2015 medical work summary

Summary of medical work

The medical department has heavy tasks, high pressure and strong responsibilities. It is a busy, chaotic and indispensable department recognized by the hospital. The efficiency and quality of medical work directly affects the quality and reputation of the hospital. At the beginning of my tenure, in the face of a brand-new working environment, I couldn’t grasp the key points in my work. I have also lost my temper, but the trust of the organization, the help of the leaders, the support of the department, and the understanding of the staff made me With courage and full of confidence, he has devoted himself to the work of the medical profession.

The improvement of medical quality management and service level is the eternal theme of hospital management, and it is the top priority of medical service. Working around the center of the hospital, the medical department unites up and down, seizes opportunities, faces challenges, develops and innovates, adheres to the "patient-centered" service concept, and pays close attention to the two themes of "medical quality" and "quality service". The following work.

1. Improve medical management organization and build a smooth management system

To continuously control and improve the quality of medical care, it is necessary to strengthen the construction of the three-level quality management network, especially to strengthen the work of the quality management team. To this end, the hospital quality management committee was enriched, the medical quality management leading group and the medical dispute coordination processing leading group were established, the work quality management team work system was formulated, the job responsibilities of each position were clarified, the elite strength was strengthened, and quality training was strengthened. Standards, strict requirements, and steady work.

2. Enhance the awareness of legal practice and improve the core medical rules and regulations

Strictly implement medical and health laws, regulations, medical systems and medical care operating procedures, pay close attention to medical quality management, ensure medical safety; standardize medical technology operating procedures, improve various medical rules and regulations, and revise staff duties.

3. Advocate the concept of total quality management and pay attention to quality control

Full implementation of medical regulations and technical practices, implementation of dynamic process management of medical quality. Formulate a practical Medical Quality Management Work Plan to implement medical quality planning, control, inspection and improvement activities. Strengthen basic quality management, pay attention to quality control of departments, strictly implement the first-patient responsibility system, third-level doctors' ward rounding system, medical order system, check system, perfect check and repeat investigation, case discussion system, consultation system, critical patient rescue system, medical record writing The core system of medical quality and medical safety, such as basic norms, prescription management methods, technology access system, duty and handover system, effectively prevent medical disputes and ensure medical safety.

4. Strengthen quality control supervision and inspection, timely feedback and improvement

Quality depends on management, management depends on system, and system control is guaranteed. According to the requirements of the Provincial Health Department, combined with the characteristics of medical work in our hospital, we formulated practical and comprehensive quantitative inspection and evaluation standards, formulated the "Medical Quality Inspection Implementation Plan", standardized the medical quality inspection work, strict standards, combined rewards and punishments, timely feedback, and practical The rectification aims to create standardized medical technology and medical processes with standardized management, focusing on continuously improving the quality of medical care and forming a long-term mechanism.

5. Strengthen medical safety education and medical quality management training to effectively prevent medical disputes

Staff training is an important part of hospital management. It is the basic work to improve employees' legal awareness, quality awareness, risk awareness, service awareness and safety awareness. It is an important way for employees to master medical quality management, medical disputes and medical accident prevention knowledge and skills. . Focusing on strengthening the training of young physicians, department quality supervisors, inpatient chief physicians and fellows, carrying out quality education, strengthening physician business training and technical assessment, and paying close attention to the "three basics and three strictes" for all types of medical personnel at all levels. Training and job training, focus on connotation construction, tap potential and increase efficiency, explore the establishment of job evaluation mechanism and incentive mechanism, continuously enhance the professional quality of medical personnel, correct the quality control mentality, and effectively improve medical quality and ensure medical safety.

6. Improve service processes and improve work efficiency. Strengthen punctual surgery, strictly implement the holiday surgery system, advocate a continuous operation system, wait for no more than 3 days before the elective surgery, and strive to shorten the average hospitalization day, provide high-quality and convenient medical services, and improve work efficiency.

7. Strengthen communication between doctors and patients, timely handle disputes between doctors and patients, and build a harmonious relationship between doctors and patients.

