A work summary
1, to meet the grade hospital review, after the initial qualification audit of the grade hospital, the nursing department to actively prepare for the grade hospital review inspection, and against the national evaluation standards for secondary hospitals and the relevant requirements of the hospital, to further improve the relevant materials, the implementation of the various rules and regulations, and strictly regulate the work of the clinical care and improve the account.
2, enhance the level of service, deepen the connotation of quality nursing service
1) the ward to refine the quality of nursing service measures, seasonal changes in the implementation of solid basic care, such as (bed shampooing, bed bath, etc.), the life of unaccompanied patients to improve the care of the nursing department of the nursing training course to participate in the nursing staff of the critically ill for critical illnesses related to the theory and operation of the examination, and further improve the quality of our hospital care, the quality of the nursing staff of the critically ill, the quality of the nursing staff of the critically ill. Our hospital critical care quality, enhance our hospital critical care service technology level.
2) Each specialty group to carry out the second quarter of the specialty group nursing knowledge learning and seminars, for the specialty specialty nursing measures simulation, in order to improve the gold content of our hospital specialty care.
3) In May and June, the Nursing Department conducted nursing rounds in the cardiology and neurology departments, case tracking, etc., so as to improve the quality of disease care.
4) the hospital to further strengthen the implementation of the head nurse checkup, daily five checkups, and to give a certain norms, the Department of Nursing from time to time to organize inspections to enhance the management level of the head nurse.
5)Focus on thinking ability, practical ability, the cultivation of humanistic qualities, to strengthen the bedside checkups, the use of case tracking method to promote the quality of nursing work in-depth and lasting development.
3, in order to respond to the Ministry of Health "100 days of safety" activities related to the requirements, in order to further improve the quality of nursing care in our hospital, to ensure that our nursing care is safe and accident-free, the nursing department of the hospital to develop "nursing 100 days of safety and no accidents" activities and program The assessment standards, from the nursing department, ward nurse 2 levels, phased management and assessment of my nursing safety.
4, to enrich the life of nurses in the workplace, our hospital in "5. 12 Nurses Day" held nursing operation skills competition, carry forward the nursing spirit of Nightingale prudence, the assessment of hospital-level "excellent nurses" to improve the work of our nurses motivation and the spirit of prudence.
5, quality nursing graphic wall information has been implemented, so that patients have a better understanding of the process of entering and leaving the hospital and knowledge of the disease.
6, the third level of operation and theory assessment according to the plan in an orderly manner, the assessment results have archives, failed to make up for the test has archives.
7, maintained a normal nursing work order.
Second, tracking analysis
Nursing Department in the second quarter of the development of the plan is basically completed, the implementation rate of the plan to achieve more than 95%, the plan to develop a reasonable and effective, operable.
1, the three basic assessment of some of the implementation of the plan is not enough to analyze the reasons are as follows: our nursing operation technology assessment into clinical care, change the original directional fixed-point sampling, simulation assessment form, focusing on the "implementation of nursing measures", this assessment to strengthen the clinical nurses on the condition of the observation and the relevant specialist knowledge of disease. This assessment strengthens the clinical nurse's knowledge of disease observation and related specialties, and can effectively solve the patient's practical problems, but some of the trauma nursing operations and emergency nursing techniques often can not be implemented in clinical patients; three basic theory assessment of the whole hospital to carry out hierarchical training and assessment, but the pre-hospital emergency clinic, nurses can not participate in the leave of absence to make the reference rate than the plan to reduce the rate of participation in the plan has not been achieved with the rate of reference.
2, the Ministry of Health, "100 days of safety" activities, the nursing department of our hospital organized "100 days of safety in nursing without incident" activities, activities found in the process of clinical nurses' motivation has been improved, but the implementation rate of the core system of nursing there are still problems, highlighting the core system of nursing care, the implementation rate of the core system of nursing. There are problems, highlighting the core nursing system shift handover system, rescue drugs and goods management system, the implementation of the management system of critically ill patients is not in place.
The second quarter of the hospital work summary 2A according to the actual hospital, in accordance with the "strengthen hospital management, improve the quality of medical care, reduce medical costs" theme of the work of the 20xx "comprehensive target management responsibility book" was revised and improved, the president of the director and the director of each section signed the "responsibility book", and will be the first time in the world to sign the "responsibility book", the president and the director of each section. Responsibility", and will be used as an important part of the 20xx annual monthly assessment and standards.
Secondly, the implementation of agricultural cooperation, medical insurance policies and regulations, strict control and reduce the total cost of hospitalization of patients, real-time monitoring, weekly notification of the impending exceeding the standard to the department and the doctor in charge of the situation himself, from the source of regulation, to the current average cost of hospitalization of patients with agricultural cooperation to control the average cost of hospitalization in the 186; agricultural cooperation in the hospitalization of the implementation of the one free of the four reductions in the urban low income earners, the disabled, the rural Five-guaranteed households and special hardship cases have implemented a one-exemption seven-reduced, July to September *** reduction of 27,182.6; the third quarter **** receiving agricultural inpatient 162x, reimbursement of inpatient costs amounted to 15,654,756.6, acceptance of municipal health insurance inpatient 12x, the cost of 523,997.9, outpatient 463x, the cost of 324,172.6; receiving provincial health insurance inpatient 10x, the cost of xx02.7, the cost of 324,172.6; receiving provincial medical insurance inpatient 10x, the Cost xx02.7, outpatient 458x times people, cost 244194.0.
