某肿瘤医院合理缩短平均住院日的实践和思考  

Thoughts and Practice to Properly Shorten Average Length of Stay in a Cancer Hospital

作　　者：陆玉蕾[1] 唐勇[1] 唐夏泉 廖宇[1] 邹静[1] 朱小东[1] 苏丹柯[1] 黎乐群[1] 韦坚[1] 

机构地区：[1]广西医科大学附属肿瘤医院

出　　处：《中国病案》2015年第6期37-40,共4页Chinese Medical Record

基　　金：广西医科大学青年科学基金项目(GXMUYSF201336)

摘　　要：目的寻找影响医院平均住院日的主要因素,探讨合理缩短平均住院日的方法。方法采用灰色关联分析法,对某三级甲等肿瘤医院2009年-2013年主要医疗指标进行灰色关联分析,分析影响医院平均住院日的因素,并参照分析的结果及结合医院的实际情况,实施以合理缩短平均住院日为目标的改革措施。结果平均住院日与病床使用率、病床周转次数、出入院诊断符合率等存在高度负相关。参照分析结果并结合该院实际情况,该院在确保医疗质量和医疗安全的前提下,2014年起在全院实施了一系列以合理缩短平均住院日为目标的改革措施后,2014年全院平均住院日为13.24天,为近年最低平均住院日;全院共有14个病区平均住院日较2013年同期下降。结论某院2014年开展的缩短平均住院日的改革措施已取得了较好的成效。Objective To find out the significant factors influencing the average length of stay（ALOS）,and explore methods to reasonable shorten ALOS. Methods We used gray relative analysis method to analyze average length of stay and other core medical indexes of a three-grade Cancer hospital from 2009 to 2013. Results Average length of stay has a high degree of negative correlation with such index as bed utilization ratio, turn-over rate of beds, discharge and admission diagnosis coincidence rate and so on. On the basis of the results of the analysis and combined with our actual situation, we taken series of scientific and proper measures to effective shortened the average length of stay since 2014. The average length of stay was 13.24 days in 2014, which was lowest in recent years; the average length of stay in fourteen wards was declined compared with the same period in 2013. Conclusion These results show that the measures carried out in 2014 to shorten the average length of stay have achieved good results.

关 键 词：肿瘤医院 平均住院日 影响因素 灰色关联分析 

分 类 号：R197.5[医药卫生—卫生事业管理]