Summary of emergency department work in the first half of the year

Under the leadership of the Municipal Health Bureau and the hospital , adhere to the guidance of Deng Xiaoping Theory and the important thinking of the "Three Represents", continue to study and practice the scientific development concept in depth, implement the spirit of the Fourth Plenary Session of the 17th CPC Central Committee, and carry out the "School Guidelines. The discipline-abiding activities carried out in-depth activities of “creating the first to compete for excellence”. Under the leadership of the hospital , the cadres and workers of the emergency department actively participated in the hospital's flood relief activities to protect the property safety of the hospital . Continue to implement the prevention and control of infectious diseases such as hand, foot and mouth disease, strengthen the management of medical quality and safety, and actively complete the tasks assigned by the hospital . From January to June 2019, the emergency department business income was more than 1.8 million, and the number of outpatients was 23,347; 320 people; the work of the first half of 2019 is summarized as follows:

First, actively carry out technical training for acute and critical illness in Chinese medicine.

We will conscientiously implement the spirit of the meeting of the State Administration of Traditional Chinese Medicine and the Department of Health's “Practitioner-centered, Chinese Medicine Hospital Management Year Program with the theme of taking advantage of the characteristics of traditional Chinese medicine”, and give full play to the talent advantage of Chinese medicine practitioners in the emergency department. Chinese medicine therapy serves the majority of patients. To this end, our emergency department has developed a good department development plan, work plan, and organize implementation. Establish a talent echelon to continuously meet the needs of the connotation construction of specialized Chinese medicine. Formulate specific measures to demonstrate the characteristics of Chinese medicine and organize implementation. Formulate and continuously improve specific measures for common diseases and characteristics, and organize implementation to improve the level of dialectical treatment of characteristic diseases and improve the treatment rate of Chinese medicine. Acupuncture therapy, auricular pressing beans, cupping therapy, Chinese medicine enema, Chinese medicine wet cover, infrared treatment were carried out; the clinical path of common diseases in emergency department was established. The grade A medical record rate of our Chinese medicine practitioners is 100%, the excellent rate of dialectical demonstration is ≥92%, the dialectical use rate of Chinese patent medicines is ≥92%, the treatment rate of Chinese medicine is ≥92%, the treatment rate of integrated Chinese and Western medicine is ≥94%, and the success rate of critical illness is ≥ 82%, the treatment rate of acute and severe Chinese medicine is ≥90%, the treatment rate of acute and severe Chinese medicine and western medicine combined treatment is ≥50%, and the rate of first-aid items is ≥100%.

Second, strengthen medical quality, medical safety, management of departmental business

Focus on implementing the core system of medical management. Such as medical record writing system, prescription management system, first-inspection responsibility system, duty, handover system, third-level physician rounds system, case discussion system, medical order system, consultation system, referral system, transfer transfer system, check system, Graded care system. Strengthen the three-level quality control network management of medical quality control to ensure that all aspects of the medical process are regulated by corresponding regulations and systems. Continuously improve quality control and evaluation indicators, and conduct monthly inspections and evaluations. Further strengthen medical safety and production safety. Through the early morning meetings, special lectures and business training, our department repeatedly emphasizes the importance of medical safety work, enhances the medical safety awareness of clinicians, educates clinicians to strictly abide by technical operation rules, and writes medical records in a timely, comprehensive and correct manner. Various records. To ensure medical safety, prevent major medical accidents. Strengthen communication between doctors and patients and fully respect patients' informed choice. It further emphasized the obligation of medical personnel to inform, effectively protect the legitimate rights and interests of both doctors and patients, and effectively prevent the occurrence of medical disputes. Focus on improving the medical environment and reducing medical expenses. Through the Hospital Management Year activities, the emergency department staff will further understand and implement the "people-oriented, patient-centered" service concept, further improve the service facilities, deepen the medical environment, update the service model, simplify the medical treatment process, and improve the service attitude for patients. Providing humanized services to eliminate the patient's life, cold, top, push and drag. Actively carrying out the convenience and convenience services, our department has carried out free medical consultation, drinking water supply, wheelchair supply, and simplified visits. The emergency department actively inquires about the cost of medicines and medical services for patients, and provides a list of hospitalization expenses for inpatients. Strict medical charge management to prevent unreasonable charges. Do a solid job of overall care. According to the requirements of the “ Hospital Management Year Activity”, the head nurse established and improved a series of nursing rules and regulations. Standardize various nursing documents and carry out overall nursing work. Strive to improve service attitude and improve service quality. Strengthened the “three basics and three strictes” education for each nurse, focusing on strengthening the training of operational skills. Strengthen the management of hospital sense and effectively control the occurrence of hospital infections. The sensory physician conducts monthly irregular inspections and monthly medical records of inpatients in the emergency department.

We not only have a good service attitude, but more importantly, we must have skilled rescue techniques and emergency response capabilities. Emergency and accurate diagnosis and treatment should be made for emergency patients, and the pain of patients should be alleviated as soon as possible. This requires each medical staff to seriously study the business and master various rescue instruments and rescue techniques. Therefore, the department organizes regular business studies and strengthens training in various first aid technologies. Such as cardiopulmonary resuscitation, mechanical ventilation, ECG monitoring, cardioversion, defibrillation, gastric lavage and other conventional technical operations. Adhere to the ward round system of third-level doctors, conduct timely business discussions on relevant cases, and improve the first-aid level of general medical staff. In order to adapt to the development of the modern medical market, this year, our department regards the development of pre-hospital first aid as an important task, strict emergency clinic system, pre-hospital emergency team 24 hours a day, 5 minutes to arrange emergency visits, and develop emergency green channels The overall plan, such as emergency, critical, and severe patients, will be implemented in the emergency green channel, and has been rescued first, and then various procedures are completed.

Third, there are problems

The quality of medical services is not high, the enthusiasm and consciousness of individual employees are poor; the growth of departmental business can't keep up with the development needs; the shortage of emergency personnel, the lack of excellent technical backbone and academic leaders; the lack of advanced medical equipment; the inpatient ward Poor environment. In the next step, our department will gradually rectify the existing problems and strengthen the cultural characteristics of Chinese medicine.