某院2013年-2015年住院天数超过30天患者的监控与分析  

Monitoring and Analysis of Inpatients with More than 30 Days of Length of Stay from 2013 to 2015

作　　者：陈莉雅[1] 周启蒙[1] 陈宁芬 胡平玲[1] 

机构地区：[1]南方医科大学南方医院

出　　处：《中国卫生质量管理》2017年第2期37-39,59,共4页Chinese Health Quality Management

摘　　要：目的收集住院天数超过30天患者的信息，分析超长原因，为进一步降低平均住院日提供参考。方法调取2013年-2015年住院天数超过30天患者的病案首页信息，进行数据分析。结果住院天数超过30天患者占全院出院患者的2.4%，占全院总床日数的13.4%；多数患者来自广州市以外地区，以自费为主；居前3位的为肿瘤、影响健康状态和与保健机构接触的因素以及损伤、中毒和外因的某些其他后果。结论由于监管到位，使发生医院感染和患方不愿意出院两类因素呈现下降趋势，一定程度上缩短了医院的平均住院日。Objective To investigate the characteristics and reasons of inpatients with more than 30 days of length of stay, to provide data support for further reduction of length of stay.MethodsThe information among inpatients with more than 30 days of length of stay from 2013 to 2015 were investigated, and the causes for long length of stay were analyzed from electronic medical records. ResultsThe number of inpatients with more than 30 days of length of stay accounted for 2.4% of all inpatients, and it accounted for 13.4% of the total of bed days. Most inpatients were from Guangdong province except Guangzhou with self-paying. The top three diseases were cancer, the factors that affect health status and contact with health care institutions, and some other consequences of injury, poisoning and external causes. ConclusionThe reasonable hospital management made the length of stay a downward trend by the two factors of nosocomial infection and the patient not willing to discharge, which shortened the average length of stay in hospital.

关 键 词：住院天数 电子病历 医院感染 

分 类 号：R197.323[医药卫生—卫生事业管理]