Five individual work summary of the quality control section
Time flies very fast, in a blink of an eye, a year has passed, in this year there are any gains and losses, what is worth sharing the experience, why not take advantage of the present to summarize the past work, and strive for the next year to create a new success! But when you pick up the pen but found that you do not know what to write, the following is what I have organized for you to summarize the work of the individual quality control section, welcome to read and collect.
Quality Control Section personal work summary Part 1Over the past year, under the strong support of the hospital leadership, under the enthusiastic help of the directors of the sections and colleagues *** with the efforts to collaborate, the work of the year was successfully completed. Looking back on the past year, whether from the department management, medical safety, business skills, quality of service and overall efficiency, have made some achievements, but there are still shortcomings, is summarized as follows:
1, to further establish the establishment and implementation of the rules and regulations, all aspects of the improvement of the quality of medical care, to meet the medical requirements of the patient masses, and seriously study the "case prescription writing norms", "medical malpractice handling methods", "medical malpractice handling methods", "medical malpractice handling methods", "medical malpractice handling methods", "medical malpractice handling methods" and "medical malpractice handling methods". Medical Accident Handling Measures", "Medical Regulations". Standardize the medical behavior of the majority of medical personnel, education, learning the law, understand the law, abide by the law, according to the law to protect the legitimate rights and interests of doctors and patients, to lay the foundation for the safety of medical care in our hospital.
2, strengthen the major clinical medical quality inspection efforts, and better implementation of clinical, medical care system, all aspects of the hospital to improve the level of diagnosis and treatment. Under the supervision of President Zhang, Chen, vice president of the guidance and help, many times to carry out the hospital departments and medical staff meeting, layout of clinical work. In order to further complete the work and tasks arranged by the hospital leadership, in-depth coordination of the work of the department. On the business learning medical documents written and other aspects of careful and meticulous inspection. Through the usual inspection, many problems that are easy to be neglected can be solved. In order to further strengthen the medical safety, regular organization of all sections of the personnel to participate in the meeting, on the existence of various departments or the emergence of shortcomings and medical safety hazards, to discuss and discuss the next step of the work and preventive measures for the clinical safety of medical care to provide a guarantee.
3, to strengthen the clinical business learning and further training, the hospital ___ year sent two comrades were further study in the oral cavity, otolaryngology, while sending more than 10 people to participate in various types of academic conferences, the introduction of new technologies for the hospital, new experience to expand the business. After coming back to the academic conference required to participate in the content of the content will be organized and printed into a book and bound into the file. Through the form of lectures taught to everyone, improve our hospital medical learning culture, achieved good results, to achieve the desired learning objectives.
4, regularly participate in the integration of outpatient department meetings, participated in more than 20 outpatient department meetings throughout the year. The outpatient department of medical work and the scope of services made clear provisions. And the outpatient clinic many times to check the work, the inspection of the problems found in the summary, and printed into a book stored in the file. Medical errors and hidden dangers in medical care are found to be further prevented. Regularly carry out medical knowledge lectures, learning medical instruments and medical regulations have achieved certain results.
5, always remember the first physician responsibility system, strict check rounds system and departmental consultation system did not shirk the phenomenon of patients, especially in the rescue of critically ill patients hospital medical staff unity and cooperation in their respective duties, so that each patient has been the best treatment. The whole year our hospital did not rescue patients in place and caused medical disputes occurred.
6, the medical staff strive to improve the service attitude and quality of service, so that patients come to the hospital with hope, satisfaction and return. Every medical staff to facilitate the patient as their own responsibility, urgent patient's urgent, think of the patient's thoughts. All aspects of the convenience of patients. Through the whole hospital medical staff dedicated and unremitting efforts to successfully complete the work of the year.
7, in the hospital emergency rescue patients and surgical personnel, improve the rescue emergency response team and listen to the duty officer system. Medical staff to maintain 24-hour communication close to listen to the duty, no case of patients due to time delay factors and delay the occurrence of the phenomenon of treatment, and get the hospital leadership recognized and the patient's praise.
8, the hospital set up an emergency preparedness team, there are two physicians, four nurses and a driver composed of and many times to participate in the Office of the Office and the Development Zone arrangements for the task and emergency drills, and get the high-tech zone and the Office of the leadership of the praise.
