2014 hospital year-end summary

Hospital year-end summary

First, study hard, constantly improve the level and quality of political theory. In terms of political and ideological, we must always adhere to the party's line, principles, and policies, and conscientiously study Marxism-Leninism, Mao Zedong Thought, Deng's theory, and General Secretary Jiang's "Three Represents" and other important ideas. I will study Hu Jintao’s report at the 17th Party Congress and profoundly understand the spirit of General Secretary Hu’s speech and use it as a guideline for action and a guide to action. Make full use of television, computers, newspapers, magazines and other media to pay attention to the domestic and international situation, study various scientific and theoretical knowledge, learn various laws, regulations and party policies, understand the spirit of major conferences of higher authorities, and always lead with the party in politics and ideology. Maintain consistency, ensure that we do not deviate from the correct track in practice, always adhere to the leading thinking of serving the people wholeheartedly, persist in reform, development and continuous improvement, continuously improve our political theory, and actively participate in various political studies and education organized by hospitals. activity. At the same time, by carefully studying the relevant national health policy, health care theory and skills, constantly arming their own minds. Always keep in mind the purpose of serving the people, understand the responsibilities that they shoulder, and work hard to use theory to guide practice, based on objective facts, and constantly sum up experience and lessons in practice and combine their own work to solve their own work. Problems encountered in the process.

Second, do my duty and pay attention to my own moral cultivation. When I stepped into the sacred medical school in 19Xx, I solemnly swore at the student conference: "I volunteer to devote myself to medicine, love the motherland, be loyal to the people, abide by medical ethics, respect the discipline. I work hard, study tirelessly, keep improving, and develop in an all-round way. I am determined to do my utmost to eliminate the pain of human beings, to help the health of perfection, to maintain the holiness and honor of medical treatment, to save the wounded and to remedy the hardships, to pursue the pursuit. The medical and academic education network collects and organizes for the motherland medicine. The development of health care and the physical and mental health of human beings strive for life." Today, I still keep in mind and keep working hard. Doctors are benevolence, no virtue is not standing. The great doctor has a soul and is endless. Medical ethics is one of the important contents of doctors' ideological cultivation. The ancients called "medical is benevolence", and the benevolent person also means that medicine is a life-saving technique. To be a veritable doctor, in addition to having a spirit of being highly responsible to the patient, it is also necessary to have the idea of ​​serving the people wholeheartedly, and should have all the qualities for the patient. Since the beginning of my work, I have never received red packets and drug rebates. I have refused to receive red packets and drug rebates Xx many times this year. I clearly remember that I had admitted an XxXx in Xx month this year. Female patients who need hospitalization for surgery need this type of surgery. Combined organ resection, difficult surgery, and many complications, is the most difficult Xx four types of surgery in Xx surgery. On the day before the operation, the family members of the patient worried that the acquaintance of the acquaintance doctor may be irresponsible and the sequelae caused by the unsuccessful operation. Resolutely send me a red envelope. I refused to do so at the same time. To dispel the patient's concerns, I temporarily put the red envelope. Received and handed over to the head nurse for custody, and the nurse is returned to the patient after the operation. Rejecting the red envelope is not only the hospital's regulations, but also the doctor's professional ethics, but as a surgeon, it is better to understand that the heavy weight is based on the patient's respect for the doctor and the trust of life. On the second day after the operation, when the head nurse returned the red envelope to the patient, the patient and his family were moved. They said that they did not expect to encounter doctors who are not only good at technology but also good in medical ethics! Treatment without paying compensation, regardless of personal gains and losses, and one heart for saving people, this is the virtue that doctors of all ages have always advocated. Only by doing this will we not be able to live up to the white coat we wear, and we will be worthy of the title of "White Angel".

Third, develop a rigorous, meticulous, hard work style at work, I deeply understand the quality of a qualified doctor, to be a good doctor, first of all have a high sense of responsibility and careful work style, while To have a high degree of compassion for your patients, to protect your patients, to care for your patients, to always think for them, and to say "you can't do it" for any difficult or dying patient, but to help them establish it first. Confidence in overcoming the disease, hopes to become a reality after hard work. Especially for our surgical patients, I have a deep understanding, communicate with patients before surgery, ask questions more carefully, explain the patient's doubts about the disease and even understand his family environment, economic difficulties and other home locks, preoperative and postoperative. Look at the changes in the condition and deal with it in a timely manner. So in your care of your loved ones, you will gain the trust of the patients, so that patients and their families will understand and understand the work of our doctors for some common complications after surgery, and can also prevent a large part of medical disputes from happening. I remember that when Xx was in Xx., I had a patient who was an advanced Xx cancer patient. When I was admitted to the hospital, the tumor had infiltrated into the ankle and tailbone, and there was a lot of pus and stench. This kind of condition is a worldwide problem, but I insist that I don't be afraid of odor every day, and I don't want to get dirty. I change dressing and debridement. After more than half a month of careful treatment, the tumor wound needs to be controlled. I need to further "Xx", but this situation The surgical failure rate is very high, because the surgical wound is large, the radical treatment of the tumor requires the removal of enough tissue, but the skin graft needs to retain enough tissue for success. I remember the patient's sentence at the time, "Doctor, you dare to do it, I trust you, If you are in trouble, you will not blame you if you fail." After the operation was successful, the patient finally gave up treatment because of economic reasons and tumor recurrence. I was thankful to me before I left the hospital. Every time I think about it, I will let me I sigh "There are still many difficulties in modern medicine that need to be overcome." In addition, there should always be a feeling of “being in the abyss, such as walking thin ice” at work. Personally feel that this is a sense of responsibility in the face of the most precious life of the patient. We have surgery, an accident or a surgical complication, you Maybe it is only 1% or 1‰, but for the specific patients and family members, it is 100% true, so we can't take it lightly and sloppy at any time, because you are facing the most precious patient. life. Only when we maintain a good working style can we do our hard work: "Doctors are exhausted, and patients are willing to come."

