Work summary > Hospital work summary

Summary of hospital work in 2019


In XX, under the direct leadership of the Dean and the joint efforts of all medical staff, the Hospital Management Year activities around the theme of “Three Excellent and One Satisfaction”, in-depth study and implementation of the “Practitioners' Law of the People's Republic of China” and “Regulations on the Administration of Medical Institutions” , "Regulations on the Handling of Medical Accidents", "Measures for the Administration of Prescriptions", "Basic Norms for the Writing of Medical Records" and other laws and regulations. Take effective measures to deepen the quality management of medical quality, pay attention to the overall quality training of medical personnel and professional ethics education, further emancipate the mind, update concepts, and effectively promote medical, teaching and scientific research, and contribute to the reform and sustainable development of the hospital. .
First, medical quality and medical safety Medical quality is the fundamental problem of hospital survival and development. Comprehensive improvement of medical quality is the primary task of the medical department, and it is often the unremitting work. Basic medical quality: According to the requirements of hospital management, we have improved the quality control system for hospitals and medical departments. Each department has established a medical quality control team to conduct supervision and inspection on the implementation of the medical core system, with emphasis on strengthening the connotation construction of medical quality. We will adopt a combination of routine inspections and centralized inspections to strictly control the quality of basic medical care and the quality of medical care, and take more measures to further improve the quality of medical care in our hospital. Quality of medical documents: Standardized management of medical record writing in strict accordance with the supplementary provisions of the "Regulations and Management of Medical Documents" and the requirements of the "Doctor-Patient Communication System" formulated by the Health Department of Henan Province. Seriously organize and study, conduct one to two quality inspections every month, implement rewards and punishments, perform a medical record appraisal activity every quarter, award good and bad, and evaluate ten best medical records in the whole hospital, and give certain rewards. The awareness of the clinician writing the medical record is further improved, and the medical record content is greatly improved. According to the specific requirements of the new rural cooperative medical system and the actual problems of the archived medical records, the requirements for each detail are more stringent, and the reward and punishment methods are clearly defined. The medical records of all departments are submitted in time, and the medical records of the disabled and the medical records of the C grade are basically eliminated. The number of outpatients per year, the number of inpatients; the number of medical records, Grade A medical records, Grade A medical records rate of .%; qualified medical records, qualified rate%. Further implement the "Regulations on Strengthening the Quality of Outpatient Clinics, Medical Technology and Medical Writing", but some doctors are not standardized enough to pay attention to the importance of outpatient medical records. Through the convening of doctors' meetings in the whole hospital to explain the legal and regulatory knowledge, the importance of outpatient medical records as evidence in judicial proceedings is further discussed, and further education and guidance are given to doctors to carefully and scientifically write outpatient medical records. However, there are still some patients who do not register or hang up the number of staff members who do not issue outpatient medical records, and there are medical risks. Randomly check prescriptions from time to time, the average pass rate is .%, outpatient.%. The writing quality of prescriptions has been significantly improved, but there are problems with the purchase of medicines. The registration of the outpatient and inpatient departments can be carried out as required, but the completion of the outpatient log needs to be further improved. Medical quality of medical technology departments: Continuously strengthen the technical training and service quality improvement of medical technicians, pay attention to the positive coincidence rate and accuracy rate of the examination results, and the coincidence rate of outpatient and discharge diagnosis reached .