摘要
目的对某院2018年超30 d住院患者进行回顾性分析,为医院领导能更好地管理超长住院患者、制定相关制度、合理缩短平均住院时间提供依据。方法在《广东省医疗机构病案统计管理系统》中检索2018年住院时间大于30 d的住院患者首页信息,提取首页相关字段,利用SPSS 16.0软件和Excel进行统计分析。结果超30 d住院患者的住院天数主要集中在30~39、40~49 d,平均住院时间为46.0 d;年龄主要分布在50~59和60~69 y年龄组中;科室分布排前5位的是肿瘤科(49.42%)、骨外科(7.38%)、神经外科(3.97%)、烧伤整形外科(3.78%)、感染病科(3.78%);疾病构成主要是肿瘤(61.68%)。结论医院管理部门对超30 d住院患者应给予控制,针对主要年龄段人群、重点科室和重点病种进行监管,建立预警机制,不影响医院工作质量的情况下科学合理地缩短平均住院时间。
Objective A retrospective analysis was made on the medical records of inpatients hospitalized over 30 days in 2018 in order to provide a basis for hospital leaders to better manage the inpatients over 30 days,formulate relevant systems and rationally shorten the average length of stay.Methods In Guangdong Medical Records Statistical Management System,the home pages of inpatients with more than 30 days hospitalization in 2018 were retrieved,and the relevant fields of the home pages were extracted.SPSS 16.0 software and Excel were used for statistical analysis.Results The over-30-day hospital stay ranged between mainly 30-39 days and 40-49 days,averaged46 days.Age ranged mainly between 50-59 and 60-69 years.The top five departments were oncology(49.42%),orthopedics(7.38%),neurosurgery(3.97%),burn and plastic surgery(3.78%)and infectious diseases(3.78%).The main component of diseases was tumor(61.68%).Conclusion Hospital administration should take control on the hospital stay for those inpatients over 30 days,specially focusing on the high-stake age groups,departments and diseases,by way of establishing early warning mechanism,scientifically and reasonably shortening the average length of stay without affecting the quality of hospital work.
作者
文建珍
吴妙婷
叶丽华
徐素梅
WEN Jianzhen;WU Miaoting;YE Lihua;XU Sumei(The Fifth Affiliated Hospital,Sun Yat-sen University,Guangzhou 519000,China)
出处
《现代医院》
2019年第11期1579-1581,共3页
Modern Hospitals
关键词
超长住院患者
平均住院时间
回顾性分析
Extra-long Hospitalized Patients
Average Length of Stay
Retrospective Analysis
