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The following is the monthly report for the month of January in Hospital of 220

ID: 237184 • Letter: T

Question

The following is the monthly report for the month of January in Hospital of 220 beds and 30 bassinets. PLEASE SHOW CALCULATIONS

ADMISSIONS

Adults & Children............................................................................................................. 652

Newborn............................................................................................................................. 95

DISCHARGES

Adults & Children............................................................................................................. 673

Newborn............................................................................................................................. 97

INPATIENT SERVICE DAYS

Adults & Children........................................................................................................... 4578

Newborn........................................................................................................................... 445

DISCHARGE DAYS

Adults & Children........................................................................................................... 4253

Newborn........................................................................................................................... 439

                                                                                DEATHS AUTOPSIES

Adults & Children

Under 48 Hours                                  4                           2

Over 48 Hours                                    6                           2

Newborn

Under 48 Hours                                  2                           1

Over 48 Hours                                    2                           1

Fetal Deaths

Under 20 Weeks                                 5                                  0

20 Weeks and Over                            3                           2

SURGICAL STATISTICS

Patients operated on.......................................................................................................... 354

Operations performed....................................................................................................... 375

Postoperative deaths.............................................................................................................. 2

Anesthetic deaths.................................................................................................................. 1

Surgical patients discharged.............................................................................................. 402

Anesthesia administered.................................................................................................... 422

MISCELLANEOUS STATISTICS

Maternal deaths..................................................................................................................... 1

Deliveries.......................................................................................................................... 125

Cesarean sections.................................................................................................................. 6

Hospital acquired infections.................................................................................................. 5

OB patients discharged...................................................................................................... 131

Postoperative infections........................................................................................................ 2

Consultations.................................................................................................................... 164

Coroner=s cases.................................................................................................................... 1

Autopsies performed on previous hospital patients................................................................ 3

Using the monthly source data provided above, please compute the following rates/percentages:

1.              Gross death rate (including newborn): 24

2.              Consultation rate: 164 (count all consultations)

3.              Fetal death rate: 8

4.              Hospital autopsy rate (adjusted): 8

5.              Cesarean section rate: 6

6.              Average daily census for adults and children:# of admissions & discharges of adults & children = -652+673

7.              Bed occupancy ratio:

8.              Average length of stay for newborn patients: 445 (inpatient service = bed occupancy)

9.              Hospital acquired infection rate:5 (direct)

10.           Anesthesia death rate: 1

11.           Net death rate (including newborn): 22

12.           Postoperative infection rate: 2

Explanation / Answer

1. Gross Death rate= Number of deaths/ number of discharges including deathsX 100= 37/1340x100=2.76

2.consultations=164

3.fetal death rate=: (Number of resident fetal deaths/Number of resident live births + Number of resident fetal deaths) x 1,000 =8/130+ 8=8.06=8