QC personal work summary Part 2The hospital is a special service unit, due to the large population flow in and out of the hospital, the complexity of the background of the personnel, people are relatively centralized, our security services must be based on the hospital's special situation, we must maintain a unified service with the hospital, adhere to the "all for the sake of the patient, for the sake of patients," the general principle, to maintain the hospital, to ensure that all patients and their families are protected, and to ensure that the hospital is not only the best place to live. The general principle of "everything for the patient, for the patient's everything", to maintain the normal working order of the hospital and protect the patient's own interests. At the same time, the hospital is also a service-oriented units for the community, it must speak of the quality of service, which has a higher demand for the quality of security personnel. Security guards' words and deeds directly affect the image of the hospital in people's minds, security guards' working attitude must be consistent with the hospital, and strive to make the general public satisfied.
The hospital's security service is generally implemented 24 hours a day in three shifts.
The day shift from 8:00 to 16:00 this time is the peak of the flow of people in the hospital, a variety of large and small end of the high incidence period. Sometimes the hospital to see a particularly large number of people, registration, charging, taking medication is easy to cause chaos, the security guards should be timely to remind the patient to learn to follow the order, and at the same time to use their keen observation, pay attention to every person in and out of the hospital, especially in the crowded time to pay attention to the thieves can not be allowed to wreak havoc in the hospital to protect the patients and their families from the loss of property, otherwise it will bring a negative impact to the hospital; to manage the hospital in and out of the goods, wherever possible, the hospital will be a good place. Manage the hospital's entry and exit items, all drugs have to have the relevant procedures, to be strictly controlled; the hall will often have the elderly and frail or emergency patients appear, this time to help help help a little bit, found that the patient lost items in the help to look for, and find and return immediately, there is to pay special attention to grooming, speech and behavior; to often inspect the wards or departments with or without anomalies. Hospital wards are mostly accompanied by many family members, to remind them to pay attention to their own valuables, to prevent those who take the sheep; and all floors of the staff of the municipality, to keep abreast of the latest situation. Such as whether there are outsiders in the hospital sales, leaflets, etc.; it is worth mentioning the management of surgical wards, there are many trauma patients are caused by the fight, they often have a "brother" to visit, easy to get the hospital into a mess. Security should pay attention to take appropriate ways and means to solve the problem, anything to take into account the interests of hospitals and patients, to minimize losses.
Mid-shift 16:00 to 00:00 this period of time, the patient is relatively reduced, 18:00 after the consulting desk is not working, when most of the patients will consult with the security staff, which requires the security guards to be quite familiar with the distribution of the hospital's various departments and commuting time, and so on. For the kind of patients who need first aid without family members, we have to lend a helping hand and take out the spirit of saving lives.
Night shift zero to 8 o'clock this time, the first thing to overcome is the problem of drowsiness. Before going to work to have enough rest, to ensure that there is a strong energy to complete the work. Patrols should be in place, checking layer by layer, preventing burglars and carefully checking all places for fire hazards. If you find a situation you should contact the hospital duty officer in time and take decisive measures.
In general, security personnel to do a good job of hospital safety and security work, first of all, calm and collected, good at mediating conflicts. If someone intends to cause trouble, persuade the ineffective, immediately dial 110 to ask the police to coordinate and solve the problem, and then report to the hospital; secondly, take care of all the hospital's public **** property, if there is damage, we must strive to find the saboteurs, to give an account of the hospital; and then it is to make all the preparations at any time to deal with a variety of emergencies. For example, during the SARS period, the hospital is the front line of the fight against SARS, although the security guards are not medical personnel, but work here, we must maintain a stable work attitude, active participation in the consciousness. At the same time, should also pay attention to their own protection.
Quality Control Section personal work summary Part 3In 20__ year, under the leadership of the hospital department, the General Affairs Section can take the initiative to participate in the hospital's political and ideological learning, business learning and hospitals, outside the activities of this section of the staff can carry out a number of planned political learning and related business learning, to improve their own ideological understanding and service skills, and conscientiously complete the hospital's work assignments, and enthusiastically serve all departments of the hospital, and in the new year, we will continue to work together to improve the quality of life of the people. All departments of the hospital, in the new situation, based on their own work, awareness-raising, change of concepts, bearing in mind the principle that the general services around the clinical turn, proactive and relevant personnel to the departments to do a good job in the service work. This year, the General Affairs Department to save money, things as much as possible, according to each person's expertise and skills, the organization of the relevant personnel, production and maintenance of the branch of the electrician room protection barriers, pharmacy anti-theft barriers, patient first aid trolleys, inspection beds, diagnostic beds, medical instruments, such as car, equipped with sewing; surgical clothes, hand-washing clothes, surgical bag cloth, quilt, bedding, pillows, bedding, such as a single.
