Universidade Estadual de Londrina, Hospital Universitário de Londrina, Londrina, PR, Brasil.
Universidade Estadual do Norte do Paraná, Setor de Enfermagem, Bandeirantes, PR, Brasil.
Rev Lat Am Enfermagem. 2022 Mar 21;30:e3517. doi: 10.1590/1518-8345.5700.3517. eCollection 2022.
To evaluate the hospital indicators and their repercussions on the number of monthly admissions to a public university hospital, before and after implementing the Internal Regulation Center.
An evaluative research study, of the Case Study type, developed in a public university hospital. A total of 28 indicators related to structure, production, productivity and quality were measured, which are part of internal Benchmarking. The data were analyzed by means of descriptive statistics and multiple regression to identify the independent factors and those associated with the number of monthly hospitalizations with 95% confidence intervals.
Implementation of the Center significantly increased (p<0.001) the number of discharges, the bed utilization factor and the bed renewal rate, emergency hospitalization, bed occupancy percentage, surgical procedures performed and the patient-day mean value (p=0.027). There was a reduction (p<0.001) in the number of visits to the medical, obstetric and orthopedic emergency room, in the rates of in-hospital infection and infant mortality, as well as a mean reduction of 0.81/day, approximately one day less of hospitalization per patient, or a gain of 40 available beds per month.
Although the number of available beds was lower in the post-implementation period, the bed replacement interval was reduced, representing an increase of 40 more beds per month due to the reduction in the patients' length of stay in the institution.
评价医院指标及其对一所公立大学附属医院每月入院人数的影响，在实施内部管理中心前后。
这是一项评价性研究，属于病例研究类型，在一所公立大学附属医院进行。共测量了 28 个与结构、生产、生产力和质量相关的指标，这些指标是内部基准测试的一部分。使用描述性统计和多元回归分析来分析数据，以确定与每月住院人数相关的独立因素和相关因素，置信区间为 95%。
中心的实施显著增加了（p<0.001）出院人数、床位利用率因素和床位更新率、急诊住院、床位占用百分比、手术数量和患者日平均值（p=0.027）。就诊人数减少了（p<0.001），包括内科、妇产科和骨科急诊室，医院感染率和婴儿死亡率也有所下降，平均每天住院时间减少了 0.81 天，大约每位患者减少了一天的住院时间，或每月增加了 40 张可用床位。
尽管实施后可用床位数量较低，但床位更换间隔缩短，由于患者在机构内的住院时间缩短，每月增加了 40 张以上的床位。
