Click here to load reader

ผลการดำเนินงาน ตามตัวชี้วัดระดับโรงพยาบาล ปีงบประมาณ 2556 เดือน มิถุนายน

  • View
    30

  • Download
    3

Embed Size (px)

DESCRIPTION

ผลการดำเนินงาน ตามตัวชี้วัดระดับโรงพยาบาล ปีงบประมาณ 2556 เดือน มิถุนายน 2556. รวมทั้งสิ้น 61 ตัวชี้วัด. ด้านที่ 1 การดูแลด้านผู้ป่วย ( PCR) 18 ตัวชี้วัด. ด้านที่ 1 (ต่อ). 1.1 อัตราตายรวม(ผู้ป่วยใน) 1.2 อัตราตายทารกตายปริกำเนิด 1.3 อัตราการเกิดภาวการณ์ขาดออกซิเจนในเด็กแรกเกิด - PowerPoint PPT Presentation

Text of ผลการดำเนินงาน...

  • 2556 2556 61

  • 1.1 ()1.2 1.3 1.4 2500 1.5 1.6 1.7 VAP1.8 CAUTI1.9 SSI1.10 28

    1 (PCR) 18 1 ()1.11 1.12 ROP1.13 STEMISK 30 1.14 ER Re-visit48 .1.15 (Response time) EMS

  • 1.1 5%

    103 IPD 3,794

    1

    2.18

    2.19

    2.73

    2.61

    2.44

    2.15

    2.45

    2.36

    1.98

    2.71

    Sheet1

    25552.18

    Oct-552.19

    Nov-552.73

    Dec-552.61

    Jan-562.44

    Feb-562.15

    Mar-562.45

    Apr-562.36

    May-561.98

    Jun-562.71

  • 5 25561. Bacteria Pneumonia 5 2. Acute peritonitis 4 3. Bacteria meningitis 3 4. NF 3 5. Intracranial injury without open 3 intracranial wound

  • 5 2556 2 2

  • 1.2 < 9 : 1000 4 1.DFIU . . 2 2.DFIU . .3. DFIU . . 270

    1

    6.52

    6.31

    3.58

    10.49

    0

    7.78

    16.33

    0

    7.63

    14.81

    Sheet1

    25556.52

    Oct-556.31

    Nov-553.58

    Dec-5510.49

    Jan-560

    Feb-567.78

    Mar-5616.33

    Apr-560

    May-567.63

    Jun-5614.81

  • 1.3 30:1,000 BA 8 3 5 270

    1

    11.66

    3.15

    21.51

    3.5

    10.42

    7.78

    0

    7.72

    7.63

    11.11

    Sheet1

    255511.66

    Oct-553.15

    Nov-5521.51

    Dec-553.5

    Jan-5610.42

    Feb-567.78

    Mar-560

    Apr-567.72

    May-567.63

    Jun-5611.11

  • 1.4 2,500ANC
  • 1.5 < 18:100,000 0 270

    1

    29.27

    0

    0

    0

    0

    0

    0

    386.1

    0

    0

    Sheet1

    255529.27

    Oct-550

    Nov-550

    Dec-550

    Jan-560

    Feb-560

    Mar-560

    Apr-56386.10

    May-560

    Jun-560

  • 1.6 < 0.13% 2 284

    1

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0.7

    Sheet1

    25550

    Oct-550

    Nov-550

    Dec-550

    Jan-560

    Feb-560

    Mar-560

    Apr-560

    May-560

    ..560.70

  • 1.7 VAP < 10 : 1,000

    1

    10.12

    12.38

    13.55

    11.79

    10.76

    9.42

    16.76

    7.51

    10.54

    9.85

    Sheet1

    255510.12

    Oct-5512.38

    Nov-5513.55

    Dec-5511.79

    Jan-5610.76

    Feb-569.42

    Mar-5616.76

    Apr-567.51

    May-5610.54

    Jun-569.85

  • VAP 2556

    VAP

  • < 5 : 1,0001.8 CAUTI (Catheter associated urinary tract infection)

