北京佑安医院降低平均住院日的管理措施研究  

Research on management measures to reduce the average length of stay in Beijing Youan Hospital

作　　者：张志丽[1] 曲金宁 李国英[3] 茹永聪[4] 张月宁[1] ZHANG Zhili;QU Jinning;LI Guoying;RU Yongcong;ZHANG Yuening(Medical Service,Beijing Youan Hospital,Capital Medical University,Beijing 100069,China;Orthopedics and Traumatology Department,Xicheng District Guangwai Hospital,Beijing 100055,China;Nursing Department,Beijing Youan Hospital,Capital Medical University,Beijing 100069,China;Price Management Office,Beijing Youan Hospital,Capital Medical University,Beijing 100069,China)

机构地区：[1]首都医科大学附属北京佑安医院医务处,北京100069 [2]北京市西城区广外医院骨伤科,北京100055 [3]首都医科大学附属北京佑安医院护理部,北京100069 [4]首都医科大学附属北京佑安医院物价管理办公室,北京100069

出　　处：《中国医药科学》2024年第21期152-155,177,共5页China Medicine And Pharmacy

基　　金：北京市属医院科研培育计划项目(PG2021029);首都医科大学附属北京佑安医院院内中青年人才孵育项目(YNKTGL2021004)。

摘　　要：目的探讨首都医科大学附属北京佑安医院实施平均住院日管理的效果。方法首都医科大学附属北京佑安医院在2022年1月起采取建立集中预约平台、成立住院服务中心、实时沟通机制、积极开展日间手术和微创手术、深入推进临床路径和单病种管理、优化多学科诊疗模式等多项措施综合管控平均住院日,比较2021年1—12月和2022年1—12月病案首页数据,对全院、重点科室、前20位疾病的平均住院日相关数据进行统计分析。结果采取多措并举后,2022年1—12月全院平均住院日、重点科室平均住院日和前20位疾病平均住院日均较2021年1—12月明显下降,2022年1—12月平均住院日由9.49 d降至8.50 d。结论多部门联动后优化措施可有效缩短平均住院日。Objective To explore the effect of implementing average length of stay management in Beijing Youan Hospital,Capital Medical University.Methods Since January 2022,Beijing Youan Hospital,Capital Medical University has taken many measures to comprehensively control the average length of stay,such as establishing a centralized appointment platform,establishing an inpatient service center,real-time communication mechanism,actively carrying out daytime surgery and minimally invasive surgery,deepening the clinical pathway and single disease management,and optimizing the multidisciplinary diagnosis and treatment mode.The data of the first page of medical records from January to December in 2021 and January to December in 2022 were compared,and the relevant data of the average length of stay of the entire hospital,key departments and the top 20 diseases were statistically analyzed.Results After taking multiple measures,the average length of stay,the average length of stay in key departments,and the average length of stay for the top 20 diseases in the entire hospital from January to December 2022 all decreased significantly compared to January to December 2021.The average length of stay in January to December 2022 decreased from 9.49 days to 8.50 days.Conclusion The optimized measures after multi-department linkage can effectively shorten the average length of stay.

关 键 词：平均住院日 管理措施 传染病 多部门联动 

分 类 号：R197.3[医药卫生—卫生事业管理]