Paul Daniel Bartels

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OBJECTIVE In most countries there is no mandatory national system to track the quality of care delivered to the citizens. This paper describes an example of a national indicator project that aims at documenting and improving the quality of care nationwide. ANALYSIS The Danish National Indicator Project was established in 2000 as a nationwide(More)
BACKGROUND We examined the association between quality of care and 30 day mortality in a nationwide cohort of patients hospitalized with hip fracture. METHODS We used data from The Danish National Indicator Project, a quality improvement initiative with participation of more than 90% of Danish hospital departments caring for patients with hip fracture(More)
INTRODUCTION We examined the positive predictive value of diagnoses of acute exacerbation of chronic obstructive pulmonary disease (COPD) in the Danish National Patient Registry. We also examined the negative predictive value of acute pneumonia or respiratory failure discharge diagnoses for absence of underlying COPD. METHODS We identified all patients(More)
INTRODUCTION AND OBJECTIVE This paper provides an overview of the DUQuE (Deepening our Understanding of Quality Improvement in Europe) project, the first study across multiple countries of the European Union (EU) to assess relationships between quality management and patient outcomes at EU level. The paper describes the conceptual framework and methods(More)
Concentrations of ketone bodies, free fatty acids, glycerol, lactate, glucose, insulin, glucagon and cortisol were determined 6-hourly during 36 hours of fasting in 4 hyperthyroid patients and in 4 euthyroid controls. The concentrations of ketone bodies were elevated in hyperthyroid patients from the beginning and increased during fasting more rapidly and(More)
This article describes the Danish National Indicator Project that aims to document and improve the quality of care at national level. Specific clinical indicators, standards, and prognostic factors have been developed for eight diseases (e.g. lung cancer). It has been implemented in all clinical departments in Denmark. Participation is mandatory. Results(More)
OBJECTIVE To evaluate the pilot implementation of the World Health Organization Performance Assessment Tool for Quality Improvement in hospitals (PATH). DESIGN Semi-structured interviews with regional/country coordinators and Internet-based survey distributed to hospital coordinators. SETTING A total of 37 hospitals in six regions/countries (Belgium,(More)
BACKGROUND AND PURPOSE age may predict level of care and subsequent outcome among patients with stroke. We examined fulfilment of quality-of-care criteria according to age and the possible impact of any age-related differences on short-term mortality in a population-based nationwide follow-up study in Denmark. METHODS we identified 29,549 patients(More)
BACKGROUND The relationship between process and outcome measures among patients with stroke is unclear. OBJECTIVES To examine the association between quality of care and mortality among patients with stroke in a nationwide population-based follow-up study. METHODS Using data from The Danish National Indicator Project, a quality improvement initiative(More)