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| Analysis and countermeasures of patients with overlong inpatient days in a hospital |
| Lu Qin1, Liu Chunxiang1, Zhou Juan2, Wang Xiang3 |
1.Medical Department, Ruihua Hospital Affiliated to Suzhou University, Suzhou 215000, China;
2.Department of Quality Management, PLA Rocket Force Characteristic Medical Center;
3.Information Office, Ruihua Hospital Affiliated to Suzhou University |
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Abstract Objective To analyze the distribution characteristics of 161 inpatients discharged after more than 50 days of hospitalization from a hospital, and to provide an effective basis for the hospital management to shorten the average length of stay.Methods The hospital stay exceeding 99% quantile (P99=50 days) of the hospital stay of discharged patients in 2018 was defined as the extremely long hospital stay. Excel was used to analyze the data.Results In 2018, 11465 patients were discharged from the hospital, with an average hospitalization time of 9.31 days and the main age group was from 40 to 49 years old. The sex ratio of men and women patients with overlong hospitalization was 2.10 :1 and the average cost was 83 249.20 yuan, The department distribution mainly concentrated in Joint Surgery, Flap Surgery, and Internal Medicine, and the top three diseases were injury, poisoning and certain other consequences of external causes, diseases of the circulatory system, and diseases of the musculoskeletal system and connective tissues.Conclusion We should strengthen the management of departments, implement the clinical pathway management, improve the outpatient service model, and strengthen the doctor-patient communication.
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Received: 26 June 2019
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