Hospital management self-examination report

Self-examination report on hospital management (General 5)

In the blink of an eye a period of time has come to an end, looking back at this period of time, there are a number of problems, it is very necessary to write a self-examination report. Is not from the pen, no clue? The following is my collection of self-examination report on hospital management (General 5), for reference only, welcome to read.

Hospital management self-inspection report 1

According to the State Health and Health Commission, "on the report of the management of safety hazards in designated medical institutions notice of the management of the situation" of the spirit of the document, the leadership of the hospital attaches great importance to the management of the logistics dean led by the General Affairs Section, hospital sensory, medical and other sections of the personnel of the hospital there are safety hazards to be investigated, and now will be found in the safety of the hidden dangers of the investigation of the situation Self-inspection report is as follows:

First, the fire safety inspection

In turn, the whole hospital fire safety channels, fire facilities equipped with power distribution rooms, drug stores and other gradual inspection. After checking the department and the entrance of the building are equipped with fire extinguishers, power supply system all lines by checking, not found aging and broken phenomenon.

Second, the fever clinic inspection

With the completion of the fever clinic re-engineering process work, after the transformation of the fever clinic building area of 70 square meters, after the transformation of the fever clinic to meet the requirements of the second level of hospitals in three areas of the two channels, health care channels and patient channels, respectively, there are in and out of access to the locker room, wear, take off isolation clothing to achieve physical separation, each area is equipped with air disinfectors. Each area is equipped with air sterilizers. Two isolation beds are set up in the isolation observation room of fever clinic. Door signs and luminous night signs for each area are in the process of being made. Doctors and nurses in the fever clinic have been trained in the relevant procedures. There is a need to continue to strengthen the registration of disinfection records, and to regularly check the replenishment of protective equipment.

Third, the pre-screening triage desk check

The pre-screening triage desk staff should be in accordance with the "on the full implementation of the grass-roots system of responsibility for the realization of the new Crown pneumonia epidemic "four early" prevention and control of the emergency notice" requirements to ensure that the first time to monitor the discovery of the effective prevention and control of the disease. Preventing the disease before it occurs, pre-screening and triage as the first gate of prevention and control, our hospital sensory department carried out the relevant processes and knowledge of protection, epidemiological investigations, disinfection and other training for the staff. All patients attending the clinic must be carefully asked whether they have a history of going out or traveling to infected areas. Strict pre-screening and triage is carried out for febrile patients, and once abnormalities are found, they are reported at the first time. The person in charge of the outpatient clinic is required to continuously strengthen the training, and at the same time make all kinds of registrations. However, as the epidemic situation continues to improve, the work of the pre-screening and triage staff has been slackened, and there have been cases in which the protection was not up to standard. The relevant staff have been criticized and educated, and asked to continue to strictly implement the workflow of the pre-screening and triage.

Fourth, negative pressure ward inspection

With the completion of the renovation of the negative pressure isolation ward, the renovation of the negative pressure ward construction area of 140 square meters, equipped with a single isolation room and a 3-person isolation room, can be admitted at the same time to treat four patients with infectious diseases. The potential contamination zone, buffer zone and contamination zone are reasonably partitioned. The person in charge of the infection department was asked to organize the training of the departmental staff on the process.

V. Radiology inspection

Radiology Department in the early part of the existence of partition unreasonable, medical staff did not strictly implement the principle of standard protection, now the Radiology Department of the entire process according to the clean area, semi-contaminated area, contaminated area to optimize the setting of the patient channel and health care access to the department staff for training. Requirements for daily work in the Radiology Department should be in accordance with the requirements of the standard protection of wearing masks and hats, while strengthening the management of medical waste. And at the same time issued a radiology department of air, physical surface disinfection registration and new crown pneumonia medical waste disposal records, please implement and record as required.