Fourth, diligent study and hard work, and constantly improve professional and technical work, I deeply understand that a qualified surgeon in addition to the above qualities, rich theoretical knowledge and superb professional skills is a prerequisite for a good surgeon. Xx was appointed by the hospital leadership. I studied at Xx, studied under the Xx director, and obtained Xx with excellent results. I actively participated in academic conferences and training courses of “Xx” and other domestic and provincial organizations, and listened to famous experts and scholars. Academic lectures, strive to improve their own business level, continuously strengthen business theory learning, and learn to subscribe to business magazines and books, learn about health knowledge, write down relevant reading notes in real time, enrich their theoretical knowledge, and constantly Learning new medical knowledge and new advances in medical technology and related disciplines, thus broadening our horizons, expanding our knowledge, and always insisting on guiding our business with new theoretical techniques. We are proficient in Xx diagnosis and treatment and complications. , skilled in the treatment of Xx, such as Xx. Strict implementation of various work systems, diagnosis and treatment routines and operating procedures, meticulous treatment of each patient, nearly Xx years, I have been misdiagnosed and misdiagnosed in the course of diagnosis and treatment, work results obtained by patients, hospital leaders And the affirmation of colleagues.

Hospital year-end summary

In 2019, under the correct leadership of the district committee and the county government, under the care and guidance of the district health bureau, our school earnestly studied and implemented the spirit of the Party’s 17th National Congress and the 17th National Congress of the 17th National Congress, and fully implemented the scientific development concept. Carry out activities such as “Hospital Management Year”, improve service attitude, improve medical quality, standardize medical behavior, promote harmony between doctors and patients, successfully complete various objectives and tasks, and comprehensively promote the scientific development of hospitals.

I. Completed work indicators

1. Outpatient volume; % compared with the same period of last year;

2, receiving emergency visits; compared with the same period last year;

3. Received inpatients; up by % over the same period last year;

4, the number of surgery; increased by more than the same period last year;

5. The bed occupancy rate decreased by % compared with the same period of last year;

6. The average length of hospital stay is days; the decrease is 3% compared with the same period of last year;

Second, the main work carried out in the year

Improve the quality of medical services and improve the level of medical services.

The first is medical work. Continue to adhere to the medical management concept of “taking patients as the center and improving the quality of medical services”, comprehensively strengthen the quality of medical work, firmly establish quality awareness, continuously improve the overall level of medical care, and improve the hardware construction of hospitals; We improved 13 hospital medical systems, strictly implemented monthly “three basics and three strict” assessments, and required medical staff to consciously implement the first-instance physician responsibility system, third-level physicians' round-robin system, pre-operative discussion, and difficult critical case discussion system. Investigate the important system of seven peer-to-peer medical care; increase the management supervision and evaluation of important departments and important links, conduct medical rounds more than 20 times, each time 13 departments; adhere to the weekly morning meeting system, summarize and analyze last week's work, Arrange to deploy a new week's work, research and rectify specific problems, effectively reduce medical errors; strictly implement the "Code for Writing Medical Records", evaluate, publicize and file medical records once a month, and maintain a Class A medical record rate of over 96%; Medical Affairs Organized 9 short-term business trainings, participated in medical academic seminars twice, and hired experts to teach 4 times; Further improve hospital infection management system, and control not only the adverse events in health care, ensuring patient visits and treatment.

The second is nursing work. In 2019, the Ministry of Nursing took "the comprehensive evaluation rules of hospital management in Hubei Province" as the standard, focused on nursing quality management, strengthened the quality education and business skills training of nursing staff, started from the foundation of nursing work, and insisted on the quality of nursing once every quarter. Analyze the discussion meeting, analyze the existing problems on time and propose improvement measures to facilitate the effective improvement of nursing work. The quality of various care indicators throughout the year has improved compared to last year. Such as: basic care, critical patient care compliance rate of 90%, overall care, ward management compliance rate of 95%, a variety of nursing technology operations, system implementation compliance rate of 100%. In the whole year, the organization of nursing business training and learning 6 times, nursing business exams 6 times, the hospital's nursing staff on the nursing work rules and regulations, job responsibilities, emergency plan mastership pass rate reached 95%, the nursing core system implementation rate reached 96%.

The third is the infection in the hospital. According to the hospital infection management evaluation standard, the hospital sense department regularly reviews and examines the various departments, and reports the results to various departments; regularly inspects the implementation of the disinfection and isolation system of each clinical department and the use of disposable medical and health supplies. In the whole year, 218 samples were taken from the clinical and key departments of our hospital, and 218 were qualified, and the pass rate was 100%.

Focus on the patient and build a harmonious relationship between doctors and patients.

The hospital always adheres to the "patient-centered" principle, and always regards the realization and maintenance of the lives and health of the broad masses of the people as the starting point and the end result of implementing the scientific development concept.

First, the “orthing a patient” meta-consideration discussion and speech contest was launched to promote medical staff to improve their working methods, change service attitudes, and improve service levels.

The second is to implement a one-stop service in the outpatient clinic, and to carry out the “three-to-one look” activities based on speed, specific quality, specific service, and evaluation results, and optimize the service process.

The third is to promote the "humanization, personalization, and affectionate" services. For example, for patients who are in the outpatient treatment and infusion at noon, they will be given XX free lunches; for the women who produce them, they will be free to pick up and drop off more than 600 times, so that the patients can feel loved by their loved ones.

The third is to strictly implement the national drug price policy and medical service charging standards, to achieve "due to disease treatment, reasonable inspection, rational use of drugs, reasonable fees", so that patients feel "open and transparent, honest service." Introduced more than 20 single-species limit services such as delivery, cesarean section, uterine fibroid resection, chronic cholecystitis with cholecystectomy, simple appendicitis, nodular thyroid tumor resection, etc. 15.6 million yuan.

Strengthen the internal management of the hospital with a scientific management mechanism.

