Summary of work in the first half of the clinic

Time flies, the sun and the moon shuttle, the outpatient work in 2007 has been successfully completed. With the support and help of the leaders of the hospital over the past year, with the cooperation of the various departments of the hospital, the important thinking of the "three represents" has been earnestly studied. Take the spirit of the party's "xx conference" as the yardstick. With the service concept of "quality first, patient first", we pay close attention to medical safety and standardization of medical system. In combination with the actual situation of our hospital, we will formulate feasible and effective measures, increase the management of medical quality, pay attention to the quality training of medical personnel and professional ethics education, further emancipate the concept of renewal of ideas, improve service efficiency and quality, and effectively promote medical care work. , made positive efforts for the stable development of our hospital. The work of the outpatient clinic in one year is summarized as follows:

First, medical quality management and medical quality inspection:

Medical quality management: further establish and implement various rules and regulations. In order to cooperate with the "Medical Quality Management Year" activities of our hospital, the medical work has been continuously deepened. According to the arrangement of the hospital leadership, we thoroughly studied the "Code for the writing of medical records for medical records", "Methods for Handling Medical Accidents", "Medical Regulations", "Responsibility System for First Physicians", and formulated the "Key Points and Requirements for Evaluation of Medical Documents". "" Medical Instrument Assessment and Punishment Measures", "Outpatient Diagnostic Certificate Management Regulations", "Prescription Drugs Common Names Catalogue", etc., for the standardized writing of hospital medical records, outpatient medical records and prescriptions, and the formality of diagnosis Use laid the foundation

Medical quality inspection: medical quality is the fundamental problem of hospital development and survival. Paying close attention to medical quality management and comprehensively improving the quality of medical services is the primary task of outpatient clinics. It is strictly in accordance with the standard of writing medical records for medical records of medical records, for inpatient medical records and outpatient services. Medical records, course records, prescriptions, and various registrations were further standardized, and training and inspections were conducted. Through the development of medical quality inspection activities, the quality of medical care in our hospital has improved, and medical quality management has gradually entered institutionalized management. The medical quality inspections of various types this year are reported as follows:

1. The registration of some outpatient clinics in this year is completed and completed. The corresponding registrations of each department are filled in carefully and in detail. The registration of acute, critical and critically ill patients in all departments of the hospital was basically completed on time. The outpatient diagnosis certificate was stamped by 268 people and the registration was complete. There is a lack of discussion in emergency, critical, critically ill patients and difficult medical records in clinical departments, which needs to be further strengthened in future work.

2. Inpatient medical records and number of outpatients completed: 464 inpatient medical records were filed throughout the year, including 32 inpatient medical records, 114 surgical procedures, and 316 obstetrics and gynecology. The number of patients in the outpatient clinic was 1932, the number of surgical operations was 1251, the number of obstetrics and gynecology was 442, the number of Chinese medicine was 104, and the stomatology was 31. The plan formulated at the beginning of the year has been completed this year, and the number of patients in the next hospitalization and outpatient clinic needs to be further strengthened. The quality of hospitalization and outpatient medical records still needs to be further strengthened.

3, the prescription writing situation, the prescription is generally written, scribbled, missing items, writing is not formal. The generic name of the prescription drug was not satisfactory enough to meet the prescribed ratio. The problem of the next prescription needs to be further strengthened.

4. The status of the application form and the report form: There are mainly problems in the application form, and the individual application form has only the main complaint and no other content. The report form still has more or less words and scribbles, and the report results are altered. It needs to be further strengthened in the future.

Second, outpatient meetings and business learning:

1. Organize outpatient clinics 14 times throughout the year, mainly to grasp the construction of medical safety, medical ethics, and urge the writing of medical documents, medical records, prescriptions and species registration, and communicate the contents of the meeting to various departments and staff. Let each staff member understand the spirit of the meeting and complete their duties as required by the meeting.

2. The hospital pays attention to personnel training and talent introduction. This year, one person was sent to a tertiary hospital to study color ultrasound and electrocardiogram. And hired a deputy chief physician of internal medicine, for the strength of our hospital internal medicine. A number of people were sent to participate in new medical technology developments and new business meetings organized by higher-level hospitals, and the contents of the lectures can be conveyed to everyone. He also organized a lecture on medical knowledge such as "Talking about Chinese and Western Medicine", "Prevention and Treatment of Hypertension", "Treatment of Rabies and Application of Rabies Vaccine".

Third, the brother hospital association and the superior hospital pass, help, and expand business:

1. Brothers Hospital Association: This year's 5.12 nurses' day, our hospital fully organized the staff to play a special role, and the "Tian's bone injury hospital" to carry out a friendship, and held a nurse speech contest to achieve excellent results. The hospital's popularity has been further improved, and the centripetal force and cohesiveness of the staff of the hospital have been further embodied. Won the honor for our school.
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2. This year, under the guidance and assistance of the professors at the higher level hospitals, the general surgery expanded the scope of business. Can carry out large-scale surgery "transabdominal perineal combined with radical resection of rectal cancer", the Department of Stomatology can carry out salivary gland tumor surgery, otolaryngology is more prominent, can complete the nasal tumor, nasal septum Jiaojing. It has made a good start for our hospital to expand its business scope.

Fourth, physical examination work:

There were many physical examinations throughout the year, and there were 5 large-scale physical examination activities, including nearly 300 in Nanying, Zhuzhuang and Zhaozhuang, 400 in physical examinations, and 14 in Shiqiao Experimental National Examination. Under the circumstances, it can be carefully organized and carefully arranged to successfully complete the physical examination task.

V. Various instructional work and lecture work:

1. This year's directive work at all levels has been successively carried out. The main emphasis is on the renovation and demolition of the old villages in the villages and the on-site ambulance work. Escort for the college entrance examination, on-site first aid. Participate in activities related to safety production and development, distribute promotional materials, exhibition boards and other work.

2. Listening to the work: Improve the rescue team and listen to the duty system. Requires the staff on duty to keep the communication open 24 hours a day, close to the class, on call, and complete the rescue and surgery work on time. And received the approval of the hospital leadership, as well as the patient's consistent praise.

Looking back at the work of this year, although certain achievements have been made, it is necessary to further strengthen and improve the implementation of various management systems. Irregular inspections and inspections of medical care work will further improve the quality of medical documents, medical records, and prescriptions. Strengthen the relationship between doctors and patients, reduce medical disputes, conscientiously implement doctor-patient communication, harmonious doctor-patient relationship, and prevent medical risks. In the new year, we will make greater contributions to the reform and construction of our hospital.