Three good and one satisfaction is a series of activities carried out by the health system, aimed at improving patient satisfaction, and outpatient clinic is the first line of work of the hospital, the advantages and disadvantages of its service process, the quality of the high and low, a direct impact on the patients and their families of their own experience. Here is my personal summary of the three good and one satisfaction collected for you, I hope you like it!
Three good and one satisfied with the personal summary of the 1The health system of my district combined with deepening the reform of the medical and health system and the activities of the first to strive for excellence, people-oriented, patient-centered, to the satisfaction of the masses as the starting point and finishing point, efforts to enhance the level of medical services, continued to improve the quality of health care, vigorously carry forward the noble medical ethics, to strengthen the construction of the industry style, and to further solve the outstanding problems in the medical and health services and the style of the industry. The problem. The recent summary of the situation is as follows:
First, improve the service attitude, optimize the service process, and constantly improve the level of service.
1, optimize the hospital outpatient environment and process. In order to implement the "2015 regional health work points", to improve the people's feeling of medical treatment as a point of innovation and breakthroughs to strengthen the work of medical services. Strengthen the outpatient service window and clinic flexible scheduling; the implementation of the window, discharge, telephone, home and other appointment methods to facilitate the examination of patients, and strive to do so on the spot; the full implementation of the timely issuance of test and inspection reports system, under the premise of ensuring the privacy of the patient, reasonable arrangements for holiday outpatient emergency and inpatient health care services, and improve the hospital signage and the consultation process guidance system; to promote the construction of the hospital's information technology, reduce the number of The company's website has been updated with the latest information on the latest developments in the medical industry.
2, optimize emergency services. Improve pre-hospital emergency care, strengthen the coordination of pre-hospital and in-hospital emergency medical services, and ensure seamless emergency medical services. Strengthen the hospital emergency department standardization, standardization construction, improve the emergency green channel. Emergency and critical patients should be rescued first, and then settled, to ensure timely treatment; according to the flow of emergency, reasonable deployment of emergency power, and timely equipped with emergency medicine to strengthen the class. The hospital should set up a 24-hour life rescue team, equipped with the appropriate rescue facilities, timely treatment of critical patients.
3, improve hospitalization services. The full implementation of the rational allocation of nurse manpower, the implementation of the responsible nurse system, standardize the provision of hierarchical care and overall nursing services as the core of the quality nursing service demonstration project activities, to ? Good skills and communication? as the focus, as soon as possible to improve the technical operation ability of young nurses and humanized service level. Strengthen the standardized construction of the ward, strict management of visiting and accompanying, and create a neat and peaceful hospital environment for hospitalized patients. The implementation of inpatient service centers, for inpatient patients to provide accompanying examination and other services, convenient for inpatient patients.
Second, strengthen the medical ethics education, vigorously promote noble medical ethics, serious industry discipline.
1, continue to increase medical ethics education. To adhere to the positive education, continue to cultivate and set up a number of advanced models, increase the morality, medical skill, dedication and advanced models of publicity, combined with the characteristics of the health industry, in-depth awareness of the purpose, professional ethics and discipline and legal education, to guide the majority of medical personnel to establish a good medical ethics.
2, the implementation of medical ethics and medical system norms. Conscientiously implement the "2015 health system of the region's party spirit and clean government construction work opinions", adhere to the principle of the symptomatic treatment, comprehensive treatment, punishment and prevention, focusing on prevention, vigorously strengthen the construction of punishment and prevention of corruption system, and promote the smooth progress of the reform of the medical and health system. Strengthen the medical ethics education, the implementation of medical ethics assessment, regular assessment of physicians and bad behavior records and other systems, increase hospital inspections and punishment of violations of law and discipline, serious practice discipline.
3, resolutely put an end to the purchase and sale of medicines and medical services in the unhealthy wind, serious industry discipline.
