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Miscellaneous Rates 189
\ame Date
1. ldentify the value placed in the denominator for the following rates. Nosocomial infection rate Com munity-acquired infection rate Postoperative infection, rate Hospital infection rate Consultation rate Complication rate
What is the timeline between nosocomial infections and community-acquired infections?
Two rates include a statement that the condition increases the length of stay by at least one day. a. ln what percentage of cases? b. ln what two rates?
4. Surgical data for January. Bed Count: 40 Admissions Discharges
Deaths
Total
Postoperative
Anesthesia Infections:
Postoperative 3 Nosocomial 5
Additional:
<10 >10
Patients seen in consultation Patients operated on Surgical operations performed Anesthesia adm inistered
a. b. c. d.
f.
IPSD: 1,025
176
172
<48 >48 523
(2)
(1)
48
166
185
170
Calculate:
3. " (RZ1 Postoperative death rate for Januaryb. Postoperative infection rate for January c. January nosocomial infection rate d. Consultation rate for January e. " (R7) Anesthesia death rate for January f. * (R7) Gross death rate g. x (R7) Net death rate h. " (R5) Bed occupancy percentage
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r90 Basic Allied Health Statistics and Analysis
5. Regional Medical Center data for October. Admissions Discharges
Surgical operations Comorbidities Complications lnfections:
Nosocomial Postoperative
Community-acquired
Calculate:
a. Complication rate b. Nosocomial infection rate c. Postoperative infection rated. Community_acquired infection ratee. Hospital infection rate f. Comorbidity rate
6. Surgical data: January through March: Bed Count:36
Admissions Discharges
Patients seen in consultation
2,055
2,050
1,222
240
110
25
(e)
33
lpSD: 2,923 360
348
120
Patients Surg Anes
-Deaths- lnfections Oper On Oper Adm
Month Jan
Feb
Mar
Calculate:
Anes
1
0
0
Postop
1
1
2
Other
1
1
0
Noso
6
3
4
Postop
1
1
2
108
95
123
120
98
133
110
97
125
Postoperative infection rate Month in which the postoperative infection rate was the highestNosocomial infection rate Consultation rate for the period* (Rz) Month in which the postoperative death rate was the highest : 1!Zl Postoperative death rate toi flrL-plerioo " (Rz) Anesthesia death rate tor th" plioO : 1I1l Average daity inpati"nt ."r"rlior,r.," period : 1I!l Bed occupancy rate for the perioJ* (R7) Gross death rate for the per'ioO
\
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Miscellaneous Rates 191 7, Cascade Hospital (August):
Unit Autopsies
Adm. Disch. Deaths Yes (HP) Coroner Consults Hospital lnfections Medical Surgicai
Pediatrics
OB
CYN Orthopedic
NB Totals
Calculate:
40r
88
51
268
47
50
241.
1,146
390
B1
48
269
45
48
239
1,120
1B
2
0
0
0
L
1
22
135
61.
18
12 a J
i5 2
245
5
2
1
2
0
1
2
13
5
L
0
0
0
0
0
6
1
0
0
0
0
0
0 1
a. b. C.
d. e. f.
Overall consultation rate for August Unit (service) with the highest c6nsultation rate Overall hospital infectiorira," tol. Argr.; Unit (service) with the highest intu"iiin r.rte " (RZ) Gross death rate* (Rg) Gross autopsy rate
8. Windhaven Hospital (September): Type of Surgery Adm. Disch. Deaths Patients
Operated on Consults Postop.
lnfections GI
GYN
C-section
Orthopedic ENT
Urology CV
Other
Totals
Other Statistics:
36
45
21
47
18
27
22
19
235
35
44
22
46
1B
25
20
20
230
254
235
247
34
43
20
47
18
26
20
18
226
1
0
0
1
0
0
2
L 5
12
3
1
20
1
1
10
6
54
1
0
0
2
0
0
1
1 5
Surgical procedures Surgical operations Anesthesia adm inistered
Calculate:
i Overall surgical consultation rateb. Postoperative infection ratec. * (RZ1 Surgical service with the highest death rate
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lgT Basic Allied Health Statistics and Analysis
9. Hillcrest Hospital (July):
Service Adm. Disch. Autopsies
Deaths Yes (HP) Coroner Deliv. C-Sect. lnfec. Consult. Med 862 860 Surg 333 331 oB 257 255 NB 221 218 Totals 1,673 1,664 Calculate:
a. * (R8) C-section rate b. Hospital lnfection rate c. Consultation rate d. " (nz1 Gross death rate e. " (Rg) Net autopsy rate f. * (R7-8) Newborn death rate g. x (R8) Maternal death rate h. Surgical infection rate i. Medical consultation rate
Crestview Hospital (September):
Unit Bed/Bass Count Disch
237 66
237 66
IPSD o/o Occup
33
16
1
1
51
5
1
0
0 6
1
0
0
0 1
5
1
2
2
10
298
144
8
2
452
10.
ALOS
Medical 70 Surgical 40 Obstetrics 30 Pediatrics 10 Psychiatric 25 ICU 13
298
172
119
43
103
1 503
808
382
129
398
5 days
4.5 days
2 days
10
60
85
277
171NB
Totals:
A&C
NB
Calculate:
a. * (R5) Percentage of occupancy for each unit b. Direct bed turnover rate for A&C c. Direct bed turnover rate for the medical unit d. lndirect bed turnover rate for A&C e. lndirect bed turnover rate for the medical unit f. Direct bassinet turnover rate g. lndirect bassinet turnover rate
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Miscellaneous Rates 193
Data for October: Discharges
Surgical operations Surgical procedures
Comorbidities Complications
lalculate:
lnfections: Nosocomial Community-acquired Postoperative
2,050
1,222
1,227
240
110
25
33
I
J.
!
: :
Complication rate for October Nosocomial infection rate for October Postoperative infection rate for October Com m u nity-acq u i red i nfection rate for October Hospital infection rate for October Comorbidity rate for October
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