Hospital Management Year Activity Summary

In accordance with the unified deployment and requirements of the Ministry of Health and the Chongqing Municipal Health Bureau for the implementation of the Hospital Management Year, the district has carried out the hospital management year of “taking patients as the center and improving the quality of medical services” in the whole district since May XX. Activities, through the development of activities, promoted the connotation construction of hospitals at all levels in our district, improved hospital services, standardized medical behavior, improved medical quality, ensured medical safety, and harmonious doctor-patient relationship. Staged results have been achieved. The summary report on the development of the hospital management year in XX-2019 in our district is as follows:

First, the basic work situation

Highly valued, organized in place.

Over the years, our bureau has attached great importance to the hospital management year activities, and has included the hospital management year activities as the top priority of the overall center work and hospital management work, and has been included in the important agenda. The bureaus and bureaus of the bureau have conducted special research on many occasions; The Leading Group of the “ Hospital Management Year” of Hechuan District, headed by the leader, formulated the “ Hospital Management Year Activity” program according to the progress of the activity, and determined the key content, work steps and work requirements of the annual activities, and will "The activities were included in the goal management, the dean's evaluation and the hospital level review, and realized that "there are people in charge of the whole situation, some people are caught in the big things, and some people work."

Timely deployment and extensive publicity.

Through the mobilization meeting and the issuance of archives, the bureau has carefully deployed and arranged the hospital management year activities. In order to facilitate the medical institutions to master the main contents and requirements of the hospital management year, combined with the actual situation of our district, in the XX year, the bureau summarized the 33 indicators in the six aspects of the hospital management year into “six must six”, All medical institutions will carry out extensive and in-depth publicity in the main spirit of the hospital management year activities and the "six must six" through various forms such as news media, newspapers, slogans, newspapers, and production of small cards to each employee. At the same time, in the process of hospital management year activities, we also pay attention to the typical way, through the organization of advanced figures of deeds, etc., to effectively strengthen the staff's professional ethics, professional discipline, professional responsibility, vocational skills education, and carry forward the fine traditions and style. To enhance the sense of professional mission and honor, and further create a good social atmosphere and public opinion atmosphere.

Strengthen training and improve the quality of personnel

Through the training of various training courses and three-base competitions, the bureau has made efforts to improve the quality of personnel and laid the foundation for the development of hospital management activities throughout the district. For example, the Chongqing municipal government assisted the training activities of the district management personnel; and Chongqing Tianan Insurance Company jointly organized the training course on medical quality and medical dispute prevention and disposal in the whole district; invited the Children's Hospital of Heavy Medicine, the Second Hospital of the Second Affiliated Hospital, Daping Experts and professors of higher-level hospitals such as medical services gave lectures on how to strengthen medical quality management, implement the core system of medical safety, and the theory and practice of communication between doctors and patients. In XX and 2019, the Bureau twice held a technical competition for medical personnel and nursing knowledge with the District Federation of Trade Unions and the Communist Youth League Committee. Through the competition, the medical institutions and medical staff in our district have been promoted to strengthen the study and training of the three basic knowledge, which has further improved the three-level level of medical staff in our district.

Through training and learning, the medical institutions at all levels and their medical staff have further improved their understanding of the serious implementation of the core medical safety system, improving the quality of medical services, and strengthening communication between doctors and patients, and strengthened the awareness of quality and medical risk prevention at all levels of medical institutions. It has improved the ability of medical institutions at all levels to prevent and dispose of medical disputes, and laid a solid foundation for the development of hospital management activities throughout the district.

