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Discharge formulas and misc rates

Discharge formulas and misc rates

Daniel Kevins

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Question 11 pts

The following are a list of admission and discharge dates for a group of patients. Find the length of stay (LOS) for each. This was not a leap year.

Patient	Admitted	Discharged	Length of Stay
Pete Smith	Feb. 12	Mar. 4
Amy Jones	Jan. 16	Jan. 31
Ray Warren	Mar. 21	Jun. 4
Diane Green	Dec. 9	Jan. 14
Ruth White	Apr. 6	Aug. 17

What was the LOS for Pete Smith?

Flag this QuestionQuestion 21 pts

Using the above table, what was the LOS for Amy Jones?

Flag this QuestionQuestion 31 pts

Using the above table, what was the LOS for Ray Warren?

Flag this QuestionQuestion 41 pts

Using the above table, what was the LOS for Diane Green?

Flag this QuestionQuestion 51 pts

Using the above table, what was the LOS for Ruth White?

Flag this QuestionQuestion 61 pts

Review the table of information below.

Service	Discharged Patients	Discharge days
Medicine	23	240
Surgery	14	177
Obstetrics Delivered	36	78
Aborted	6	8
Not-Del	12	16
Gynecology	23	122
Newborn	26	82

What was the average length of stay for adults/children?

Round to one decimal place.

Flag this QuestionQuestion 71 pts

Using the table above, what was the average length of stay for newborn?

Round to one decimal place.

Flag this QuestionQuestion 81 pts

A hospital had a total of 1239 discharges, including 30 deaths over 48 hours and 8 under 48 hours.

What was the gross death rate?

Round to one decimal place.

Make sure to include percent sign.

Flag this QuestionQuestion 91 pts

A hospital had a total of 1239 discharges, including 30 deaths over 48 hours and 8 under 48 hours.

What was the net death rate?

Round to one decimal place.

Make sure to include percent sign.

Flag this QuestionQuestion 101 pts

A hospital had a total of 14,185 adult/child discharge days and 15,896 census days for adults/children. There were 231 newborn census days and 217 newborn discharge days. 1,144 adults and children were discharged and 2044 adults and children were admitted. 105 newborns were discharged and 113 newborns were admitted.

What is the average length of stay for adults/children?

Round to one decimal place.

Flag this QuestionQuestion 111 pts

What is the average length of stay for newborn?

Round to one decimal place.

Flag this QuestionQuestion 121 pts

Review the following patient data and identify those patients who would be included in the numerator of the postoperative death rate. List the letter for each patient that would be included in the answer spot.

Patient Date adm. Date operation Date death

(A) Frank Henderson	1-12	1-13	1-15
(B) William Feinstein	1-20	1-21	1-31
(C) Mary Ann Brown	1-3	1-3	1-27
(D) John Q. Public	1-4	1-5	1-14

Flag this QuestionQuestion 131 pts

A hospital had 895 patients operated upon in January. Of these, 6 patients died, including one patient who died 5 days postop , a second patient 11 days postop, a third 1 day postop, the fourth 9 days postop, and the fifth and sixth 14 and 15 days postop respectively.

What is the postoperative death rate?

Round to one decimal place.

Make sure to include percent sign.

Flag this QuestionQuestion 141 pts

In one year, of the maternal discharges, there were 216 patients delivered, plus 6 who aborted plus 40 who did not deliver. Of these, 2 of those who delivered died, none of the women who aborted died, and one of the non-delivered patients died.

What is the maternal death rate?

Round to one decimal place.

Make sure to include percent sign.

Flag this QuestionQuestion 151 pts

In a hospital, there were 2 deaths prior to delivery of fetuses over 20 weeks of gestation, and 8 under 20 weeks of gestation. There were 157 live births, and 156 newborn discharges.

What is the fetal death rate?

Round to one decimal place.

Make sure to include percent sign.