Since the beginning of this year, combined with the in-depth development of the hospital management year activities, our hospital has focused on improving the medical level and service quality, clearly fulfilling the duties of the post, and implementing the target responsibility to make the hospital management work to a new level, mainly doing the following aspects:

1. Continued the annual activities of quality management of medical services. Through this activity, the staff of the whole hospital will further establish the awareness of medical quality first in the mind, and truly put the quality of medical service in the first place in medical work, and regard medical quality as the starting point and foothold for all work. Form a good situation for everyone in the hospital, everywhere, and always pay attention to medical quality. Further strengthen the rules and regulations on medical quality and medical safety, personnel responsibilities at all levels, and various technical operating procedures, gradually institutionalize various tasks, clarify responsibilities, standardize technology, and establish a long-term mechanism to ensure medical care in our hospital. Quality is on a new level

2. Further strengthen and standardize system management. Focusing on financial management, pharmacy and drug store management, medical equipment and consumables management, and office logistics management, we will do our own management while ensuring non-business functional departments and supervising service functions.

3. Intensify the guidance of theoretical education, and extensively carry out education on medical ethics, industry discipline, laws and regulations, etc., which are guided by the scientific development concept, and continuously enhance the political awareness and overall awareness of the cadres and workers. Consciousness, actively promote the improvement of the overall quality of the general staff.

Show public welfare social responsibility and give play to public service functions.

Based on the principle of restoring society and returning to society, our institute always puts social benefits first, starting from public welfare undertakings, solving problems for the people, and striving to alleviate the difficulty of seeing people and seeing doctors.

First, the company introduced more than 20 single-species limit services such as delivery, cesarean section, uterine myomectomy, chronic cholecystitis with cholecystectomy, simple appendicitis, and nodular thyroid tumor resection. The amount is more than 280,000 yuan.

The second is to treat three kinds of high incidence and three major cancers common to women. In the “March 8” Women's Day, our hospital jointly organized the “Female Disease Prevention and Control Project” with the Weicheng District Health Bureau, and conducted free “three high three cancers for more than 3,000 women”. "Screening activities, a total of more than 600,000 yuan.

Third, during the "May 1 Labor Day" and the Xiangfan City Federation of Trade Unions jointly launched the "Promoting Dedication, Caring for the Health of the Model" charity activities, free of charge for the city's labor model to provide a medical examination package worth 380 yuan, free of charge 19,000 yuan.

Fourth, on May 12th, together with the Xiangfan City Charity Federation, the “Xiangfan Breast Disease Prevention Charity Fund” and “Charity Clinic” were established. It provides free examinations for breast diseases for more than 1,500 people and more than 20 cases for surgical assistance. The “charity clinic” is free of 5 cases for special hardship households, five-guarantee households and laid-off workers, with a free amount of 15,000 yuan.

The fifth is to effectively carry out public health and epidemic prevention work. The hospital carried out more than 20 in-house trainings for infectious diseases such as hand, foot and mouth disease, influenza A (H1N1), AIDS, tuberculosis, etc., and started the study column for 6 times. The health prevention knowledge was provided to the public through irregular community clinics and leaflets. Advocacy and education to improve people's awareness of disease and prevention.

In short, after the unremitting efforts of the staff of the hospital, the work of the Fourth People's Hospital of Xiangfan City in 2019 achieved good results. In the new year, the hospital has always adhered to the principle of serving the people wholeheartedly. In the attitude of being highly responsible to the party and the people, various medical service activities have made the people feel at ease and satisfied.

Hospital year-end summary

First, work review

In the past year, under the correct leadership of the county party committee, county government and health bureau, our school guided Deng Xiaoping Theory and the important thinking of the "Three Represents", implemented the scientific development concept, and firmly established a patient-centered service concept. Focusing on “maintaining people-oriented, improving service quality, standardizing medical behavior, ensuring medical safety, optimizing medical treatment environment, accelerating construction and development, strengthening scientific management, improving two benefits, and providing safe, effective, convenient and clean medical care for the public. The overall work policy of “services” has carried out in-depth study and practice of scientific development concept activities, “Medical Quality Miles” activities, hospitals to build advanced units to create activities, build harmonious doctor-patient relationship activities, nursing knowledge contests and business technology operation competition activities, Medical quality appraisal activities, rectification of medical order and other activities. Scientific management, strengthening measures, striving for implementation, and focusing on practical results have promoted the work of hospitals and promoted the overall construction and development of hospital work.

In-depth study and practice activities, strengthen ideological education, improve overall quality, and strive for work effectiveness

1. Unite and lead the party members and cadres of the whole hospital to understand and carry out in-depth study and practice of scientific development concept education activities, carefully organize arrangements, conscientiously organize and study, extensively solicit opinions, conduct in-depth activities, carefully write analysis and inspection reports, and persist in learning and reforming. Efforts have been made to ensure that the organization is well-trained, the problem is adequate, the reasons for analysis are in place, the corrective measures are effective, and the activities are effective. Efforts have been made to complete the work of in-depth study and practice of the Scientific Outlook on Development.

2. Conscientiously implement the requirements of democratic appraisal and work style, and timely set up a leading group for the democratic appraisal of the hospitals with the dean as the leader, set up an office, and formulate an implementation plan. Consciously and honestly practice medicine, adhere to the integrity of services, strictly practice the law, and achieve the goal of zero medical accidents throughout the year.

3. Seriously carry out medical ethics education, guide medical staff in the hospital, strive to carry forward the spirit of humanitarianism and the spirit of “rigorous, refinement, pragmatism and dedication”, vigorously promote the spirit of Bethune, fight against SARS spirit and “patient first, excellence service” The spirit of uniting strength and building harmony. In the process of medical services, we truly embody the "people-oriented" thinking, so as to respect patients, care for patients, facilitate patients, and serve patients.