Create a good practice environment and harmonious doctor-patient relationship

First, actively carry out the construction of safe hospitals . Jointly carried out with the six departments of the District Party Committee Propaganda Department, the District Social Security Comprehensive Management Committee, the District Public Security Bureau, the District Civil Affairs Bureau, and the Hechuan Branch of the Industrial and Commercial Bureau, with the theme of “Caring for Life, Strengthening Services, Preventing Disputes, and Building Harmony”. The special activities of the hospital will carry out medical safety management in an in-depth manner, focusing on strengthening medical behavior norms, implementation of rules and regulations, improvement of basic quality and education of medical personnel. On September 18, 2019, the bureau held the whole district in the Qiantang Central Health Center. Ping An Hospital Construction and Medical Work Site Meeting, the basic situation and medical work since the establishment of Ping An Hospital in the district and the medical disputes from January to August in 2019, the characteristics of current medical disputes, several cases this year The typical medical disputes and the problems existing in the current medical quality of the whole district were analyzed and summarized, which further promoted the construction of Ping An Hospital. The construction of Ping An Hospital in the whole district achieved initial results.

Second, actively implement the “Trial Measures for Prevention and Disposal of Medical Disputes in Hechuan District”. In order to better prevent and dispose of medical disputes, the Hechuan District Government issued the “Trial Measures for Prevention and Disposal of Medical Disputes in Hechuan District” at the end of XX, which was implemented from January 2019.

The third is to increase the promotion of rural medical liability insurance and achieve full coverage of medical liability insurance in public medical institutions. Since January 1, 2019, we have initiated rural medical liability insurance work in various public medical institutions in the district and formulated the "Ishikawa District Medical Liability Insurance Implementation Plan". Through nearly two years of efforts, in various medical institutions and Cheonan Under the joint efforts of insurance companies, up to now, the public medical institutions in the whole district have signed an official insurance contract with Tianan Insurance Company, and they have insured medical personnel and realized the full coverage of medical liability insurance in public medical institutions. Assisting the Health Bureau and the hospital in handling disputes between doctors and patients, accumulating compensation for 10,000 yuan, and the loss ratio is %.

The fourth is to promote the communication system between doctors and patients. In recent years, an important reason for the series of medical disputes in our district is that the communication between doctors and patients is not in place. Therefore, the bureau will implement the doctor-patient communication system as an important part of the medical quality work and communicate with doctors and patients. Time, content, and skills are clearly required: communication between the attending physician and the inpatient should be completed within 8 hours after the patient is admitted to the hospital. The communication with the emergency patient or family must be completed within 2 hours after the patient is admitted, and in the prescribed form. And require the communication to be recorded in the medical record, the medical staff should introduce the patient's disease diagnosis, the main treatment measures, the purpose and results of the important examination, the patient's condition and prognosis, the possible consequences of certain treatments, adverse drug reactions to the patient or family members. , surgical methods, surgical complications and preventive measures, medical expenses, etc. Through the implementation of the doctor-patient communication system, patients and their families can achieve "three understandings" in the process of seeking medical care.

If the article summarizes the work of the hospital management year, if it does not meet your requirements, it is recommended to refer to the following article:

Summary of annual work of the hospital and work ideas for next year Summary of work in the medical insurance work experience meeting Summary of the work of the Ministry of Planning and Planning of the People's Hospital 2019 Summary of the work of the Ministry of Nursing 2019 Year-end work of the hospital Summary of the work of the Secretary of the Party Committee of the Health Bureau Work summary
Go to the hospital work summary section to see more>>

Strengthen hospital infection management and maintain people's health

First, earnestly implement the Ministry of Health's "Administrative Measures for Medical Wastes in Medical and Health Institutions" and "Administrative Measures for Hospital Infections", and organize a training on knowledge of multi-drug resistant bacteria infections, prevention and control measures. The second is to strengthen hand hygiene. The hand hygiene operation was included in one of the assessment contents of the hospital management staff. The third is to strengthen the infection management of heavy hospitals . The focus is on the management of hospital infections in the dental department, endoscopy, and neonatal rooms. The fourth is to do a good job in the disposal of medical waste. Strengthen coordination with the environmental protection department, and actively connect with Beipei and Yongchuan medical waste disposal institutions. On October 31, 2019, the bureau officially entered into a commissioned disposal agreement with Chongqing Tongxing Medical Waste Disposal Co., Ltd. The disposal work is in order.