Six, medical waste disposal

The new coronavirus pneumonia patient transfer vehicle posted signs, and training related personnel occupational protection and disinfection of vehicles and other work processes. And issued a new coronavirus pneumonia transfer vehicle air, physical surface disinfection registration and new coronavirus pneumonia medical waste disposal records, according to the requirements of each transfer of a patient to carry out a final disinfection of the requirements of the implementation and records. At the same time, the hospital purchased a negative pressure ambulance stretcher, but also the relevant operation video through WeChat sent to the person in charge of outpatient and emergency departments, requiring the organization of staff training.

The medical waste disposal of each department was emphasized, and each department issued the "County People's Hospital on the new coronary pneumonia medical waste disposal emergency plan" and the new coronary pneumonia-related medical waste disposal registry, produced a red "new crown" medical waste label. All departments are required to strictly implement and train their personnel (staff and cleaning staff). In the process of hidden danger still found individual departments in the patients and cleaning staff health education work is not enough, the patients dispose of their own medical waste behavior, which has been feedback to the relevant departments, and criticized the education.

With the gradual improvement of the epidemic situation, the standard protection consciousness of medical staff began to slacken, inquiring about the relevant department staff found on the fever patients and suspected patients to consult the process began to forget. The hospital's new coronavirus leadership team will organize another batch of training on the process and wearing and taking off of isolation gowns for all hospital staff this week. And proposed to organize a new coronavirus pneumonia emergency drill again on Friday.

The heads of the departments in the rectification of the opinion issued by the letter are highly valued, and immediately carried out rectification, requiring the departments in the next step of the work in earnest in accordance with the process in place, and at the same time require this week to carry out full coverage of the department staff, the whole staff of the thematic training as soon as possible, skilled in the diagnosis and treatment of new coronavirus pneumonia prevention and control of the relevant technical specifications, so that all health care personnel to enhance the discovery and identification capabilities The training will enable all healthcare workers to enhance their ability to detect and recognize the disease, and to standardize technical measures such as isolation, reporting, hospital-acquired sensory control and personal protection, to ensure that no one is left behind and that no infection spreads.

Hospital management self-examination report 2

The county gradually implemented the standardized management of township health hospitals. Through the convening of a mobilization meeting, issued an implementation plan, clear work objectives and tasks, the development of work measures and other work methods, the first part of the township health center pilot as a guide, and gradually pushed out in the county. So far, this work has been fully implemented in the county 13 township health centers. According to the requirements of the higher level, now the county township health hospitals standardized management of the progress of the pilot work of self-reporting is as follows:

First, the work of the achievements

1, through the medical aspects of health hospitals, clinical departments and public **** health aspects of the standardization of the construction of the vaccination clinic as well as the environmental construction, and further improve, including the configuration of the departments

2, through the township health center people, talent, material unified management, so that the health center of the unit and the subordinate jurisdiction of the village health room of the technical personnel deployment, qualification access, funding, asset management, as well as business guidance and work co-ordination, public **** health, health care market supervision, etc., to rationalize the management system of the township health centers.

3, completed the township health center personnel distribution system reform, in the implementation of the director of the tenure of the target responsibility system and improve the basis of the management system, the township health center section set up into the public **** health and medical two parts, clear township health centers to the public **** health service is the main focus of the center health center to be on the premise of this, and to further improve the level of medical technology, guidance around the general The function of the operational work of the health center. The establishment of a strict performance appraisal system, the allocation of personnel wages and the services they provide and labor contributions linked to improve the internal vitality of the township health center, stimulate the work of the majority of cadres and workers enthusiasm.

4, in the health center of the administrative and operational aspects of both the implementation of institutionalized management. Set the hospital leaders and department heads of the rank and file target tasks. The implementation of responsibility, rights and benefits of the combination of job responsibility system, the establishment of a sound system of medical care work, including the clinical departments, shift handover, standardized writing of medical documents, error and accident registration, disinfection and isolation, to prevent medical disputes, to eliminate the occurrence of medically liable accidents.