Firmly put an end to eating, taking, card, wanting, charging, accepting or demanding? Red packets? , accepting kickbacks, commercial bribery and other undesirable phenomena. Strengthen the governance of medicine purchase and sale of commercial bribery in the field of long-term mechanism construction. Strengthen the economic management, improve internal control mechanism, strict unified authority and approval procedures.
Third, in-depth review of the conduct, proactively accept social supervision, and strive to achieve? The public is satisfied.
1, to seriously carry out patient satisfaction surveys and discharged patients return visit activities, to solicit comments and suggestions, targeted to improve services.
2, continue to carry out the democratic evaluation of the wind as an important carrier to promote the work of health correction and safeguard the interests of the masses, actively organize and take the initiative to participate in the activities of the democratic evaluation of the wind to evaluate the corrective, focusing on rectification. Give full play to the role of the wind supervisor, listen carefully to the voices of the masses, timely resolution of the outstanding problems reflected by the masses, and strive to make the community satisfied.
3, the full implementation of the hospital affairs open system, and further implementation of the requirements of the hospital affairs open, enhance the awareness of the hospital affairs of medical institutions, and promote the medical institutions to further optimize the service process and internal democratic management decision-making.
Fourth, the next stage of work intends to:
From August, ? The three good and one satisfied? activities into the problem finding stage, the District Health Bureau will take a variety of forms of in-depth grass-roots, in-depth masses, widely solicited opinions, a comprehensive understanding of health care services and industry style construction problems. The medical institutions to find out the current situation of the construction of the style of work, in-depth understanding and grasp the views and suggestions of patients on medical services. To convene a forum, set up a suggestion box, open a hotline and online communication and other ways to actively solicit the views and suggestions of the masses, to find the masses of medical services in the inconvenience, uneasiness, dissatisfaction with the main issues.
Three good and one satisfied with the personal summary of the 2I hospital three good and one satisfied with the activities of the leading group in accordance with the "2015 Chongqing Municipal Healthcare System three good and one satisfied with the opening of the work program" (Yu Wei Medical 201576) of the spirit of the development of the **** hospital three years three good and one satisfied with the activities of the implementation of the program, and actively carry out the publicity and education, into the grass-roots level, into the department, into the masses of the investigation and research, a comprehensive understanding of the activities carried out flaws, to find out Activities to develop the existence of defects, to find out the current situation of the construction of the wind, grasp the implementation, push the typical, compared with the rectification program, increase the departments, parts of the work supervision and inspection efforts, from time to time to organize the departments, parts of the three good and one satisfied with the development of the activities of the supervision and inspection, touching on the people's personal interests, affect the image of the industry's salient issues, focusing on the rectification of the item by item, and the successful completion of the three good and one satisfied with the opening of the requirements of the work! Progress of the masses and social satisfaction, to protect the people's health rights and interests, formulated the "* hospital in 2015 a satisfactory activity implementation program", set up to the president, party secretary for the leader, each sub-president for the deputy leader of the leading group, the implementation of the system of responsibility of the sub-leaders, clear at all levels, the duties of each position, the implementation of the system of responsibility at all levels and the implementation of the responsibility of the implementation of the situation into the end of the year section and post assessment content. Vigorously establish advanced models, while increasing the notification and processing efforts to y promote the activities. At the same time vigorously carry out publicity and education. Fully guide the majority of cadres and workers familiar with the three good and one satisfied with the activities, and further enhance the enthusiasm and initiative to participate in the activities, the introduction of high morality, medical expertise, dedication and dedication to advanced models, the establishment of a good image of the hospital.
