Hospital emergency department work summary

In 2019, under the continuous attention and correct guidance of the leadership of the department, timely and moderately grasp the historical opportunity of the “sudden change” of the external environment of the market, fully implement the scientific concept of development, and take the diagnosis and treatment services of the emergency department as the “development” "One priority"; innovative new concepts and new initiatives, strengthening the standardized management of emergency medical work, emphasizing the quality of medical services, continuously improving the vitality of emergency medical services; consolidating and developing the optimal construction of the "emergency medical system", Focus on development and establish a "perfect" emergency medical system.

In 2019, the whole department firmly established the scientific development concept of “taking patients as the center, optimizing the quality of medical services, social benefits and economic benefits”, rallying the people, uniting and cooperating, and the income of the general business increased by 70% year-on-year. %. At the same time, we will achieve a bumper harvest of economic benefits, maintain a smooth green life channel, effectively protect the lives of the people of the city, and achieve a bumper harvest of social benefits.

Looking forward to the 2019 year, in order to firmly promote the healthy development of the emergency business, a new development plan is being developed:

First, the guiding ideology

Guided by the "Party's xx spirit", following the development concept of the hospital to adapt to the new situation of the market, conscientiously implement the development plan formulated by the department, aiming at improving the specialist services of emergency medical care, and vigorously guarantee the new rural cooperative medical care. And the smooth implementation of the medical insurance work of urban residents, the establishment of the "maintenance of health, care for life" service purposes, in order to build the emergency department into a "people trust, hospital assured, medical ethics, medical skills exquisite" department lay a solid ideological cornerstone.

Second, the main measures

1. Medical quality:

Consolidate the results of emergency medical and service quality management activities that have been continuously improved over the years, combined with the hospital's “Guangdong” grade review and rectification work, focusing on the core objectives of “quality, safety, service and efficiency” and focusing on connotation construction. Further strengthen the professional construction of the emergency first aid team, steadily promote the rational allocation of the first-aid professional team, increase the professional study and training of emergency medical knowledge, and emphasize the social significance of "emergency and emergency medical care" to protect the lives of citizens.

Improve the timely, smooth, effective and safe service of the “Green Life Channel” in the emergency department. Improve the catalogue and content of the “24-hour” emergency medical service, emergency work flow, archive data management, standardize the construction and management of the life medical service system, and coordinate the cooperation of various clinical departments in the emergency department. Establish a program for the classification management of “high-volume patients and disaster emergency work”. Improve the emergency diversion work of “emergency diagnosis and patient diagnosis within 24 hours, stable condition to safe admission”. Strengthen the implementation of first-aid guidance and third-level consultation system for superior doctors, strengthen cooperation with other specialists, and strive to improve the success rate of critically ill patients, and strive to achieve more than 98%.

2. Quality management:

Pay close attention to the "three basics and three strictes", strengthen the medical history inquiry skills, standardize the physical examination process, standardize the emergency department and record the medical records, and emphasize the training of antibiotics. Carefully implement the first-in-patient responsibility system, the handover system, the critical patient rescue system, the various personnel's responsibility systems at all levels, and prioritize access to medical procedures based on the condition. Strengthen the assessment of medical records, focus on the content related to medical quality and patient safety, and improve the quality control of “regular inspection, evaluation, feedback, and summary”. Focus on monitoring “link management, discussion of difficult medical records, and treatment of ward rounds by third-level physicians” to promote continuous improvement and improvement of the quality of emergency medical services.

3. Equipment management:

Strengthen the regular maintenance, monitoring and special person management of emergency medical equipment, timely identify problems, eliminate faults, and ensure that the rescue equipment integrity rate reaches 100%. Strengthen professional training, standardize operations, and require medical staff to master and use correctly to ensure that first-aid needs are met. Strict control of nosocomial infections, emphasizing institutionalized management.

4. Service quality management:

Adhere to the core idea of ​​“patient-centered”, pay close attention to quality service work, and carry out in-depth activities to create “quality service demonstration posts”: standardize service behavior, innovate service content, pay attention to service skills; implement doctor-patient communication and informed notification system, timely Properly handle all kinds of disputes; conduct regular analysis and summary, strengthen safety measures, prevent medical accidents; extend service scope, ensure service quality, comprehensively improve medical service levels, improve patient satisfaction rate, and build a harmonious relationship between doctors and patients.

5. Training plan:

Formulate training and assessment plans for all types of personnel at all levels, and increase on-the-job training. We will adopt a variety of forms, focus on the training of all employees in terms of professional quality, professional quality and coordinated management quality, and strengthen the sense of professional responsibility of all employees. In order to meet the business development needs under the new situation, we will formulate a special "introduction program" for the backbone of technical strength, and focus on the related majors such as "cardiology, neurology, icu, ccu" and other critically ill first-aid, effectively protect The mature promotion of emergency services, establish a group of advanced models, and promote the all-round development of talents.

6, pre-hospital first aid:

Improve the construction of the “pre-hospital first-aid system”: rationally configure the vehicle emergency equipment, such as ECG defibrillator, simple ventilator, etc.; strengthen the training of pre-hospital first-aid knowledge and professional skills, and improve the pre-hospital first-aid level of the first-aid professional team. . Improve the construction of the "emergency medical system", tap the potential, and realize the new growth point of "emergency and emergency services".

3. Insufficient and corrective measures

1. The functional room layout of the emergency department is unreasonable: it is not conducive to real-time monitoring of the patient's infusion, which is not conducive to timely detection of “critical hazards” and emergency treatment. At present, the method of strengthening inspections is adopted for monitoring, but the problem of insufficient staffing is not conducive to the construction of the overall image of the hospital in the long run. It is recommended to re-distribute to a certain extent.

2, "120" emergency management is not in place: multiple management and staffing "short" and other reasons, multiple emergency department doctors "absence", "120" emergency visits are not in place. It is recommended to strengthen the management of drivers and implement a punishment system; supplement an emergency doctor to improve the shift system and daily business supervision.

3. Physicians are not standardized on the treatment of outpatient diseases: there are individual prescriptions and unreasonable medications. It is necessary to strengthen the standard treatment of common diseases, ensure medical safety, and avoid disputes between doctors and patients.

4. The professional first aid experience of the emergency department medical staff is insufficient, and it can not undertake the high-intensity emergency rescue mission, which limits the business development space of the emergency department. It is recommended that the hospital provide certain conditions, the department will carry out the theory and skill training of the primary specialization, and select the backbone technical force to carry out the "introduction" study of key scientific research topics, and promote the overall business level of the department.

The 2019 is a new starting point for the steady development of the emergency department. The new market environment is a good development opportunity, but it also puts forward higher requirements for the overall ability of the emergency department to undertake emergency work.

The improvement and development of department building faces many difficulties. The configuration of medical personnel and emergency equipment is unreasonable. The overall technical level of medical staff is insufficient. There are loopholes in the standardization and institutionalized management of the department. However, we firmly believe that the care and guidance of the leaders in the department Under the guise of uniting and working together, the staff of the whole department will be able to achieve a win-win situation for both society and economic benefits.