Serenity Hospital (year-end data) (for items a through f on the next page) -----
ID: 3270564 • Letter: S
Question
Serenity Hospital (year-end data) (for items a through f on the next page)
--------------------Bed/Bassinet Counts--------------------
Period
Months
Med
Surg
Psych
Ped
OB
NB
A&C
A
January through June
75
40
20
15
15
15
165
B
April through June
85
50
20
15
15
15
185
C
July through September
85
50
20
15
15
15
185
D
October through December
85
45
20
15
15
15
175
Period
---------Medical Unit---------
-----------Surgical Unit---------
-------Psychiatric Unit--------
Adm
Disch
IPSD
DD
Adm
Disch
IPSD
DD
Adm
Disch
IPSD
DD
A
2,250
2,260
6,250
6,500
950
955
3,150
3,185
665
655
1,350
1,440
B
2,440
2,430
7,200
7,150
1,075
1,080
4,025
4,060
730
733
1,380
1,470
C
2,450
2,425
7,250
7,125
1,080
1,088
4,060
4,110
620
600
1,320
1,380
D
2,275
2,320
6,473
6,703
1,023
1,028
3,650
3,700
730
728
1,380
1,359
Total
9,415
9,435
27,173
27,478
4,128
4,151
14,885
15,055
2,745
2,716
5,430
1,470
Period
---------Pediatric Unit---------
-------Obstetrical Unit--------
---------Newborn Unit---------
Adm
Disch
IPSD
DD
Adm
Disch
IPSD
DD
Adm
Disch
IPSD
DD
A
600
620
900
930
700
705
900
910
669
640
870
900
B
525
530
910
900
660
650
930
940
808
785
1,020
1,000
C
580
562
840
875
720
730
950
990
807
800
975
990
D
650
630
840
871
665
663
849
863
475
480
750
764
Total
2,355
2,342
3,690
3,576
2,745
2,748
3,629
3,703
2,759
2,705
3,615
3,654
Deaths
Med
Surg
Psych
Ped
OB
NB
Total
Fetal Data
E
I
L
Total
275
25
3
4
6
3
316
Deaths
57
10
3
(<48 hrs)
175
20
2
3
2
2
104
Autopsies
(>48 hrs)
100
5
1
1
4
1
112
HP
0
1
1
Postop*
25
Cor
0
5
1
(<10 days)
23
OB Data
(>10 days)
2
Deliveries
1,265
Autopsies
Vaginal
905
HP
36
2
0
1
1
1
41
C-Section
360
Cor
5
1
1
1
0
0
8
OP/Former Patient Data
Infections
Consultations
Nosocomial
1,033
Patients seen
9,690
Autopsies
Community-acquired
1,255
Total provided
11,133
HP 8
Postoperative*
110
Cor 2
Complications
2,513
Comorbidities
2,892
Surgical Data
Patients operated on
2,085
Surgical operations
2,195
Anesthesias administered
2,400
Surgical procedures
2,388
Anesthesia deaths
2
c. Calculate the death rates for the year for each of the below:
i. gross death rate (see Chapter 8):
ii. anesthesia death rate (See Chapter 8)):
iii. net death rate (See Chapter 8):
d. Calculate the autopsy rates for the year for each of the below:
i. gross autopsy rate (See Chapter 10):
ii. net autopsy rate (See Chapter 10):
e. Calculate other yearly rates for each of the below:
i. C-section rate (See Chapter 11):
ii. consultation rate (See Chapter 11):
(a) patients seen in consultation
(b) total consultations provided
iii. infection rates(See Chapter 11):
(a) nosocomial infection rate
(b) community-acquired infection rate
(c) postoperative infection rate
(d) hospital infection rate
iv. complication rate (See Chapter 11):
v. comorbidity rate (See Chapter 11):
f. Calculate the average length of stay for each of the below (see Chapter 7):
i. A&C for the year
I recently posted this and others were able to answer the questions from a-b. I need step by step instructions on solving letters c -f with answers.
--------------------Bed/Bassinet Counts--------------------
Period
Months
Med
Surg
Psych
Ped
OB
NB
A&C
A
January through June
75
40
20
15
15
15
165
B
April through June
85
50
20
15
15
15
185
C
July through September
85
50
20
15
15
15
185
D
October through December
85
45
20
15
15
15
175
Explanation / Answer
(c) (i) Gross death rate = [No. of deaths of inpatients / No. of discharges (including deaths)] X 100
= [316 / (9,435 + 4,151 + 2,716 + 2,342 + 2,748 + 2,705)] X 100 = 1.31 %
(ii) anesthesia death rate = [No. of anesthesia deaths / Anesthesia administered] X 100 = [2 / 2400] X 100 = 0.083 %.
(iii) Net death rate = [(No. of deaths of inpatients minus deaths in < 48 hours) / (No. of discharges (including deaths) minus deaths in < 48 hours)] X 100 = [(316 - 204) / (24097 - 204)] X 100 = 0.469 %.
(d) (i) Gross Autopsy rate = [Total inpatient autopsies / Total inpatient deaths] X 100 = [(41 + 8) / 316] X 100 = 15.5 %
(ii) Net Autopsy rate = [(Total inpatient autopsies minus coroner's cases) / (Total inpatient deaths minus coroner's cases)] X 100 = [41 / 308] X 100 = 13.3 %.
(e) (i) C-section rate = [(Total no. of C-sections) / (Total deliveries)] X 100 = [360 / 1265] X 100 = 28.46 %
(ii) Consultation rate
(a) Based on patients seen in consultation:
= [Total no. of patients seen in consultation / Total no. of discharges and deaths] X 100 = [9690 / 24097] X 100 = 40.2 %
(b) Based on total consultations provided:
= [Total no. of patients recieving consultation / Total no. of discharges and deaths] X 100 = [11133 / 24097] X 100 = 46.2 %
(iii) (a) nosocomial infection rate = [Total no. of nosocomial infections / No. of discharges (including deaths)] X 100 = [1033 / 24097] X 100 = 4.29 %
(b) community-acquired infection rate = [Total no. of community-acquired infections / No. of discharges (including deaths)] X 100 = [1255 / 24097] X 100 = 5.21 %
(c) postoperative infection rate = [Total no. of infections in clean surgical cases / No. of surgical operations performed] X 100 = [110 / 2195] X 100 = 5.01 %
(d) hospital infection rate = [Total no. of infections / No. of discharges (including deaths)] X 100 = [(1033 + 1255 + 110) / 24097] X 100 = 9.95 %
(iv) complication rate = [Total no. of complications / No. of discharges (including deaths)] X 100 = [ 2513 / 24097] X 100 = 10.43 %
(v) comorbidity rate = [Total no. of comorbidity / No. of discharges (including deaths)] X 100 = [ 2892 / 24097] X 100 = 12.00 %
(f) (i) LOS for A&C for the year = Total Discharge Days / No. of discharges (including deaths) = (27478 + 15055 + 1470 + 3576 + 3703 + 3654) / (24097) = 2.28 days
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