Three in order to improve the work of medical staff enthusiasm, in accordance with the relevant provisions of the integrated target management, the bed occupancy rate of more than 10 departments to increase the incentives. By the end of March, the number of extra beds was 763, accounting for the total number of admissions of 3.
The second quarter of the hospital's work summary article 320 - year this year's second quarter just left, I have been here for a very long time, the sense of the passage of time, is so inadvertent. During this period, I do my duty, real talent, the following is my summary of this time:
1. Strengthen learning, and constantly improve their political level and business quality.
2. Pragmatism, and constantly create a new situation of work.
3. Build a good team spirit.
Surgical work is "irregular", "involuntary", all year round are busy, overtime and shift, no down-to-earth style, no selfless dedication, it is difficult to work. Willingness to dedication, honesty and dedication is the necessary personality qualities of the surgical work. Over the past two years, I have been doing a good job of the tasks entrusted to me by my superiors, not relying on the enthusiasm and impulsiveness of the moment, insisting on starting from scratch every day, and devoting myself to work with a positive and enthusiastic attitude, as long as the work needs, never caring about personal gains and losses, and in 20 years, I have been awarded the honorary title of "Advanced Individuals and Pacesetters of the Style of Work".
The past page has become history, achievements can only be for the future development of the hospital foundation. If you do some work, can successfully complete the tasks, which is mainly with the support and recognition of the leadership of each hospital is inseparable from each colleague's concern for help is inseparable from the unity and cooperation of all staff in the department. But I am aware of the requirements of the leadership and colleagues from the expectations of the gap, good management of the medical department, I decided to do the following:
1, subject to the hospital leadership, to complete the tasks assigned by the hospital leadership. Regularly in the hospital to organize political learning, and grasp the political and ideological education of workers.
2, to further improve the development of the hospital and increase business management efforts, focusing on the construction of specialties, science and technology to further improve the brand effect and visibility of our hospital.
3, to further improve the implementation of medical routines and regulations, to assist in the investigation and handling of medical disputes, teaching management.
4, focusing on strengthening the improvement of the overall business level of medical staff, strengthen business learning, accelerate the updating of knowledge of medical staff, improve the sense of competition among medical staff, with a solid level of business and technical advantages in the face of the current increasingly fierce competition in the market. In order to create good social benefits at the same time to drive the further improvement of economic benefits.
5, the organization of the new Pearl and Gangtou two medical community health service stations to implement the work, to ensure that the relevant inspection of the higher level up to standard.
6, medical safety as a guarantee of high quality, high performance workload. Medical safety is a prerequisite, there is no medical safety as a guarantee to improve the workload and increase revenue and expenditure will become a vector, the hospital's `development has become an empty word.
In short, the work of due diligence is my work attitude, in the workplace I have been very strict requirements, sloppy. So I will be more demanding of myself to the next level.
The second quarter of the hospital work summary article 4
The second quarter according to the quarterly arrangements to complete the hospital's hospital sensory work, this quarter's work is summarized as follows:
Environmental hygiene monitoring: air xx copies, object surfaces xx0 copies, sterile goods xx copies, the use of disinfectant xx copies, catheter humidification vials xx copies and ultraviolet disinfection sterilization effect of the monitoring of the qualified, the medical staff hygiene hand xx times, unqualified xx times (qualified rate of xx%), and give a re-inspection, re-inspection are qualified. The supply room, stomatology autoclave process monitoring, chemical monitoring, biological monitoring are qualified. Microbiological monitoring specimens were sent for inspection xx, with a positive detection rate of xx, and no multi-drug resistant bacteria were detected. Medical waste was clearly categorized, no loss, medical waste temporary storage point was cleaned in time, and disinfection was standardized. Occupational exposure occurred in xx people, general surgery head nurse xx, nurse xx, doctor xx exposure source for hepatitis B virus, operating room nurse xx exposure source for syphilis, all treatment standardized, reported in a timely manner. Sampling of disposable sterile items without expiration date, but found that xx factory delivery bags and xx factory disposable infusion bags have quality problems, the hospital infection section will be timely feedback to the Pharmaceutical and Device Section, the Pharmaceutical and Device Section timely feedback to the operator, the same day afternoon for the return of the goods for replacement processing. This quarter **** monitoring admissions xx people, no cases of hospital-acquired infections, checking the discharge medical records xx, did not find omissions. *** Sampling of discharged medical records xx, the use of antimicrobial drugs xx medical records, antimicrobial drug utilization rate xx%, of which the therapeutic use of drugs accounted for xx%, preventive use of drugs accounted for xx%.