%. New projects are constantly being added to meet clinical needs. On the basis of the original project, the Laboratory has launched a new chemiluminescence immunoassay to detect t, t, insulin, etc., which has adapted to the needs of clinical diagnosis and treatment. It has focused on communication and communication with clinical first-line departments and actively participated in the laboratory. Inter-quality assessment and indoor quality assessment activities have achieved excellent results. The introduction of dr in the radiology department has greatly improved the clinical diagnosis rate; the interventional treatment has achieved gratifying results, the treatment category has increased the variety, and many patients, the main projects are: interventional treatment of liver cancer, interventional treatment of lung cancer, expansion of esophageal stricture and Stent implantation, obstructive jaundice drainage, Budd-Carter's syndrome interventional therapy, tracheal stent, acute necrotizing pancreatitis, etc.; with the director of Cardiovascular Department, Chang Changming, actively cooperated with the development of permanent cardiac pacemaker implantation, success rate %. The radiology department, the ct room, and the mri room standardize the collective reading system every Saturday morning, and are entrusted by the public security forensic appraisal center to be responsible for the traumatic consultation, which effectively prevents the occurrence of medical disputes, but the radiology, ct, and mri rooms are regulated. There is a slack in the collective reading system every Saturday morning. The immunohistochemical technique was added in the pathology room to improve the clinical diagnosis coincidence rate. Under ct guided biopsy, it provided a reliable basis for early diagnosis and differential diagnosis of the disease. The gastroscope room underwent direct surgery of the stomach and intestinal polyp ligation to alleviate the patient's pain and save costs. Other medical technology departments have also carried out relevant new technologies and new projects, and have won good economic and social benefits. Clinical quality of clinical departments: After sub-professional, sub-division, and introduction of talents, the medical quality of clinical departments has been continuously developed. Cardiovascular medicine carried out early perfusion treatment of myocardial ischemia, saved patients' life-reducing mortality; respiratory medicine performed bronchoscopy for bronchiectasis, and the curative effect was remarkable; the second department underwent transurethral ureteroscopic pneumatic lithotripsy, Urethral atresia cold resection, pyeloplasty without free kidney; hand surgery successfully completed a large abdominal wall free vascular flap to repair forearm skin defect surgery; ICU expansion bed, in the emergency treatment to a new level; The fluid bed treatment technology has greatly improved the treatment level of blood diseases and laid the foundation for further development of new technologies. Other clinical departments have also carried out relevant new technologies and new projects, which have won good economic and social benefits. Important medical indicators, admission and discharge diagnosis coincidence rate.%, clinical and pathological diagnosis coincidence rate.%, admission diagnosis rate on the third day.%, preoperative and postoperative diagnosis coincidence rate, critical patient recovery success rate%. Medical safety work: In the year, several medical disputes occurred in our hospital, but they can be found in time and handled as soon as possible, and the disputes can be properly resolved in the department to minimize the impact. The medical department timely participated in the coordination and settlement of disputes, fully communicated with the patients, smoothly resolved the contradictions, and ensured the normal operation of medical work. A liability accident, the individual was given serious treatment, and the department gave a notice of criticism. Three disputes have already taken place, and one of them is being re-evaluated. In response to the above situation, we have carried out a thorough analysis, comprehensively implemented the Municipal People's Hospital Medical Accident Prevention and Emergency Plan and the Medical Accident Responsibility Investigation System, and strengthened the training of medical staff's professional ethics and business technical skills, especially for emergency first aid knowledge. Learning of the Medical Accident Treatment Regulations. Strengthen the emergency series of knowledge training, improve the medical skills of medical staff, hold a special lecture on "medical accident prevention and treatment", analyze the typical cases happening around or in the hospital, and educate the medical staff on how to effectively prevent medical disputes and protect The legitimate rights and interests of patients and medical institutions and their medical staff. Through efforts, the momentum of frequent medical disputes has been effectively curbed.
Second, the new department of the new equipment industry has a specialization, in line with the concept of sustainable development, our school successfully refine the department, separate the professional department, thereby alleviating the difficult problem of treatment, and improve the overall level of our hospital.
Third, the introduction of talents For the long-term development of the hospital, the hospital leadership in the introduction of talents, the introduction of high-standard graduate students, recruiting the rest of the university students, and further optimize the talent structure.
