Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

Combination of National Quality Assurance Data Collection With a Standard Operating Procedure in Community-Acquired Pneumonia

A Win-Win Strategy?

Schulte, Falko C. MD, MaHM; Bewig, Burkhard MD; Petzina, Rainer MD, MaHM; Graf, Demian MD; Balke, Lorenz MD; Wehkamp, Ulrike MD; Jahnke, Iris MD; Wehkamp, Kai MD, MPH

doi: 10.1097/QMH.0000000000000220
Quality Management Applications

Purpose: The primary contact for German physicians with national quality assurance in community-acquired pneumonia (CAP) is frequently experienced as time-consuming obligatory documentation. Since the regular feedback loop stretches up to 18 months, the immediate impact on quality is perceived as rather low. Ultimately, a method leading to increase in the quality of data collection, clarification on expected clinical treatment standards, and improvement in the acceptance and feedback mechanism is needed.

Methods: We developed a form merging data collection for quality indicators with a standard operating procedure (SOP) in CAP and implemented it in the daily routine of a university's department for internal medicine. Fulfillment of quality indicators before and after the implementation of the new form was measured.

Results: Critical parameters such as the documentation of breathing rate and clinical parameters at discharge strongly improved after implementation of the intervention. Uncritical parameters showed slight improvement or stable results at a high level.

Conclusion: The combination of collection of quality data with a clinical SOP and context information may improve the impact of quality measures by increasing acceptance, quality of data capture, short-loop feedback, and possibly quality of care.

Departments of Internal Medicine I (Drs Schulte, Bewig, Balke, and K. Wehkamp), Quality and Risk Management, Patient Safety (Drs Petzina and Jahnke), and Dermatology (Dr U. Wehkamp), University Hospital Schleswig-Holstein, Kiel, Germany; and Medical Practice Dr Hermann Schwarting, Kiel, Germany (Dr Graf).

Correspondence: Kai Wehkamp, MD, MPH, Department of Internal Medicine I, University Hospital Schleswig-Holstein (UKSH), Arnold-Heller-Straße 3 (Haus 6), 24105 Kiel, Germany (

The authors declare no conflict of interest.

© 2019Wolters Kluwer Health | Lippincott Williams & Wilkins