    1

    0.91

    1.49

    0

    1.87

    2.01

    1.56

    0.03

    0.51

    0

    0.61

    1 1 Ps.Aeruginosa

    Sheet1

    25550.91

    Oct-551.49

    Nov-550

    Dec-551.87

    Jan-562.01

    Feb-561.56

    Mar-560.03

    Apr-560.51

    May-560

    Jun-560.61

  • 1.9 SSI (01,02) Sit Specific Infection (,) < 4.5 %

    1

    0.2

    0.7

    0.43

    0

    0

    0.36

    0.12

    0.17

    0

    0

    Sheet1

    25550.20

    Oct-550.70

    Nov-550.43

    Dec-550.00

    Jan-560.00

    Feb-560.36

    Mar-560.12

    Apr-560.17

    May-560.00

    Jun-560.00

  • 1.7 Tube < 10 : 1,000

    1

    2555

    ..-55

    12.77

    13.31

    5.18

    9.78

    29.72

    20.68

    21.74

    16.07

    Sheet1

    2555

    Oct-55

    Nov-5512.77

    Dec-5513.31

    Jan-565.18

    Feb-569.78

    Mar-5629.72

    Apr-5620.68

    May-5621.74

    Jun-5616.07

  • Tube 2556

  • 1.10 28 < 2.5 %Re-Admitted 22 Admitted 3,436

    1

    0.36

    0.42

    0.43

    0.36

    0.42

    0.75

    0.46

    0.36

    0.64

    0.64

    Sheet1

    25550.36

    Oct-550.42

    Nov-550.43

    Dec-550.36

    Jan-560.42

    Feb-560.75

    Mar-560.46

    Apr-560.36

    May-560.64

    Jun-560.64

  • 28

    wardPCT- 14

    PCT- 4 PCT- 3

    1 - 12 (1.CKD 3 2. CA Breast 2 3. CA liver 1 4. DM 1 5. CHF 1 6. Thalassaemia 1 7. Cirrhosis 1 8. SVT 1 9. Meliodisis 1 )- 2 2 (1. ESRD 1 2. DM 1 )- AE 4 (1. UGIB 3 2. HI 1 )- 3 (1. Pneumonia 2 2. Bronchitis 1 )Acute Psychosis22

  • 1.11 0

    1

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    Sheet1

    25550

    Oct-550

    Nov-550

    Dec-550

    Jan-560

    Feb-560

    Mar-560

    Apr-560

    May-560

    Jun-560

  • 1.12 ROP(Retinopathy of prematurity) 0% ROP 0 23

    1

    0.64

    0

    0

    0

    0

    0

    0

    0

    0

    0

    Sheet1

    25550.64

    Oct-550

    Nov-550

    Dec-550

    Jan-560

    Feb-560

    Mar-560

    Apr-560

    May-560

    Jun-560

  • 1.13 STEMI SK 30 >40%

  • 1.14 Re-Visit ER 48 . 0%

    1

    0.002

    0

    0

    0

    0

    0

    0

    0

    0

    0

    Sheet1

    25550

    Oct-550

    Nov-550

    Dec-550

    Jan-560

    Feb-560

    Mar-560

    Apr-560

    May-560

    Jun-560

  • 1.15 (Response time) EMS 80%

    1

    96.26

    98.36

    89.13

    91.04

    94

    96.92

    97.96

    98.39

    91.23

    93.75

    10 45 48

    Sheet1

    255596.26

    Oct-5598.36

    Nov-5589.13

    Dec-5591.04

    Jan-5694.00

    Feb-5696.92

    Mar-5697.96

    Apr-5698.39

    May-5691.23

    Jun-5693.75

  • 1.16 Elective Case24. 0%

    1

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    Sheet1

    25550

    Oct-550

    Nov-550

    Dec-550

    Jan-560

    Feb-560

    Mar-560

    Apr-560

    May-560

    Jun-560

  • 1.17 0%

    706 0

    1

    0.45

    0.7

    0.22

    0.2

    0.17

    0.18

    0

    0

    0

    0

    Sheet1

    25550.45

    Oct-550.70

    Nov-550.22

    Dec-550.20

    Jan-560.17

    Feb-560.18

    Mar-560.00

    Apr-560.00

    May-560.00

    Jun-560.00

  • 1.18 seroma 0%

    1

    4.17

    33.33

    66.67

    0

    0

    0

    0

    20

    16.67

    seroma 1 6

    Sheet1

    25554.17

    Oct-5533.33

    Nov-5566.67

    Dec-550

    Jan-560

    Feb-560

    .560

    Apr-5620.00

    May-5616.67

  • 2

    2.1 2.2 2.3 2.4 ( 15 )

