某三级乙等医院住院超过30天患者分析及管理  

A three class hospital more than 30 days with analysis and management

作　　者：徐小溪[1] XU Xiao-xi(Medical Service,Guizhou aerospace hospital,Zunyi 563000,China)

机构地区：[1]贵州航天医院医务处,贵州遵义563000

出　　处：《吉林医学》2019年第1期198-200,共3页Jilin Medical Journal

摘　　要：目的:通过对某三级乙等医院2017年住院超过30天患者进行统计,分析原因,并提出相应措施,以达到减少住院天数的目的。方法:根据医院HIS系统抓取数据,并从科室上报的"住院超30天患者专项分析表"中录入住院时间延长原因,进行综合统计、归纳。结果:某三级乙等综合医院2017年住院超过30天患者主要集中在≥60岁老年患者,男性多于女性、内科系统高于外科系统,"危重、疑难、高龄、术后伤口感染、各种检查、术前等待"是住院时间超过30天的主要原因。结论:医院可从多部门、多方面进行监督管理,有效运用PDCA质量管理办法缩短平均住院日。Objective To analyze the reasons of patients who have been hospitalized for more than 30 days in 2017,and propose corresponding measures to reduce the number of hospitalization days.Method According to the data of the hospital HIS system,the reasons for the length of hospitalization were recorded in the“special analysis table of patients with 30 days of hospitalization”reported from the department,and the comprehensive statistics and induction were conducted.Results In a level 3 b,such as comprehensive hospital in 2017 hospitalized patients with more than 30 days were mainly concentrated in 60 elderly patients,or more men than women than surgical system,medical system,the critical and difficult,older age,postoperative wound infection,all kinds of inspection,preoperative wait was the main reason for the length of hospital stay for more than 30 days.Conclusion The hospital can supervise and manage from multiple departments and many aspects,and effectively use PDCA quality management method to shorten the average hospital stay day.

关 键 词：某三级乙等医院 住院超过30天 分布 原因 管理 

分 类 号：R197.32[医药卫生—卫生事业管理]