The responsibility of the quality control section is to assist the hospital leadership to monitor the overall quality of the hospital's operating process, and according to the relevant provisions of the state to make an objective evaluation of the quality of the hospital, the existence of quality deviations in the department and the factors affecting the quality of the improvement of the comprehensive analysis, and put forward proposals for continuous quality improvement. The following is organized by me on the hospital quality control section job responsibilities, I hope you like it!
Hospital quality control section duties (a)First, responsible for the hospital's various work aspects of the quality of the overall monitoring, in particular, the organization and implementation of medical quality management.
Second, according to the relevant provisions of the higher level, the requirements of the core of the hospital's medical work, the development of medical quality management programs, such as: goals, targets, plans, measures, evaluation of the results, information feedback and so on.
Third, the development of the work of the Office of the work system and work plan, regular summary of the work, analysis and counter-crime
Fourth, research to improve the quality of medical services, strengthen the daily monitoring of the work methods. The establishment of medical quality monitoring index system and evaluation methods.
V. Regular and irregular organization of medical quality inspection, assessment and evaluation, to determine the completion of medical quality indicators, and put forward improvement measures.
(a) Responsible for basic quality control
1, to help improve the relevant medical regulations.
2. Improve the quality awareness of all staff.
(B) is responsible for the monitoring of link quality
1, monthly organization of the link quality inspection of the running medical records, the results of the inspection summary, analysis and rewards and penalties.
(1) supervise the clinical departments monthly self-inspection of the operating medical records of the ward; (2) the organization of the hospital quality control leadership team to the clinical departments monthly sampling of the operating medical records; (3) timely review of problematic and controversial operating medical records;
2, is responsible for checking the implementation of the relevant rules and regulations: through the inspection of inpatient medical records and records of work, checkups, examinations, etc. to check the implementation of the rules and regulations.
(C) is responsible for the monitoring of the quality of the final
1, the average hospitalization days in each ward, preoperative hospitalization days, the success rate of resuscitation, the diagnostic compliance rate of admission and discharges, and other indicators to monitor;
2, three-level monitoring of the quality of the end of the inpatient medical records;
2, the summary of the Party Office, the hospital office, the Medical Section, the outpatient clinic, the Department of Nursing, the Information Section, the General Affairs Section, Medical insurance office, logistics and other relevant medical quality management department monitoring results, reported by the dean in charge of the implementation of the penalty.
Sixth, the regular convening of medical quality briefing on the hospital, the completion of the medical quality of each department, the existence of problems. Rationalization of the various departments or divisions to put forward proposals, and constantly promote the improvement of medical quality.
Hospital quality control section duties (2)
1, under the leadership of the president and business dean, the organization of medical quality control and improvement, the development of the hospital's medical quality control work system, programs and measures.
2. Organize and carry out medical quality control management work, know the supervision of quality control personnel to check the implementation of quality programs, regular quality assessment, assessment.
3. Guide and supervise the prevention and treatment of medical disputes, cooperate with the medical department to investigate and analyze the dispute cases and improve.
4. Organize and carry out hospital-wide quality control of medical records.
5, the organization of investigation, analysis and research of the hospital's medical quality control problems and the development of improvement measures, and constantly improve the quality control program, continuous improvement of quality control management, improve the quality of care.
6, supervise the hospital's medical staff to conscientiously implement the health care laws, regulations, rules, diagnostic and treatment norms, and actively improve the quality of medical care, checking medical defects, to prevent medical accidents. 7, coordinate with the relevant departments to do a good job of clinical staff assessment, promotion, rewards and punishments and employment. 8, the hospital leadership of other medical management work.
Medical Quality Management Committee
First, the overall responsibility for the hospital medical, nursing and medical technology quality management.
Second, responsible for the development of the hospital's medical, nursing and medical quality management of the annual work plan.
Third, the consideration of the medical department to develop specific measures for the implementation of medical quality management. The hospital's medical, nursing and medical technology quality control indicators for inspection, evaluation, and proposed to improve the views.
Fourth, the hospital's medical, nursing and medical technology work in the safety hazards of the guidance of the improvement requirements.