Fourth, in response to the public health emergency year, for the country, it is a disaster-prone year. A hand-foot-mouth disease in the month swept across the country, and our hospital was timely in handling this public emergency. In the first time to provide treatment sites, select experts and others, add equipment, a total of patients to receive more than the number of people, screening patients nearly 10,000 times, despite the intensity of work, and finally successfully completed the screening and treatment tasks, get the leadership of the superior Commendation; the month of Sanlu milk powder incident, our hospital quickly invested in human resources and resources for screening, statistics, reporting, screening nearly 10,000 person-times, confirming the number of patients. The above examples prove that our hospital is powerful in responding to public emergencies. As the designated hospital for Sanlu milk powder diagnosis and treatment, our hospital will do more fine and better work.
V. Science and education work:
Continuing medical education: Integrate continuing education into work plans, focusing on training and teaching in and out of the hospital. This year, a total of people from our hospital went out to study at the third-level hospitals in and outside the province, and sent various short-term study classes to close the number of students. The doctors who finished the study and returned to the hospital can quickly apply the new knowledge and new techniques they have learned to the clinic. Actively carrying out work will play a greater role in improving the medical technology level of our hospital. This year, there are close people in our college who participate in various adult college entrance examinations and academic conversion education, and actively write papers. A total of national papers and provincial papers were published throughout the year, and the rest of the papers were exchanged at provincial medical associations. Scientific research work: This year, our institute has obtained two scientific and technological projects and completed two municipal-level scientific research achievements. He held various professional academic lectures, invited professors from Shanghai, and lectured by Professor Zheng Dayi Affiliated Hospital. Every time, he achieved a complete success. A total of more people attended the meeting. Organization of the hospital Huizhen: This year in the icu, Chinese and Western medicine, internal four, dry two, dry one, neurology, gynecology, obstetrics, hand surgery, etc. for a total of consultations, to solve a large number of difficult problems, won the praise of patients At the same time, it has improved the level of diagnosis and treatment in our hospital. Three basic training and teaching work: further implementation of the "Three Basic and Three Strict Assessment System of the Municipal People's Hospital" and the "Three Basics and Three Strict Training and Assessment Programs". More than ten academic lectures were held in accordance with the training plan, and the first aid series was launched. Knowledge training, first-aid skills assessment, business training and assessment, and then the clinical professional knowledge closed-book exam, a complete success, so that most young doctors' first-aid theoretical knowledge and clinical skills have been significantly improved. In addition, our hospital has further strengthened the management of the intern trainees, so that the internships and internships feel that they can achieve success in our internship. This year, we received a total of internship students from various township hospitals and health schools.
6. Publicity and health education work, use the news media to expand the brand promotion of the hospital. And carry out various forms of health education work. The establishment of the Publicity Section is dedicated to the promotion of hospitals.
7. Do a good job in the prevention and treatment of AIDS. Our hospital is a designated unit for AIDS prevention, understands the spirit of the higher level, and actively cooperates with the Health Bureau to comprehensively carry out AIDS prevention and treatment. Do a good job in mission work, issue prescriptions for AIDS prevention education, explain the route of transmission, and care for AIDS patients. In conjunction with the requirements of the relevant medical sites in time, the Health Bureau will send special personnel and relevant professionals to provide consultations and provide reasonable treatment plans. Regularly send a special person to Li Lincun to provide medical services for patients.
Eight, free clinic activities and physical examination work, the organization of experienced medical personnel to the countryside to the poor and remote villages for the local people a total of times, with the county health bureau, science and technology bureau, etc. to the townships and towns to conduct free clinics, diagnose the rest of the population, distribute health The balance of education prescriptions has been well received by the public. On the seventh national legal publicity day on the day of the month, in conjunction with the municipal party committee, the municipal government and the judicial bureau, experts and experts were sent to Dongcheng Square for a free clinic to promote medical practice according to law. This year, the organization of various enterprises and institutions and life insurance companies for medical examinations has facilitated the needs of the general public for health checkups, and has been well received by the people and achieved a double harvest of social and economic benefits. Enthusiastic support for conscription work, organization of experts to participate in the conscription of physical examination, rigorous work in accordance with the requirements of the conscription of physical examination, to provide qualified soldiers for the country.