Establish and improve the communication system between doctors and patients, formulate communication lists for doctors and patients, and strengthen education and training for all employees. Educate medical staff to firmly establish the concept of serving the people wholeheartedly, serve sincerely, fulfill their duties, and eliminate unhealthy phenomena such as birth, cold, hard, top, and push. Establish and improve the patient complaint handling system, announce complaints, effectively prevent medical disputes and effectively handle patient complaints, and maintain normal medical order.

Summary of medical work

First, medical quality management

Continuous improvement of medical quality is the driving force for the development of hospitals. Strict medical quality management and comprehensive improvement of medical service quality are important tasks of the medical department. In 2019, the medical department always used the "Xx Provincial General Hospital Evaluation Standards and Implementation Rules" and "Two Good Ones". Satisfaction is the standard. According to the plan at the beginning of the year, it focuses on the implementation of the core system, the quality management of medical records and the construction of the department itself.

1. The completion status of various work indicators in the first half of the year

420 open beds

Bed usage rate: 111.3%

Total number of outpatients in the year: 19911

Number of people in hospital: 10,541

Average hospital stay: 7 days

The actual number of bed days occupied by the hospital: 69875

Grade A of medical records: 99%

Prescription pass rate:

Admission diagnosis coincidence rate:

Diagnosis rate before and after surgery:

Ct check positive rate:

Emergency and critical illness rescue success rate:

Grade A healing rate of aseptic surgical incision:

Aseptic surgical incision infection rate:

Pathological diagnosis accuracy:

Carry out component blood transfusion ratio:

Preoperative average hospitalization days for patients undergoing elective surgery:

2. Strictly manage and promote the implementation of various systems

In 2009, the Medical Services Section continued to increase the implementation and implementation of the thirteen core systems. In particular, after the functional departments of the hospital participated in departmental shifts and rounds of ward rounds, the Medical Services Section further went to the departments and participated in departmental shifts every day. Inspecting the house and grouping rounds, and having a more comprehensive understanding of the actual situation of the department, this makes us more humanized management on the basis of strengthening the implementation of the system. In the face of the key inspectors of critically ill patients in the department, the first requirement is The department promptly reports relevant information. After the medical department records the case, it can go to the department to understand the patient's condition and check the medical record. Then arrange the whole hospital or departmental consultation, organize the consultation staff and time and participate in the consultation to ensure the quality of the consultation. This saves the department. Time and energy focus on the patient's treatment and consultation data collection, effectively improving the success rate of the department to treat critically ill patients, reducing disability and mortality.

3. Standardize medical record management and improve the quality of medical record writing

In 2009, the Medical Services Department still went to the department to check the medical records from time to time, and went to the medical record room to check the final medical records from time to time. In the aspect of link medical records, we will focus on the timely writing of medical records, the quality of writing in three-level rounds, the rationality of treatment plans, and the effectiveness of informed information, so that timely detection, timely correction and timely correction; spot check of terminal cases Among them, the medical department emphasizes the high quality and completeness of medical record writing, including preoperative discussion of large and medium-sized surgery, written quality discussed for critically ill patients, legal practice, and medical records. By strictly grasping the quality of medical records, we will implement various rules and regulations into every aspect of our work, and jointly establish a quality control network for the whole hospital, department and group with the quality control committee. Tracking corrections on the basis of on-site inspector feedback, and not correcting the feedback in a timely manner in strict accordance with the "medical documents quality assessment reward and punishment methods" formulated by our hospital, to impose corresponding penalties on different issues. As of May 30, the medical department inspected more than 1,000 medical records and 150 final medical records. No medical records of Grade B and C were found. The Grade A rate was 100%. The departments with good overall writing quality were:

4. Based on itself, strengthen the construction of the department itself

Only by continuously improving the quality of the department can we ensure the effective development of all work in the department. According to the problems raised in the city's work inspections in 2008 and the shortcomings found in daily work, the medical department constantly improves and renews itself. The key points include: changing the work style, further strengthening the service awareness, improving the timeliness of service work, and responding to the department. All kinds of problems will be reported in time, and the solution will be quickly made under the guidance of the hospital committee; the organization of the departmental consultation will be arranged, the hospital consultation or referral hospital will be contacted, and the consultation invitation and referral certificate will be standardized to standardize the contact work; Update the minutes of each meeting and the records of the activities of each committee, so that each work has a detailed and standardized written record.

