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find Keyword "平均住院日" 3 results
  • 临床路径在腹腔镜胆囊切除术中的应用和评价

    目的 探讨新型腹腔镜胆囊切除术住院临床路径在临床中应用和可行性及对医疗质量效益的影响。 方法 回顾性分析2010年4月-2011年3月因胆囊结石合并慢性胆囊炎住院拟行腹腔镜切除术患者60例,采用随机对照的方法将其分成两组,每组各30例。其中A组采用临床路径治疗,B组非临床路径治疗,比较两组患者平均住院日、平均住院费用、术前等待时间等指标在两组间有无差异。 结果 纳入临床路径患者住院费用比未纳入者有所下降,平均住院日、术前等待时间缩短,差异有统计学意义(P=0.000),而术后并发症发生两组间无明显差异。 结论 临床路径具有良好的实用性,能够在保证医疗安全的情况下提高各项医疗指标,提高医疗效益,值得进一步推广。

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  • History Review of Average Length of Stay Management in China

    本文通过对我国卫生法规和文献复习的基础上,对我国平均住院日管理问题进行历史回顾,阐述缩短平均住院日的目的和意义,并以此证实在我国实施缩短平均住院日的重要性。

    Release date:2016-09-08 09:56 Export PDF Favorites Scan
  • Effects of the antimicrobial management program in a large university hospital

    ObjectiveTo investigate the effects of antimicrobial management program on inpatients outcomes and antimicrobial resistance among clinical isolates in a large-scaled university hospital.MethodsThe antibiotics use density (AUD) and antimicrobial resistance rate of multi-drug resistant bacteria before (from January 2009 to December 2010) and after (from January 2012 to December 2016) the intervention of antimicrobial management program in a large-scaled university hospital (4 300 beds) were calculated and compared, and the correlations of AUD with average length of hospital stay and mortality rate were analyzed.ResultsThe AUD was significantly decreased after intervention (P<0.001). The resistance rate of Staphylococcus aureus to oxacillin decreased (P<0.001). Among Gram-negative bacteria, the resistance rates to carbapenems in Acinetobacter baumannii (P<0.001) and Klebsiella pneumoniae increased (P=0.011). AUD was not correlated with the average length of hospital stay (P=0.644), while positively correlated with the in-hospital mortality rate (r=0.932, P=0.001).ConclusionsThe implementation of antimicrobial management program can significantly reduce the antimicrobial use and do not worsen patient outcomes in the hospital. The impact of the program on resistance varies significantly depending on both the bacterium and the agent, and carbapenem-non-susceptible Gram-negative bacilli emerges as a major threat. It is still necessary to combine other infection control measures.

    Release date:2019-03-22 04:19 Export PDF Favorites Scan
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