Flag this QuestionQuestion 161 pts

During this past year, a women’s hospital reported 1,205 obstetrics discharges and the following causes of death for obstetrics patients:

- Two deaths after abortions
- One patient with a cerebral hematoma due to a vehicular accident
- One patient with uterine carcinoma aggravated by pregnancy

What is the maternal death rate ?

Round to one decimal place.

Make sure to include percent sign.

Flag this QuestionQuestion 171 pts

There were 23 inpatient deaths for a month, 1 of which was a coroner’s case not autopsied at the hospital, and 10 were autopsied at the hospital. There were 4 DOA’s and one stillbirth. 1 of the DOA’s (who was a former patient) was autopsied at the hospital, as was the stillbirth.

What was the gross autopsy rate?

Round to one decimal place.

Make sure to include percent sign.

Flag this QuestionQuestion 181 pts

Using the information above, what was the net autopsy rate?

Round to one decimal place.

Make sure to include percent sign.

Flag this QuestionQuestion 191 pts

Using the information in the table below, calculate the anesthesia death rate at University Hospital for the year.

Discharges 3,287

Deaths 24

Under 48 hours (11)
Over 48 hours (13)

Number of operations 3,298

Number of patients operated on 3,286

Number of anesthetics administered 3,291

Number of deaths due to anesthetic agents 2

Round to one decimal place.

Make sure to include percent sign.

Flag this QuestionQuestion 201 pts

Seaview Hospital reported the following during the past non-leap year:

Bed count	250
Admissions	9,205
Discharges	9,180
Inpatient Service Days	69,608
Average length of stay	7.6 days

What was the percent of occupancy?

Round to one decimal place.

Make sure to include percent sign.

Flag this QuestionQuestion 211 pts

Using the information above, what was the direct bed turnover rate ?

Round to one decimal place.

Make sure to include percent sign.

Flag this QuestionQuestion 221 pts

Using the information above, what was the indirect bed turnover rate?

Round to one decimal place.

Make sure to include percent sign.

Flag this QuestionQuestion 231 pts

On October 1 the hospital had 130 beds and on October 18 it opened a new nursing unit with an additional 25 beds. The hospital then kept the same number of beds until the end of the year.

What was the average bed count for October?

Round to one decimal place.

Flag this QuestionQuestion 241 pts

On October 1 the hospital had 130 beds and on October 18 it opened a new nursing unit with an additional 25 beds. The hospital then kept the same number of beds until the end of the year.

What was the average bed count for November ?

Round to one decimal place.

Flag this QuestionQuestion 251 pts

There were 181 deliveries, 10 by first C-section, and 3 were repeat C-sections.

What was the Cesarean section rate?

Round to one decimal place.

Make sure to include percent sign.

Flag this QuestionQuestion 261 pts

There were 647 adults and children who were discharged and 128 newborns discharged during December. 150 A&C patients and 2 NB patients received consults. A total of 167 consultations were rendered. There were 138 OB Deliveries of live births and intermediate and late fetal deaths, including 8 C-sections. There were 13 A&C and 0 NB hospital nosocomial infections including 3 A&C and 0 NB postoperative infections in clean surgical cases. 369 A&C patients were operated upon and there were 422 surgical operations (0 for NB for each).

What is the hospital nosocomial infection rate?

Round to one decimal place.

Make sure to include percent sign.

Flag this QuestionQuestion 271 pts

Using the information above, what was the Consultation rate (patients receiving consults)?

Round to one decimal place.

Make sure to include percent sign.

Flag this QuestionQuestion 281 pts

Using the information above, what was the Cesarean section rate?

Round to one decimal place.

Make sure to include percent sign.

Flag this QuestionQuestion 291 pts

The following figures are for a 217-bed hospital with 30 bassinets for the month of December.

ADMISSIONS DISCHARGES (alive and dead)

Adults & children	689	Adults & children	647
Newborn (live births)	139	Newborn	128
INPATIENT SERVICE DAYS Adults & children	4815	DISCHARGE DAYS Adults & children	4268
Newborn	451	Newborn	362