Second, medical safety management

It is necessary to take "patient-centered" as the starting point and the foothold of medical safety-related work, and finally understand the patient. Based on this idea, the hospital's various rules and regulations and work system are strictly enforced. In the daily work, the core system is used throughout the medical process. The medical department still eliminates safety hazards from the source and details in 2009, and implements follow-up management for critically ill patients, that is, after receiving the information from the department, it is single from the past. The filing work was expanded to personally go to the department to understand the patient's condition, medical information, arrange, organize and participate in the consultation, and to check the quality of the consultation and discussion in the final case. Eliminate hidden dangers caused by mistakes in the writing of medical records. At the same time, in summarizing the medical disputes that have occurred, we still strengthen the supervision of the condition, and strictly require the clinical personnel to make detailed notifications when entering and leaving the hospital, various examinations and operations, and must fill in the corresponding content in a serious and complete manner. In the informed notification form, medical personnel who filled in incomplete and blank notices were punished in strict accordance with the “medical documents assessment reward and punishment method”.

In the first half of 2009, the medical department handled a total of medical disputes. After being identified by the Municipal Medical Association, the doctor-patient communication was not in place, and the lack of corresponding clinical examination was the main reason for the dispute.

Third, continue medical education management

For hospitals to develop, talent is the key. As the scale of the hospital continues to expand, the Medical Services Department assists the hospital leaders in formulating short-term and medium-term talent training programs suitable for hospitals, and reserves talents for hospitals. 1. In the first half of 2019, our hospital sent four inpatients and resident doctors to Qilu Hospital, Provincial Hospital, Beijing Children's Hospital to study cardiology, blood center, nicu, pathology, anesthesia and other majors. A variety of short-term classes and seminars have been dispatched for more than 60 people. The new knowledge and new skills that will be learned by the trainees who have returned to the hospital for training will soon be applied to clinical work, which will improve the medical end of our hospital. Great effect.

2. In the first half of 2019, a total of 74 students were admitted to the hospital, including 11 fellows, 14 in 1127, and 12 in “three support and one support”; Taishan Medical College, Xinglin Medical College, Modern Vocational College, etc. There are 43 interns in the medical school. At the same time, our department has specially formulated a standardized training system for residents, and combined with its syllabus to ensure the quality of its study.

3. In the first half of the year, the Medical Department organized business training and lectures including hand, foot and mouth h1n1 flu in addition to business learning on Monday and Friday. The training staff reached XX times; organized the theoretical knowledge assessment of the whole hospital. Two times, a total of more than 500 people were assessed, and the pass rate was 99%.

4. Complete the declaration work of the standardized training base for residents

Since April of 2009, the Medical Department has started the application of the “Xx Provincial Resident Standardized Training Base” inside and outside, maternity and pediatrics under the guidance of the Academic Committee. The Resident Standardization Training Committee and the Resident Standardized Training Guidance, Assessment, and Quality Supervision Working Group have been established, and the Medical Services Department has concurrently served as the Training Committee Office to handle the preparation of specific declarations. In May, in order to ensure the smooth implementation of the base declaration and assessment network, the medical department sent a special person to the provincial Red Cross to attend the lecture training. As of the beginning of June, all the declaration forms and speciality data sheets have been submitted to the Municipal Health Bureau to ensure the effective implementation of standardized training for residents in the hospital.

Fourth, cooperate with the hospital to comprehensively carry out the treatment and prevention and control of hand, foot and mouth h1n1 flu

Since the beginning of the emergence of hand-foot-and-mouth type H1n1 flu in our country, our hospital quickly responded. The medical department quickly formulated and launched the emergency plan for hand, foot and mouth disease and type A h1n1 flu under the direction of the hospital committee. Improve the establishment of wards, clinics and required personnel and equipment. According to the technical guidelines issued by the Ministry of Health, the treatment plan for the hand, foot and mouth h1n1 flu of the Lingxian People's Hospital was formulated and distributed to various departments and organized for hospitalization. Since the prevention and treatment of the prevention and treatment work, the medical department has organized four trainings for all staff, which has deepened the awareness of hospital staff on such diseases. Especially after receiving severe cases of hand, foot and mouth disease in our hospital, the medical department under the instruction of the hospital leadership has carried out comprehensive interventions including the development of medical treatment plans, the organization of higher-level hospital consultations, and the reporting of children's conditions. Effectively ensure the isolation and control of the epidemic in the jurisdiction, and made the best efforts for the prevention and control of our hospital.