Second, optimize the service process, and constantly improve the level of service
(a) Deepen the management of appointment diagnosis and treatment services. Continuously improve the appointment management system, efforts to strengthen the third party to assist in the provision of appointment management services to standardize the management and appointment complaints management system construction, to further strengthen the management of responsibility for patients to provide more than 8 hours of appointment management services. In the original on-site, network booking of two ways under the conditions of the additional telephone booking service, and clear booking department responsibility, the provisions of the outpatient registration room for the on-site booking of the responsible department, the information section is responsible for the network booking
(ii) optimize the hospital outpatient, emergency environment and process. Implement the "Notice on Further Improving the Management of Medical Services in Medical Institutions" (Wei Medical Zheng Fa 2015 XX), fair arrangement of outpatient and emergency services, simplify outpatient and emergency and admission, strengthen the discharge guidance, provide convenient and fast settlement services, medical guide services, etc., to maintain the smooth flow of the emergency green channel, the provisions of acute and critical illnesses are treated first, and then pay the fee, touching the relevant departments shall not be any situation to push the commission, Delayed treatment time. Provide outpatient convenience measures, in a conspicuous place to set up a guide desk, drinking water, wheelchairs, etc., outpatient physicians to implement back to the management of the department, the requirement of a minimum of one professional to ensure that a physician to carry out outpatient services during the holiday period.
(C) deepen the excellent nursing service. Continue to expand the coverage of excellent nursing service, deepen the excellent nursing service, 100% of the wards have now launched excellent nursing service. Emphasis on services combined with the actual department, fully reflecting the characteristics of the specialty, to improve the level of excellent nursing services for outpatient and emergency departments, operating rooms, disinfection supply centers and other key parts of the excellent nursing services.
(D) deepen the hospital counterpart support work, improve the three-tier medical service system. Signed an agreement with **** and other **** tertiary hospitals to support our hospitals, formulate medium- and long-term development plans and annual plans, receive support for physician surgical demonstrations, technical guidance and staff training, the development of appropriate new technologies, the development of two-way referrals, and the advancement of medical technology in our hospitals. At the same time, receiving township health centers to hospitals for further training, learning physicians totaling ***, long time stationed medical staff to ** township health centers to carry out outpatient clinics, technical guidance and other business, to help grass-roots health organizations to enhance the ability to provide services.
(E) deepen the development of volunteer activities in the hospital, to promote the creation of a safe hospital. Improve the management system of volunteer service, for social volunteers and our hospital patients to build a love platform. Our hospital organization of the majority of medical staff to actively participate in volunteer activities, the establishment of a health service volunteers, party volunteers and other two volunteer service teams, deep into the grassroots, and actively carry out health publicity and knowledge, clinic activities, peace building and other activities; safe hospital activities in accordance with the requirements of the document, improve the emergency response plan, maintain the normal diagnostic and treatment order of the medical institutions to ensure that doctors and patients to ensure that the personal safety of the protection of the. Increase the reporting and processing of medical safety adverse events.
Third, strengthen the medical quality management, continue to improve the quality of health services
1. Implementation of medical quality and safety management system. Focusing on the core system, combined with the quality evaluation standards for inpatient medical records, the basic norms for medical record writing, the weekly routine inspection of medical quality, targeted to the anesthesia and operating room, intensive care medicine, laboratory and other key parts of the key aspects of the special inspection, urging the department to implement the medical work system, especially the three-stage physician check-up system, the surgical safety checking system, the core of the preanesthesia visits. System, and to the monthly unit, issued every month medical records quality bulletin, highlighting the process of medical quality management in our hospital **** sexual problems, focus on rectification, to obtain initial results; personality of the topic is the implementation of face-to-face, that is, with the department in charge of exchanges, to put forward practical and effective measures for improvement. Quarterly medical quality briefing, departmental medical quality and safety management team, quality control team for rectification, functional part of the rectification of the effect of the analysis, to find the rectification of the existing problems, and put forward the continuation of improvement measures. We do a good job of clinical blood protection and management, strictly in accordance with the requirements of the "Measures for the Management of Clinical Blood Use in Medical Institutions", establish and implement a system of clinical fair use of blood guidance, assessment, supervision and evaluation, and improve the level of scientific and fair use of blood. Requirements for physicians in the use of blood before the use of pre-blood assessment, after the use of blood to have the efficacy of the evaluation, efforts to meet the clinical demand for blood, to ensure blood safety, the use of blood adverse reactions to meet a case to report a case.