5, actively carry out rural health institutions to support the work of counterparts, arranged for five county-level health care institutions to support 13 township health centers, arranged for 13 township health centers according to its regional division, responsible for the county's 248 village health clinics of the package of responsibility, the practical establishment of a sound rural three-tiered health care network of infrastructure, maximize the role of its due to the management of the health center. Self-inspection report health center management self-inspection report. Through the signing of the form of counterpart support agreement clearly defines the work objectives, work tasks, mode of work, time and the responsibility and authority of both sides, improving the management and service capacity of primary health care institutions at all levels, thus making the recipient township health centers and village health offices in the environment construction, connotation construction has obvious changes, rectification.

6, strengthened the township health center accounting, health prevention specialists, maternal and child specialists, co-therapy specialists and other specialists management, the development of the specialists of the employment and assessment of the management approach, the employment of all specialists must be declared by the health center, the Health Bureau for approval of the employment, without the permission of the competent authorities at the higher level, the health center is not allowed to arbitrarily change to ensure that the health center specialists team of stability, and effectively promote the financial and public **** health and other work is carried out smoothly.

7, the development and issuance of the "Huaxian township health center director norms ten", to strengthen the management of the health center director. Clearly require the director of the health center in accordance with the relevant laws and regulations of the country to carry out all the work, subject to the management of the Health Bureau, to ensure smooth flow of orders, in accordance with the "Huaxian township health center director norms of the ten" requirements of self-discipline, to complete the work task on schedule.

Second, there are problems

1, due to historical reasons, the individual township health centers shortage of technical personnel, small scale, the existing medical equipment can not play its due role. Solution: is through the temporary secondment, commissioned training and other ways to be resolved health centers.

2, uneven distribution of medical equipment resources. Solution: The Health Bureau through the survey mapping statistics, the county township health centers all damaged, idle medical equipment for unified registration, repair, maintenance, debugging, redeployment of the use. In order to improve the utilization of equipment, convenient for the masses to seek medical treatment.

3, the village health room standardized construction, township health center standardized management and rural health services integrated management of the three inherent *** the same point of effective combination, Qiqi grasp *** management, scientific and rational arrangements for the deployment of a substantial increase in work efficiency.

In order to steadily implement the national basic drug system, and effectively solve the masses of "difficult to see a doctor, see a doctor expensive", the implementation of the party and the country's policy of benefit, we strengthen measures, pay close attention to the implementation, and solidly promote the "three unified work of the drug". Now I will be the jurisdiction of the drug "three unified" work self-examination report as follows:

First, I set up a "three unified" work leadership group, headed by the president. Developed a pharmacy quality management policy, objectives, the preparation of quality management program documents and operating procedures, the implementation of regular inspections combined with routine inspections, so that the quality of our hospital pharmacy management to achieve evidence-based, rules and regulations to follow.

Second, our hospital from October 20xx to now has been by the "three unified" enterprise distribution, the use of basic drugs 100%.

Third, the standardization of my jurisdiction, 15 village clinics, have all signed a contract with the "three unified", the drugs purchased by the "three unified".

Fourth, we have all the staff of our hospital for the "Clinical Guidelines for Essential Medicines" training, clinicians can now do a reasonable and safe use of essential medicines health center management self-examination report default "three unified" distribution process of the main problems:

1. Distribution of the enterprise drug varieties is not comprehensive, individual Must drugs can not meet the hospital and village health center clinical use of drugs. The first is to make sure that you have a good understanding of the situation, and that you have a good understanding of the situation.

2. Drug distribution process delivery is not timely.

3. Some of the drugs are expensive.

In the future work we are determined to implement the reform of the national essential drugs system, increase the publicity and supervision of the work, improve the drug "three unified" long-term regulatory mechanism, to ensure that the drug "three unified" work smoothly.

Hospital Management Self-Inspection Report 3

For a comprehensive understanding of the county's hospital management activities in the first phase of the work of the county, supervise, guide and help the units of the hospital management activities in a solid and effective way, to find, set up and promote good practices, advanced models and successful experience, according to the autonomous region of the spirit of the Department of Health documents and the "xx County Health Bureau on the development of patient-centered to improve the quality of health care as the subject of The county health bureau asked the medical units in the second half of x year xx, take the way of self-check, the first phase of the work of the hospital management year activities carried out a self-check.