Under the support and leadership of the hospital committee, the medical department will continue to work hard in the future work, continuously improve self-improvement, strengthen service and monitoring, and contribute to building a harmonious hospital.

The extension of the hospital medical work summary: What is the work summary, how to write a summary of work? And writing points?

The summary of work is to analyze and study the work done over a period of time, to affirm the results, to find out the problems, and to express these words in words, it is called a work summary.

The work summary is not only a review process of their own social practice activities, but also a process of people's ideological understanding. By summing up, people can raise the scattered and superficial perceptual knowledge into a systematic and profound rational understanding, and draw scientific conclusions in order to carry forward the achievements, overcome the shortcomings, learn the lessons, and make the future work less detours. Results. The work summary is divided into departmental summary and personal summary. Use the first person. That is to write from the perspective of the unit and the department. The expression is mainly based on narrative and argumentation, and the explanation is supplemented.

The summary should be written with theoretical value. On the one hand, we must grasp the main contradictions, no matter whether there are problems in the results or talks, do not cover everything. On the other hand, we must conduct in-depth and meticulous analysis of the main contradictions, talk about the results, and write down how to do it. Why do it, how effective is it, what is the experience? When it comes to problems, it is necessary to write down the question, why is this happening? The question, what is its nature, and what the lesson is. This kind of summarization can reflect on the work of the previous paragraph and rise from perceptual knowledge to rational understanding.

Summary of medical work

2019 is about to pass. In this year, under the leadership of the dean and the dean of the hospital, the medical department has done some work on people-oriented, scientific development, maintaining medical quality and safety, and constantly learning and improving the quality of personnel. :

First, establish a people-oriented, scientific development.

Science and technology are primary productive forces. In 2019, the medical department did a lot of work around people-oriented and scientific development:

1. Establish technical files for medical personnel. This year, the medical department collected and organized the files of doctors, medicines, nurses and technicians in the hospital through planning and operation, so that each person had a technical file stored in a special file box. At the same time, the electronic file was produced, which provided a more comprehensive understanding of the technical structure of the medical staff of the hospital, which facilitated the management of the hospital and provided convenience and guarantee for their promotion, promotion, training and training.

2. Do a good job in the logistics and help of medical staff, and improve the enthusiasm of medical staff. In 2019, around the promotion and advancement of medical staff on the job, the medical department spared no effort to do a lot of work. Help medical staff who meet the promotion requirements to register for foreign language, computer, theoretical level test, and promote the organization of the archives, so that every qualified medical staff can be promoted, the test will not be delayed due to human factors, and the medical staff will feel The care and concern of the competent departments and hospitals has improved the enthusiasm of medical staff.

Second, improve medical quality and ensure medical safety.

Medical quality and safety are the lifeblood of medical work. In 2019, around the improvement of medical quality and medical safety, the Medical Department did the following work:

1. Establish and improve various medical management organizations. This year, the Medical Services Organization established the Hospital Medical Quality Management Committee, the Department of Medical Quality Management Group, the Critical Patient Rescue Leading Group, and the Blood Transfusion Management Committee to provide organizational guarantee for medical quality and safety.

2. Establish and improve various rules and regulations. This year, the Medical Department, in conjunction with the actual situation of our hospital, and the relevant medical management system, formulated the "Thirteen Core Management Systems of the Hospital" and a manual. At the same time, the system is also defined as "medical record writing system", "prescription management system", "clinical blood transfusion related system", "clinical blood transfusion management implementation rules", "surgical grade management system", "inpatient test test program", etc. Medical quality and safety provide institutional guarantees.

