基于DRGs入组患者的平均住院日异常值研究  

Research on the Abnormal Average Length-of-stay in Hospital Based on DRGs Participators

作　　者：胡雅静[1] 王青燕[1] 吴虎兵[1] 夏志伟[1] 陈剑铭[1] 

机构地区：[1]北京大学第三医院,北京100191

出　　处：《中国医院管理》2014年第5期40-41,共2页Chinese Hospital Management

摘　　要：目的分析DRGs入组患者中住院时间过长的原因。方法提取2012年1—6月出院的5105例DRGs入组患者的病案资料,筛选出住院日超过标准平均住院日50%以上的病例,整理后得到有效数据146例,采用Excel 2007进行数据处理,SPSS 13.0进行统计分析。结果导致患者住院日过高的原因主要是手术及操作禁忌、完善术前检查、术后并发症、患者高龄和并发症多。结论提高医院各科室的工作效率和协调能力,预防院内感染,从而缩短患者的住院日,降低医疗费用,增加床位利用率。Objective To analyze why DRGs participators have a much higher level of days in hospital.Methods Acquiring 5 105 DRGs participators leaving hospital during January,2012 and June,2012,and then processing the data through using Excel 2007,and making statistical analysis by SPSS13.0.Results The main reasons why patients had longer hospitalization stay are tabu on surgery and operation,preoperative examination improvement,the postoperative complications,older patients and complications in the hospital.Conclusion Improving the efficiency of work and coordination ability of each department＇s and preventing nosocomial infection will shorten the days of patients in the hospital,reduce health care costs,and increase bed utilization rate.

关 键 词：诊断相关分组 住院日 超长住院日 

分 类 号：R197.323[医药卫生—卫生事业管理]