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北京佑安医院降低平均住院日的管理措施研究

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目的 探讨首都医科大学附属北京佑安医院实施平均住院日管理的效果。方法 首都医科大学附属北京佑安医院在2022年1月起采取建立集中预约平台、成立住院服务中心、实时沟通机制、积极开展日间手术和微创手术、深入推进临床路径和单病种管理、优化多学科诊疗模式等多项措施综合管控平均住院日,比较2021年1-12月和2022年1-12月病案首页数据,对全院、重点科室、前20位疾病的平均住院日相关数据进行统计分析。结果 采取多措并举后,2022年1-12月全院平均住院日、重点科室平均住院日和前20位疾病平均住院日均较2021年1-12月明显下降,2022年1-12月平均住院日由9。49 d降至8。50 d。结论 多部门联动后优化措施可有效缩短平均住院日。
Research on management measures to reduce the average length of stay in Beijing Youan Hospital
Objective To explore the effect of implementing average length of stay management in Beijing Youan Hospital,Capital Medical University.Methods Since January 2022,Beijing Youan Hospital,Capital Medical University has taken many measures to comprehensively control the average length of stay,such as establishing a centralized appointment platform,establishing an inpatient service center,real-time communication mechanism,actively carrying out daytime surgery and minimally invasive surgery,deepening the clinical pathway and single disease management,and optimizing the multidisciplinary diagnosis and treatment mode.The data of the first page of medical records from January to December in 2021 and January to December in 2022 were compared,and the relevant data of the average length of stay of the entire hospital,key departments and the top 20 diseases were statistically analyzed.Results After taking multiple measures,the average length of stay,the average length of stay in key departments,and the average length of stay for the top 20 diseases in the entire hospital from January to December 2022 all decreased significantly compared to January to December 2021.The average length of stay in January to December 2022 decreased from 9.49 days to 8.50 days.Conclusion The optimized measures after multi-department linkage can effectively shorten the average length of stay.

Average length of stayManagement measuresInfectious diseaseMulti-department linkage

张志丽、曲金宁、李国英、茹永聪、张月宁

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首都医科大学附属北京佑安医院医务处,北京 100069

北京市西城区广外医院骨伤科,北京 100055

首都医科大学附属北京佑安医院护理部,北京 100069

首都医科大学附属北京佑安医院物价管理办公室,北京 100069

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平均住院日 管理措施 传染病 多部门联动

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(21)