Table 1

The 42 QIs developed for nationwide use in France

				Type of hospitals concerned
	Date of selection	Priority area	Data source	AC	Rehab.	Psy	Home care	Introduced in*
(a) Indicators in nationwide use (n=24)
Consumption of antibiotics per 1000 patient-days	2003	4	Admin	X	X	X		2006
Composite index for evaluation of activities against nosocomial infections	2003	4	Admin	X	X	X		2006
Rate of surgical site infections (SURVISO)	2003	4	Admin	X				2006
Rate of methicillin-resistant Staphylococcus aureus per 1000 patient-days	2003	4	Admin	X	X			2006
Annual volume of alcohol-based products (gels and solutions) per patient-day	2003	4	Admin	X	X	X		2006
Conformity of anaesthetic records	2003	2	PMR	X				2008
Delay in sending hospitalisation summary to general practitioner	2003	9	PMR	X				2008
Screening for nutritional disorders in adults	2003	3	PMR	X				2008
Medical record content	2003	2	PMR	X				2008
Traceability of pain assessment	2003	1	PMR	X				2008
Hospital care of myocardial infarction after the acute phase (8 QIs)†	2003	6	PMR	X				2008
Compliance of patient records in rehabilitation hospitals (4 QIs)	2009	2	PMR		X			2009
Traceability for risk assessment of pressure ulcers	2009	6	PMR	X	X	X		2009
Multidisciplinary meetings in oncology	2003	2	PMR	X				2010
Conformity of orders for imaging tests‡	2003	2	PMR	X	X			2010
Compliance of patient records in homecare (5 QIs)	2009	2	PMR				X	2010
Compliance of patient records in psychiatry (3 QIs)	2009	2	PMR			X		2010
Prevention and management of postpartum haemorrhage (5 QIs)	2009	6	PMR	X				2012
Support for haemodialysis patients (X QIs)	2009	6	PMR	X				2012
Initial hospital treatment of stroke (6 QIs)	2003	6	PMR	X				2012
Satisfaction in hospitalised patients	2003	5	Survey	X				In progress
Waiting time for external consultation	2003	8	Admin	X				In progress
Organisational support for breast cancer	2003	6	PMR	X				In progress
Architectural, ergonomic and informational accessibility	2003	8	Survey	X	X	X		In progress
(b) Indicators in development (n=8)				Priority area		Data source
Organisational climate				7		Survey
Emergency timeout				8		Admin
Evaluation of patient complaints and claims				5		Admin
Detection of alcohol-dependent patients				6		PMR
Patient experience				5		Survey
Obesity surgery in adult				6		PMR
Composite score of professionals coordination on acute stroke management patients				9		Admin
Composite score of emergency department assessment				8		Admin
(c) Discarded indicators (n=10)							Priority area
Absence of short-term professionals in contact with the patient							7
Turnover of professionals in direct contact with the patient							7
Cancellation of procedures involving anaesthesia in ambulatory care							2
Violence in psychiatry							4
Deadline for appointments in medico-psychological centres							8
Management of treatment side-effects							6
Electroconvulsive therapy							6
Death in low-mortality diagnosis-related groups							4
Hospitalised patients with a social management							2
Prevention of falls in hospitalised patients							4

*The year of national introduction. From the introduction, the QI is mandatorily reported each year by all hospitals concerned (except for ‘Conformity of orders for imaging tests’ QI which is not mandatory).
†Depending on the theme, one or more QIs were developed; we count 1 QI for 1 theme.
‡The only one that is not mandatory.
AC, acute care; Admin, administrative data-based; PMR, paper medical record; Psy, psychiatric care; QI, quality indicator; Rehab., rehabilitation care; Survey, ad hoc survey.