4, in the hospital's scope to carry out in-depth rectification of medical order as the main line, through the overall work of the hospital to rectify the work, carry out self-examination and self-correction, trace the responsibility for existing problems, rectify within a time limit, due to personal issues in accordance with relevant provisions to impose penalties. At the same time, the suggestion box was set up, the report phone was publicly reported, the intensity of the discipline inspection, supervision and audit work in the hospital was strengthened, and the work style evaluation work was carried out in a solid and effective manner.

5. Strengthen the construction of hospital culture and enhance the awareness of the love of the majority of employees. Organized to participate in the cultural square performances held in the county, won the outstanding organization award; actively participated in the red song contest held in the county, and on behalf of the county to participate in the city's personnel system to hold the red song contest, won the special prize; use of holidays, anniversaries, major Festivals, publicity events, speech contests, technical competitions, free clinic activities, performances, staff evenings and other activities have created a good situation of peace of mind and positive winds.

6. Adhere to the principle of “active, steady, rigorous, and realistic, adopting methods of hierarchical management, level-by-level assessment, implementation at all levels, and responsibility-to-person, implementing cost accounting and performance appraisal, and linking assessment results to wages. The model has strengthened the scientific management of the hospital and improved the quality of medical care, nursing and service.

7. Strictly follow the rules and handle the matter. In case of major events, the team members will discuss the arguments collectively, conduct field investigations by the competent leaders, report to the superiors for approval, and complete the bidding by the government procurement office. We adhere to the financial review and signing system and the guest reception system, strictly manage, control run, run, drip, leak, plug the loopholes, not only achieve the effect of clean and self-discipline, but also effectively control the occurrence of waste and bad phenomena.

In-depth development of the "Medical Quality Miles" campaign to improve management and service capabilities

Seriously study and implement the "Henan Province "Medical Quality Miles" Supervision and Inspection Standards", in strict accordance with the requirements of the standards, set up an activity leading group, formulate the implementation plan of the hospital's "Medical Quality Miles" activities, and implement "safety first, prevention as The principle of "main and comprehensive management" vigorously carries out health laws and regulations and medical safety publicity and education, continuously strengthens the training and assessment of "three basics and three strictes", strives to improve the theoretical level and professional quality of medical personnel, and enhances the legal and responsibilities of medical personnel. Quality awareness and safety awareness, comprehensively improve the hospital's quality and safety management capabilities.

Through in-depth “Medical Quality Miles” activities, the management level, medical service quality and medical technology level of our hospital have been improved simultaneously, making management closer to reality, service closer to the people, technology closer to demand, and solving the problem of “people’s medical treatment” Obvious results have been achieved in the practical problems of expensive medical treatment. Due to the joint efforts of the cadres and workers of the whole hospital, in the supervision and inspection of the “Medical Quality Miles” activity organized by the whole city, they once again stood in the first stage of the hospital organization in the city.

Strengthen quality management and ensure medical safety

1. Standardize the medical behavior of medical personnel and strictly practice lawful practice. Organize medical staff to seriously study the "Police Management Issues Warning Record" issued by the Provincial Health Department, combined with the specific requirements of the "Medical Quality Miles" activity and the actual situation of our hospital, carry out self-examination and self-correction for the problems existing in the work, and formulate practical The rectification measures have been rectified, which has promoted the institutionalization, standardization and scientificization of hospital management.

2. Strengthen the training of “three basics and three strictes”, conscientiously implement the core system, and formulate the “Regulations on the Management of Critically Ill Patients”, and have a plan to carry out “three basics and three strict” training for medical staff. Assessment, organize business learning, transfer new knowledge, and train business skills. Focusing on strengthening the "three basics and three strict" training, implementing the core system and other key tasks, carrying out theoretical knowledge learning and examination, business technology training and competition work, the school has created a re-learning, safety, quality, technology, A good atmosphere of service and effectiveness.

3. Strengthen hospital infection control. Actively carry out sensory knowledge training, adopt a combination of decentralization and concentration, theory and practice, commonality and individuality to hold various training courses, improve the awareness of hospital staff on infection control in hospitals, and effectively prevent nosocomial infections.

4. Adhere to the pharmacist's ward round to ensure reasonable use of the medicine. Regular meetings will be held to analyze, evaluate, guide, supervise and inspect the clinical drug use. The top ten antibacterial drug users will be ranked and monitored in time for timely warning and announcement, so that clinical drug use is safe, effective and reasonable.

5. Strengthen the management of medical technology departments and improve the quality of work. Strictly implement relevant regulations and systems, the medical technology department has developed a quality management plan, established a quality management team, improved relevant systems and operational procedures, and provided a reliable diagnostic basis for the clinic, with safety, accuracy, speed and responsibility. Serving the clinic. Adhere to the strict management, operational norms, accurate inspection results, timely reporting time, to meet the needs of clinical business work.

Strengthen the medical treatment of the opponent's foot and mouth disease, influenza A H1N1 flu, and maintain the overall stability of the society

In order to improve the medical treatment of hand, foot and mouth disease and improve the prevention and treatment ability of hand, foot and mouth disease, our hospital has set up a leading group for prevention and control of hand, foot and mouth disease, an expert rescue team, set up a consultation desk, issued a leaflet, and set up an expert. In the outpatient and ward areas, children's ventilators and X-ray machines were added to treat 362 patients with hand, foot and mouth, and 29 patients for referral, which effectively improved the ability of treatment and reduced the mortality of patients, and made the county's economic development and social stability. Positive contribution.

In order to do a good job in the prevention and medical treatment of A-type HINI flu, according to the requirements of the national "H-type influenza diagnosis and treatment plan" and "Henan Province A-type HINI flu emergency plan", the pre-examination and triage system and the fever clinic were established. And added equipment 1 million yuan to establish an independent PICU. At the same time, strengthen the training of medical personnel on the diagnosis and treatment, disinfection and isolation and personal protection and other related knowledge, improve the awareness of medical personnel, and improve the comprehensive ability of prevention and treatment of influenza A.

