Summary of hospital medical education work

2019 is a key year for deepening the “Management Year” of hospitals. With the care and support of the hospital and the joint efforts of all medical staff, the Medical Department focuses on “taking patients as the center and striving to improve the quality of medical services”. Strengthening hospital management and standardizing medical behaviors as the focus of work, and successfully completing the tasks set at the beginning of the year. It is summarized as follows:

First, the quality of medical care

Medical quality is the foundation of hospital survival and development. Paying close attention to medical quality management and comprehensively improving the quality of medical services is the primary task of medical education.

Medical quality indicators completed

1. Medical business indicators

content

aged

this year

Remarks

Annual outpatient volume

People

People

Treating patients throughout the year

People

People

Annual business income

Ten thousand yuan

Ten thousand yuan

Bed use rate

%

%

Average hospitalization day

day

day

Total number of operations

example

example

2, medical quality indicators

Grade A case rate

%

Critical patient rescue success rate

%

Prescription pass rate

%

Healing rate

%

Application form report pass rate

%

Three-day diagnosis rate

%

First aid item integrity rate

%

Incoming and discharge diagnosis coincidence rate

%

Component transfusion rate

%

Preoperative and postoperative diagnosis coincidence rate

%

Report rate of legal infectious diseases

%

Pharmaceutical income as a percentage of total income

%

Implementation of the core system

In 2009, the medical education department started from the actual situation of each department and seized the core system.

1. Under the leadership of the dean or the business dean, the medical education department insists on daily rounds of ward rounds to understand the implementation of the core systems of each department. In particular, the implementation of the weak links that have not yet been put in place in the previous year, such as the handover system and the case discussion system consultation system. According to the functional department's feedback on the supervision of each clinical department, the students were selected to participate in the morning shift, and the medical education department timely reported the problems and improvement opinions of the department, and tracked the implementation of the supervision department.

2. In order to understand the implementation of various systems, the medical education department conducts random inspections on the control of medical quality, and conducts comprehensive inspections at the end of each month. The quality control summary and feedback of the whole hospital are carried out every quarter. Focus on the investigation and rectification of the problems found.

3. In terms of core key implementation: Pediatrics, obstetrics and gynaecology handover system is well implemented, individual departments have critical patients, new admissions patients missed classes; internal medical case discussion system is better implemented, individual department cases are not standardized, registration flow In the form; orthopedics, surgery in the consultation system is better implemented, individual departments have irregularities in the consultation procedures or the application form is not standardized; the laboratory is better at blood transfusion management; the radiology department insists on daily reading and troubles The cases were discussed; the rescue records of critically ill patients in the emergency department were very good; the business of anesthesiology was well adhered to; the pharmacy had done a lot of work on rational use of antibiotics and prescription reviews... The inadequacy is the check system and the three-level rounds system. It needs to be strengthened.

Writing of medical documents

The writing of medical documents is the focus of medical quality management and the most direct response to medical quality. The medical education department has always strictly adhered to the quality management of medical records.

1. Check the current medical records and archived medical records, outpatient medical records, prescriptions, medical technology, various inspection application forms, report forms, and implement the defects according to the responsibility, and make regular feedback to the existing problems. Rectification.

In the whole year, our department examined 619 medical records, Grade A medical records 605, Grade B medical records 14 cases, Grade A medical records rate 97.7%; 720 copies of archived medical records, 709 Grade A medical records, and 11 Grade B medical records. The rate of medical records was 98.4%, and there was no grade C medical record.

2. Conducted the training of the “Code for Writing Medical Documents in Hubei Province”, focusing on the writing of young doctors.

3, medical documents written by more standardized doctors:, b super room, pathology, ECG room report form is relatively standardized, radiology department individual doctor review doctor signature is not in place.

4. The problems existing in medical documents include: the signature of the superior doctor is not timely; the daily medical record is not timely; the record of the third-level physician's round is not in the format of the electronic medical document, and the format is not standardized. In response to these problems, we will continue to strengthen supervision in the future work, use business learning time to organize special training, strengthen the sense of responsibility of physicians, and strive to correct from the root causes.

Subject construction

1. The preparatory work for the pain clinic has been completed.

2, the establishment of a blood purification center, the start is smooth, progress is very good.

Major events have been a complete success

1. From March 1st to June 10th, our hospital launched a special activity of “Medical Safety 100 Days”, which was summarized in mid-June.

2. On July 30th, on the basis of the special activity of “Medical Safety 100 Days”, our hospital launched the 2019 Hospital Management Year and the “Medical Quality Miles” program.

3. On December 11th, the “Special Remediation of Medical Quality” was launched.

Through the above activities, the quality of medical care in our hospital has been significantly improved this year, medical disputes and complaints have been significantly reduced, and it has won a good reputation in the society.

Second, medical safety

In 2009, we closely carried out the medical safety work on the principle of “safety first, prevention first”, strengthened the study and education of laws and regulations, strengthened the sense of legal practice, strengthened system management, standardized medical behavior, and strengthened “three basics and three strictes”. "Training, constantly improve the level of diagnosis and treatment, eliminate medical errors and prevent medical disputes.

Since the establishment of the "Medical Dispute Resolution Office" last year and the introduction of the "Measures for Handling Medical Disputes", the medical dispute handling mechanism of our hospital has been further improved. In response to some details of the "Measures for Handling Medical Disputes" last year, the "Disposal of Medical Disputes" was promulgated this year. Supplementary Provisions have further implemented the accountability system for medical disputes in our hospital.