2. Standardize the behavior of diagnosis and treatment services. Conscientiously implement the clinical path "clinical technology manipulation norms", "clinical diagnosis and treatment guide", "medical institutions pharmacy management regulations", "prescription management approach", "antimicrobial drugs clinical use of management", "antimicrobial drugs clinical use of the guiding principles of" and other regulations, norms, continue to carry out in-depth clinical use of antimicrobial drugs special remedial action, antimicrobial drug varieties of 35, the intensity of use, the inpatient department of the antimicrobial drug The use of antibacterial drugs 35 varieties, the use of intensity, inpatient antibacterial drugs, outpatient antibacterial drug use rate have reached the standard; strictly regulate the behavior of physicians prescriptions, promote fair inspection, fair use of medication, fair treatment, strictly investigate and deal with outpatient prescription, control the proportion of drugs. The implementation of clinical path** of diseases, and in the relevant departments to carry out supervision, progress in the path rate. Strictly in accordance with the "Medical Devices Supervision and Administration Regulations", the establishment of a sound management system for high-value consumables, in the procurement of high-value consumables, registration, storage, issuance, use and disposal of all aspects of the establishment of a sound management system, standardize the purchase channels and clinical utilization management.
3. Strengthen the management, do a good job of cost control. Strict physician qualification management, surgical qualification authorization of the surgeon, strictly prohibit overstep surgery, improve the quality of service and effectiveness; the implementation of the same level of medical institutions inspection, test results mutual recognition, the provisions of the results of the hospital level of participation in the mutual recognition of the hospitals for the second level and above, the recent medical treatment of the reference significance of the results of the examination before the mutual recognition; timely investigation of disagreement with the use of medicines and materials and the inspection and duplication of the inspection behavior, and a series of measures The first step is to make sure that you are able to get the best out of your car.
Fourth, the promotion of professional ethics, strict professional discipline
1. information disclosure, convenient for the masses. The first step is to build a good atmosphere of respect for the health care workers and care for the patients. Play a typical role in the hospital website, the hospital electronic screen, timely announcement of the hospital specialist clinic time, outpatient physician specialty, title and good at diagnosis and treatment of disease types, medical services, diagnostic and treatment items, charges, drugs and medical supplies prices and ranked the top 10 common diseases of a single disease diagnosis and treatment costs, drugs accounted for the proportion of the proportion of consumables accounted for the proportion of the proportion of the inspection and testing and diagnostic and treatment costs of the proportion of the self-responsibility of the proportion of the special inspection (such as CT, MRI, PPI, PGP, PGP, PGP, PGP, PGP, PGP). CT, MRI, PETCT, etc.) positive rate and other information to increase social transparency, and strive to build a convenient and efficient diagnostic and treatment services and environment for patients.
2. Strengthen the training, continue to improve the medical ethics evaluation system. Deepen the study and practice of health care professionalism, enhance the level of civilization of the industry, the establishment of a good image of the health industry, the development of the sense of purpose, professional ethics and discipline and legal education of the whole hospital training 2 times, the hospital medical workers to participate in the rate of more than 85%, through the refinement and quantification of the medical ethics assessment standards, timely, correct and objective records of medical staff medical ethics performance, and the assessment results with the medical staff of the promotion and upgrading of jobs, jobs hired, The results of the appraisal are truly linked to the promotion, hiring, prioritization and regular assessment of medical staff. In the hospital in the eye-catching position pasted warning columns, seriously implement the "medical institutions practitioners of the Interim Measures for the investigation and handling of disciplinary issues," and other provisions of the strict investigation and punishment of the acceptance of red packets, indiscriminate charging, large prescriptions, billing commission, due to irresponsibility, resulting in serious health care quality and safety accidents, etc., the rate of timely handling of the complaints and reports to reach 100 percent.