The county x medical institutions are self-check, summarize the report, now the self-check is reported as follows:

First, the main achievements

Overall, the hospitals combined with their own actuality, in the development of the hospital management year activities, creatively carry out the work, each with their own special features, the results are remarkable.

(a) leadership attention, sound institutions. Hospitals, health centers have set up a hospital management year activities leading group, a hand for the first responsible person. County People's Hospital team members played an exemplary role in the activities of the hospital management year, the hospital management year activities as a hospital work 'top priority to carry out the activities of the hospital management year as an opportunity and entry point to comprehensively strengthen the connotation of the hospital construction; the county people's hospital, the county's second people's hospital, the county hospital, the county maternity and child health care hospitals are specialized in the deployment of a director of the office is responsible for the work of the hospital management year for the effective development of the hospital management year activities to provide a full range of activities. The activities of the effective implementation of the full organizational security.

(2) full mobilization, careful deployment. Most hospitals attach great importance to the activities of the hospital management year, in accordance with the requirements of the Ministry of Health and the Department of Health, the city and county health bureaus, the mobilization and deployment of layers, combined with the actual development of hospitals and departments to implement the activities of the year of management program, the goal is clear, the task is specific.

(C) vigorously publicize and strengthen education. The hospitals are different degrees of hospital and social publicity, are the use of fixed banners, slogans, windows and other publicity within the hospital, most of the hospitals founded the hospital management year activity briefings, timely communication of the relevant spirit of the higher health administrative departments and reports on the management of the year the activities carried out by the unit. Some hospitals also use the advanced people around and typical deeds, strengthened the professional ethics education for medical staff, carried out if I was a patient and other topics for discussion. Through these activities, to promote medical staff to think differently, change the concept of service, enhance the initiative and conscientiousness of the patient-centered.

(D) to improve services and reduce costs. Part of the hospital to improve medical services, reduce medical costs and other work into the first phase of the hospital management activities in the work of the early start, fast action, and the first results, won the praise of the community. County People's Hospital to open a green channel for the disabled, the elderly over 70 years of age to implement priority and preferential treatment, free of charge for patients to provide wheelchairs, trolleys, etc., medical and technical departments, pharmacies, charging room commuting time to implement flexible management, optimized the service process, dredging up the service links, and other measures for the patient access to medical care to provide convenient services; the county's second people's hospital in order to make the health care services more close to the patients, close to the masses, and realize the patient-centered quality service. Patient-centered quality service, the hospital in the psychiatric inpatient department on the bulletin board printed "for hospitalization procedures," "hospital convenience services clinic flow chart," etc., greatly facilitating the patient.

County Maternal and Child Health Hospital, the implementation of the policy of benefiting the people, reasonable inspection, to carry out high-quality integrity service activities, the implementation of the admission of someone to pick up the formalities of someone to do, someone to accompany the inspection, someone to send the hospital and other services to enhance the quality of service, and to promote the construction of civilization of the hospital to promote the development of a comprehensive and coordinated. The county hospital around the hospital management year activity theme, developed activities to refine the measures, the development of operational quantitative management indicators, the implementation of the people's measures, the establishment of the guide consulting, to provide humane service.

(E) serious summary, timely transfer. Most of the hospitals, health centers, the management of the Office of the year's activities in place, the material is detailed, file management is perfect, and in accordance with the spirit of the autonomous region of the Department of Health documents on the first phase of the work of the serious self-check, summarize.

Second, the problems and shortcomings

Due to the form of inspection is self-check, the achievements of each hospital, certainly not a comprehensive understanding of the depth, there are still many good practices, experience has not been found.

I hope that we will strengthen communication through newsletters and other means to learn from each other and learn from each other. From this self-examination of the summary report, the achievements are the main, but there are still some problems and shortcomings.

