A 577-bed general hospital had 15,846 patients discharged/died in 2005. Total de
ID: 3202919 • Letter: A
Question
A 577-bed general hospital had 15,846 patients discharged/died in 2005. Total deaths for the year were 497. There were 91 cases reported to the Coroner, and 361 autopsies were performed.
Total patient days were 136,995 and the total length of stay of discharged/died patients was 136,540.
Give the formulae, and using the above information compute the following:
1. Hospital death rate
2. Bed turnover rate
3. Net autopsy rate
4. Average length of stay
(Section B)
The following data have been collected from a 600 bed general hospital during 2008:
Patients admitted 19,937
Total discharges/deaths 19,833
Patients remaining in hospital midnight
Dec.31, 2007 622
Patients remaining in hospital midnight
Dec.31, 2008 646
Total length of stay of discharged/died patients 218,505
Total patient days 236,832
Total deaths 605
Total autopsies performed 475
Coroner's cases (unautopsied) 33
Number of anaesthetics administered 6,915
Number of operations performed 7,600
Total registered outpatients 192,746
From the information above, calculate the following:
a. Average daily census
b. Hospital death rate
c. Gross autopsy rate
d. Net autopsy rate
e. Percent of occupancy
Explanation / Answer
1.Hospital death rate
Number of inpatient deaths in a period X 100/number of dischargers in the same period = 497X100/15,846= 3.14%
2.Bed turnover rate
Number of discharge for a period/ average bed count during a period = 15,846/577=27.5
3.Net autopsy rate
Total number of autopies on inpatient deaths for a period X 100/ Total inpatient deaths = 361 X 100/136-91=
4.Average length of stay
Discharge days/ totals discharges= 136,995 / 136,540= 1.00
From the information above, calculate the following:
a.Average daily census
Total service days for the unit for the period/ total number of days in the period= 236,832 / 365 = 670
b.Hospital death rate
Number of deaths of inpatients in a period X 100/ Number of discharges= 605X 100/ 19,833= 3.05%
c.Gross autopsy rate
Total inpatient autopsies for given period X 100 / total inpatient deaths for the period = 475 X 100/ 605 = 78.51%
d.Net autopsy rate
Total inpatients for a given period X 100/ total inpatient deaths= 19937 X 100/ 605-33= 3485
e.Percent of occupancy
Total service days for a period X 100/ total bed count days in the period= 365 X 100/ 577=63.25
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