3. Efforts to patient satisfaction surveys, democratic evaluation of the work of the wind, the establishment of long-term working mechanism. Regularly held patient forums, social supervisors forums, employee representative forums, etc. *** 4 times. By the hospital *** responsible for the launch of patient satisfaction surveys and discharged patients return visit activities, targeted to improve services, and timely feedback to the relevant parts of the rectification. Patient satisfaction survey showed that: 97% satisfaction rate; the masses reported complaints actively accepted, real-name complaints reported processing and response rate reached 100%.
Fifth, there are shortcomings
As far as possible most of the medical staff can do according to the law, according to the rules of work, can be full of enthusiasm and positive attitude to complete the scheduled work and designated tasks, there are still some of the conscientiousness and initiative of the medical staff to be further progressed, manifested in the training of the lack of enthusiasm, participation is not high, not familiar with the activities of the insufficient understanding of the lack of understanding of the depth of the; some of the masses are concerned with the In a short period of time, it is difficult to get a fundamental solution to the outstanding issues, we need to improve a more sound mechanism to make up for regional differences, humanistic background, technical level and other impact, and constantly improve the level of medical management and service; has been formulated to rectify the measures have not been well implemented, touching on the institutional mechanism of the topic has not been fundamentally resolved; by the influence of a variety of aspects of the propaganda in a single way, need to continue to strengthen the propaganda, strengthen supervision, and strengthen the supervision of the activities. Continue to strengthen the publicity, strengthen supervision, and strive for effectiveness; medical technology level is low, the need to continue to strengthen the three basic three strict practice, in-depth development of basic skills, first aid skills, medical record writing and other training and activities, to improve the quality of the medical team business and basic skills.
Three Good and One Satisfactory Individual Summary 3
According to the "Municipal Health Bureau on the forwarding of the national medical and health system?
According to the "Municipal Health Bureau on the forwarding of the national health care system? Activities in 20XX work program notice" (Xu Wei Medical [20XX] No. 64) and the Municipal Health Bureau "on the development of? Quality Service Year? Activities of the Notice" (Xu Wei Medical [20XX] No. 27) the spirit of the document, the Medical Department has formulated the hospital in 20XX to carry out? Three Good and One Satisfaction? and? Quality Service Year? activities work program, now the first half of the work is summarized as follows:
First, the organization and management
According to the spirit of the higher level documents and work requirements, the Medical Department has developed a hospital three good and one satisfied with the work program and the assessment standards, the assessment indicators are broken down into sections, the implementation of the work of the system of responsibility, and regular assessment of the notification, to ensure that the work can be carried out smoothly.
Second, the specific work done
(a) improve and enhance the level of medical services
1, constantly optimize the service process. Outpatient? One-stop? medical guide service, to provide patients with convenient test and examination results query. Specialist outpatient clinic? Full-time? service, while adding hypertension and other specialty clinics to make outpatient services more convenient.
2. Strengthen and promote the appointment service. In accordance with the "Notice of the General Office of the Ministry of Health on Further Promoting the Work of Appointment Clinic Services", "City Health Bureau on the issuance of the city's appointment clinic services to promote the work of the implementation of the program notice" and other documents, the realization of all the general number of sources and expert outpatient number of sources are open to appointment; discharged patients follow-up appointments rate of 100 percent.
3, and actively carry out quality nursing services. In order to implement the "Jiangsu Province, nursing career construction and development of the Twelfth Five-Year Plan Outline (2015-2015)", "Jiangsu Province, quality nursing service work program (20XX)" of the spirit of the document, and solidly promote the activities of quality nursing service demonstration project.
(1), to further implement the nursing work system and accountability system of overall care as the core of quality nursing services, comprehensively carry out with a love, a warmth, a commitment to safety, a high-quality service as a standardized service content? Four one quality nursing service? activities. Efforts to achieve nursing zero complaints, and constantly improve patient satisfaction with nursing services.