A small number of unit leaders do not recognize the importance of hospital management year activities, passive coping. No hospital management year activities as a way to promote the internal management of hospitals, improve the level of hospital services and management level of good opportunities and means, but as an independent movement to treat; not to organically combine it with the overall work of the hospital, but as a hospital work is not associated with the activities simply to cope with, only from the form of the establishment of the hospital management year activities of the leading group and office, no The full-time staff responsibility, the leadership ideological understanding of the bias, so that the hospital management year activities from the outset on the form.

The first phase of the hospital management year activities are mainly publicity and organizational deployment, check the way and content is relatively simple, the purpose of self-examination is to find, establish and promote the hospital to carry out the management of the year's activities of the good practices, advanced models and successful experience, and the second is to cause all the cadres and workers of the hospital management year activities of the hospital attaches great importance to the work of the next step in laying the foundation for a comprehensive promotion of the hospital management year activities. Hospital Management Year activities. In response to the situation of this sampling, the next stage of the hospital management year activities put forward the following requirements:

The hospitals, health centers to effectively strengthen the organizational leadership, correct thinking, clear objectives. Hospital management year activities are closely related to the overall work of the hospital, involving all sections of the hospital, each department and each link, its content, requirements, indicators are rich and specific. Do a good job of hospital management year activities, is to promote the internal management of hospitals, improve the level of hospital services and management level of a good opportunity, the hospitals should be in the spirit of truth-seeking and pragmatic, to continuously improve the ideological understanding of the majority of medical staff throughout, publicity and mobilization of insufficient units to make up for the lessons, we must make full use of the banners, publicity windows, publicity brochures, and other media, vigorously publicize the major significance of the development of the activities of the year of hospital management, to promote typical, experience and results. Publicize the typical, experience and effectiveness, to create a good atmosphere of public opinion for the activities of the Hospital Management Year, to form a good atmosphere of everyone attaches importance to, everyone participates in, and everyone strives to make contributions to the activities of the Hospital Management Year, and constantly push the activities of the Hospital Management Year to a deeper level. The hospitals should establish their own expert supervisory group to carry out their own work supervision and inspection and work to improve the vertical comparison of the situation, to grasp the implementation of the implementation of the effectiveness of the hospital management year activities throughout, and resolutely avoid going through the motions.

The hospitals should combine the actual unit, actively explore, innovative work. To use the effective way of activities and carriers, enrich the content of activities, strengthen the effect of activities, so that the hospital management year activities fully reflect the characteristics of each hospital's own, reflecting the times and creativity; to effectively summarize the effective good ideas, good practices, the establishment of a mechanism, the formation of a system, through the development of the hospital management year activities, so that the level of management of hospitals and the level of health care services to a new level.

Hospital Management Self-Inspection Report 4

According to the "Office of the State Administration of Traditional Chinese Medicine, the National Health and Family Planning Commission General Office on the issuance of & lt; National Medical Institutions of traditional Chinese medicine tablets management special inspection program & gt; notice" and the Provincial Health and Family Planning Commission, Provincial Bureau of Traditional Chinese Medicine, "on the issuance of & lt; Jiangsu Provincial Medical Institutions of traditional Chinese medicine tablets management special inspection of the implementation of the program & gt; notice" requirements in response to the The city will be organized to carry out the city's medical and health institutions in the management of Chinese medicine drinks special inspection work call, the recent quality management of our hospital Chinese medicine drinks leading group of the purchase of Chinese medicine drinks, storage, deployment, decoction, prescription management and review of the work of a comprehensive self-examination, is now self-examination of the situation is reported as follows:

First, the hospital Chinese medicine drinks management status

The current situation

The current situation of the hospital Chinese medicine drinks management

1, set up a management organization. Our hospital set up a quality management of traditional Chinese medicine tablets leading group, and by President Liu Jinghong personally as the head of the group, from the purchase of tablets, storage, deployment, decoction prescription management and review and other aspects of strict management, so as to ensure the quality of traditional Chinese medicine tablets to ensure that the clinical use of medicine is safe and effective.

