CAJ | 학술논문

收集我院2013年1月～12月2160例出院31天内非计划再入院患者的资料，回顾性分析患者非计划再入院原因，发现其原因依次为：病情复发或反复加重805例，手术并发症381例，疾病知识欠缺353例，出院后未及时随访导致病情加重351例，药物相关问题270例。2014年，我院通过加强对患者病情评估，重视围手术期管理、患者健康教育、医师医疗知识培训及出院后随访等综合质量改进措施，其出院31天内非计划再入院患者例数降至1589例，与2013年相比明显下降。
수집아원2013년1월～12월2160례출원31천내비계화재입원환자적자료，회고성분석환자비계화재입원원인，발현기원인의차위：병정복발혹반복가중805례，수술병발증381례，질병지식흠결353례，출원후미급시수방도치병정가중351례，약물상관문제270례。2014년，아원통과가강대환자병정평고，중시위수술기관리、환자건강교육、의사의료지식배훈급출원후수방등종합질량개진조시，기출원31천내비계화재입원환자례수강지1589례，여2013년상비명현하강。
The data of 2160 cases of the hospital's patients who are rehospitalized not as planned within 31 days after discharge from Jan. to Dec., 2013 are collected to retrospectively analyze the causes of unplanned readmission, and the causes are found to be relapse or repeated exacerbation of disease (805 cases), surgical complications (381 cases), lack of disease knowledge (353 cases), disease exacerbation due to delayed follow-up after discharge (351 cases), and problems related to medicine (270 cases). In 2014, by taking comprehensive quality improvement measures, such as enhancing the evaluation on patient's disease and attaching importance to the management during perioperative period, patient's health education, medical knowledge training of physicians, and post-discharge follow-up, the hospital reduced the number of patients of unplanned readmission within 31 days after discharge to 1589 cases, realizing a substantial decrease compared with that in 2013.