(2), continue to implement the hierarchical use of nurses, and implement the "Jiangsu Province, young nurses to improve the quality of action program. In accordance with the principle of energy level correspondence, divided into nursing team leader, responsible nurses and auxiliary nurses. Implement the hierarchical nursing system, so that patients are graded and nurses are stratified. Implementing the responsibility of responsible nurses and incentive mechanism, training young nurses in basic nursing and specialized nursing technology by department, giving full play to the subjective initiative of the instructor, and doing a good job of transferring, helping, bringing and teaching young nurses. Efforts to cultivate hard-working, skilled, knowledgeable and progressive nursing staff.
(3), standardize nursing services, solid basic care
Focus on strengthening basic care, requiring nurses? The first time I saw this, I was able to see it in the back of my head. The three short, six clean? For patients with gastric tube and urinary catheter, we do oral care, perineal care and management of each tube. For patients with pressure ulcers to do a good job of pressure ulcers change, for critically ill patients to do a good job of specialty care and condition observation, and develop a nursing plan to improve the overall care.
Flexible scheduling was implemented, and help shifts were arranged to strengthen daily morning and evening care, helping patients wash, eat, take medication, soak their feet and so on.
(4), innovation, expanding the connotation of quality nursing services
In order to provide patients with more intimate service, we have the courage to innovate, and constantly expand the content of the service. For example: nurses use their spare time to make handmade? The first time I saw this is when I was in the hospital, and it was the first time I was in the hospital. Put in the patient bedside, remind the patient to prevent pressure ulcers, falls, falling out of bed; and will not use the sponge with cotton cloth sewing into a? Love turn over cushion? The sponge will be sewn with cotton cloth to form a "Love Turnover Cushion". Anti-pressure sore sponge cushion/ring? To ensure that the patient lies in a comfortable position; also sewn with sponge? Love infusion hand holding small cotton pad? The sponges are also used to sew the "Love Infusion Hand Grip Cotton Pad", which ensures the safety of patients' infusion and brings comfort to patients, and has been praised by patients and their families. Long-term hospitalization of the elderly, due to disease reasons can not go out, can not go home, the elderly feel lonely, nurses in the patient activity hall to provide? Daily weather forecast? The latest newspapers, books and magazines. The nurses provide daily weather forecast, latest newspapers, books and magazines in the patients' activity hall. and use their spare time to read books and newspapers to the elderly. During festivals, the nurses provide patients who can't go home to be with their families with? During festivals, we provide patients who can't go home to join their families with "Holiday Blessing Cards". During festivals, we provide patients who can't go home to their families with "holiday blessing cards" to alleviate their loneliness. At the same time, we also carried out the system of patients' return visit after discharge, and designed a new system for endocrinology under the guidance of the head nurse. The endocrinology department, under the guidance of the head nurse, has designed the "insulin injection site rotation table", so that every shift can be visualized.
(5), refine the nursing service process, to ensure nursing safety
Construction of nursing safety culture, to ensure patient safety. The clinical nursing work model of group responsibility and package to person is implemented. There are Hospitalization Guidelines and specialty health education in each department. Equipped with a full range of patient safety appliances, while strengthening the patient's safety awareness and general knowledge of health education; standardize the placement of items in the ward; into the ward first knock, to protect the patient's privacy. Starting from the details, we create a neat, clean and comfortable environment in the ward. Implementing the system of first-responsibility. The system of first-question-responsibility is implemented. and therapeutic care, health education, psychological care, life care, etc., each shift to take over the shift of the nurse, should introduce themselves to let the patient know the responsibility of the nurse, especially the night shift duty nurse, so that the patient actually feel a warmth, a commitment, a love and a high quality of service.
