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Especially hospitals not complying with minimum volume standards should be analysed why such procedures are performed.
In these cases the minimum volume standards affect far less centralised procedures.
All minimum volume standards are valid for entire hospitals rather than for individual hospital departments.
Considering the potential of minimum volume standards to improve the quality of care, the German legislation decided in 2002 to use annual minimum volume standards as a quality assurance measure in the hospital sector.
In fact, hospital quality reports are the first extensive, comparable and accessible data source detailing Germany's hospital performance on the introduced minimum volume standards but available only since 2004, the same year these minimum volume standards were introduced.
For all three minimum volumes the number of hospitals complying with the minimum volume standards remained constant or increased slightly.
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However, a minimum volume standard cannot be identified.
These entailed partial oncological liver resections and could be accounted for this minimum volume standard.
There were 5178 cases where 69hospitals84%84%) complied with the minimum volume standard of 12 interventions.
Throughout Germany 70 hospitals (53%) complied with the minimum volume standard of 10 interventions per hospital per year.
The most recent sixth minimum volume for total knee replacement was introduced in 2006 with a minimum volume standard of 50 procedures per year.
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