesthesia71.9 (278)52.9 (17)85.0 (20)83.3 (48)81.3 (80)58.8 (68)54.8 (31)
  • *The results for the UK and the Netherlands are included in the total but not listed separately, due to the very low response rates.

  • AMI, acute myocardial infarction; VBAC, vaginal birth after caesarean section.