How to improve medical quality? At present, people's requirements for medical quality are constantly improving. In order to adapt to the current changes, hospitals can only compete with them by rapidly improving the quality of medical care. Let me give you a brief understanding of how to improve the quality of medical care.
How to improve medical quality? 1 Enhance the awareness of quality management and establish a perfect organization and system.
The hospital constantly educates medical staff on medical quality, medical safety and related laws and regulations, so that medical staff fully realize that medical quality is the foundation of hospital survival and development and the source of market competition. The hospital has established and improved three-level quality management organizations: hospital level, functional departments and departments, and participated in the planning, organization, coordination, control and service guarantee of all aspects of medical quality formation.
Various institutions have formulated corresponding work systems, responsibilities and assessment plans. The hospital quality management committee, chaired by the president, is composed of experts from government agencies and relevant departments, and its office is located in the quality control department, which effectively controls the basic quality, link quality and final quality. The department set up a quality control team, headed by the department director, responsible for the daily medical quality management of the department.
According to the system, the hospital conducts a quarterly medical quality inspection and holds a medical quality analysis meeting to check and analyze the existing problems. Improve various rules and regulations, and formulate the Regulations on Medical Records Management, Interim Provisions on Handling Medical Disputes and Accidents, Interim Provisions on Management of New Business and New Technology, Consultation System in and out of the Hospital, and Regulations on Management of Blood Collection and Supply on the basis of relevant systems formulated by the state and the army, so as to provide policy guarantee for hospitals to strengthen medical innovation and quality management.
Talent cultivation and discipline construction
Talent is the foundation and the most fundamental element of medical quality. To improve the quality of medical care, we must first improve the quality of personnel. Our hospital attaches great importance to personnel training as an important strategic project. While doing a good job in talent introduction, we should adopt various ways and means to train young medical personnel, focus on strengthening the training of "three basics" and "three strictness", conduct annual assessment, encourage the writing of academic papers, participate in academic exchanges inside and outside the hospital, and continuously improve professional quality. For department directors and head nurses, they should not only have excellent professional skills, but also strengthen the study and application of management knowledge, strive to improve the management level and give full play to the role of quality management at the corresponding level. In accordance with the model of "small comprehensive, big specialized subject", the hospital actively supports key specialized subjects and superior disciplines, and promotes the all-round construction and development of the hospital.
Strengthen the construction of instruments and equipment
Instruments and equipment are the basis for carrying out medical work and ensuring medical quality. Over the years, despite the shortage of hospital funds, we have actively tried to strengthen hospital hardware construction and introduce advanced medical equipment through multiple channels. At present, the total value of various instruments and equipment has reached more than 80 million yuan, which has greatly improved the medical security conditions and the patient's medical environment. The hospital gives full play to the role of the Equipment Committee, and has a series of systems for the procurement, use, maintenance and maintenance of instruments and consumables, so that the intact rate and utilization rate of instruments and equipment are above 98%.
Encourage the development of new businesses and technologies.
The development of new business and new technology is an important part of hospital technological innovation and an important way to improve medical quality. During the Tenth Five-Year Plan period, the hospital clearly put forward the strategic policy of "developing the hospital with science and technology and building the hospital with quality", closely combined with the actual situation, formulated the admission regulations, assessment standards and reward and punishment regulations, strengthened management and support, carried out more than 30 new businesses and technologies every year, and took the lead in carrying out liver transplantation and laparoscopic radical resection of rectal cancer in the province.
Strengthen the construction of labor discipline and medical ethics
The hospital issued "Regulations on Strengthening Labor Discipline Management" and "Medical Ethics Standard for Medical Staff" to standardize the behavior of all staff and form a good habit of obeying rules and disciplines. Adhere to "patient-centered", actively carry out "service commitment" activities, enhance service awareness, improve service attitude, implement "high quality, high efficiency, low consumption and convenience" service model, resolutely stop bad behaviors in medical activities, and implement price disclosure system, daily list system and mass reporting system, which increase the transparency of expenses, reduce medical costs, reduce patients' burden and improve patients' satisfaction rate.
