# 1445 Lecture Exam 2

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1. Inpatient Bed Count – (Bed Compliment, Bed Capacity)
The number of available hospital inpatient beds, both occupied and vacant, on any given day.  (count of beds set up for normal use whether occupied or empty)
2. Newborn bassinet Count
The number of available hospital newborn bassinets, both occupied and vacant, on a given day.
3. Inpatient Bed Count Day
A unit of measure denoting the presence of 1 inpatient bed, set up and staffed for use and either occupied or vacant in one 24-hour period
4. Inpatient Bed Count Days (Total)
The sum of inpatient bed count days for each of the days in the period under consideration
5. Rates
The number of times something happens compared to the number of times something could have happened
6. Occupancy Rate
• The percentage of available beds or bassinets that are being occupied on a specific day or for a designated period of time
• Note: Occupancy rates can be computed for:
• 1.       Single day
• 2.       Entire hospital
• 3.       Single unit
• 4.       Several days, weeks , months, years, single year, etc.
7. Inpatient Bed Occupancy Ratio
The proportion of inpatient beds occupied, defined as the ratio of service days to inpatient bed count days in the period under consideration
8. Mortality
Refers to death; instance of death
9. Inpatient Death
Termination of the period of inpatient hospitalization through death;  A patient who expires while an inpatient in the hospital; ie, expires after admissionto the hospital
10. Newborn Death
Occurs only in those infants who have shown signs of life at the time of birth
11. Outpatient Death
Deaths of patients who expire during outpatient care or are treated on a regular basis and expire elsewhere; not included in hospital death rates
12. Hospital Fetal Death
• (Abortion/Stillborn Infant)
• Death prior to the complete expulsion or extraction of a fetus from its mother
13. Death Rates
Based on discharge data, a list is prepared of all patients who died during their hospital stay. The rate is determined based on this data
14. Gross Death Rate
• All eligible deaths occurring before and after 48 hours of admission
• (Generally A&C deaths and NB deaths are included in this death rate, but it may also be calculated out separately)
15. Net Death Rate
All eligible deaths occurring 48 hours or more after admission
16. Surgical Operation
One or more surgical procedures performed at one time for one patient using a common approach or for a common purpose
17. Surgical Procedure
A single medical manipulation that can be complete in itself
18. PostoperativeDeath
Surgical death within 10 days after an operation
19. Postoperative Death Rate
• The usefulness of this rate is questionable, but it is routinely used
• Discharged patients are not used.
• ONLY patients operated on during the period.
• Only those having operations (surgery) could die postoperatively
• Could be more useful when calculated for specific operations
20. Anesthesia Death Rate
The determination of what constitutes death due to this can only be determined by a physician. These cases are always investigated thoroughly.
21. Delivery/Delivered
Expelling of a product of conception or having it removed from the body. Multiple births are considered a single one. It may include either a live infant or a dead fetus
22. Not delivered/Undelivered
When a pregnant woman is admitted to the hospital because of complications of the pregnancy and then goes home without having delivered, her condition is noted as this.A woman may also be admitted following a delivery because of complications will also go home this way.
23. Partum
Childbirth
24. Puerperium
The period of 42 days following delivery; it is included as part of the pregnancy period
25. Pregnancy termination
Expulsion or extraction of a dead fetus or other products of conception from the mother or the birth of a liveborn infant or a stillborn infant
26. InducedTermination of Pregnancy
The purposeful interruption of an intrauterine pregnancy, with the intention being other than to produce a liveborn infant and which does not result in a live birth
27. MaternalDeath/OB Death
Death of any woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and the site of the pregnancy, irrespective of the duration and the site of the pregnancy, wither directly related to pregnancy or aggravated by the pregnancy
28. DirectMaternal Death
Death directly related to pregnancy
29. Maternal:  Abortion death
during or following an abortion
30. Maternal: Antepartum death
death prior to delivery due to the pregnancy
31. Maternal: Postpartum death
death after delivery due to the pregnancy
32. Indirect Maternal Death
Maternal death not directly due to obstetric causes but aggravated by the pregnant condition
33. Perinatal Period/Perinatal Death
The period surrounding birth; this kind of death includes both stillborn infants and neonatal deaths
34. Postnatal/Postneonatal Death
Death of a liveborn infant from 28 days to the end of the first year of life
35. Hospital Fetal Death
Death prior to the complete expulsion or extraction from its mother, in a hospital facility, of a product of human conception, fetus and placenta, irrespective of the duration of pregnancy. The death is indicated by the fact that after such expulsion or extraction, the fetus does not breathe or show any other evidence of life, such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles.
