Patients classification System

tools for
Cost management

tools for
Quality management

tools for
HOSPITAL PLANNING

4 Why to choose US

4 implementation

4 ANECDOTE

4 contact

4 Logic

4 diagnoses

4 procedures

4 inpatients

4 outpatients

4 insurance

4 readmissions

4 reoperations

4 complications

4 deaths

4 length of stay

4 day surgery

4 unjustified stays

Aim to measure premature death, i.e.
- not related to expected end of life (end of life support)
- not requiring resuscitation at admission (related to pre-hospital care)

Cases patient discharged dead, among eligible population

Eligible population The domain is related to acute somatic hospital care units. Patients admitted in psychiatric, geriatric and rehabilitation units are excluded.

Patients with at least a total of 3 points in the list below are considered as living their last months of life and are therefore excluded, except if a preventive or curative major procedures or a planned chemotherapy is performed.

Medical conditions:

- malignant neoplasms related to vital organs and metastatic neoplasms
- cerebral metastasis
-
metastasis of other vital organs, palliative care, cachexia
-
malnutrition, immunodeficiency, dependence, extremely low birth weight
dementia, chronic kidney disease-stage 5, hepatorenal syndrome
- older than 80 years
-
malignant neoplasms of breast, prostate, thyroid

Or at least three metastatic neoplasms (C78*, C790-C798)

Scores

1
3
2

1
1
-1

 

 

4 list of PREVENTIVE AND CURATIVE MAJor procedures

Patients potentially requiring resuscitation at admission are also excluded from the eligible population: cerebral and head trauma, effect of electric current, cardiac arrest, ventricular fibrillation and flutter, respiratory arrest, anencephaly, stroke, ruptured aneurysm, myocardial infarct. If they survived at least 5 days or received one of the above preventive and curative major procedures, they are however included, but new born dead on first day are excluded.

Output 4 INTERPRETATION 4 FILES

Yves Eggli and SQLape s..r.l., 2014. Last update: 1.04.2015