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2
B =
:
- (Safe Mother hood and Baby Friendly hospital)

. 0 2590 4435 08 1292 3849 0 2590 4425 08 4681 9667
0 2590 4427 E-mail: [email protected]

0 2590 4438 08 6546 5561
0 2590 4427 E-mail: [email protected]

- 20 0-5
- 90 0-5
- 60 TEDA4I

- 0 - 5 5 11 29
- 9, 18, 30 42 (Type1: Type3 : )
- (DSPM) 5 30 (1B261) (1B262 : /)
62
63
64
65
90
90
90
90
62
63
64
65
20
20
20
20
62
63
64
65
90
90
90
90
62
63
64
65
85
85
85
85
2.

2
3
4
(1B262 : /)
5
6
8

=
=
=
=
: 4
3
6
9
12
3
6
9
12
3
6
9
12
3.2
3. 0-5
2. .. 2560
1.2 20
1.3. 90 /
2.
30 ()
:
2.
5. TEDA4I
80.5

80.5
81.4
16.0

12.0
16.0
16.4
73.3

57.0
73.3
77.9
95.8

90.6
95.8
95.5
1. (Developmental Disabilities) 3.5 - 24.0 ( 13.9 8.9 )
2. (Developmental Disabilities) 12 (1997-2008) 17.1 20.0
85
2 .
: 02-6402034 E-mail : [email protected]
2.
: 02 590 4427 E-mail : [email protected]
3.
: - E-mail : [email protected]

0 - 5 5 11 29
( ) / .. 2558 () -1.5 SD /
()
1,000 2
1,000 ( 6 – 5 6 6 5 )
0-5
1. 0-5 5 setting . 0-5
2. /
3. 0-5 (Primary Care Cluster : PCC)
3. ANC WCC
4.

5
2) 0-5 = (A1 / B2) × 100
3) 5 = (A2 / B3)
4) 5 = (A3 / B4)

1 2 3 4 ( 1 2 3 4 )
:
(.)

4.

8. Motion graphic 8
9. VTR 1,000

/

: 02-5904338 : -
: 02-5904338 :
: 02-5904338 : -

1.1 2562 – 2565 : 12 (..2560 – 2564) ( SPECIALPP HDC . 13 )

1.1 SPECIALPP HDC . 13
1

: 02-2488903
: 02-6402034 E-mail :[email protected]
( .1-.3)
2542 -1.5 S.D.
2542 +1.5 S.D. -1.5 S.D.
:

2
3
4
5
6
7
)
5. = (B1/B2) x 100

1 .., .., ..
15 ..
2 .., .., .., ..
15 ..
:
1.2 // ( )
- 3-5
-
15 ..
2 .., .., .., ..
15 ..
1.5
3. DPAC
5.

1

1
(LBORN)
2
( Type Area=1,3)
3 (adjusted)
B: 15-19 HDC ()
1 = HDC 1 2561 X 4
2 = HDC 2 2561 X 4/2
3 = HDC 3 2561 X 4/3
4 = HDC 4
2
/ ./( . )
= HDC 1 (HDC adjusted)
2 : 5 ( 2562– 2562)
= HDC 3 (HDC adjusted)

P=Partnership /R=Regulation:
44.8
42.5
39.6
/

02-590-4163 Email : [email protected]

2
B =
:
2)
4) Care Plan
5. Care Manager/ Caregiver
1)
1) 13
2)
2563:
3) / Intermediate Care in Community
1) ” : Day Care”
2) / 70 . 420 .
1) 26
2) /
2564:
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2) / 70 . 420 .
1) Digital/Application 1 /
2) /
2565:
1) /” : Day Care” 2 (26 )
2) / 70 . 420 .
1) Digital/Application 2 /
2) /
:
:
5. Application “ ”

3,628
0 2590 4503 E-mail: [email protected] 2. 0 2590 4509 09 7241 9729
:02 590 1239 E-mail : [email protected]
2. .
3. .
4. .
()

: 025901743 : 0898296454
: 025901641 E-mail : [email protected]
: 025901630 : 0817472052

6. (Essential care )
2. DHS – PCA
2
2562
(Health Team) (.., .... , (...), / ()
Customer Focus
reactive