2, the purchase and acceptance management of Chinese medicine tablets. We can strictly follow the regulations to purchase Chinese medicine tablets from Chinese medicine tablets manufacturing enterprises with "Drug Production License" or Chinese medicine tablets operating enterprises with "Drug Operation License". When purchasing Chinese medicine tablets, the acceptance is carried out in strict accordance with the national drug standards and the standards and norms set by the provincial drug supervision and management departments, including the quality, specifications, quantity, packaging, labeling, certificate of conformity, etc., which must meet the requirements, and each Chinese medicine tablet must be accompanied by the quality inspection report of the drug supervision department and the acceptance and signature of the Chinese medicine tablets by the personnel who have intermediate professional and technical titles and experience in identifying the tablets, and they shall be considered to be qualified only.

3. Storage, custody and maintenance of Chinese medicine tablets. Our hospital has set up an independent Chinese medicine tablets warehouse with perfect ventilation, temperature, humidity, moisture, insects, rodents, anti-theft and other conditions and facilities, which is managed by specialists and inspected every day. This completely prevents the occurrence of moldy and deteriorating Chinese medicine tablets, discoloration, insect infestation, rodent infestation and other problems.

4, Chinese medicine drinks transfer management. The Chinese medicine dispensary dispensers strictly implement the management system for the dispensing of Chinese medicine, and resolutely refuse to dispense prescriptions that may cause medication safety problems, such as the existence of "eighteen anti-", "nineteen", pregnancy contraindications, and exceeding the dosage stipulated in the Chinese People's Pharmacopoeia, and require the prescribing doctor to confirm (double) that the prescriptions are safe and secure. And ask the prescribing doctor to confirm (double signature) or re-issue the prescription before giving the deployment, the prescription requires first decoction, after the next, the package decoction and other special decoction methods can be indicated in the service bag and give a clear explanation to the patient, the inspection did not find worms, mildew, oil, discoloration and tampering with the bucket and other phenomena.

5, Chinese medicine decoction management. Our hospital decoction room is equipped with two multifunctional automatic decoction machines, which can basically meet the requirements of soaking, second decoction, stirring, first decoction, second decoction, etc. We have established relatively perfect operation procedures of Chinese medicine decoction machines and scientific and reasonable decoction process of Chinese medicine soup, and we can operate according to the requirements or doctor's instructions for the Chinese medicine tablets which are indicated to have the special requirements of first decoction, second decoction, second decoction, other decoction, melting, packet decoction and decoction of water with water, etc, which ensure the quality of decoction and safety of medicines. The quality of the decoction is guaranteed to ensure the safety and efficacy of the medication.

Second, there are problems

1, our hospital decoction room equipment is less, can only ensure that the patients on the basic requirements of Chinese medicine tablets decoction. At the same time, due to the small number of staff in the Chinese medicine room, failed to play a perfect work efficiency.

2, our hospital prescription review working group personnel professional direction limitations, failed to establish a perfect Chinese medicine prescription special review system, but also failed to carry out Chinese medicine prescription review related work.

Three corrective measures

1, the hospital on the composition of the pharmacy staff to make a reasonable allocation of adjustments to ensure that the successful completion of the Chinese medicine tablets, decoction, and other related work, to ensure that the work efficiency, to ensure that the patient's medication in a timely manner, safe and reasonable.

2, strengthen the prescription management review team staff business training, the timely establishment of a perfect Chinese medicine prescription special review system, to ensure the smooth development of Chinese medicine prescription review work.

In this self-examination, we found that there are still some problems and deficiencies in the work, our unit will strictly comply with the requirements of the drug supervision department, and actively carry out business learning and self-examination work, to ensure that the patient's medication is reasonable and safe.

