【摘要】 目的 总结深圳市某三甲医院在平均住院日管理中，推行的管理策略实践经验，为医院精细化管理提供参考。方法 某医院通过建立关键绩效指标考核体系，引入PDCA循环管理模型，构建动态闭环管理机制，推动平均住院日持续优化。结果 2024年全院平均住院日下降0.66天;手术并发症降低0.1个百分点，但CMI略有下降。内科科室同比下降0.55天，外科科室同比下降0.50天，内科和外科科室下降差异无统计学意义(P=0.360);手术病例同比下降0.58天，其中四级手术病例同比下降0.91天; CMI各个组别的病例，其平均住院日有不同程度下降;术前平均住院天数同比下降0.23天。结论 基于PDCA循环的医疗关键指标考核管理，使医院能够在保障医疗质量与安全的前提下，有效缩短平均住院日。更多还原

【Abstract】 Objective To summarize the practical experience of management strategies implemented in the management of average length of stay( ALOS) at a tertiary hospital in Shenzhen,providing a reference for refined hospital management.Methods The hospital established a Key Performance Indicator( KPI) assessment system and introduced the PDCA( Plan-DoCheck-Act) cycle management model to construct a dynamic closed-loop management mechanism,thereby promoting the continuous optimization of ALOS. Results In 2024,the hospital-wide ALOS decreased by 0. 66 days. Surgical complications decreased by 0. 1 percentage points,although the Case Mix Index( CMI) slightly declined. The ALOS in internal medicine departments decreased by 0. 55 days year-on-year,and by 0. 50 days in surgical departments; the difference between the two was not statistically significant( P = 0. 360). The ALOS for surgical cases decreased by 0. 58 days year-on-year,with a decrease of 0. 91 days for grade IV surgical cases. ALOS decreased to varying degrees across all CMI groups. The preoperative average length of stay decreased by 0. 23 days year-on-year. Conclusion The management based on the PDCA cycle and medical key indicator assessment enables hospitals to effectively shorten the average length of stay while ensuring medical quality and safety.更多还原