Essential Care

(Stuff)
:
:
1 ( 3 ) 1
2 ( 6 ) 2 3
3 ( 9 ) 4
4 ( 12 ) 5

1
2
3
4
5
80
85
90
95
100
( ICS 2561 )
2. (SAT) (Operation) ICS 2
2. (SAT Weekly report)
3. Spot Report
4
1. IAP
2. IAP
3. Activate EOC Weekly Report . Deactivate EOC
5
2...
3. ..
4. ..
2. ..
3. ..
1 (Pre-DM) 35 FBS 100 – 125 mg/dl RPG 140-199 mg/dl
2
2 *

4
:
3.
2. HDC 31 2561
/

2.2 350 .. 2556 ( 364) .. 2556 ()
2.3

(A1/B1 x 100)+(Ai /Bi x 100) + (C/D) x 100/5 : i 1 – 4

:
: 02-590-7014 E-mail : [email protected]
: 02-591-9623 : 089-796-1437
: 02-590-7292 : 093-329-6998
2. -
3. () 386 ..2560

1.2 ()
1.2.3 () () .
(2) ()
2.1.2 2561 .

- 2 /
2)
1) “”
2)

1.1
(1) 10 Escherichia coli, Salmonella spp, Staphylococcus aureus, Listeria monocytogenes Bacillus cereus
(2) 9 Escherichia coli, Salmonella spp., Staphylococcus aureus, Listeria monocytogenes Bacillus cereus
2 (1 /)
· 2 2561 .. 61
· 1 2562 .. 62

(1) “”
(2) “”
2
(2) “”
2
4
(Blacklist)

2) (Blacklist)
2. Fluoxetine, Ephedrine, Phentermine
3. Phenophthaline Bisacodyl
4. Orlistat
5. Desoxy-D2PM
· “ .. 2562
· ()”
1. Fluoxetine, Ephedrine, Phentermine
1. Phenophthaline Bisacodyl
1. Orlistat
30
. 14
. 6(10)
1. 2. 3. ()
. 20
. 55
: - 1 2 … 8 8 ...
1. 2. 3. ()
. 21
. 55
. 74
. 6(7)
. 49
. 6(10)
. 51
1. 2. 3. 4. 5. ()
. 25 (3) . 25(1)
. 60 () . 58 ()
- . 30(2) . 63 - . 30(3)
1. 2. 3. 4. 5. ()
.25(3)
. 25(3)
. 60
1. 2. 3. 4. 5. ()
. 6 (5)

. 25 (1)
2.3
2.3.1 : -
. 6(10)
. 51
.6 (10) . 25(2)
. 51 . 59
- . 30(2) . 63 - . 30 (3)
. 6(6)
. 48
. 40
. 70
1. 2. 3. 4. 5. ()
. 41
. 71
. 42 . 42
. 6 (10)
. 6 (10) . 25(2)
. 51 .59
. 25(3)
. 60
1. 2. 3. 4. () 5.
.58

2. 1

R: RESTROOM
E: ENERGY

Plus
2. Plus 1
1. 60
2. Plus 10
1. 80

GREEN & CLEAN
GREEN & CLEAN
GREEN & CLEAN
:
1.
2. Plus 1
2563:

:
1.
2.
: GREEN&CLEAN Hospital 2560
/

:
Staff - 1 3 /
- 2
- / 2

·
·
24
(1,560 )
32
(2,080 )
40
(2,600 )
2

(6,500 )
. .
2. 3 4
3.
1.1 ../././www.thaiphc.net
( http://fv.phc.hss.moph.go.th)
2.
2
5. www..com .
: http://phc.moph.go.th http://fv.phc.hss.moph.go.th

0 2193 7000 18740
. 0 2193 7000 18740
4.