Strive to complete the "recovery of cataract patients" work

Actively carry out the creation of “cataract-free county”. In the service tenet of "all for the patient", we warmly receive and serve every patient. The leading group has done the work of leadership, organization and coordination, inspection and guidance for the creation of the work; the expert group strives to do the screening and pre-operative preparation work, grasp the quality of the operation, strictly enforce the relevant regulations, and ensure that the cataract surgery has achieved "service" Excellent, technical and effective." 1160 cases of surgery were completed throughout the year. In the project supervision and inspection work of the “Million cataract rehabilitation project” organized by the Ministry of Health, the leaders and experts of the Ministry of Health praised the province, the city and the county. Exceeded the work objectives and tasks.

Standardize discipline construction and improve medical quality

Actively implement the "Guidelines for the Construction and Management of Critical Care Medicine" and the relevant provisions for emergency first aid, standardize discipline construction, integrate talents and equipment resources, and invest more than 3 million yuan to establish the Department of Critical Care Medicine and Neonatology. The new department was equipped with professional nursing and rescue equipment and facilities. Excellent technical personnel were assigned to the intensive medical department and neonatology training and training in the “three top” hospitals in the province and abroad to ensure the work of two new departments. Running. The establishment of the Department of Critical Care Medicine and Neonatology has greatly improved the basic medical service level and the rescue ability of critically ill patients. In order to standardize the management of departments, patients are treated according to the disease type, and efforts are made to correct the phenomenon of over-scope practice in the department. According to the actual work situation, new gynaecology, obstetrics, and delivery rooms have been set up. It solved the difficulties and problems of large workloads, unclear division of professions, and overworked medical personnel in some departments, which introduced the competition mechanism and improved the quality of medical services and professional skills.

Accelerate hospital construction and improve service functions

In an effort to standardize construction standards at county-level hospitals, we have built a new image building, expanded the ward building, and remodeled the operating rooms, disinfection supply rooms, and delivery rooms. In order to improve medical conditions and environment, seize the opportunity to speed up the pace of hospital construction, in 2019, our hospital won the national investment and construction project funds, and is building a high-standard outpatient comprehensive building; at the same time, through the financing, financing, investment of 6.67 million yuan to purchase the electronic Gastroscope, ophthalmic surgery microscope, automatic biochemical analyzer, ventilator, blood coagulation instrument, C-arm, five-class blood cell counter, high-frequency breast X-ray machine and other medical equipment, using nuclear magnetic equipment equipped with foreign government loans of 15 million yuan, Large-scale medical equipment such as 16-row CT and DR have been tendered and will be gradually put in place in the near future. The implementation of the above projects will definitely play an important role in the comprehensive implementation of “patient-centered, continuous improvement of quality and ensuring medical safety”.

In 2019, through the joint efforts of the majority of cadres and workers in the hospital, the number of emergency visits reached 194,524, an increase of 2,781, an increase of 1.5%; the number of surgeries was 5,667, an increase of 492, an increase of 9.5%; the number of patients admitted to the hospital was 26,524, an increase over the same period of last year. 3976 person-times, an increase of 17.6%; discharged patients 26,365 person-times, an increase of 3,902 person-times, an increase of 17.4%; the actual average number of open beds 508, an increase of 51, an increase of 11.2%; bed turnover 53 times, an increase of 4 times, an increase of 8.2 %; bed occupancy rate was 102.2%, an increase of 14% year-on-year; annual economic income was 103.67 million yuan, an increase of 21.44 million yuan, an increase of 25.9%; all indicators reached the highest level since the establishment of the hospital, successfully completed the year-round work Goals and tasks. In the work of 2001, our institute won the advanced unit of “Medical Quality Miles” activity in the city, the “Advanced Unit of Ping An Construction Work” in the county, the “Advanced Unit of Honesty” in the county, the “Sanba Red Flag Collective” in the county, and the county. Honorary title of “Comprehensive Award” for health work.

Second, the current problems and deficiencies in the hospital

Through the implementation of various activities and solid work, our hospital has further standardized the management and medical service behavior of our hospital, ensuring medical safety, medical technology level and service quality have been significantly improved, and the medical environment and conditions have been significantly improved. The work of the hospital has been recognized by the broad masses of the people, and the satisfaction of patients has been continuously improved. However, while seeing the results, we reviewed our work in accordance with the evaluation criteria of hospital management work and the requirements of superior leaders. We are soberly aware that there are still many problems and deficiencies in the hospital, mainly in the following aspects:

1, fewer wards, fewer wards, fewer beds, more patients, can not better meet the needs of inpatients.

2. The introduction of talents is lagging behind, the technical forces are broken, and new businesses, new technologies, and new projects are being developed.

3. There is a dead angle in the hospital and departmental hygiene. During the peak period, the vehicle is congested and the environmental order needs further improvement.

4. Medical disputes increase, the amount of compensation is large, and there are security risks.

5. Individual medical staff still have the phenomenon of birth, cold and hard in medical service activities, lack of communication skills and communication art, inaccurate language expression, unclear interpretation of the condition, causing misunderstanding and dissatisfaction of patients and their families, and the image of the hospital is different. The layering is affected.

It is true that the above-mentioned problems, our party members, cadres and employees must be united and united, work together to overcome difficulties and gradually resolve existing problems and deficiencies. I believe that with the joint efforts of the staff of the whole hospital and the care and support of the superior leaders, we will build a people's hospital that will satisfy the society, the government is satisfied, the people are satisfied, and we are satisfied with it within a short period of time.

