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| Analysis and evaluation of the hospitalization appropriateness of a tertiary hospital based on N-AEP |
| Li Ying1, Chen Li2 |
1 Zouping hospital of Traditional Chinese Medicine, Zouping 256200, China;
2 Binzhou Medical University Hospital |
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Abstract Objective To analyze and evaluate the hospitalization appropriateness of a tertiary hospital between 2011 and 2013 through appropriateness evaluation N-protocol (N-AEP) in order to evaluate the inappropriate hospitalization days proportion in diagnosis and treatment process, and to predict the average hospitalization days that should be shorten. Methods According to the data reviewed standard of the tertiary hospital, we selected acute myocardial infarction, chronic obstructive pulmonary disease, digestive tract hemorrhage (complications), and renal failure in eighteen hospitalized key diseases of circulatory system, respiratory system, digestive system, genitourinary system during 2011 to 2013. We took 2 926 hospitalized days from 240 medical records as samples, used N-AEP to carry on the retrospective evaluation and research, and used a delay tool of hospitalization evaluation to carry on analysis of attribution. Results Altogether 337 hospitalization days were judged inappropriateness, with the inappropriate hospitalization rate 11.52%. Conclusion The inappropriate hospitalization rate is in a middle level compared with the related records inland China. The average hospitalization days can be respectively shortened to 9.98 days, 11.78 days, 10.78 days, and 10.60 days. Better hospitalization appropriateness will be achieved if comprehensive measures are carried out in the hospital.
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Received: 05 April 2015
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