[email protected]

15.3 (Stroke ;I60-I69)

2. / / (Ischemic Stroke ;I63)
3. / / (Ischemic Stroke ;I63)
2. (Hemorrhagic Stroke ;I60-I62)
3. (Hemorrhagic Stroke ;I60-I62)
(Stroke ;I60-I69)
2.
(Stroke Unit) 3 1. 4 2.
3. (Care map)
50
60
70
60
70
80
1. / (Ischemic Stroke ;I63)
1
A = /
2
B = (Hemorrhagic Stroke ;I60-I62)
1
2

1
1

-
-
-
-
-
-
- Stroke: Basic course
- Stroke Advance course, Stroke Manager, Pitfall management of stroke
- / . (Standard Stroke Center Certification, SSCC) Stroke Unit
- %SU≥35, %DTN ≥40, %DTOR≥50
- .
- (I60-I62) < 25
- / (I63) < 5
- (I60-I69) < 7
:
-
-
-
-
-
-
-
-
-
-
-
E-mail : [email protected]
()
2.2 (Clinically diagnosed: B - )
5 ( TBCM online)
:
62
63
64

1
2
2.
= (A/B) x 100
B = (TB Treatment Coverage) 2562 ( 1 2561– -30 2562) 156
1
2
HDC
·
· (Relapse) (Bacteriologically confirmed: B+) (Clinically diagnosed: B - ) Cohort 1 2562 (- 2561)
2. Rifampicin resistant Tuberculosis (RR-TB), Multidrug resistant tuberculosis (MDR-TB) Extensively drug resistant tuberculosis (XDR-TB) 5 “B”
3. 1-12 13 13
:
2 /

3

:
1.
2.

2.
: 0 2212 2279 1211 : 09 6982 4196


: 0 2212 2279 1211 : 09 6982 4196

2. 3 TBCM 19 2561.
(TB Treatment Coverage)
HDC : https://hdcservice.moph.go.th/hdc/main/index_pk.php 7 2561
(TB Treatment Coverage)
HDC : https://hdcservice.moph.go.th/hdc/main/index_pk.php 7 2561

- RDU 2 (/) 2
3
· RDU 1
3. 8 1
4. 3
5. 3
RDU 1
RDU 2
2. 4
4. glibenclamide 5
5. warfarin*, statins, ergots (* mechanical heart valve)
.. 60 .. 2
2 (RDU)

1 2 3 4 ( 3 ())
:
61.49
RDU 1 95.30 RDU 2 9.51
( 9 )
( 15)
2. .
: 02-5907155 : 061-7317779
( RDU)
AMR (download https://goo.gl/qtJLuv)
1
(1) AMR (2) (3) AMR (4) AMR (5) (6) (7) AMR
2

5

2
1 2 3 4 ( 3 ())
:
2. .
2

2)
: 02 - 5901631 E-mail : [email protected]
3.
4.
5.

2.
3.
4.

1
: 02-3548928 : 083-0070578
()
: 02-3548928 : 083-0070578
2.

1.1. PC 1 ( service plan : /)
1.2. A, S PC full time 2 M,F PC part time 1 ( service plan : /)
1.3. PC 1
1.4. PC
(1.3-1.5 service plan /)
2 PC 5 (Z51.5) (0-15 15 ) ( http://www.dms.moph.go.th/dmsweb/cpgcorner/cpgcorner26122559.pdf )
2.1 ICD-10 C00-C96 (10-18)
2.2 (Neurological Disease) /(Stroke) ICD-10 I60-I69 (Dementia) ICD-10 F03 ( 19-25)
2.3 (Renal Replacement Therapy) ( 26-32)
2.5 ICD-10 R54 (76-80)
Palliative Care ( 2.1-2.4 Palliative care service plan 5 )
1. 50
- Functional Assessment Karnofsky Score (KPS) ≤ 50 ECOG ≥ 3
2. Multiple Co-morbidity
8.
4. (World Health Organization. (‎1986)‎. Cancer pain relief. Geneva: World Health Organization. http://apps.who.int/iris/bitstream/handle/10665/43944/9241561009_eng.pdf ) (dyspnea/breathlessness) (World Health Organization Essential Medicines in Palliative Care) http://www.who.int/selection_medicines/committees/expert/19/applications/PalliativeCare_8_A_R.pdf Opioids
: Strong Opioid Medication
2562
2563
2564
40
45
50
2

2. . ( ) ( . ..) //
3.
2. List Disease for Palliative Care and Functional Unit
http://www.dms.moph.go.th/dmsweb/cpgcorner/cpgcorner26122559.pdf
7. World Health Organization. (‎1986)‎. Cancer pain relief. Geneva: World Health Organization. http://apps.who.int/iris/bitstream/handle/10665/43944/9241561009_eng.pdf
8. World Health Organization Essential Medicines in Palliative Care http://www.who.int/selection_medicines/committees/expert/19/applications/PalliativeCare_8_A_R.pdf

:02591 8244 E-mail : [email protected]
2. .
: 1415 2413 : 089-4223466
3.

