1, continue to seriously implement the hospital nursing quality management system.
2, nursing quality management to implement two-level quality control standard of nursing ward.
Under the guidance of the superior leaders, the quality and safety management team of the department conducts comprehensive quality control according to the quality control standards and combined with the actual situation of the undergraduate course. In order to find the problems in work in time, improve them in time and continuously improve the quality of nursing.
3, do a good job in the relevant training of nursing staff in this department.
Focus on weak links and do a good job in supervision and inspection. Learn the relevant rules and regulations of the hospital on nursing quality and safety management in operating room.
4. Problems in the first half of the year:
The quality and safety of nursing in departments are mainly controlled from the aspects of disinfection and isolation, patient safety, nursing service, medical first-aid items, integrity management of pharmaceutical equipment, nursing documents and specimen management. Find the problems, analyze the reasons, put forward the rectification measures, and make a summary and analysis. And regularly report the activities of the quality control team to relevant departments.
The main problems in the first half of the year are:
1, nursing documents were not carefully written, and related work record books were scribbled by individual nursing staff.
2, drug management personnel handover sometimes become a mere formality, not carefully check.
3, labor discipline is sometimes loose, individual personnel will be late and leave early.
4. The management of pathological specimens is not standardized.
5. The handover between key links is not tight, and individual emergency patients do not wear wristbands.
Cause analysis:
1. Nurses are younger and have weak professional knowledge.
2. The management awareness of high-risk patients is insufficient.
Rectification measures:
1. Strengthen the management of first-aid drugs, articles and equipment, strictly and carefully hand over the shift, and locate and place them.
2. Check the implementation of the core system.
3. Strengthen training and study. Study on aseptic operation, hospital feeling and safety system.
4. Strengthen the exercise of work responsibility and increase the training of junior nurses.
5, the head nurse to strengthen inspection, rewards and punishments.
Internal medicine quality control group
20XX June