Question

1. You are showing her how to calculate the inpatient service days. The hospital daily census reports show that the inpatient census at midnight was 67. 2 patients were admitted yesterday morning. One of these patients died 2 hours later; the second patient was discharged and transferred to another facility yesterday afternoon. What would the inpatient service days for yesterday be?

2.   In 20XX, University Hospital reported 1,576 live births and 3 deaths after abortions. The vital statistics maternal mortality rate per 100,000 births would be:

please show your steps

Answer 1

1).

• Inpatient census is the number of patients physically present in the hospital at a particular point of time, usually midnight
• Inpatient service days refers to services delivered to one inpatient in one 24 hour period , that is the time between census taking hours on 2 successive days
• One inpatient service day is calculated for each inpatient admission when a patient is admitted and discharged on the same day

For the question given,

• inpatient census at midnight =67
• number of pateints admitted next day = 2
• number of pateints died/discharged = 2
• inpateint census on day 2 = impatient census for previous day

+ number of patients admitted

- number of patients died/disharged

=67

+2

-2

=67

Therefore, inpatient service days is 67

2)

• Number of live births =1576
• Number of maternal deaths ( deaths after abortions ) =3
• Maternal mortality rate (MMR) is number of maternal deaths due to births/pregnancy related complications for 100,000 live births

$MMR=\frac{number\: of\, maternal\, deaths\times 100000}{number\, of\, live\, births}$

  $MMR=\frac{3\times 100000}{1576}$

$MMR=190$

Therefore maternal mortality rate per 100,000 live births is 190