Third, the key work arrangements for 2019

In 2019, it was the second-cycle hospital review work to thoroughly implement the scientific development concept, deepen the reform of the medical and health system, and carry out the theme of “Reassuring patients and satisfying the society”, and strive to complete the “Eleventh Five-Year Plan” and comprehensively improve the hospital management level. And an important year of quality of service. In the new year, we must conscientiously study and implement the spirit of the 17th National Congress of the Communist Party of China. Guided by Deng Xiaoping Theory and the "Three Represents" thinking, we should thoroughly study and practice the scientific development concept, implement various work measures, and vigorously promote hospitals. Construction and development. The overall working idea in 2019 is: "Strengthen connotation construction, improve management level, ensure medical safety, improve medical quality, control medical expenses, improve service efficiency, improve medical environment, and improve service quality." With the goal of “reassuring patients and satisfying the society”, we will focus on “regulating management, strengthening connotation, improving services, and benefiting the people”, strengthen work responsibilities, improve systems and measures, continuously innovate management mechanisms, and actively take effective measures. Coordinate the promotion of hospital work and promote the sustainable and healthy development of hospital work.

Strengthen medical ethics education and strive to improve service quality

1. Seriously carry out medical ethics education activities. Educate and guide medical personnel to firmly establish the idea of ​​serving the people wholeheartedly, strengthen the people-oriented, patient-centered service concept, regard the needs of patients and the people as the starting point of all work, and regard the pursuit of people's satisfaction as the foothold of all work. Further improve service measures, improve service attitudes, improve service technology, pay attention to service art, and strive to provide quality medical services to patients.

2. Strengthen professional ethics construction and work style construction. Continue to carry out activities to rectify medical order, educate people and restrain people with systems and disciplines. Medical staff are strictly forbidden to accept “red envelopes”, articles and banquets in medical service activities; patients and prescriptions must not be transferred; drug dealer representatives should be strictly prohibited from clinical promotion drugs and various forms of drug rebates; no patients or family members should be quarreled for any reason And snoring; adhere to disease treatment, reasonable inspection, rational use of drugs, reasonable fees; to achieve civilized courtesy, enthusiasm, attitude and ambiguity, not shirking, reprimanding and harassing patients; efforts to eliminate non-medical causes of undesirable phenomena and events .

3. Pay attention to doctor-patient communication and build a harmonious relationship between doctors and patients. Continue to carry out the "three excellent and one satisfaction" activities, strengthen the medical services for the convenience of the people, strengthen communication and communication with patients, protect patients' right to know and privacy, care for, care for, understand and respect patients. In the medical service activities, adhere to the use of civilized language, to achieve "six do not talk": do not talk about the hard Tang slang, do not talk about sarcasm, do not talk about the patient's personality language, do not say hurt the patient's self-esteem, do not speak vulgar language, Do not talk about deception. Strengthen the harmony between doctors and patients, the harmony of nurses and patients, the harmony of health care, the harmony between departments, unity and cooperation, improve the quality of service and patient satisfaction, and improve the good image of the hospital.

Consolidate and develop new rural cooperative medical work

Continue to implement the implementation of the comprehensive implementation of the new rural cooperative medical care in our county, fully reflect the concern of the party and the government for the broad masses of the people, and work hard to meet the needs of the people and provide high-quality medical services for the patients. In this year's work, we will take the following measures to ensure the smooth implementation of the new rural cooperative medical work.

1. Strengthen the leadership of the new rural cooperative medical work, implement regular study and training for medical staff and the staff of the new rural cooperative direct subsidy window, publicize and implement the new policies and new spirits in the work of the new rural cooperative medical system, clarify duties and responsibilities, and implement them well. The work of the new rural cooperative medical system is the determination and action to implement the party's policy of benefiting the people, so that the work of the new rural cooperative medical system can be smoothly and healthily implemented.

2. Vigorously publicize the new rural cooperative medical policy, strive to improve the consultation rate of participating farmers, strictly identify the patient's identity, eliminate imposter substitution, enhance the participation awareness of inpatients, reduce the self-pay rate, so that the participating farmers can really benefit, and continuously improve the farmers' participation in agriculture. Enthusiasm.

3. Conscientiously implement various medical treatment norms and management systems, and implement the Catalogue of Essential Drugs for Reimbursement of New Rural Cooperative Medical Insurance in Henan Province, and strive to achieve reasonable inspection, reasonable treatment, rational use of drugs, reasonable fees, and minimize the economics of participating patients. burden.

4. Provide priority medical services for participating patients who come to the hospital for treatment, and try to meet the medical needs of the participating patients.

5. In the medical process, the participating patients shall be obliged to perform the notification. When it is necessary to use the drugs, equipment and related sanitary materials beyond the scope, the patient or family member shall be informed in advance, and the opinions shall be consulted before use. Otherwise, the patient has the right to request a reduction in the fees associated with the use without permission.

6. Strictly control the scope of medication. For patients who need to use precious drugs and drugs outside the hospital, they must report to the competent dean for approval and inform the patient or family in advance, and use them until approval and consent. Otherwise, the cost is borne by the prescribing physician.

7. The Pharmacy Department of the hospital goes deep into each clinical department every week to analyze, evaluate and check the rational use of drugs, and adopt the “three control” measures to strictly control the use of drugs from the source.

8. The hospital medical insurance office publishes weekly statistics on the medication use of patients participating in the various departments and the patient's self-pay rate, and criticizes departments and individuals who have exceeded the scope of drug use and self-rates.

9. Strive to improve the working system and continuously explore and establish a rigorous, convenient, fast and efficient operation mechanism to ensure the new rural cooperative medical work, so that the participating patients can really benefit.

10. Strict management system, departments and individuals who do not implement the relevant regulations and requirements of the new rural cooperative medical system, seriously affect the implementation of the new rural cooperative medical work, cause undue economic burden to the patients, and adversely affect the hospital, all seriously deal with them.

Solidly carry out the second cycle hospital review work

Seriously carry out the second cycle of hospital evaluation and achievement of the theme of “Reassuring patients and making society satisfied”. On the basis of in-depth implementation of the Hospital Management Year activities and the “Medical Quality Miles” activities, earnestly study “Henan Province” The second-cycle hospital review and comprehensive evaluation criteria, set up the second-cycle hospital review and establishment of the standard work leading group, set up the compliance office, mobilize the staff of the whole hospital to unify thinking, raise awareness, participate in all work, work hard, in strict accordance with the standard requirements, Try to do the following:

1. Conscientiously implement laws and regulations and practice according to law.

2. Improve and implement the planning, planning and various rules and regulations to promote the orderly, efficient operation and coordinated development of all work.

