ผลการดำเนินงาน ตามตัวชี้วัดระดับโรงพยาบาล ปีงบประมาณ 2556 เดือน กันยายน

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ผลการดำเนินงาน ตามตัวชี้วัดระดับโรงพยาบาล ปีงบประมาณ 2556 เดือน กันยายน 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

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  • 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%

    79 IPD 3,518

    1

    2.18

    2.19

    2.73

    2.61

    2.44

    2.15

    2.45

    2.36

    1.98

    2.71

    2.39

    1.93

    2.24

    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

    Jul-562.39

    Aug-561.93

    Sep-562.24

  • 5 25561. Bacteria Pneumonia 6 2. UTI3 3. Gastroenteritis and colitis 3 4. UGIB 3 5. Septic shock2

  • 5 25561. 8 2. 2 3. 2 4. 1 13

  • 1.2 < 9 : 1000 1 1.DFIU . . 301

    1

    6.52

    6.31

    3.58

    10.49

    0

    7.78

    16.33

    0

    7.63

    14.81

    3.74

    7.07

    3.32

    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

    Jul-563.74

    Aug-567.07

    Sep-563.32

  • 1.3 30:1,000 BA 7 2 5 301

    1

    11.66

    3.15

    21.51

    3.5

    10.42

    7.78

    0

    7.72

    7.63

    11.11

    3.74

    3.53

    6.64

    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

    Jul-563.74

    Aug-563.53

    Sep-566.64

  • 1.4 2,500ANC
  • 1.5 < 18:100,000 0 301

    1

    29.27

    0

    0

    0

    0

    0

    0

    3.86

    0

    0

    0

    0

    0

    Sheet1

    255529.27

    Oct-550

    Nov-550

    Dec-550

    Jan-560

    Feb-560

    Mar-560

    Apr-563.86

    May-560

    Jun-560

    Jul-560

    Aug-560

    Sep-560

  • 1.6 < 0.13% 0 27

    1

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0.7

    0.4

    0

    0

    Sheet1

    25550

    Oct-550

    Nov-550

    Dec-550

    Jan-560

    Feb-560

    Mar-560

    Apr-560

    May-560

    ..560.70

    Jul-560.40

    Aug-560

    Sep-560

  • 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

    7.34

    7.53

    7.99

    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

    Jul-567.34

    Aug-567.53

    Sep-567.99

  • 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

    0.52

    0.48

    0.47

    1 ICU 1 A.Baum

    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

    Jul-560.52

    Aug-560.48

    Sep-560.47

  • 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

    0.73

    0.15

    0.18

    1 1 case Herniorrhaphy Ps.Aeruginosa

    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

    Jul-560.73

    Aug-560.15

    Sep-560.18

  • 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

    9.62

    9.63

    11.2

    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

    Jul-569.62

    Aug-569.63

    Sep-5611.20

  • Tube 2556

  • 1.10 28 < 2.5 %Re-Admitted 23 Admitted 3,884

    1

    0.36

    0.42

    0.43

    0.36

    0.42

    0.75

    0.46

    0.36

    0.64

    0.64

    1.08

    0.24

    0.59

    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

    Jul-561.08

    Aug-560.24

    Sep-560.59

  • 28

    wardPCT- 15

    PCT- 4

    PCT- 1 1 EENT 2 - 15 (1.CKD 5 2.UTI 3 3.Thalassaemias1 4.SLE 1 5. Unstable angina 1 6.CA ovary 1 7.Cerebral infarction 1 8.Cirrhosis 1 9.Inflammatory liver diseases 1 ) - 4 (1.Febrile convulsions 2 2.Bacterial pneumonia 1 3.Broncitis 1 )- 1 IIH Acute psychosisHypertrophy of tonsils , Acute tonsillitis

  • 1.11 0

    1

    0

    0

    0

    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

    Jul-560

    Aug-560

    Sep-560

  • 1.12 ROP(Retinopathy of prematurity) 0% ROP 2 18

    1

    0.64

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    7.69

    11.11

    Sheet1

    25550.64

    Oct-550

    Nov-550

    Dec-550

    Jan-560

    Feb-560

    Mar-560

    Apr-560

    May-560

    Jun-560

    Jul-560

    Aug-567.69

    Sep-5611.11

  • 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

    0

    0

    0

    Sheet1

    25550

    Oct-550

    Nov-550

    Dec-550

    Jan-560

    Feb-560

    Mar-560

    Apr-560

    May-560

    Jun-560

    Jul-560

    Aug-560

    Sep-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

    98.46

    100

    95.45

    10 63 66

    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

    Jul-5698.46

    Aug-56100

    Sep-5695.45

  • 1.16 Elective Case24. 0%

    1

    0

    0

    0

    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

    Jul-560

    Aug-560

    Sep-560

  • 1.17 0%

    545 2 case ACDFICU case Sigmoidectomy with colostomy

    1

    0.45

    0.7

    0.22

    0.2

    0.17

    0.18

    0

    0

    0

    0

    0

    0

    0.37

    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

    Jul-560.00

    Aug-560.00

    Sep-560.37

  • 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

    86.14

    Sheet1

    255586.06

    Mar-5691.67

    May-5685.66

    Jun-5691.50

    Sep-5686.14

  • 2.4 ( 15 ) 100%

    1

    100

    0

    100

    100

    ..-56

    100

    ..-56

    ..-56

    ..-56

    ..-56

    ..-56

    ..-56

    ..-56

    NA

    NA

    NA

    NA

    NA

    NA

    NA

    Sheet1

    2555100

    Oct-550

    Nov-55100

    Dec-55100

    Jan-56

    Feb-56100

    Mar-56

    Apr-56

    May-56

    Jun-56

    Jul-56

    Aug-56

    Sep-56

  • 3

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

  • 3.1 (Quick Ratio) 1% .. 56Quick Ratio 1.56

    1

    1.61.6400

    1.71.65....

    1.521.65....

    1.691.65....

    1.531.46....

    1.71.26....

    1.591.31..

    1.511.37....

    1.731.18....

    1.541.56....

    1.32......

    1.32......

    2555

    2556

    Sheet1

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

    25551.601.701.521.691.531.701.591.511.731.541.321.32

    25561.641.651.651.651.461.261.311.371.181.56

  • 3.2 (Current Ratio) 1.5% ..56Current Ratio 1.70

    1

    1.811.8100

    1.931.95....

    1.731.95....

    1.951.95....

    1.811.61....

    1.921.4....

    1.821.44..

    1.721.56....

    1.961.32....

    1.81.7....

    1.57......

    1.57......

    2555

    2556

    Sheet1

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

    25551.811.931.731.951.811.921.821.721.961.801.571.57

    25561.811.951.951.951.611.401.441.561.321.70

  • 3.3 ( Cash Ratio) 0.8% ..56Cash Ratio 1.41

    1

    1.211.2100