| 摘要: |
| 目的 对新疆某三级甲等医院重点疾病的住院天数进行回顾性研究，发现诊疗流程中存在的不适当住院日，预测平均住院日的缩短空间。方法 依照三级综合医院评审标准及实施细则，在重点疾病测指标中选择某院2010—2012年3个内科疾病：高血压、急性心肌梗死、慢性阻塞性肺病；两个外科疾病：前列腺增生、颅脑损伤共200份病案资料的2 496个住院日进行回顾性研究并对可能影响的变量进行回归分析。结果 2 496个住院日中不适当住院日共217天，占到了8.7%,引起某院不适当住院日的主要3大因素分别是等待检查报告、出院不及时和等待手术，共产生177个不适当住院日，占到了不适当住院总天数的81.6% 。结论 高血压、急性心肌梗死、慢性阻塞性肺病、前列腺增生、颅脑损伤的平均住院日可以进一步缩短，其缩短幅度分别是1.3天、0.7天、1.0天、1.3天、1.1天。 |
| 关键词: 不适当住院日 重点疾病 回顾性研究 |
| DOI： |
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| 基金项目: |
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| Inappropriate Hospitalization Research of Clinical Priority Diseases |
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| Abstract: |
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Objective
To do retrospective study on hospitalization disease focus in a first class hospital in Xinjiang, to find the treatment process of inappropriate hospitalization days, and to shorten average hospitalization days. Methods According to the three level general hospital accreditation standards and rules, three internal medicine diseases in a hospital from 2010 to 2012 were selected: including hypertension, acute myocardial infarction, chronic obstructive pulmonary disease; Two surgical diseases were selected: including benign prostatic hyperplasia and brain injury. A total of 2 496 hospital days of 200 medical records data were studied retrospectively, and the outcome variable regression was analyzed. Results Among 2 496 hospitalization days, inappropriate hospitalization days are 217 days, accounting for 8.7%, three factors of inappropriate hospitalization days in a hospital are as follows：waiting inspection report, not timely leaving hospital and waiting times for surgery. These produce a total of 177 inappropriate hospitalization days, accounting for inappropriate hospitalization days 81.6% of the total number of days. Conclusion Hypertension, acute myocardial infarction, chronic obstructive pulmonary disease, benign prostatic hyperplasia and traumatic brain injury can further shorten the average length of stay. The shortening amplitude are 1.3 days,0.7 days,1.0 days, 1.3 days and 1.1 days respectively. |
| Key words: inappropriate hospitalization day, priority disease, retrospective study |