3. Implement the medical quality management and supervision responsibility system. In the past year, in accordance with hospital management regulations, the Medical Services Section has participated in the administrative rounds of ward rounds once a week, regularly conducting inspections and supervision of medical quality management from time to time, timely discovering problems and hidden dangers in the medical process, and proposing rectification opinions and medical treatments. Implement rewards and punishments. It has played a full-scale supervision and management of medical quality and safety.

Third, actively carry out medical activities and successfully complete medical work.

The Medical Department is responsible for presiding, managing, organizing and coordinating in the medical activities of the whole hospital. This year, the Medical Department has done a lot of work around the hospital's medical work, so that the hospital's medical business activities are standardized and orderly, and the medical business work is completed very well. As of the end of November, the hospital had a total of 78,481 outpatients, an increase of 11% over the same period of last year, 2,289 inpatients, and 1,164 inpatients.

Fourth, actively mediate medical disputes and guarantee medical work order.

In the current medical context, medical disputes have occurred from time to time, and our hospital is no exception. After the medical disputes occur, it directly leads to the destruction of the normal medical order, and more patients will lead to mass violence. It is a very complicated and difficult problem to solve. In the face of medical disputes, the Medical Services Division is always working hard. The coordination of each dispute and the collation of materials can be organized in time. The medical insurance claims after the medical disputes are handled are also led by the medical department. This year, a total of 13 medical disputes were handled and handled by themselves. The processing rate of medical disputes reached 100%, and the preparation for medical insurance claims has been completed.

Fifth, develop new technologies and new businesses, and enhance the stamina of hospital development.

New technologies and new businesses are the trend of medical development and the new medical income growth point of hospitals. This year, the Medical Department coordinated the introduction of new technologies and new businesses such as “long-range ECG”, which played a role in promoting hospital business and development.

Six: carry out medical training to improve the quality of medical staff.

Medical technology is the foundation of hospital survival and development. This year, the Medical Department organized 4 large-scale medical business lectures and other small lectures. The clinical department is required to hold a business technology lecture once a month, which enhances the learning atmosphere. Various business personnel were selected to participate in various academic annual conferences organized by Xiaogan Medical Association, and the academic exchanges of medical personnel were promoted. Through the activities of training, advanced training and academic exchanges, the overall quality of the medical staff's medical business has been improved.

7. Encourage clinical research and improve hospital influence.

Scientific research is the foundation of academic development. The Medical Department actively encourages medical staff in various hospitals to actively carry out clinical research and write scientific research papers in combination with clinical practice. This year, a total of scientific research results were obtained, and 16 academic papers were published and exchanged.

8. Carry out clinical teaching and train follow-up talents.

Medical teaching is an important part of hospital work. This year, our school has accepted a project of training doctors in Weinan tablets, and successfully completed the training tasks. 7 students were accepted, 20 were internships, and 16 were trainee students. Advanced students, internships, and trainees are satisfied with the teaching work of our school.

9. Organize a health checkup to benefit students and residents.

This year, our hospital has a health checkup of more than 16,250 students in 41 schools in 6 townships in southern Anhui. More than 440 teachers, Qiuzi Village Committee, Makou Town Political Consultative Conference, and Jinma Cement Plant workers in the Second Middle School and Nanhe Central School District conducted health checkups. More than 400 people were examined for chronic diseases, which were highly praised by the people. Achieved a double harvest of social and economic benefits.

Ten, establish an overall awareness, and work with the center.

It is the working principle of the medical department to establish an overall awareness and overall concept and actively cooperate with the hospital center. This year's globally devastating H1N1 flu poses a danger to human health. In the face of this special event, the Medical Department actively organized and cooperated, completed the hospital's H1n1 prevention and control leading group and implementation rules in a timely manner, established a fever clinic and fever pre-examination triage, and organized medical staff A-type h1n1 flu knowledge. The study and training have made our hospital's H1n1 flu prevention and control work orderly.

However, in 2019, while the medical department achieved some achievements, there were still some shortcomings and problems. For example, the medical management organization is not perfect, the system is not sound enough, and the implementation of management measures is not in place, resulting in two major medical errors and accidents. This is a place that must be improved and improved in the future work.

Let us work harder and work hard to constantly overcome the problems and problems in the advancement. We believe that with the correct leadership of the hospital and the joint efforts of all medical staff, the hospital will be better tomorrow.