Key performance indicators of the hospital. Diagnostic quality and continuity of doctors pre-hospital and in-hospital stage

Indicators of hospital performance are: security of the population of hospital care (the ratio of the number of beds to population, multiplied by 10000); burden of medical personnel (number of beds per 1 position of the doctor and nurses per shift), logistical and medical equipment, the use of hospital beds; the quality of treatment and diagnostic patient care and efficiency.

Bed capacity and its use is characterized by the following indicators:

- The composition of hospital beds (the ratio of the number of beds by line, to the total number of beds in %);

- Average occupancy rate of the year (the number of patient days for the average annual number of beds, standard employment indicative of therapeutic beds - 330-340 days);

- The average length of hospital stay (number of bed-days among patients treated), this figure is calculated by the disease entity indicative standard length of stay for a therapeutic bed - 16-18 days;

- The volume of beds - bunk function (ratio of the number of treated patients to the number of beds, indicative norm - 17-20 patients per year).

The quality of patient care in a hospital can be judged in terms of hospital mortality (number of deaths to the number of treated patients, multiplied by 100). Depending on the composition and branches of patients, this figure could be between 1 to 3 per 100 patients. Estimated rate of postoperative mortality (number of deaths to the number of operated ). Complication rate is determined by the ratio of the number of complications to the number of transactions. Indicators before daily mortality (within the first 24 hours of hospitalization), the percentage of overlap of diagnoses direction, clinical and postmortem are used to characterize the quality of medical diagnostics.

Duration of stay in hospital can be divided into 4 periods. The first period - from receipt of the patient before the test - should be minimal (no more than one day). Second period - clinical and diagnostic research - contains the largest reserves in order to reduce the length of stay in hospital. The reasons for unnecessarily long hospital stay are often the lack of continuity between the health center and hospital, duplication of diagnostic procedures, overloading clinical diagnostic units, inadequate staffing and training. Third period - the treatment of the patient in the hospital - it depends on the skills of doctors, a tactic of patients, and effective remedies and treatments. The fourth period - a statement the patient - can be reduced by optimization of the organizational techniques (regulation on the day of the week, the preliminary preparation of documentation, etc.).

Established practice hospital

TEMPORARY STAFF PRACTICE

medical, pharmaceutical, educational personneland employees kitchens central city and urbanhospitals (health units) locatedin cities with populations of more than 25,000 peoplemedical staff