  • 2.1 >85%

    1

    80.91

    Sheet1

    255580.91

  • 2.2 >85%

    1

    86.65

    Sheet1

    255586.65

  • 2.3 >85%

    1

    86.06

    91.67

    85.66

    91.5

    Sheet1

    255586.06

    Mar-5691.67

    May-5685.66

    Jun-5691.50

  • 2.4 ( 15 ) 100%

    1

    100

    0

    100

    100

    ..-56

    100

    ..-56

    ..-56

    ..-56

    ..-56

    NA

    NA

    NA

    NA

    Sheet1

    2555100

    Oct-550

    Nov-55100

    Dec-55100

    Jan-56

    Feb-56100

    Mar-56

    Apr-56

    May-56

    Jun-56

  • 3

    3.1 (Quick Ratio) 3.2 (Current Ratio) 3.3 (Cash Ratio)

  • 3.1 (Quick Ratio) 1% .. 56Quick Ratio 1.31

    1

    1.61.6400

    1.71.65....

    1.521.65....

    1.691.65....

    1.531.46....

    1.71.26....

    1.591.31..

    1.51......

    1.73......

    1.54......

    1.32......

    1.32......

    2555

    2556

    Sheet1

    .......................

    25551.601.701.521.691.531.701.591.511.731.541.321.32

    25561.641.651.651.651.461.261.31

  • 3.2 (Current Ratio) 1.5% ..56Current Ratio 1.44

    1

    1.811.8100

    1.931.95....

    1.731.95....

    1.951.95....

    1.811.61....

    1.921.4....

    1.821.44..

    1.72......

    1.96......

    1.8......

    1.57......

    1.57......

    2555

    2556

    Sheet1

    .......................

    25551.811.931.731.951.811.921.821.721.961.801.571.57

    25561.811.951.951.951.611.401.44

  • 3.3 ( Cash Ratio) 0.8% ..56Cash Ratio 1.25

    1

    1.211.2100

    1.351.22....

    1.231....

    1.331....

    1.121.24....

    1.311....

    1.171.25..

    1.06......

    1.39......

    1.39......

    1......

    1......

    2555

    2556

    Sheet1

    .......................

    25551.211.351.231.331.121.311.171.061.391.391.001.00

    25561.211.221.001.001.241.001.25

  • 4.1 / R2R /mini research4.2 4.3 4.4 Turn Over Rate 4.5 /

    Part 4 4

  • 4.1 / R2R /mini research >5 /

    1

    0

    Sheet1

    25550

  • 4.2 >10 /

    1

    74

    0

    0

    30

    0

    33

    0

    0

    0

    ..-56

    Sheet1

    255574

    Oct-550

    Nov-550

    Dec-5530

    Jan-560

    Feb-5633

    Mar-560

    Apr-560

    May-560

    Jun-56

  • 4.3 >85%

    1

    81.9

    ..-55

    Sheet1

    255581.90

    Oct-55

  • 4.4 Turn Over Rate
  • 4.5 /
  • 5.1 E RCA 5.2 GHI5.3 G H I RCA 5.4 G H I 5.5 Patient safety goal 5.6 5.7 ( )5.8 (Infusion Pump ,monitor)

    55.9 5.10 5.10.1 (Prescribing error) 5.10.2 (Dispensing error)5.11 5.11.1 (Prescribing error) 5.11.2 (Dispensing error) 5.11.3 5.12 5.13 - BOD - BOD - - (Suspended Solids;SS) - 5 ()

  • 5.1 E RCA >80%NA

    1

    67.04

    ..-55

    60

    ..-55

    50

    ..-56