()
2.
: 0 2591 8264-5 E-mail : [email protected]
3.

-
- -
- -
- -
-
-

Provider)
2
B =
2.
1.

Depressive Disorder 5 (DSM-5: Diagnostic and Statistical Manual of Mental disorders 5) 10 (ICD – 10 : International Classification of Diseases and Health Related Problems - 10) ICD-10 F32.x, F33.x, F34.1, F38.x F39.x 2552 2562

:

2562 2562 2552 – 2561 www.thaidepression.com
1) 2) 3) 4) 5) 6) 7) 8) 9) 10) 11) 9Q 12) 8Q 50

1. . . 34000
2. file excel word e-mail:[email protected] [email protected] copy CD
3. www.thaidepression.com 1-2
:
• 15 ( 2551 15 19,000 2.7% ( Major Depressive episode 2.4%, Dysthymia 0.3%) 2560 ( 15 )

A = 2552 2562
2

:
2.
4
D =

2.
: 043-224722 E-mail: [email protected]
3.
1.2 septic shock SIRS 2 ( 1) hypotension vasopressors maintain MAP ≥65 mm Hg serum lactate level >2 mmol/L (18 mg/dL)
2. Community-acquired sepsis hospital-acquired sepsis
4. (sepsis screening tools) qSOFA 2 ( 3)modified early warning scoreSOS score (search out severity) 4 ( 4)
5. ICD 10 /
,
1
2
3
4

90
48
community-acquired sepsis 24 hospital-acquired sepsis
48
: 081- 612 5891 E–mail : [email protected]
2. . .
: 081- 596 8535 E–mail : [email protected]
3. . .
: 088-2518036 E–mail :crisis27@gmailcom

()
Heart rate >90 beats/min
2tissue hypoperfusion organ dysfunction
hypotension
Urine output <0.5 mL/kg/hr 2 .
Acute lung injury Pao2/Fio2<250 pneumonia
Acute lung injury Pao2/Fio2<200 pneumonia
Creatinine>2.0 mg/dL(176.8μmol/L)
Bilirubin >2 mg/dL(34.2μmol/L)
Platelet count <100,000μL
3qSOFA (quick SOFA)score
1. Alteration in mental status ( Glasgow Coma Scale score 15 )
2. Systolic blood pressure ≤100 mm Hg
3. Respiratory rate ≥22/min

0 (Level 0)
Patients whose needs can be met through normal ward care in an acute hospital
1 (Level 1)
Patients at risk of their condition deteriorating, or those recently relocated from higher levels of care, whose needs can be met on an acute ward with additional advice and support from the critical care team
2 (Level 2)
Patients requiring more detailed observation or intervention including support for a single failing organ system or post-operative care and those ‘stepping down’ from higher levels of care
3 (Level 3)
Patients requiring advanced respiratory support alone or basic respiratory support together with support of at least two organ systems. This level includes all complex patients requiring support for multi-organ failure
5 Modified Early Warning Score (MEWS) for Clinical Deterioration
Criteria
<40
+2
41-50
+1
51-100
0
101-110
+1
111-129
+2
≥130
+3
<9
+2
9-14
0
15-20
+1
21-29
+2
≥30
+3
+2
Interpretation
· A score ≥ 5 is statistically linked to increased likelihood of death or admission to an intensive care unit.
· For any single physiological parameter scored +3, consider higher level of care for patient.
()
2561
............................................................. H code ............................................
5
7

1. H/C Antibiotic H/C Antibiotic
= H/C Antibiotic
X 100
2. Antibiotic 1 . Antibiotic 1 . (Diagnosis to needle time)
= Antibiotic 1 .
X 100

3. IV fluid 30 ml/kg 1 . IVfluid 1.5 1 .
=IVfluid 1.5 1 .
= ICU 3 .
X 100
(Refracture) ( ) Refracture Prevention Refracture Prevention

