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目的 :分析南京市 18所三级甲等医院 (简称三甲 )三日确诊率情况 ,总结出达标与否的经验教训。 方法 :分别统计 18所三甲医院三日确诊率情况 ,并与同年度收容量、床位使用率、床位周转次数及出院者平均住院日情况对比分析。 结果和结论 :对照国家卫生部分级管理文件规定三日确诊率≥ 90 %的要求 ,18所医院 17所达标 ,占 94 .4 4 % ;在达标的医院中 ,三日确诊率最低为 95 .8%、最高的为 10 0 % ;其中三日确诊率≥ 96 %、≥ 98%及达 10 0 %的医院分别为 16所 (占 94 .1% )、9所 (占 5 .3% )、1所 (占 0 .6 % ) ,并提出提高三日确诊率的对策。
Objective: To analyze the situation of the three-day diagnosis rate of 18 Grade-3 First-Class Hospitals in Nanjing City (hereinafter referred to as “the top three”) and summarize the experiences and lessons of compliance. Methods: Statistics were made on the three-day diagnosis rate of 18 top three hospitals, and compared with the capacity of the same year, the utilization rate of beds, the number of bed turnover and the average length of hospital stay of discharged patients. RESULTS AND CONCLUSION: According to the requirements of the Ministry of Health’s classification management document that the diagnosis rate was ≥ 90% on three days, 17 hospitals in 18 hospitals reached 94.44% of the total, and the lowest diagnosis rate was 95 on the third day in the standard hospitals. Among them, 16 (94.1%) and 9 (5.3%) were clinically diagnosed on the 3rd with a diagnosis rate of 96% or more, 98% or more, and 10% , 1 (accounting for 0.6%), and put forward measures to improve the three-day diagnosis rate.