How to improve the quality of health care
How to improve the quality of health care, the current people for the quality of health care requirements continue to improve, in order to adapt to the current shift, the only way for hospitals to make their own quality of health care in the rapid increase in order to have the ability to compete with the ability of the hospital to take you briefly to understand how to improve the quality of health care.
Enhance quality management awareness, the establishment of a perfect organization and system
The hospital unceasingly medical staff to medical quality, medical safety and related laws and regulations and other aspects of the education, so that the entire staff to fully realize that the quality of medical care is hospitals, the survival of the capital, the development of the capital. The hospital has established a sound quality management organization at the hospital level, functional departments and departments at three levels, *** with the participation of the medical quality of the formation of each link of the planning, organization, coordination, control and service guarantee work.
Each organization has developed a corresponding work system, responsibilities, assessment programs, etc., the hospital quality management committee by the president as chairman, extracted from the authorities and relevant departments experts, the office is located in the quality management section, the basic quality, link quality, the end of the quality of the whole process of effective control; the establishment of the department of the quality control team, the section chief as the leader, is responsible for the section of the daily management of medical quality.
The hospital carries out a quarterly medical quality inspection by system and holds a medical quality analysis meeting to check and analyze the existing problems. Improve and perfect the rules and regulations, on the basis of the relevant systems formulated by the state and the army, the formulation of the "case management regulations", "medical disputes, accidents, Interim Provisions", "Interim Provisions on the management of new business, new technology", "hospital, outside the consultation system", "blood collection management regulations", etc., for the hospital to strengthen the policy of medical innovation and quality management to provide a guarantee.
Talent training and discipline construction
Talent is the basis of medical quality, is the most fundamental element, to improve the quality of medical care, first of all, to improve the quality of personnel. The hospital attaches great importance to talent training, and take it as an important strategic project to grasp, in order to improve the introduction of talent at the same time, to take a variety of ways, a variety of ways to grasp the training of young medical personnel, focusing on the strengthening of the "three basics", "three strict" training, the annual evaluation In addition, it encourages young medical staff to write academic papers, participate in academic exchanges within and outside the hospital, and continuously improve the quality of business. Section chiefs, head nurses, not only to have excellent business skills, but also to strengthen the management of knowledge learning, use, and strive to improve the level of management, give full play to the role of quality management at this level. The hospital in accordance with the "small comprehensive, large specialties" model, and actively support the key specialties and advantageous disciplines, so as to drive the overall construction and development of the hospital.
Strengthening the construction of instruments and equipment
Instruments and equipment are the basis for carrying out medical work and ensuring the quality of medical care. Over the years, despite the hospital's financial constraints, but still actively find ways to strengthen the hospital hardware construction, the introduction of advanced medical equipment through multiple channels. At present, the total value of all kinds of instruments and equipment has reached more than 80 million yuan, greatly improving the medical support conditions and patient care environment. The hospital gives full play to the role of the equipment committee, the instrument, the procurement of supplies, the use of consumables, maintenance, maintenance of a series of systems, so that the instrumentation and equipment intact rate and the utilization rate are more than 98%.
Encourage the development of new business, new technology
The development of new business, new technology is an important part of the hospital's technological innovation, but also an important way to improve the quality of care. The hospital in the "Tenth Five-Year Plan" clearly put forward the "science and technology, quality of hospital" strategic policy, and closely combined with the actual, the development of the "access provisions", "Evaluation standards", "rewards and punishments", etc., to increase the management and support efforts to carry out an average of more than 30 new businesses, new technologies, the first in the province to carry out "liver transplantation", "Laparoscopic rectal cancer radical surgery" and other projects, not only solved the patients' sufferings, but also improved the level of medical technology and quality of medical care, and enhanced the hospital's. comprehensive strength and competitiveness. Comprehensive strength and competitiveness.
Strengthening labor discipline and medical ethics construction
The hospital issued the "Regulations on Strengthening the Management of Labor Discipline", "Medical Ethics Code for Medical Personnel" and other provisions to regulate the behavior of all personnel, to develop a good habit of compliance with rules and regulations. Adhere to the "patient-centered", and actively carry out the "service commitment" activities, enhance service awareness, improve service attitude, the implementation of "high quality, high efficiency, low consumption, convenient" service model
The company's products and services are designed to meet the needs of the public and the private sector, and to prevent malpractice in the process of medical activities, and to implement the price disclosure system, the one-day list system, and the public reporting system, which increases the transparency of the costs, reduces the cost of medical care, alleviates the burden on patients, and improves the satisfaction rate of patients.