(6), in response to the call of the Health Bureau, to carry out the ?5. XX? International Nurses Day activities
Through the implementation of the City Health Bureau "on the commemoration of
?5. XX? International Nurses Day series of activities of the notice", carried out throughout the hospital with the theme of ? Love to fulfill your health dreams? Popular science publicity activities, through the organization of popular science videos, popular science lectures, popular science exhibitions, the distribution of popular science publicity materials, practical demonstrations, etc., the whole hospital members of the nurses to take advantage of the ?5. XX International Nurses' Day? The whole hospital nurses took advantage of the 5.XX International Nurses' Day to carry out the "My Day" program. My Day? Quality Nursing Service Activity, the Nursing Department organized by the head nurse as the team leader to lead the nursing backbone into the community using spare time, health knowledge to the community, family, guide the residents to a healthy lifestyle and behavior, which can improve people's quality of life, and to achieve the extension of quality nursing services. This activity has 86 participants, the number of beneficiaries reached 2500 people.
(7), the provision of quality and convenient service measures
Additional paper cups, needle and thread boxes, presbyopia, nail clippers, razors, shampoo carts, water carts, etc., for the convenience of patients. Additional quality service information feedback box, additional health education manuals in each ward,
purchasing daily necessities on behalf of patients, providing love crutches, wheelchairs, etc., and providing daily weather forecasts in the eye-catching location of the ward.
4, the full implementation of mutual recognition of test and examination results. Conscientiously implement the higher health administrative departments issued the "on the development of medical testing and inspection of medical institutions between the work of mutual recognition of the guiding opinions", the results of clinical testing in the relatively stable, high-cost items and medical imaging results in the relatively stable, according to the objective results of the report issued by the project, as long as the test results are reliable, the clinical confirmation of the need not to test and inspection, the implementation of the second level of hospitals above the mutual recognition.
5.
5, in-depth volunteer service activities. Led by the hospital branch, earnestly implement the ? Volunteer hospital service? Activity Implementation Program", solid promotion of volunteer service activities. Volunteers in the first half of the year through the community, and the community masses of fellowship and other forms of service to carry out 8 service activities.
6, efforts to build a harmonious doctor-patient relationship. Conscientiously implement the "20XX Jiangsu Province, safe hospitals to create activities to work", "20XX Xuzhou City, safe hospitals to create activities to work" document spirit, the first half of the doctor-patient disputes for zero, the patient's complaint handling satisfaction rate of 100%.
(B) Continuous improvement of medical quality
1, strengthen the implementation of the core medical system. To the first medical responsibility system, the third level of physician room visits, difficult case discussion, shift handover, consultation system and other core systems as the focus, to strengthen the implementation of the system and assessment, and further implementation of the hospital and departmental level of responsibility, through the monthly conduct of the? The three fundamentals and core system exams are conducted monthly, and the patient care system is operated. and the core system of the examination, running medical records of the inspection, etc., to ensure the effective implementation of the core system. Three basic examination pass rate of 100%.
2, strengthen medical quality control management. Conscientiously implement the "medical quality control center management regulations", medical quality indicators into the departmental assessment, deepen the connotation of quality control, enhance the level of quality control. Continue to implement the implementation of hospital infection management standard operating procedures; implementation of the Ministry of Health issued by the ? Six norms. Strengthen the link management, improve the quality of hospital infection monitoring, to ensure medical safety. Infection-related knowledge", "environmental hygiene sampling methods", "medical waste management regulations", "Jiangsu Province, hospitals commonly used items disinfection and sterilization methods" lectures more than 4 times.
3, strictly regulate the behavior of diagnosis and treatment services. Seriously implement the clinical path, "Clinical Technical Practice", "Clinical Diagnosis and Treatment Guidelines", "Medical Institutions Pharmaceutical Management Regulations", "Prescription Management Measures", "Antimicrobial Drugs Clinical Application Guiding Principles" and other regulations, norms, and deepen the antimicrobial drugs special rectification activities, the first half of the inpatient antibiotic use rate of 33.2%, outpatient antibiotic use rate of < 20%; to carry out the 14 single-type clinical Path quality control work, the number of cases carried out 34 cases. Promote rational examination, rational use of drugs, rational treatment.
