Question

The following is the monthly report for the month of January in Wildcat General Hospital of 220 beds and 30 bassinets.

ADMISSIONS

Adults & Children............................................................................................................. 652

Newborn............................................................................................................................. 95

DISCHARGES

Adults & Children............................................................................................................. 673

Newborn............................................................................................................................. 97

INPATIENT SERVICE DAYS

Adults & Children........................................................................................................... 4578

Newborn........................................................................................................................... 445

DISCHARGE DAYS

Adults & Children........................................................................................................... 4253

Newborn........................................................................................................................... 439

                                                                                DEATHS AUTOPSIES

Adults & Children                               

Under 48 Hours                                  4                           2

Over 48 Hours                                    6                           2

Newborn

Under 48 Hours                                  2                           1

Over 48 Hours                                    2                           1

Fetal Deaths

Under 20 Weeks                                 5                                  0

20 Weeks and Over                            3                           2

SURGICAL STATISTICS

Patients operated on.......................................................................................................... 354

Operations performed....................................................................................................... 375

Postoperative deaths.............................................................................................................. 2

Anesthetic deaths.................................................................................................................. 1

Surgical patients discharged.............................................................................................. 402

Anesthesia administered.................................................................................................... 422

MISCELLANEOUS STATISTICS

Maternal deaths..................................................................................................................... 1

Deliveries.......................................................................................................................... 125

Cesarean sections.................................................................................................................. 6

Hospital acquired infections.................................................................................................. 5

OB patients discharged...................................................................................................... 131

Postoperative infections........................................................................................................ 2

Consultations.................................................................................................................... 164

Coroner=s cases.................................................................................................................... 1

Autopsies performed on previous hospital patients................................................................ 3

Using the monthly source data provided above, please compute the following rates/percentages:

1.              Gross death rate (including newborn):

2.              Consultation rate:

3.              Fetal death rate:

4.              Hospital autopsy rate (adjusted):

5.              Cesarean section rate:

6.              Average daily census for adults and children:

7.              Bed occupancy ratio:

8.              Average length of stay for newborn patients:

9.              Hospital acquired infection rate:

10.           Anesthesia death rate:

11.           Net death rate (including newborn):

12.           Postoperative infection rate:

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Answer 1

Solution:

Using the monthly source data provided above, please compute the following rates/percentages:

Gross death rate : 24

consultation rate : 164 ( count all consultations )

feral death rate; 8 ( see under

hospital autopsy rate;8 ( need to observe from the table )

caesarean section rate: 6 ( it's under miscellaneous statistics)

avg.daily census : no.of admissions and discharges of adults and children -652+673

bed occupancy for newborn: 445(inpatient service means bed occupancy)

Hospital acquired infection; 5 (direct)

Anaesthesia death rate; 1

net death include newborn: 22

postoperative infections: 2