Core: Quality and Safety
The core of maintaining patients' lives and health is the quality and safety of medical care, which is the fundamental system of medical services, but also the concentration of the hospital's technical level, efficiency and comprehensive strength, is the evaluation of the hospital's overall level of medical care, the core indicators, which affect the hospital's reputation and comprehensive benefits. It is a core indicator for evaluating the overall medical level of the hospital, which will affect the hospital's reputation and comprehensive benefits. The application of big data to optimize medical quality management methods, the first to grasp the quality and safety of this core.
Guarantee: top-level design, organizational platform
From the top-level design and organizational platform, to guarantee the effective use of big data in the practice of medical quality management. In terms of top-level design, hospitals are required to determine the overall architecture of the big data platform based on relevant national documents and standards.
In terms of the organizational platform guarantee, the first is to set up an organizational leadership institution, set up by the president as the leader, by the hospital organs, the relevant functions and clinical departments composed of the leading group, a clear division of responsibilities, the establishment of the assessment mechanism, the development of collaborative processes; the second is to form a technical research team, including the management of the operation team, expert consultant team and technical support team; the third is to establish an efficient operation mechanism, the establishment of the big data and artificial intelligence laboratory, to ensure that information technology is used in the management of medical quality practice. The third is to establish an efficient operation mechanism and set up a big data and artificial intelligence laboratory to ensure the rapid and efficient application and promotion of information technology in the hospital.
Promotion: Promote the refinement of decision-making, precise supervision, accurate diagnosis and treatment, and elaborate services.
1, to promote decision-making refinement
The traditional HIS system can not be fully adapted to the current requirements of the hospital management refinement, can not accurately and intuitively to the decision-makers to provide comprehensive, consistent decision-making information.
The EI system is based on the integration of existing hospital information systems and the application of EI tools to realize the deep processing of hospital information resources. Through the integration, consolidation and expansion of cross-platform, multi-heterogeneous systems within the hospital, it comprehensively realizes data aggregation and mining to ensure that it can assist healthcare professionals and managers in data analysis. The hospital's EI system mainly has nine functional modules, including medical quality, human resources, health economy, material management, comprehensive information query, and early warning of key indicators, etc., which can analyze the completion of various major indicators, the distribution and equipment of human resources across the hospital, and the completion of the hospital's counting economy and accounting, etc., which ensures that the hospital's operation situation is clear and visual, and that the management decision-making can be based on evidence. With the system on-line since 2014, through real-time supervision and early warning, the quality and safety of medical care has continued to improve, and the number of medical complaints and disputes has dropped by 30% overall. In addition, the system can also be compared with other hospitals to reduce decision-making blindness, avoiding the "pat decision".
2. Advancing the precision of regulation
Building an information interaction platform that can be used to deal with irrational medication use in advance of the medical three regulation, effectively saving medical resources and reducing the cost of problematic prescriptions.
3, promote the diagnosis and treatment of precision
In the diagnosis of imaging, specialty diseases and other clinical practice and quality management practice, the application of medical big data to promote the diagnosis and treatment of precision.
In medical imaging, the combination of big data technology and AI technology has led to the introduction of AI-assisted diagnosis for medical imaging. Taking lung CT as an example, the diagnostic process of lung CT analysis is optimized through artificial intelligence. According to statistics July 1, 2018 a April 30, 2019 the hospital's AI-assisted diagnosis *** check 54,031 cases of lung CT, found 605,147 lung nodules, of which 24,205 hairy glass lesions, the lesion size of 3mm6mm nodules mainly. The medical imaging department has about 8,000 cases of chest examination per month, chest group of two review doctors, on average, each person needs to review 90,370 pictures per day (not counting the bone window and thick image reading,, an average of 34 frames per second. Through the AI technology projection, the thin layer image basically do not need to observe again, only observe the AI prompted lesion site, the rest through the thick layer image reading, not only improve the efficiency of the work, but also reduce the leakage of the diagnosis of the tiny nodule.
4, promote service elaboration
Through the construction of smart wards, mobile medical platforms, the use of big data to promote the elaboration of services, to enhance the patient experience.
The construction of intelligent wards based on data platforms, intelligent physiological data collection equipment such as cardiac spectrum sphygmomanometer systems, smart gowns, wireless bedside sensors, and so on, uploads and archives the collected information to the hospital information system, and carries out big data analysis. Through the timely data monitoring by intelligent physiological monitoring equipment and artificial intelligence, real-time monitoring of physiological data and implementation of ward information extraction are realized, thus enhancing the medical service capability. The intelligent ward AI system is running steadily, and the collection of data in the background has been quantitatively displayed, providing an unprecedented AI clinical perspective for disease treatment and rehabilitation management. In addition, the hospital is committed to building a mobile healthcare platform, providing mobile medical services such as health e+ health packages and mobile follow-up visits, in order to provide patients with more elaborate services.