X. Actively Cooperating with the New Rural Cooperative Work The new rural cooperative medical system is a national policy of benefiting the people. It is an important measure to solve the problem of peasant medical treatment and expensive medical treatment. Due to the large number of patients admitted to the new rural cooperative medical system in our hospital, the leaders attach importance to it and require timely reimbursement for patients. Through the strong cooperation between the medical record room, the new rural cooperative medical system and the medical department, this work has entered a benign operation.
XI. Correct management of medical birth certificate chapters Complete the medical birth certificate software, all use prints, and formulate the “Regulations on the Administration of Birth Medical Certificates”, which is more standardized in management. A total of the birth certificate is signed in the current year.
Although the medical department has achieved certain results in the year, it needs to be further strengthened. In the new year, it will strive to make greater contributions to the medical reform and construction of our hospital.
12. Work plans to improve various systems, improve assessment methods, and pay close attention to link management.
The implementation of the hospital's "院-科" two-level medical management network, clear that the director is the first person responsible for medical quality management.
. Improve and implement the hospital's various rules and regulations, especially the medical quality and medical safety management system, including the medical core system. Further improve the business training and assessment methods.
. Strengthen the emergency skills of medical personnel and the training of general medical knowledge, and actively carry out emergency drills, requiring each person to be skilled in single cardiopulmonary resuscitation. Improve the reporting and treatment plan for sudden and critical illnesses. Arrange the teaching of the chief physician of the higher level hospital, the senior professional title of the hospital and some middle-level professional titles to gradually improve the current situation of the single business training content, increase the exchange of experience between doctors and doctors, improve language expression and communication skills, and form a “pass A good circular mechanism of helping, bringing, and bringing.
. Reasonable examination, rational use of medicine, treatment due to illness. Implement the Guiding Principles for Clinical Application of Antimicrobial Drugs.
. Strengthen the training of “three basics and three strictes”.
Improve the technical files of medical personnel, implement and improve the personal medical knowledge assessment and skill level tracking system.
Improve and promote the regular assessment system for physicians. Through the combination of usual assessment and centralized assessment, conduct standardized assessments of physicians in the hospital and report them to the competent health authorities for review and filing.
Implement a single disease limit price system to alleviate the problem of expensive patients.
Improve the grade management of surgery and formulate practical and feasible surgical grade management rules.
Further strengthen the continuous improvement of “three excellent and one satisfied”.
Improve the humanities quality of medical staff, build a harmonious relationship between doctors and patients, carry out humanized services, integrate modern humanities and culture into hospitals, and create a high-level service concept and humanistic care.
Change the concept of service, adhere to the interests of patients as the center, reorganize the service process, shorten the waiting for patients and the appointments, report time, and establish a green channel for the diagnosis and treatment of emergency patients.
Medical personnel use civilized service terms to achieve a friendly attitude, enthusiasm for service, and absolute patient mortality, cold, hard, top, and push.
We provide various forms of medical services to meet the multi-level needs of patients with different diseases, and actively carry out various forms of appointment diagnosis and treatment services to facilitate patients.
Improve the level of professional diagnosis and treatment, and strengthen the management of specialist outpatient services.
Strengthen detailed management, strengthen connotation construction, reduce medical disputes, strengthen medical safety education for medical personnel, and organize a hospital-wide medical safety commentary every quarter.
Strengthen medical safety precautions, start with the control of medical defects, and further revise and learn the medical accident prevention plan.
Improve the responsibility system for medical safety objectives at the hospital and department levels.
Strengthen the "six kinds of people" reporting system.
Arrange medical malpractice prevention training and examinations.
In the dispute handling in the principle of "four do not let go":
Do not analyze the reasons, do not let go, do not find the responsible person, do not let go, do not deal with it, do not let go, do not take lessons, do not let go, implement the system of accountability for medical accidents.
Other work, urge medical staff to learn basic computer operations.
Arrange the relevant personnel to practice internships and arrange the training programs according to professional needs.
Encourage participation in scientific research, be brave in innovation, and strive for more results.
The project is to establish an immunohistochemical laboratory.
Improve the teaching and research system.

recommended article

popular articles