V. Decide on the hospital's new technology, new methods of access management system and regulations.
VI. Discuss and decide on the hospital's medical, nursing and medical technology in the hospital errors, faults and accidents and other events in the hospital.
VII, put forward the hospital's medical, nursing and technical personnel quality education, training 's requirements, and check its implementation.
viii. Secretary of the Quality Management Committee is responsible for the committee meeting records.
Hospital quality control section duties (3)
Quality control section director duties
First, in the dean and the hospital medical quality management committee under the leadership of the hospital is responsible for the hospital's medical, nursing, hospital infections, medical technology and other aspects of quality management supervision and evaluation work.
Second, combined with the characteristics of the hospital's professional and medical work and the actual situation and specific conditions, the development of the hospital's clinical, nursing, medical and technical medical quality control program, the main content includes: medical quality management goals, plans, measures, effects, evaluation and information feedback.
Third, with the relevant functional departments of the hospital's medical staff to carry out quality management education, improve the quality of consciousness, set up? Quality comes first. The quality control team is a team that is responsible for the management of the hospital's quality control system. The quality control team of the department is guided and inspected.
Fourth, lead the comrades of the whole department to regularly check the writing of medical documents and medical links of each department (medical records, prescriptions, application forms, report forms and other documents), and put forward timely corrective comments on the problems found in the inspection and feedback to the relevant departments.
Fifth, do a good job of quality management of written material records and summarize, regularly report to the hospital medical quality management committee.
Sixth, with the Medical Department, Infection, Nursing Department, clinical, medical and technical departments to work closely together, unity and cooperation, the quality of care management into practice.
VII, unite the comrades of the Department of hard work, adhere to continuous learning, and constantly improve the management level. Medical quality management committee office responsibilities:
First, responsible for the drafting of the annual plan of medical quality management.
Second, the collection of the hospital's medical, nursing and medical technology work related to the quality of information, and to record the categorization.
Third, is responsible for convening the meeting of the Medical Quality Management Committee, and provide information for discussion at the meeting.
IV. Drafting meeting resolutions and relevant processing opinions discussed at the meeting.
Departmental quality control team responsibilities
Departmental quality control team is an important part of the medical quality management system, the section chief is the first person responsible for the quality of medical care in the department. The duties of the departmental quality control team are as follows:
1. The medical quality control team of each department consists of 3-5 people, including the department head, head nurse and other related personnel.
2, under the leadership of the director of the department and the guidance of the hospital quality control section is responsible for the medical and nursing quality control inspection of the department, each final medical records by the director of the department and members of the quality control team is responsible for quality control standards.
3, combined with the characteristics of the professional and development trends, the development and revision of the department's disease diagnosis and treatment routines, drug use norms and organization and implementation, the responsibility for implementation to the individual, and performance pay link.
4, regularly organize the department staff to learn medical and nursing routines, and strengthen the quality consciousness.
5, the writing of a variety of medical instruments in accordance with the norms for inspection (medical records, prescriptions, applications, reports, nursing, etc.), and make quality inspection records.
6, the implementation of the thirteen core systems to check the situation. The implementation of the nursing system to check.
7, on the inspection of the problems found in a timely manner to report to the director of the Department and put forward the views of improvement.
8, regular analysis and evaluation of the room at all stages of medical quality dynamics, summarize and summarize, and the need to improve the content of the rectification of the report approved by the director of the department, to assist the director of the department to supervise the implementation.
9, regular feedback to the hospital quality control section of the quality control work carried out in this room, the violation of medical regulations and operating procedures caused by the consequences of the incident, written materials to report to the hospital in a timely manner medical quality management committee.
10, the inpatient medical records before filing self-check, each ward without affecting the medical records on time under the premise of filing, according to the "basic specification for medical record writing" and "Lingwu People's Hospital Hospital inpatient medical record writing quality assessment standards" in the project content of self-check, and timely detection of defects in a timely manner to supplement the corrective.
11, participate in the meetings of the medical quality control office to reflect the problem. Collect problems related to this office, put forward corrective measures and organize the implementation.