术前平均住院天数超长原因探讨

Jiali Liu, Zixing Chen
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摘要

AbstractObjective。探讨影响择期手术前平均住院时间标准指标的因素。方法。通过对某三甲医院2013年上半年择期手术前超长住院病例的分析,找出原因。结果。原因包括:有医生登记、一次住院中两次以上选择性手术、选择性手术和主要疾病治疗失败;干预前平均住院时间为3.53天,干预后平均住院时间为2.7天。结论。制定择期手术名称库,剔除与核对无关的选项,创建计算机化审核程序,自动筛选指标时间计算等,有助于核对和不断提高医疗管理水平。
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A Discussion on the Reasons for Excessive Average Preoperative Hospitalization Days
AbstractObjective. To discuss the factors influencing the standard test indexes of the average length of stay of a patient before elective surgery. Methods. The reasons were identified by analyzing cases of extra-long duration of stay before elective surgery in the first half of 2013 of a 3A hospital. Results. The reasons were physician enrollment, more than two elective operations in one instance of hospitalization, elective surgery, and failure in the treatment of the main disease; before intervention, the preoperative average length of stay was 3.53 days, and was reduced to 2.7 days after intervention. Conclusion. A formulated library of names of elective surgery, the removal of choices irrelevant to checking, and the creation of computerized audit programs, automatic screening of index time calculation, and so on, helped to check and continuously improve the levels of medical management.
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