Problems: poor compliance of medical staff hand washing; microbiological monitoring specimens sent less. In the future, we have to strengthen the supervision and increase the monitoring of hospital infections.
The second quarter of the hospital work summary article 5
First, strengthen the first diagnosis responsibility system, the three-stage checkup system and other core systems. Adhere to the dean of the administrative and operational checkups, from time to time, focused and planned to check the medical quality management of each section, to the dean of the current checkup 1, on the existence of the "medical records are not well written, the main complaint is not standardized, surgical records are too simple," and other issues have been emphasized and asked for immediate rectification. Organized the implementation of the "Double Festival" during the emergency response capacity drills, the effect is satisfactory.
Second, after overcoming the difficulties of medical personnel tension, shortage of materials and facilities, the hospital actively deployed personnel, configuration of related items, in July 1, 20xx formally set up the Department of Infectious Diseases, equipped with medical staff 1, set up 25 beds. The establishment of this section, effective control of hospital cross-infection, the end of the xxx region without independent infectious disease area of history, so that all types of infectious diseases have been effectively standardized treatment. The third quarter of the hospital physicians, focusing on infectious disease areas of health care personnel for infectious disease prevention and control knowledge test, 5x people to participate in the qualification rate of 10; the newly established pathology department, the deployment of professionals, from February 1 to carry out separate accounting.
Third, to strengthen the construction of key disciplines. Hospitals in accordance with the actual determination of Chinese medicine as a key specialty and actively carry out the liver disease (cirrhosis) specialties, rural medical institutions, acupuncture, physiotherapy and rehabilitation specialties, Chinese medicine hospitals, Chinese medicine preparation capacity building 3 specialties to declare the construction work. At present, the medical records screening and basic work.
Fourth, to further strengthen the management of nursing quality objectives.
1, strengthen business training. The organization of nursing lectures, 9 to participate; nursing room, the nursing backbone of each section 3 to participate; continue to adhere to the "daily question" activities, each nurse monthly writing xx word study notes, departmental organization of monthly business learning, weekly business room.
2, strengthen nursing management, to ensure nursing safety. The Department of Nursing and all sections of the nurse signed the "xx year nurse work target responsibility", continue to implement the nursing quality of the secondary management system, in particular, give full play to the quality of the department quality control team quality management role, weekly inspection of the nursing work of the department, and found that the problem of timely rectification. Focusing on the usual supervision and inspection efforts and the problems identified with the monthly assessment linked to the same time in the monthly meeting of the head nurse to give feedback on the results of the assessment, analyze the reasons, and put forward corrective measures.
3, the implementation of friendly service, improve service quality. Utilizing the opportunity of health education, adding medicine, changing bed sheets, operation, etc., fully communicate with patients, understand the patient's thought dynamics, and maximize the satisfaction of the patient's needs. Say one more word with the patient, give the patient one more smile, relieve the patient's concern, make the patient feel warm. Currently planning to organize nurses to learn "nurse etiquette norms", set off the "learning etiquette, speaking quality" activity month.
Fifth, in accordance with the "× × Provincial Hospital Management Evaluation Guidelines Implementation Rules," the requirements of the Spring Festival to ensure medical safety of the 1 clinical departments of the medication to carry out inspections, supervision, to further emphasize the importance of the rational use of antibiotics. 23 March Provincial Department of Health, Pharmacy Branch of the Medical Society of the province, the provincial drug bidding service center to the hospital's drug management, the rational use of medicines, prescription evaluation and other work The inspection and guidance, the problems and weaknesses of the corrective comments, the hospital has been actively rectified. 25 July on the outpatient prescription statistics, research, effective prescriptions up to 7.
Six, the organization of 5 clinical physicians for the "three basics" examination, the pass rate of 10, the examination to change the previous questions, combined with clinical, case study, and the use of antibiotics in the hospital. Organizations throughout the hospital medical, technical and pharmaceutical personnel to study the Ministry of Health recently released the "prescription management approach", the end of the training on the 7x medical, pharmaceutical and pharmaceutical personnel to carry out the relevant knowledge of the examination, the pass rate of 10.
VII, to further strengthen the monitoring of influenza and other infectious diseases and the network of direct reporting work. According to the provincial and municipal CDC requirements, the printing of pesticide poisoning network direct reporting card, requiring clinical departments to report according to regulations; selected personnel to participate in the province's direct reporting of infectious diseases network exercises and the provincial Department of Health organized by the influenza, avian influenza knowledge training; in the provincial and municipal levels of the CDC on the management of infectious diseases, the network of direct reporting of the work of the inspection notification of the hospital reported rate of 10, the pass rate of 9, was well received.
Eight, continue to implement the work of component blood transfusion. To the present *** counting the transfusion of red suspension 35000ml, plasma 2500ml, component blood transfusion rate of 10.