Ponce M F, Rial M J, Alarcón N, Szefner M, Aguilar M D
Clin Perform Qual Health Care. 1995 Jul-Sep;3(3):128-31.
To determine the incidence of nosocomial diarrhea as a quality assessment tool, to compare such a rate with a standard rate based on results reported in the literature, and to estimate the hospital cost of narrowing the gap between both.
This was a prospective hospital-based surveillance study of patients in a 16-cradle ward of a 316-bed public-owned children's hospital in Buenos Aires, Argentina. One hundred six pediatric patients were enrolled during the 3-month surveillance period. Data were collected by a non-attending physician under the usual conditions of care. The clinical staff members were blinded to the objectives of the investigation.
The detected incidence rate was 22.6 episodes of nosocomial diarrhea per 100 admissions. This was 6.4-fold higher than the standard rate. Each day of nosocomial diarrhea lengthened the duration of hospitalization and thereby increased the total hospital bill of each patient. The potential savings from narrowing the gap between both rates was as much as $302,400 per year.
Nosocomial diarrhea stands out as a relevant target both for quality improvement opportunity assessment and for cost-containment-oriented efforts.
将医院获得性腹泻的发生率作为一种质量评估工具进行测定，将该发生率与基于文献报道结果的标准发生率进行比较，并估算缩小两者差距所需的医院成本。
这是一项基于医院的前瞻性监测研究，研究对象为阿根廷布宜诺斯艾利斯一家拥有316张床位的公立儿童医院16个床位病房的患者。在3个月的监测期内纳入了106名儿科患者。数据由一名非值班医生在常规护理条件下收集。临床工作人员对调查目的不知情。
检测到的医院获得性腹泻发生率为每100例入院患者22.6次发作。这比标准发生率高6.4倍。医院获得性腹泻的每一天都会延长住院时间，从而增加每位患者的总住院费用。缩小两者发生率差距每年可节省多达302,400美元。
医院获得性腹泻是质量改进机会评估和成本控制努力的一个重要目标。
