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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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