1445 Lecture Exam 2

The number of available hospital inpatient beds, both occupied and vacant, on any given day.  (count of beds set up for normal use whether occupied or empty)

The number of available hospital newborn bassinets, both occupied and vacant, on a given day.

A unit of measure denoting the presence of 1 inpatient bed, set up and staffed for use and either occupied or vacant in one 24-hour period

The sum of inpatient bed count days for each of the days in the period under consideration

The number of times something happens compared to the number of times something could have happened

• The percentage of available beds or bassinets that are being occupied on a specific day or for a designated period of time 
• Note: Occupancy rates can be computed for:
• 1.       Single day
• 2.       Entire hospital
• 3.       Single unit
• 4.       Several days, weeks , months, years, single year, etc.

The proportion of inpatient beds occupied, defined as the ratio of service days to inpatient bed count days in the period under consideration

Refers to death; instance of death

Termination of the period of inpatient hospitalization through death;  A patient who expires while an inpatient in the hospital; ie, expires after admissionto the hospital

Occurs only in those infants who have shown signs of life at the time of birth

Deaths of patients who expire during outpatient care or are treated on a regular basis and expire elsewhere; not included in hospital death rates

• (Abortion/Stillborn Infant)               
• Death prior to the complete expulsion or extraction of a fetus from its mother

Based on discharge data, a list is prepared of all patients who died during their hospital stay. The rate is determined based on this data

• All eligible deaths occurring before and after 48 hours of admission
• (Generally A&C deaths and NB deaths are included in this death rate, but it may also be calculated out separately)

All eligible deaths occurring 48 hours or more after admission

One or more surgical procedures performed at one time for one patient using a common approach or for a common purpose

A single medical manipulation that can be complete in itself

Surgical death within 10 days after an operation

• The usefulness of this rate is questionable, but it is routinely used
• Discharged patients are not used.
• ONLY patients operated on during the period.
• Only those having operations (surgery) could die postoperatively
• Could be more useful when calculated for specific operations

The determination of what constitutes death due to this can only be determined by a physician. These cases are always investigated thoroughly.

Expelling of a product of conception or having it removed from the body. Multiple births are considered a single one. It may include either a live infant or a dead fetus

When a pregnant woman is admitted to the hospital because of complications of the pregnancy and then goes home without having delivered, her condition is noted as this.A woman may also be admitted following a delivery because of complications will also go home this way.

Childbirth

The period of 42 days following delivery; it is included as part of the pregnancy period

Expulsion or extraction of a dead fetus or other products of conception from the mother or the birth of a liveborn infant or a stillborn infant

The purposeful interruption of an intrauterine pregnancy, with the intention being other than to produce a liveborn infant and which does not result in a live birth

Death of any woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and the site of the pregnancy, irrespective of the duration and the site of the pregnancy, wither directly related to pregnancy or aggravated by the pregnancy

Death directly related to pregnancy

during or following an abortion

death prior to delivery due to the pregnancy

death after delivery due to the pregnancy

Maternal death not directly due to obstetric causes but aggravated by the pregnant condition

The period surrounding birth; this kind of death includes both stillborn infants and neonatal deaths

Death of a liveborn infant from 28 days to the end of the first year of life

Death prior to the complete expulsion or extraction from its mother, in a hospital facility, of a product of human conception, fetus and placenta, irrespective of the duration of pregnancy. The death is indicated by the fact that after such expulsion or extraction, the fetus does not breathe or show any other evidence of life, such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles.

Death occurring within seven days of birth

A day occurring after the admission and prior to the discharge of a hospital inpatient during which the patient is not present at census-taking time because he/she is on leave of absence from the hospital

The inpatient is not present at the hospital for a length of time, but returns before census taking time.

An individual who receives, in person, hospital-based or hospital-coordinated medical services for which the hospital is responsible.

• By gestational age
• By gram weight

less than 20 weeks gestation

20 weeks to less than 28 weeks

28 or more weeks gestation

500 grams or less

501 to 1000 grams

1001 grams or more

IPSD for period X 100

Total IP Bed Count  X  # of days in period

• IPSD for period  X  100
• Total IP Bed Count  X  # of days in period

Total IPSD for period   X   100

(Bed count  X  days)   +   (Bed count  X  days)

• Total IPSD for period   X   100
• (Bed count  X  days)   +   (Bed count  X  days)

• DOA's
• Emergency Department deaths
• Fetal Deaths

Total # of deaths (incl NB) for a period   X   100

Total # of discharges (incl A&C and NB deaths)

• Total # of deaths (incl NB) for a period   X   100
• Total # of discharges (incl A&C and NB deaths)

Total IP deaths (incl NB)   -   deaths < 48 hrs   X   100

Total D/C (incl A&C and NB deaths)   -   deaths < 48 hrs

• Total IP deaths (incl NB)   -   deaths < 48 hrs   X   100
• Total D/C (incl A&C and NB deaths)   -   deaths < 48 hrs

Total # of NB deaths   X   100

Total # of NB discharges (Incl deaths) for the period

• Total # of NB deaths   X   100
• Total # of NB discharges (Incl deaths) for the period

Total # of Patients Operated on for the period

Total # of Patients Operated on for the period

• Total PostOp deaths < 10 days after surgery   X   100
• Total # of Patients Operated on for the period

Total deaths caused by anesthesia   X   100

Total # of anesthesias administered for the period

• Total deaths caused by anesthesia   X   100
• Total # of anesthesias administered for the period

Total # Maternal Deaths   X   100

Total maternal Discharges (incl deaths) for the period

• Total # Maternal Deaths   X   100
• Total maternal Discharges (incl deaths) for the period

Total Interm and Late fetal deaths   X   100

Total Live Births (NBadmits) +  Inter & Late fetal deaths

• Total Interm and Late fetal deaths   X   100
• Total Live Births (NBadmits) +  Inter & Late fetal deaths

• Total IPSD
• Total # of days in period