Strengthen hospital pharmacy management and improve the level of rational drug use

We will conscientiously implement the "Measures for the Administration of Prescriptions of the Ministry of Health", strengthen the standardized management of prescriptions, and actively carry out the prescription review system; continue to strictly implement the "Guidelines for the Clinical Application of Antimicrobial Drugs" of the Ministry of Health and the "Regulations on the Management of Anti-infective Drugs in Chongqing". The anti-bacterial drug classification management system was implemented in the district medical institutions.

Strict system and enhanced accountability.

In accordance with the requirements of “three not letting go”, the “Responsibility Investigation System for Medical Disputes and Medical Accidents in Hechuan District” was formulated, which further strengthened the sense of responsibility of medical institutions and medical personnel. In recent years, a total of medical institutions have been notified to handle medical personnel.

Adhere to the administration according to law and strictly control the access to medical services.

In conjunction with the special clean-up and rectification activities of the 100-day medical institutions, we will further improve the medical market and coordinate with relevant departments to control illegal medical advertisements and crack down on illegal medical practice. Strict access to the examination and approval, implementation of the "Practitioner's Law", "Nursing Ordinance" and related supporting files.

Establish a surgical grade management system

Surgical and obstetrical surgery cases are specialized in medical safety hazards and high incidence of medical disputes. They are the key links in medical safety. In view of the recent occurrence of many outbreaks and gynecological disputes in our district, the actual situation related to the operation of some primary medical institutions or grassroots medical personnel beyond their own conditions or technical level, in 2019, the bureau made a careful study and fully developed "Chongqing Hechuan District Surgical Grading Management System", establish a surgical grading management system, formulate specific implementation rules and management methods, and review and pass the doctor's professional technical ability before granting the corresponding surgical permission and implementation Management effectively eliminates the situation in which some primary medical institutions or grassroots medical personnel carry out surgery beyond their own conditions or technical level.

Strengthen blood quality management

Our bureau earnestly implements the "Small Blood Station Management Measures", "Blood Station Quality Management Regulations", "Blood Station Laboratory Quality Management Regulations", "Clinical Blood Management Measures" and "Clinical Blood Transfusion Technical Specifications", through intensive training and strengthening Free blood donation promotion and recruitment, establishment of quality control systems from blood collection, testing, preparation, storage, transportation and other aspects, further standardize blood collection and blood supply management and clinical blood management to ensure clinical blood safety. In September this year, the Hechuan Central Blood Station of Chongqing received favorable comments from the Ministry of Health for special blood quality supervision.

Strengthen supervision and promote implementation.

In recent years, in accordance with the different periods and stages of the hospital management year activities, the Bureau has organized the inspection team six times to conduct hospital management annual activities and medical quality management supervision for medical institutions within the district. The supervision adopts methods such as not greeting, direct access to information, on-site inspection and on-site assessment, focusing on the promotion and mobilization, medical quality and medical safety, improvement of services, financial management, legal practice, and construction of the hospitals in the hospital management year activities. Conduct comprehensive supervision and other investigations, and conduct on-the-spot comments on the problems found during the inspection process, and issue the "Supervisory Opinions", requesting all medical institutions to promote the implementation of the problems, while doing a good job of rectification. At the same time, after each centralized inspection, through the symposium and the issuance of supervision and notification, the hospital's management year and medical quality management experience and existing problems will be summarized and analyzed in a timely manner. The results turned into the normal state of hospital work, and gradually established a long-term mechanism to grasp management and promote quality, effectively promoting the in-depth development of the hospital management year activities.

Second, the main problems exist

Although our district has achieved certain results in the hospital management year activities, there are still some problems and deficiencies: First, some medical institutions do not have a good understanding of the hospital management year activities, and pay insufficient attention to them. Second, the two-level quality management system of the department has not been perfect or has been organized but its duties are not effective. Third, the hospital's various work systems, especially the core systems of medical safety, need to be further improved, improved and implemented; Fourth, there is no effective evaluation and assessment system. Fifth, the management cadre team is unstable and lacks the necessary training. Sixth, the “green channel” for emergency first aid is not smooth. Seventh, the lack of talent is still a prominent contradiction that restricts the quality of medical services in Zhenjie Health Center.