3. Make all the records carefully to ensure the authenticity, accuracy, completeness and validity of the information and information.

4. Establish a sound medical quality management system, focusing on medical safety and quality management and continuous improvement.

5. Strengthen the monitoring, prevention and control of hospital infections to effectively prevent the occurrence of nosocomial infections.

6. Key management of key departments such as operating room, intensive care department, delivery room, emergency department, stomatology department, endoscopy room, infectious disease department, disinfection supply room, etc., to ensure the improvement of medical and nursing quality and continuous improvement, and to ensure medical care. Safety.

7. Optimize the medical environment, simplify the treatment process, add convenience measures, improve service quality, improve service attitude, increase fee transparency, conduct multi-faceted satisfaction survey, analyze situation, improve work, and improve social and patient and hospital departments. Service satisfaction.

8. Improve management level, service ability, service efficiency and medical quality, and strengthen the average hospitalization day, the average hospitalization day before surgery, the number of bed turnover, the use rate of the bed, the per capita cost of outpatients, and the per capita cost of hospitalized patients. Analyze, monitor and evaluate, establish sound management and incentive mechanisms, and improve management performance. Promote hospitals to develop quality, safety, safety, service, emphasis, performance, and law, provide safe, effective, and convenient medical services to patients, and continuously meet the growing medical needs of the people and ensure that Our hospital met the standard in the second cycle of hospital evaluation work.

Strengthen safety management and improve medical quality

1. Conscientiously implement the core system of medical quality and medical safety, including the first-inpatient responsibility system, the third-level physician round-robin system, the difficult case discussion system, the consultation system, the critical patient rescue system, the surgical grade management system, the preoperative discussion system, and death. Case discussion system, basic norms of medical record writing, management system, handover system, etc. Strengthen the training of "basic theory, basic knowledge, basic skills", strictly implement the operational specifications of medical treatment, follow the routine of diagnosis and treatment, implement the evaluation system of patients' conditions, and adjust the diagnosis and treatment plan according to the patient's condition and evaluation results. Strengthen the operation of medical record monitoring and quality management, implement the third-level physician responsibility system, and ensure safe, timely, effective and economic treatment. The emergency patients should be treated according to the principle of “first timely treatment and then paying the expenses” to ensure timely and effective emergency treatment; for critically ill patients, strictly implement the management regulations for critically ill patients formulated by our hospital to improve the success rate of rescue; Incoming, grading management, major surgical report approval system, strengthening perioperative quality control and safety management. Strengthen the quality control and safety management of key departments to ensure the improvement of medical quality and continuous improvement, and to ensure medical safety.

2. Implementing the “Core System for Nursing Care of Medical Institutions in Henan Province”, strictly implementing the “Administrative Measures for the Examination of Nurses in Henan Province”, strengthening the training of nursing management professionals in the hospital, and training specialist nurses in key departments; Standardized training on “three basics and three strictes” for all types of nursing staff at all levels of the hospital. The nursing management work implements the target management responsibility system, the nursing quality responsibility investigation system and the nursing adverse event reporting system, and provides standardized clinical nursing services for patients according to the “General Hospital Classification Guidelines”. Strengthen the management of key nursing links and management of critically ill patients, ensure patient safety, strive to achieve the basic nursing qualification rate, the qualified rate of critical patients ≥85%; the qualified rate of nursing technology operation ≥90%; the qualified rate of nursing documents is ≥90%; health education Coverage ≥100%.

3. Strictly implement the "Hospital Infection Management Measures" to strengthen hospital infections, implement the target management responsibility system, standardize the implementation of various monitoring work, and strengthen the management of disinfection drugs, disposable medical devices, appliances and articles. Carry out infection management knowledge and skills training in hospitals and all hospitals, strengthen occupational health and safety protection, and ensure the safety of patients and employees. At the same time, do a good job in tuberculosis referral, nosocomial infections and outbreak reporting.

4. Implementing the Drug Administration Law, the Interim Provisions on the Administration of Pharmaceutical Affairs in Medical Institutions, the Prescription Management Measures, the Guiding Principles for the Clinical Application of Antibiotics, and the Guiding Principles for the Clinical Application of Narcotic Drugs, etc., and other relevant laws, regulations and rules. The system implements the pharmacist ward rounds consultation and rescue, participates in the medical record discussion system for critically ill patients, and carries out clinical pharmacy work with rational drug use as the core. Strengthen prescription management, implement the prescription review system, improve the quality of prescriptions, and promote rational drug use. Strengthen the purchase, use and storage of special drugs and high-risk drugs to provide patients with safe and effective pharmaceutical services.

5. Further improve the layout, processes, equipment and facilities of medical technology departments, and professional settings and staffing to achieve reasonable standards. The medical technology inspection department shall implement a comprehensive quality management and improvement system, implement quality control, implement technical operation specifications, provide timely, standardized and accurate reports, conduct regular clinical follow-up and quality evaluation, meet clinical service needs, and provide 24-hour emergency services. Check the service.

6. Implement the "Administrative Measures for Clinical Blood Use of Medical Institutions" and "Technical Specifications for Clinical Blood Transfusion", formulate scientific and rational blood use programs, strictly implement the blood verification system, strengthen blood storage and distribution process management, and standardize blood type serum tests before blood transfusion. Room examination; strengthen clinical specimen collection, blood transfusion check, blood transfusion observation and other management; strengthen clinical blood, safe blood transfusion and medical emergency blood management, to ensure that hospital blood transfusion science, reasonable and safe.