2. Intertroch S72.100-101, S72.110-111
3. Subtroch S72.20, 21

2. Distal radius S52
3. Fixation 79.15, 79.35
5. Close reduction 79.05
./.
.

. - , , ,

1.2 Refracture <
30
1.1 30
1.1 40
M 1

:
1. 53 M 1 Refracture Prevention 2. Refracture < 30
3. Earlysurgery > 50
3. Earlysurgery> 50
:
/

Fibrinolytic drug Streptokinase, Tenecteplase

1
2

:

2. .
: 02-5906357 : 081-9357334
: 0 2591 8279 E-mail: [email protected]

: 10 5 ( ..2560 : 28 )
62
63
64
26
25
24

2
B =

2) (Access to Care) 4 (28 )
- / (/)
- / (/)
:

1. Hospital Based Cancer Registry ( Thai Cancer Based Cancer Informatics )
2. TCB

:
2.
: 02-5906352 : 085-9594499
3.

:
· Stage 3-4 DIAGNOSIS_OPD
1. N183-184
2. N189,E102, E112, E122, E132, E142 ,I12, I13, I151, N083, N02, N03, N04, N05, N06, N07, N08, N11, N13, N14, N20, N21, N22, N23 eGFR 60 15

· eGFR (43 ) HDC scrip HDC real time

HDC
2

:

3.
: 02-5906352 : 085-9594499

:
2

80.5
84.12
84.59
/

()
2.

: ( . organ donation organ donation )

(A/B)x100

:
:


:
2 (Leading Indicator)
B = .. 2561
:
/

: 02-5901799 : 081-5954450

:

/

: 02-5901799 : 081-5954450

TBI

SCI
Multiple Impairment
A

S

M1

M2

2562
2563
2564
50
75
100
2562
2563
2564
60
70
80

1 IPD (IPD-IMC protocol) M F
2 IPD care protocol 1) Problem list & plan, 2) Standing doctor order sheet, 3) Team meeting report 4) Activities protocol (short stay)
B = M F

* intermediate ward
A = Stroke, Traumatic Brain Injury Spinal Cord Injury Barthel index <15 6 Barthel index = 20
B = Stroke, Traumatic Brain Injury Spinal Cord Injury Barthel index <15 Barthel index >15 with multipleimpairment

: 086-7024649 Email: [email protected]
: 02-590-6357 : 081-935-7334
2.