Third, the next step of work

Strengthening hospital management is a long-term and persistent work. In the future, our district will consolidate its achievements, continue to advance medical quality work, and lead the hospital management year activities to a deeper level. Focus on the following problems:

Focusing on the theme of “taking patients as the center and improving the quality of medical services”, we must earnestly implement the implementation of various laws, regulations and work systems of hospitals . Focus on the implementation of various laws and regulations and the quality of medical services and the core system of medical safety. Further establish and improve the core work system of medical quality and medical safety, strengthen supervision and inspection of medical personnel, and ensure the effective implementation of various laws and regulations, medical quality and medical safety core work system.

Focus on strengthening the writing of medical documents, earnestly implement the medical record writing and management system, and improve the quality of medical care. In accordance with the requirements of the "Basic Norms for the Recording of Medical Records" of the Ministry of Health, strengthen the supervision, inspection and evaluation of the writing of inpatient medical records, earnestly perform the duties of the quality management organization of the medical records at the hospital and department levels, grasp the writing quality of medical records from the basics, and improve the writing level of medical records. To ensure the basic quality, link quality and final quality of medical activities.

If the article summarizes the work of the hospital management year, if it does not meet your requirements, it is recommended to refer to the following article:

Summary of annual work of the hospital and work ideas for next year Summary of work in the medical insurance work experience meeting Summary of the work of the Ministry of Planning and Planning of the People's Hospital 2019 Summary of the work of the Ministry of Nursing 2019 Year-end work of the hospital Summary of the work of the Secretary of the Party Committee of the Health Bureau Work summary
Go to the hospital work summary section to see more>>

We will do a good job in the implementation of the Guiding Principles for the Clinical Application of Antimicrobial Drugs and the Prescription Management Measures to improve the rational use of drugs in hospitals . Further strengthen the management of clinical application of antibacterial drugs, conscientiously implement the specific requirements set out in the Guiding Principles; strengthen the training of clinical pharmacists' quality, improve the technical level of clinical pharmacists; establish and improve the basic drug formulas and catalogues of this institution, and improve the medical staff's Rational use of drugs to reduce the burden of medical treatment for patients.

Do a good job in hospital infection control and improve hospital infection control. Conscientiously implement the " Hospital Infection Management Measures" requirements, establish and improve the hospital infection monitoring network, strengthen the hospital infection control work management, do a forward-looking investigation and targeted monitoring, effectively prevent and control hospital infections, and provide strong medical service quality. Strong protection.

Further transform the service concept, strengthen the hospital's connotation construction, and improve the management ability and level of the management team. Further transform the development ideas and service concepts of hospital administrators, and correct the direction of hospitals, from focusing on extension and hardware development, to enriching connotation, strengthening hospital ideological and moral construction, personnel quality construction, cultural construction and discipline construction, and using scientific development. Ideas, advanced management concepts, loyal service spirit and humane service culture to improve service quality and improve service levels. First, strengthen the responsibilities of the hospital director, improve the political quality and management ability of the president, and enable the president to focus on strengthening and improving hospital management, maintaining the nature of public welfare, reducing professional and technical services, and strengthening and cultivating specialized hospital management. Cadres provide strong support for hospital management. The second is to strengthen the construction of hospital culture and improve the overall service capacity of the hospital . The third is to strengthen the construction of key disciplines and improve the technical level of hospitals .

Further strengthen emergency capacity building. We will improve the emergency department or emergency rescue room of various medical institutions, unblock the green passage of medical emergency, and strive to improve the emergency first aid skills of medical personnel by organizing training and conducting post training, and effectively improve the emergency department and first aid level.