Study and implement the spirit of medical reform and implement the policy of implementing medical reform

We will conscientiously study and implement the overall arrangements and requirements for the health work of the Party Central Committee and the State Council, accelerate the implementation of the reform of the medical and health system and the spirit of the health work conferences at all levels in 2019, and highlight the tasks of medical reform. Closely integrate the practice of deepening the reform of the medical and health system, formulate and implement programs and measures to promote medical reform, optimize the structure and layout of hospitals, explore and improve the management system, improve and strengthen hospital management, adjust the price of medical services, and gradually eliminate the drug plus Implementing reform of hospital operation mechanism and reform of personnel and income distribution system, strengthening post performance appraisal, exploring the implementation of post performance pay system; further opening weekend clinics, extending the time of outpatient registration, adopting various convenience and benefit measures, and optimizing processes, Facilitate patients' medical treatment; establish a safe hospital, standardize hospital complaint management, promote the establishment of medical disputes people's mediation system and medical liability insurance system; improve the regular assessment of physicians and medical staff medical ethics evaluation system, promote the spirit of Bethune, establish advanced hospital culture; strengthen Responsibility for work, fully mobilize the enthusiasm of the majority of medical personnel to participate in the reform, timely resolve the difficulties and outstanding problems in the reform, and constantly innovate management mechanisms and working methods to ensure that the reforms are effective.

Actively implement basic public health service programs to improve the ability to prevent and treat major diseases and respond to public health emergencies

1. Actively promote the national basic public health service project, continue to implement the “rural maternity hospital delivery subsidy” and “reduction” to ensure the healthy operation of the project; strengthen the management of baby-friendly hospitals and promote breastfeeding.

2. Further improve the prevention and treatment of H-type influenza A, continue to carry out training on medical personnel for diagnosis and treatment, disinfection and isolation, and personal protection, and equip with essential medical drugs, medical equipment, medical protective equipment, complete breathing Intensive care unit conditions, and meet the standards for putting into use, and strive to improve the level of medical treatment for influenza A HINI.

3. Further improve the medical treatment of major infectious diseases such as AIDS, tuberculosis and hepatitis B; continue to do major public health emergencies such as hand, foot and mouth disease, infectious atypical pneumonia, and human infection with highly pathogenic avian influenza. Coping with work.

4. Establish and improve emergency management mechanisms, and strive to respond to major infectious disease epidemics, unexplained diseases, major food poisoning and drinking water pollution incidents, major occupational poisoning, iatrogenic infection outbreaks, biochemical terrorist attacks, major safety accidents The medical treatment of related events such as natural disasters and accidents, and actively undertake the government's mandatory emergency medical rescue mission.

Make overall plans and take care of all the work of the hospital

1. Intensively carry out the “Medical Quality Miles” activity, the hospital management year activities and the “Three Excellent and One Satisfaction” activities, and strive to complete the second cycle hospital assessment and compliance work; strengthen quality and safety management and improve the quality of medical services.

2. Strive to complete medical equipment that is compatible with the scale of “Dimethyl” hospitals, and actively purchase, install and debug medical equipment such as magnetic resonance, 16-row CT machines, DR, and linear accelerators, and put them into use as soon as possible.

3. Accelerate the construction of outpatient comprehensive building, ensure quality and safety, ensure the construction period and progress, and ensure the completion and use; actively work hard to overcome difficulties, create conditions to increase the ward, build a ward connected with the ward A, and try to meet the patient. Hospitalization needs; construction of warehouse buildings, nutrition canteens, and improvement of hospital logistics support services.

4. Implementing the “Decision on the Comprehensive Smoking Ban of the National Health System from 2019” and the “Implementation Plan for Smoking Prevention Work” formulated by our institute to increase efforts to control tobacco compliance. Through the implementation of the comprehensive smoking ban, we will further strengthen the tobacco control propaganda and legal system construction, correctly guide the staff of the hospital to quit smoking, not smoke in the workplace and public places, publicize the knowledge of tobacco hazards, and discourage smokers in outpatients and inpatients. Guide and strive to achieve the goal of comprehensive smoking ban in indoor public places and workplaces.

5. Strengthen the construction of the talent team, absorb and recruit the professional and technical personnel required by the hospital, and strive to achieve the human resource allocation in line with the needs of the hospital's functional tasks and management.

6. Actively change the wages for the staff of the whole hospital, and issue living allowances according to national policies and discretion.

7. According to the needs of medical services and the design of hospital functions, scientifically prepare the hospital's “12th Five-Year” development plan, three-year action plan, annual and monthly plans, clarify the direction of hospitals, and guide the hospital to operate in an orderly and efficient manner.

8. Strengthen personnel training, develop specialist construction, implement technological innovation, and strive to develop new businesses, new technologies, and new projects, and continuously improve medical technology and service quality.

9. Strengthen management, work hard, save money, increase revenues and reduce expenditures, plug loopholes, expand accumulation, fight for funds, strengthen financial resources, and strive to complete the economic goal of annual income of 115 million yuan.

10. Implementing the family planning policy, women of childbearing age should participate in pregnancy inspection on time, and it is strictly forbidden to use instruments to identify the sex of the fetus and prevent the violation of the family planning policy from happening in our hospital.

11. Seriously grasp the comprehensive management work, the stability of letters and visits, and the construction of safe hospitals. We must focus on prevention of key departments and key parts, focus on key equipment and facilities, maintain good hospital order, and strive to do safe production; Inspect fire-fighting equipment, carry out fire drills, and prevent problems before they occur; continue to do safety and prevention work, and strive to build a safe hospital.

Comrades: 2019 is a crucial year for implementing the 11th Five-Year Development Plan and comprehensively promoting the reform of the medical and health system. The task of the hospital is arduous and arduous. The majority of party members and cadres and workers in the hospital must conscientiously study and practice the scientific concept of development, unify their thinking, strengthen their confidence, develop and innovate, overcome difficulties, unite and cooperate, work hard and seek hard work, and work hard to create a new situation for hospital reform and development.