Summary is a written material that is reviewed, inspected, analyzed and evaluated after a certain period, a certain project or certain work has come to an end or has been completed, so as to draw lessons and some regular understandings. It can comprehensively and systematically understand past study and work situations. Let us write a summary. What should a summary of what you’ve seen look like? The following is a summary of the work of the Quality Control Department that I have compiled for you. You are welcome to read it. I hope you will like it.
The Quality Control Department, under the leadership of the director of the center and the director in charge, monitors the medical quality of the entire center throughout the entire process. Based on the overall development strategy of the center, it proposes key quality control goals for the year and within the year, and provides them with Formulate assessment standards, summarize annual medical quality management work, propose rectification suggestions, and promote continuous improvement. Medical quality management is the lifeline of the center's survival and development and the core work of the center's management. In XX, under the correct leadership of the central leadership, the Quality Control Department closely focused on the central work focus and effectively managed medical quality.
Improve the rules, plans, standards and main measures for the center's medical quality management, and be responsible for organizing and coordinating the implementation, supervision, inspection, analysis and evaluation of the center's quality management work.
1. Strengthen medical quality management and ensure medical safety
1. Promote the implementation of core systems. On the basis of system learning, each department carefully searched for weak links in the implementation of the core medical system in daily clinical work, such as institutional, mechanism, technology, and conceptual issues, analyzed them one by one, found the reasons, and formulated targeted rectification measures. The Quality Control Department conducts irregular inspections and guidance on the implementation of activities, and urges each department to conduct careful self-examination.
2. Link quality inspection: Conduct quality inspections in medical, nursing, and technical departments from time to time every month, implement dynamic supervision of clinical critical values ??of each department, refine the consultation and referral process, and strengthen the relationship between departments A sense of cooperation. Randomly check the quality of medical record writing, such as the timeliness of completion of medical records, the completeness of various record contents, random inspection of the writing of inspection reports of medical technology departments, etc., provide timely feedback on identified problems, and provide timely supervision and correction.
3. Terminal quality inspection: Check the quality of medical records in each department every month, especially the first page of the medical records. At least one medical record from each department will be selected, and the medical records with problems found will be carefully summarized. Analyze and evaluate, and provide timely feedback to relevant departments to urge rectification.
4. Business inspection: Inspect the medical quality management of each clinical department except medical records, divided into quality control department, medical department, hospital infection and nursing department, and pharmacy department, and go to the clinical departments together every month During business rounds, each inspection department will send the advantages, disadvantages, and rectification measures to the Quality Control Department for sorting, and the Quality Control Department will manage and supervise each clinical department based on the summary of each inspection department. Such as business learning status, discussion of problems, critical illness, death cases, whether drugs are within the validity period, etc. Continuously improve the monitoring of high-risk medical links: multi-level intervention in hospital infections (exogenous, endogenous, antibiotic-related hospital infections), prevention of serious complications, early warning of potential critical illnesses, etc.
2. Implementation of special inspections
According to the management and relevant documents of our center, performance appraisals are conducted regularly every month for each department, and the directors of each department are convened to hold discussion meetings to find out Find out the cause of the problem and strive to improve it to meet the standards next time.
3. Organize learning and strengthen training
1. Earnestly complete all continuing education projects applied for in xx. Since this year, all continuing education subjects in our center, medical, pharmaceutical, and nursing Technical personnel, complete the continuing medical education projects approved by the provincial and municipal continuing education offices, and complete the credit study of all public and professional courses in accordance with the requirements of superiors.
4. Monitoring the quality of infectious disease reports and preparing monthly work summaries
The monitoring of infectious diseases is particularly important. Doctors report the reports to the information system every month and review them every day. Unqualified reports will be returned. Have the doctor in charge fill it out again and report it only when it is standardized. Conduct statistical collection and preservation of original data once a month to summarize various types of infectious diseases that month.
5. Shortcomings
Medical record quality management is still a weak link in medical quality and a difficulty in medical management quality. Running medical records, recording and inspection applications cannot be completed on time. The handwriting is illegible and difficult to read. The department's quality control personnel do not pay enough attention to the department's link quality and final quality. The problems detected are not tracked and held accountable in a timely manner, resulting in the phenomenon of repeated inspections and repeated violations of some problems.
In addition, our department often goes to clinical departments to understand the situation, communicates with the department director and head nurse, and improves the shortcomings of each department. This year's work has been successfully completed overall, but there are some individual tasks that are not satisfactory. I hope to do a better job next year. In the next year's medical quality management work, we must learn lessons, summarize experience, and use basic quality and link quality inspection as the basis. Focus on improving problems and implementing systems to improve medical quality and ensure medical safety. I sincerely ask all leaders to criticize and correct me!