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预住院管理对缩短平均住院日的影响

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湖南省某大型综合性三级公立医院作为省内首批预住院试点单位,率先在床位集约式统筹管理基础上探索预住院管理模式,通过简化预住院流程、实施精细化服务、打通专用检查通道、运用信息化手段实行预住院患者全流程管理等措施,保障预住院工作的开展。通过实践,外科病房平均住院日显著下降,以乳腺外科、耳鼻喉科为例,实施先后对比,平均住院日分别降低4。41、3。29 d。文章深入探讨了预住院管理模式对缩短平均住院日的影响,为国内大型医院在提升运营效率、缓解床位紧张等方面提供参考,为践行改善就医感受提升患者体验主题活动、提升患者诊前体验提供思路。
The influence of pre-hospitalization management on shortening the average length of stay
A large-scale Class A tertiary comprehensive hospital in Hunan Province,as one of the first pilot units for pre-hospitalization in the province,has pioneered the exploration of a pre-hospitalization management model based on intensive bed management.Through measures such as streamlining the pre-hospitalization process,implementing refined services,establishing dedicated examination channels,and utilizing information technology for comprehensive management of pre-hospitalization pa-tients,the hospital has ensured the smooth implementation of pre-hospitalization work.Practical results have shown a significant reduction in the average length of hospital stay in surgical wards.For instance,the average length of stay in the Department of Breast Surgery and the Department of Otolaryngology decreased by 4.41 days and 3.29 days,respectively,when compared before and after implementation.This study will delve into the impact of the pre-hospitalization management model on reducing the aver-age length of hospital stay,providing a reference for large-scale hospitals in China to improve operational efficiency and alleviate the shortage of hospital beds.It also aims to offer insights into enhancing patient experience before hospitalization and improving overall patient satisfaction as part of initiatives to improve healthcare services.

Pre-hospitalizationAverage length of stayHospital operation efficiencyPatient pre-diagnosis experience

周清、廖伟锋、吴碧红

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中南大学湘雅医院 湖南长沙 410008

预住院 平均住院日 医院运营效率 患者诊前体验

2024

现代医院
广东省医院协会

现代医院

影响因子:1.332
ISSN:1671-332X
年,卷(期):2024.24(9)