4, strengthen the clinical application of medical technology management. Conscientiously implement the "management of the clinical application of medical technology", "Jiangsu Province, surgical classification management norms (2015 version)" and medical technology management norms. In the first half of the year to carry out more than three levels of surgery 4 cases, apply for a second class of medical technology, the hospital carried out a mapping survey of physicians, practice change 2 people, the new registration of 2 practitioners, resolutely put an end to violations of the law.
(C) vigorously promote noble medical ethics
In the first half of the hospital in the city health bureau wind office and hospital party committee under the correct leadership, conscientiously implement the spirit of the provincial and municipal health work conference and the Health Bureau, "20XX style and professional ethics construction work opinions" requirements to strengthen the construction of industry style and in-depth development of the people's work? Zero obstacle? The work of the health bureau is to strengthen the industry style construction and in-depth development of the people's work? Double fight? activities,? Three Good and One Satisfaction? As a driving force, the hospital vigorously create a civilized medical practice, quality service, purification, optimization and beautification of the environment of a strong atmosphere. The hospital leadership team in the face of increasingly difficult and heavy health reform form and task, pay close attention to the team's own construction, to promote the team members to keep abreast of the times on the ideological, emotional integration into the workers, style of pragmatic, life on the strict self-discipline, the formation of a strong and powerful nucleus of leadership.
The hospital to ideological education as the core, the main line of the construction of the wind, to strengthen the connotation of the hospital construction, and strive to create a hospital brand. By carrying out the form of mission education, civic moral education, education on the code of professional ethics for medical personnel, health regulations education, education on service etiquette for medical personnel, education on advanced typical deeds, etc., pay attention to digging out, cultivating and promoting the work of advanced models. In the people's work? Zero Obstacle? project activities, through the establishment of duty leaders, co-organizer system, to protect the interests of the people, the convenience of the masses, leave the trouble to themselves. Convening of the "Three Goods and One Satisfaction" Project Three Goods and One Satisfaction The company has also organized the "Three Goods and One Satisfaction" and "Double Struggle" campaigns. Double Struggle? Activities mobilization meeting, through hanging banners, brochures, motivate workers to speak up, and strive to form a work atmosphere of advanced deeds and noble spirit to stimulate people, singing positive songs. The majority of medical staff of professional behavior, professional discipline, professional responsibility has a further understanding of the service concept, innovative consciousness, the pursuit of ideals has been further sublimated, the comprehensive quality of the staff and spiritual civilization construction of the enthusiasm to participate in the enhancement.
(D) to promote anti-corruption work. In the first half of the regular meetings of the hospital wind leadership group, and gradually improve the implementation and management of the 21 wind system; with the political and industrial section *** with the development of anti-corruption and integrity of the professional ethics learning program, the organization of the whole hospital staff to watch anti-corruption and integrity of the warning education film; full study of the "Code of Conduct for Healthcare Institutions Practitioners," the "Interim Measures for Investigating and Handling of Problems of Indiscipline and Violation of Laws by Practitioners of Healthcare Institutions," the "responsibility for irregular behavior of medical institutions practitioners in the Measures for Accountability for Irregular Behavior in Medical Service Activities", advocating the clean practice of medicine, and building a medical and health care team with a correct mindset, excellent business skills and selfless dedication. The first half of the ward comprehensive satisfaction: 98.7%, outpatient: 98.9%.
(E), adhere to the implementation and continuous improvement of online procurement of drugs, reagents, consumables, medical equipment, infrastructure projects for bidding. The various procurement carried out in strict accordance with the spirit of Xu Wei [2015] No. 49, to put an end to the purchase and sale of medicines and medical services in the work of unethical practices. Record patients' letters and visits on time. Seriously do a good job of discharged patients telephone return visit work, follow-up rate of 100%. Establishment of medical ethics file, do a good job? One person, one file. The unified management, for the end of the year medical ethics assessment to accumulate material
I hospital in the three good a satisfactory work has made certain achievements, but the specific work from the higher requirements there is still a gap, look at the departments against the standard, continue to work hard, so that in 20XX the work of the success of the achievements.