Death occurring within seven days of birth
37. A Day of/on Leave of Absence
A day occurring after the admission and prior to the discharge of a hospital inpatient during which the patient is not present at census-taking time because he/she is on leave of absence from the hospital
38. Leave of Absence
The inpatient is not present at the hospital for a length of time, but returns before census taking time.
39. Hospital Patient
An individual who receives, in person, hospital-based or hospital-coordinated medical services for which the hospital is responsible.
40. How does ACOG classify fetal deaths?
• By gestational age
• By gram weight
41. Early Fetal Death - by gestational age
less than 20 weeks gestation
42. Intermediate Fetal Death - by gestational age
20 weeks to less than 28 weeks
43. Late Fetal Death - by gestational age
28 or more weeks gestation
44. Early Fetal Death - by gram weight
500 grams or less
45. Intermediate Fetal Death - by gram weight
501 to 1000 grams
46. Late Fetal Death - by gram weight
1001 grams or more
47. Percent of Occupancy:  numerator
IPSD for period X 100
48. Percent of Occupancy: denominator
Total IP Bed Count  X  # of days in period
49. Formula for percent of occupancy
• IPSD for period  X  100
• Total IP Bed Count  X  # of days in period
50. Occupancy Rate/Change in bed count: numerator
Total IPSD for period   X   100
51. Occupancy Rate/Change in bed count: denominator
(Bed count  X  days)   +   (Bed count  X  days)
52. Formula for occupancy rate/change in bed count:
• Total IPSD for period   X   100
• (Bed count  X  days)   +   (Bed count  X  days)
53. Deaths NOT included in Death Rate
• DOA's
• Emergency Department deaths
• Fetal Deaths
54. Gross Death Rate: numerator
Total # of deaths (incl NB) for a period   X   100
55. Gross Death Rate: denominator
Total # of discharges (incl A&C and NB deaths)
56. Formula for Gross Death Rate
• Total # of deaths (incl NB) for a period   X   100
• Total # of discharges (incl A&C and NB deaths)
57. Net/Institutional Death Rate:  numerator
Total IP deaths (incl NB)   -   deaths < 48 hrs   X   100
58. Net/Institutional Death Rate:  denominator
Total D/C (incl A&C and NB deaths)   -   deaths < 48 hrs
59. Formula for Net/Institutional Death Rate
• Total IP deaths (incl NB)   -   deaths < 48 hrs   X   100
• Total D/C (incl A&C and NB deaths)   -   deaths < 48 hrs
60. Newborn Death Rate:  numerator
Total # of NB deaths   X   100
61. Newborn Death Rate:  denominator
Total # of NB discharges (Incl deaths) for the period
62. Formula for Newborn Death Rate
• Total # of NB deaths   X   100
• Total # of NB discharges (Incl deaths) for the period
63. PostOp Death Rate:  numerator
Total # of Patients Operated on for the period
64. PostOp Death Rate:  denominator
Total # of Patients Operated on for the period
65. Formula for PostOp Death rate
• Total PostOp deaths < 10 days after surgery   X   100
• Total # of Patients Operated on for the period
66. Anesthesia death Rate:  numerator
Total deaths caused by anesthesia   X   100
67. Anesthesia Death Rate:  denominator
Total # of anesthesias administered for the period
68. Formula for Anesthesia Death Rate
• Total deaths caused by anesthesia   X   100
• Total # of anesthesias administered for the period
69. Maternal Death Rate:  numerator
Total # Maternal Deaths   X   100
70. Maternal Death Rate:  denominator
Total maternal Discharges (incl deaths) for the period
71. Formula for Maternal Death Rate
• Total # Maternal Deaths   X   100
• Total maternal Discharges (incl deaths) for the period
72. Fetal Death Rate:  numerator
Total Interm and Late fetal deaths   X   100
73. Fetal Death Rate:  denominator
Total Live Births (NBadmits) +  Inter & Late fetal deaths
74. Formula for Fetal Death Rate
• Total Interm and Late fetal deaths   X   100
• Total Live Births (NBadmits) +  Inter & Late fetal deaths
75. Average Daily Census formula
• Total IPSD
• Total # of days in period
 Author: nikkE ID: 173644 Card Set: 1445 Lecture Exam 2 Updated: 2012-09-27 02:48:17 Tags: 1445 Lecture Exam Folders: Description: 1445 Lecture Exam 2 Show Answers: