摘要
目的通过分析2014年超长住院患者情况,总结不合理超长住院患者的原因。方法将住院日超过2014年出院患者住院日的99%分位数(P99=56天)定义为2014年超长住院日。对超长住院病例用Excel进行分析。结果 2014年1月-2014年12月全院住院患者29824人次,平均住院日8.9天,P99=56天,超长住院日数患者282人次,占出院人数的0.95%。住院天数:最短56天,最长414天,平均87天。住院费用:最少3883.47元,最多803470.08元,平均110751.7元。全院超长住院日分布,神经内科和骨科所占比例最大,分别是17.73%和12.06%。结论加强核心制度管理和超长期住院病种管理,建立100%预警报告制度,强化医患沟通能力,降低欠费和医疗纠纷比例,缩减超长住院日,推动医院深化发展。
Objective To analyze Ultra-long Term Hospitalization in 2014, and summarize the causes of unreasonable Ultra-long Term Hospitalization. Methods The days of hospitalization more than patients discharged from hospital days in 2014 99% quantile（P99=56 days）is defined as the 2014 long hospital stay. The long hospitalization was analyzed using Excel. Results There are 29,824 person-time from Jan.2014 to Dec.2014, average length of stay 8.9 days,P99=56 days,long length of hospitalization in patients 282 person-time, accounting for 0.95% of the number of discharge.Length of stay： the shortest 56 days, the longest 414 days, an average of 87 days. Hospital costs： at least 3883.47 RMB,up to 803470.08RMB, an average of 110751.7 RMB. The distribution of long hospital stay： Department of radiotherapy and orthopedics accounted for the largest proportion. Which are respectively 17.73% and 12.06%.Conclusion In order to reduce the average hospitalization days and hospitalization costs, strengthen the medical system management and the long-term hospitalization disease management, establish 100% early warning reporting system, improve communication skills, speed up the arrears and medical malpractice disputes processing, thus to reduce long hospital stay, and promote the hospital development.
出处
《中国病案》
2015年第6期56-58,共3页
Chinese Medical Record
关键词
超长期住院
医疗质量
预警报告制度
Ultra-long term hospitalization
Medical quality
Early warning reporting system