otherwise specified Inguinal herniorrhaphy NOS
53.01 Other and open repair of direct inguinal hernia
® Direct and indirect inguinal hernia
53.02 Other and open repair of indirect inguinal
hernia ®
with graft or prosthesis ®
hernia with graft or prosthesis ®
53.05 Repair of inguinal hernia with graft or prosthesis,
not otherwise Specified
53.10 Bilateral repair of inguinal hernia, not otherwise
specified
hernia ®
inguinal hernia ®
hernia, one direct and one indirect ®
53.14 Other and open bilateral repair of direct inguinal
hernia with graft or prosthesis ®
53.15 Other and open bilateral repair of indirect
inguinal hernia with graft or prosthesis ®
53.16 Other and open bilateral repair of inguinal
hernia, one direct and one indirect, with graft or
prosthesis ®
prosthesis, not otherwise specified
53.21 Unilateral repair of femoral hernia with graft or
prosthesis
53.3 Bilateral repair of femoral hernia
53.31 Bilateral repair of femoral hernia with graft or prosthesis
53.39 Other bilateral femoral herniorrhaphy
2
Hydrocele
3
Hemorrhoid
49.45 Ligation of hemorrhoids
49.49 Other procedures on hemorrhoids Lord procedure
4
(laparoscopy) hysteroscopy) biopsy of uterus
68.2 Excision or destruction of lesion or tissue of uterus
68.21 Division of endometrial synechiaeLysis of
intraluminal uterine adhesions
68.23 Endometrial ablation Dilation and curettage,
Hysteroscopic endometrial ablation
Uterine myomectomy
I98.3* Oesophagealvarices with bleeding indiseases classified elsewhere
42.33 Esophageal varices by endoscopic approach
43.41 Ligation of gastric varices by endoscopic approach
44.43 endoscopic control of gastric or duodenal bleeding
6
balloon endoscope Endoscopic dilation of
gastrojejunostomy site
Sphincter
7
tissue of esophagus
8
K63.5 Polyp of colon
45.43 Endoscopic destruction of other lesion or tissue
of large intestine Endoscopic ablation of tumor
of large intestine Endoscopic control of colonic
bleeding
9
K801:Calculus of gallbdr w othcholecystitis
K802:Calculus of gallbdr w/o cholecystitis
K803:Calculus of bile duct w cholangitis
K804:Calculusof bile duct w cholecystitis
K805:Calculus of bile duct w/o cholangitis or cholecystitis
51.85 Endoscopic sphincterotomy and papillotomy
51.88 Endoscopic removal of stone (s) from biliary tract
51.86 Endoscopic insertion of nasobiliarydrainage tube
51.87 Endoscopic insertion of stent (tube) into bile duct
10
52.93 Endoscopic insertion of stent (tube) into
Pancreatic duct
11
C23 Malignant neoplasm of gallbladder
C24.-Malignant neoplasm of other and unspecified
parts of biliary tract
K82.0 Obstruction of gallbladder: Stricture of cystic
duct or gall bladder without calculus
K82.8 Other specified diseases of gallbladder: Adhesions of cystic dust or gallbladder without Calculus
K83.1 Obstruction of bile duct: Stricture of bile duct
without calculus
K83.8 Other specified diseases of biliary tract: Adhesions of bile duct
K91.8 Other postprocedural disorders of digestive
system, not elsewhere classified: Postoperative
bile duct (common), (hepatic) stricture
51.86 Endoscopic insertion of nasabiliary drainage tube
51.87 Endoscopic insertion of stent (tube) into bile duct
12
K86.0 Alcohol-induced chronic pancreatitis
K86.1 Other chronic pancreatitis
system, not elsewhere classified: postoperative bile duct (common), (hepatic) stricture
52.93 Endoscopic insertion of stent (tube) into
Pancreatic duct
:

2. (Patient Safety)
: 08 2649 4884 : 0 2917 8917



2..

: 0 2591 8279 E-mail: [email protected]

37. (Triagel level 1) 24 . A, S, M1
1
definite care
1.2 triage level 1, 2 <2 . A, S, M1 60
2
2.2 (mortality rate of severe traumatic brain injury) ( ICD S 06.1 – S 06.9)
3
3.2 F2 ECS 80

ECS 2561-2565 ER
“” Triage Level 1
“ (Severe traumatic brain injury) TBI”
62
63
64
12
62
63
64
80
1.2 triage level 1, 2 <2 . A, S, M1 60
62
63
64
60
62
63
64
100
62
63
64
45
62
63
64
80
62
63
64
80
A, S, M1
1, 2, 3 (1.1,1.2, 2.1, 2.2, 3.1, 3.2)
A, S, M1, F2

HDC
3. ACCIDENT
A = trauma triage level 1 A, S, M1 60
A = triage level 1, 2 admit 2 .
A = PS score >0.75 RCA
A = {(ICD S 06.1 – S 06.9) ( ICD 9 procedure 96.0, 96.04, 96.05) (ICD 9 procedure 96.7) ( ICD 10: R 40.243}
A = TEA unit A, S, M1
A = F2 ECS
B = trauma triage level 1 A, S, M1
B = triage level 1, 2 admit
B = PS score >0.75
B = (ICD S 06.1 – S 06.9) ( ICD 9 procedure 96.0, 96.04, 96.05) (ICD 9 procedure 96.7) ( ICD 10: R 40.243)
B = TEA unit A, S, M1
B = F2 ECS

2562 :
-
1 :
3
6
9
12
2 :
1.2 triage level 1, 2 <2 . A, S, M1 60
3
6
9
12
3
6
9
12
-
2.2 (mortality rate of severe traumatic brain injury) ( ICD S 06.1 – S 06.9) 45
3
6
9
12
3
6
9
12
3
6
9
12

2.3
24 /
:
http://www.who.int/bulletin/volumes/91/5/12-112664/en/

PA
:
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