Hospital Management Self-Inspection Report 5

To implement the District Health Planning Commission, the District Corrective Action Office, "Wuchang District Health Planning Commission on the issuance of Wuchang District Medical Institutions overmedication special rectification activities to implement the program of notification," Wuchang Health Planning No. 11 document spirit, in order to improve the quality of service of our medical staff, enhance the overall level of hospital services, consolidate the promotion of the health of the overall health of the development of the industry to strengthen the industry style of construction. According to the requirements of the special rectification work notice, the hospital active arrangements for the deployment, combined with the situation of our hospital, the development of practical measures to rectify, solid self-correction activities, is now reported as follows.

First, the basic situation

(a) to strengthen the leadership, build a full organization. In order to strengthen the smooth progress of the special rectification work, the establishment of the President of the Zheng Bo Xiong for the leader, (in charge of the special rectification work), Yang Bing for the deputy leader, the director of the relevant departments as a member of the special rectification work of the leading group, responsible for organizing, coordinating, supervising, inspecting, rectifying and so on the work of the organization. 11 April organization held a mobilization meeting of the whole hospital staff to make the whole hospital staff to understand the importance of the work, so as to ensure that all the work is carried out. The work of the hospital is to ensure that the work is carried out in practice.

(2) Strengthen publicity and education, serious industry discipline. Special rectification work leading group clear division of labor, closely around the focus of work, the strict implementation of discipline, regularly carried out supervision and inspection, the hospital open to the community service commitment to resolutely not excessive medical, not excessive inspection and indiscriminate charging and other situations. The establishment of a special rectification of the complaint phone number, sent more than 30 copies of the satisfaction survey opinion form, in the outpatient hall electronic display screen scrolling and other ways to accept social supervision, for the discovery of the problem, for the strict investigation of the relevant departments and directly responsible for the responsibility, and comprehensively promote the construction of the medical ethics of a fundamental change.

Second, check the situation

The hospital 8 departments *** counted 20 archived medical records, in accordance with the "program" governance requirements, the design of the checklist, unified check the content and standards, led by the Medical Department and the Department of Nursing, the organization of some of the director of the department to carry out The medical department and the nursing department took the lead in organizing some department directors to carry out inspections one by one. The results of the spot checks showed that no irregularities such as excessive or repeated examinations, use of high-priced drugs, misuse of antibiotics, or prolonged treatment or hospitalization were found. For the hospital's drugs, medical equipment, medical materials, laboratory reagents, vaccines and other purchases, a comprehensive cleanup and verification was carried out, and no acceptance of kickbacks, commissions, red packets and other improper benefits in various names was found; departments and individual medical staff with medical behavioral services did not accept red packets, food invitations, or gifts from patients and their families, and other phenomena occurred. Problems: Diagnosis is incomplete, simple medical records, a small number of medical staff service consciousness is weak, treating patients with a hard attitude, affecting the overall image of the hospital.

Three, corrective measures

For the self-examination of the problem, to take the following corrective measures:

(a) to strengthen the education and guidance, strengthen the concept of service. To carry out laws and regulations, disciplinary warnings, professional ethics education and training, and enhance the cadres and workers consciously resist the unhealthy wind consciousness, build a firm ideological and moral and legal defense line.

(b) Strengthening system construction, the establishment of long-term mechanism. The company has been working on a weekly meeting system, regular business training, guiding the medical staff to rational diagnosis, rational treatment, rational use of medication, and regularly carrying out prescription review work, for substandard prescriptions, timely guidance and corrective measures.

(3) strengthen supervision and inspection, serious work discipline. In response to the problems reflected by the patients, timely verification and investigation of the situation is true, in strict accordance with the hospital management system and performance appraisal program to pursue the responsibility of the relevant responsible person, and with the annual assessment, evaluation, evaluation, employment linked to the seriousness of the situation, the impact of the larger, in accordance with the relevant provisions of the heavier processing.

(D) adhere to the strict national pricing policy, standardize the charges, standards, and put an end to self-created projects in the medical services, decomposition of charge items, double billing and other issues.

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