How to Improve Medical Quality Part II Core: Quality and Safety
The core of maintaining patients' life and health is medical quality and medical safety, which is the basic system of medical service, the concentrated embodiment of the hospital's technical level, work efficiency and comprehensive strength, and the core index to evaluate the overall medical level of the hospital, which will affect the hospital's reputation and comprehensive benefits. Applying big data to optimize medical quality management methods, we must first grasp the core of quality and safety.
Guarantee: top-level design, organizational platform
Ensure the effective application of big data in medical quality management practice from two aspects: top-level design and organizational platform. In the top-level design, hospitals are required to determine the overall architecture of the big data platform according to the relevant national document standards.
In terms of organizational platform guarantee, first, set up an organizational leadership organization, set up a leading group headed by the dean and composed of hospital organs, related functions and clinical departments, clarify the division of responsibilities, establish an assessment mechanism and formulate a collaborative process; The second is to form a technical research team, including a management and operation team, an expert consultant team and a technical support team; The third is to establish an efficient operation mechanism and set up big data and artificial intelligence laboratories to ensure the rapid and efficient application and promotion of information technology in hospitals.
Promotion: Promote the refinement of decision-making, supervision, diagnosis and treatment, and service.
1, promoting the refinement of decision-making.
The traditional HIS system can't fully meet the requirements of hospital meticulous management, and can't provide comprehensive and consistent decision-making information for decision makers accurately and intuitively.
EI system is based on the integration of the existing hospital information system, and uses EI tools to realize the deep processing of hospital information resources. Through the integration, integration and expansion of cross-platform and multi-heterogeneous systems in the hospital, data collection and mining can be fully realized to ensure that medical staff and managers can be assisted in data analysis. The EI system of this hospital mainly has nine functional modules, such as medical quality, human resources, health economy, material management, comprehensive information query and early warning of key indicators. It can analyze the completion of main indicators, the distribution and allocation of hospital human resources, the completion of hospital pricing economy and accounting, etc. This can ensure that the operation of the hospital is clearly visible and the management decisions can be followed. Since the system was launched on 20 14, through real-time supervision and early warning, the quality and safety of medical care have been continuously improved, and the number of medical complaints and disputes has decreased by 30% as a whole. In addition, the system can be compared with other hospitals to reduce the blindness of decision-making and avoid "slapping the head to decide".
2. Improve the accuracy of supervision
Building an information exchange platform can deal with irrational drug use in advance before the third medical supervision, effectively save medical resources and reduce the cost of problematic prescriptions.
3. Promote the accuracy of diagnosis and treatment.
In clinical practice and quality management practice such as imaging diagnosis and specialized diseases, medical big data is applied to promote the accuracy of diagnosis and treatment.
In medical imaging, AI-aided diagnosis of medical images is introduced by combining big data technology and AI technology. Taking lung CT as an example, the analysis and diagnosis process of lung CT is optimized by artificial intelligence. According to statistics, from July 2065438 to July 2008, from 1 to April 30, 2065438, CT 5403 1 case of lung was examined in our hospital, and 605 147 pulmonary nodules were found, including 24205 ground-glass lesions, mainly 3 mm in size and 3 mm in size. After two doctors in the department calculated by AI technology, thin-layer images basically don't need to be observed, only the lesion site prompted by AI is observed, and the rest are read by thick-layer images, which not only improves the work efficiency, but also reduces the missed diagnosis of tiny nodules.
4. Promote meticulous service.
Through the construction of smart wards and mobile medical platforms, we will use big data to promote refined services and enhance patients' medical experience.
Intelligent physiological data acquisition equipment based on data platform, such as intelligent ward, cardiac sphygmomanometer system, intelligent patient suit, wireless bedside sensor, etc., is constructed, and the collected information is uploaded and archived to the hospital information system for big data analysis. Real-time monitoring of physiological data and extraction of ward information can be realized by intelligent physiological monitoring equipment and artificial intelligence, thus improving medical service ability. The AI system in the smart ward runs stably, and the background data set has been displayed in order of magnitude, which provides an unprecedented AI clinical perspective for disease treatment and rehabilitation management. In addition, the hospital is also committed to building a mobile health care platform, providing mobile medical services such as health e+ health package and mobile follow-up, so that patients can get more detailed services.