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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 summarize the causes of unreasonable over-length hospitalized patients by analyzing the situation of over-hospitalized patients in 2014. The method defined the 99th percentile (P99 = 56 days) of the hospitalization days exceeding the hospitalization days of patients discharged in 2014 as the 2014 Extended Long Stay Day. Analysis of long hospitalized cases with Excel. Results From January 2014 to December 2014, there were 29,824 inpatients in hospital, with an average length of stay of 8.9 days, P99 = 56 days, 282 patients with overlong stay, accounting for 0.95% of discharged patients. Hospitalization days: the shortest 56 days, the longest 414 days, an average of 87 days. Hospital costs: at least 3883.47 yuan, up to 803470.08 yuan, an average of 110751.7 yuan. Long hospital stay throughout the hospital distribution, neurology and orthopedics accounted for the largest proportion, respectively, 17.73% and 12.06%. Conclusion To strengthen the management of core system and super long term inpatient diseases, establish a 100% early warning system, strengthen communication between doctors and patients, reduce the proportion of arrears and medical disputes, shorten the length of stay and promote the deepening of hospital development.