Adhere to the dean's or business dean, the medical education department's daily round-robin system, continue to emphasize the department's adverse event reporting system, find medical safety hazards, medical education in advance intervention, the effect is good, at least three large medical disputes were avoided this year.

Under the great attention of the hospital leadership team, the medical safety was repeatedly emphasized in the mobilization meeting, middle-level cadre meeting, and scientific affairs meeting of the whole hospital, so that the medical safety awareness of the staff of the whole hospital was significantly strengthened compared with the previous year. What is especially valuable this year is that doctors dare to face the family of patients and participate directly in the negotiations.

In 2019, a total of medical complaints were received. In the case of more than 20 large-scale disputes, general disputes arise. From the reception and dismantling treatment, compensation for cash of 10,000 yuan, reduction of hospitalization expenses, other treatment. Reception complaints decreased by a percentage compared with the same period last year. Indemnity decreased by 5% compared with the same period of last year, and the reduction of drug and hospitalization expenses decreased by % compared with the same period of last year. It is worthy of praise: surgery, orthopedics, pediatrics without disputes.
Summary of the work of the hospital medical education work:
Summary of blood station blood work

Inadequacies:

1. The responsibility of medical staff is not strong, the service attitude is not good, the communication is not in place, the medical documents are not standardized, and the disputes still dominate. The punishment for the parties is still insufficient, and the purpose of accepting the lesson is not achieved.

2. The proportion of rewards for zero dispute departments in the past year is small, and the incentive mechanism still needs to be further improved.

3, the high-risk departments of disputes, inspections are still not enough, so that high-risk departments have hidden troubles.

Third, science and education work

1. Established a continuing medical education archive for scientific and technical personnel with a file-setting rate of 100%. The sub-teaching points of each person were reviewed and the electronic version was summarized.

2. Standardize the management of teaching points. In the second half of 2009, trial and distribution of the in-house teaching points was started, and 2 credits were awarded to each presenter, and 1 credit was awarded to the participants.

3, the star teaches the teacher

In 2009, the star teachers who were well educated and trained by residents and interns were:

4. Received a municipal science and technology progress award

5. Launch new business, new technology and new projects

Launched 28 new business and new technologies throughout the year

Internal medicine

3

Pediatrics

4

dermatology

1

surgical

1

Anesthesiology

1

Laboratory

2

Icu

2

Stomatology

2

Hemodialysis room

1

orthopedics

3

Otolaryngology

1

Gynecology

5

Ophthalmology

2

Subtotal

28

6, medical papers

He has published 59 medical papers throughout the year.

1. 13 papers at the provincial level and above.

2. 46 papers at the municipal level, free training for primary health care institutions: 9 person-times

Receiving Intern: 15 times

Convene internship meeting: 1 time

13, other aspects

Members of the City Medical Association expert library participated in the medical accident technical appraisal meeting: 3 times.

Completion of voluntary blood donation personnel: 13 people

On September 15th, our hospital held a “medical delivery, medicine delivery, health delivery” clinic and two cancer screening activities, and issued science popularization materials, 180 consultations for free consultation and 85 free medical treatments.

September 20th is the National Love Day, and our hospital is in the city social welfare center. Theme of the event: issue oral health knowledge leaflet, oral examination and consultation, free blood pressure measurement; release 100 toothbrushes, 100 toothpaste, 1 mouthwash.

On September 25th, the “Healthy Community and Two Cancer Census Activities” was held in the community. Activities: Free blood pressure and height, free consultation, free gynecological examination and scraping, free breast examination and milk penetration.

On October 10th, “World Mental Health Day”, the director held a special lecture on mental health for college students in the academic lecture hall of the university. In the afternoon, the counselor of the hospital conducted a voluntary consultation activity in the hospital.

On the eve of the Chung Yeung Festival on October 23, our hospital provided free medical consultations for more than 80 elderly people in the Glory Hospital, and free blood pressure. A total of 70 health education prescriptions and 70 medical science knowledge leaflets were issued.

Vaccination for students in the district and urban areas was approved by the higher authorities.

Free reception by the Municipal Health Bureau for the "three support and one support" project.

V. Public health emergencies

1. Emergency drill twice

An emergency drill for public health emergencies was held to examine in detail the pre-hospital first aid, green passage, in-hospital emergency consultation, and the diagnosis and treatment routines and skills of various diseases. The assessment involved the emergency department and the clinical and medical technology departments.

Conducted a drill for the prevention and control of influenza A h1n1. The A-type h1n1 flu prevention and control work conference was held several times, and the relevant departments and personnel were trained and assessed.

2, infectious disease management

Formulate the leading group and work class for the prevention and treatment of infectious diseases in spring in 2019, implement relevant systems and responsibilities and organizations for issuing fever clinics and improve health emergency work; supervise and promote the work of pre-diagnosis and triage, and fully implement the system of first diagnosis and pre-examination. Focus on the implementation of measures to prevent and control influenza A h1n1 influenza.

A hospital infection department clinic was established. Strengthen the construction and standardized management of infectious disease departments, convene a meeting of infectious disease clinic staff, further standardize infectious diseases clinics, and standardize relevant work systems and operational procedures.

The medical education department has achieved a lot in the work in 2019, but there are still some shortcomings in some aspects, such as: the standardization training of young doctors is still insufficient. We will work hard to improve and improve in the future work.

Summary of the work of the hospital medical education work:
Summary of blood station blood work