According to the market price, for our hospital to save money this year nearly two million dollars, in the general management of the General Services Administration, the General Services Section of the various departments in the shortage of personnel can be united to help each other regardless of their share of the work. Such as: electrician room under normal circumstances need three people, now there are two people on duty in rotation. Taking responsibility for the hospital's power lines and electrical appliances for maintenance and repair tasks. No matter when to ensure that the circuit is normal and medical power. Electrician room comrades have no complaints and work hard to ensure that the normal work of the medical work. Another example: the boiler room needs to have 6 people to run the work. Now there are only two people, two people are responsible for the safe operation of the boiler and pipeline maintenance work, two people can work seriously to ensure the safe operation of the boiler and heating. General Affairs Section staff are a number of duties, goods custody and goods accounting are seriously responsible for the work of goods and accounts are error-free, no mold and deterioration and other errors, but also responsible for miscellaneous maintenance, etc., medical waste management in the existing conditions can do their best to implement the regulations, and administrators can be seriously responsible for, but also responsible for miscellaneous maintenance, etc.. Carpenters are older and responsible for the maintenance of wood products such as tables, chairs, doors, windows and glass throughout the hospital. Work are serious and down-to-earth on-call found damaged in a timely manner to repair. To do the repair of old waste can be repaired. Waste matching to ensure the normal work of the department. General Services Section staff in all parts of the case does not affect the normal work can participate in the logistics of miscellaneous maintenance and other work, in the year's water supply and drainage, electricity and other systems of maintenance, integrated governance, fire safety, environmental health, hospitals, hospitals, green, landscaping, supply of goods, equipment, installation and maintenance management, doors, windows, glass, medical waste management, etc., can be highly responsible to implement the work of the completion of the work. She has a high sense of responsibility to fulfill all the tasks. He also participates in the hospital's general duty and weekly street sweeping outside the hospital.
At the same time to assist the hospital department to complete the hospital wards renovation project, maternity ward renovation, pediatrics guardianship room and supply and distribution of water renovation, ward building of the fire hose pipeline renovation and blood bank, dialysis room, pediatrics isolation is completed to complete the site of the new hospital ward building houses relocation of the site of the construction of the site of the leveling and so on, to assist the hospital department to complete the county to the hospital of the various tasks of the labor. General Affairs Section staff in the usual 'work, regardless of personal gain or loss, hard work, overtime, on call, love hospital as home, but there are many problems, such as has not yet perfected the logistics of our hospital in the socialization of services, quantitative services, humane services, specific programs and implementation details. In the future work, but also need to overcome the shortcomings, update the concept, strengthen the management, enhance the sense of innovation, logistics and general work is a very important part of the hospital work is a complex systematic project, with the deepening of health reform, the establishment of a socialist market economy, the reform of logistics and general work is imperative, based on the job, change the concept of awareness, change the hospital to serve me to serve me to serve the hospital! Service, grasp the people-oriented management, is the key to the work of the hospital general security. Only people-oriented to cultivate the staff's sense of ownership, and effectively play the staff's initiative, creativity, and establish a "patient-centered" sense of service, in order to comprehensively improve the level of general services, and promote the development of general services and medical synchronization. For the rapid and healthy development of our hospital to make due efforts.
The quality control section of the individual summary of the work of Article 4
The quality control section in the dean, the management of the president and medical quality management committee under the leadership of the leadership, and actively carry out the work of medical quality control. With medical work as the core, the development of medical quality management methods, the establishment of medical quality monitoring index system and evaluation methods, the organization of medical quality inspection, assessment, evaluation of the completion of medical indicators, and put forward improvement measures. The specific work is summarized as follows:
First, the development of medical quality assessment methods
In order to fully implement the medical core system, to protect the quality of medical care, the Department of the development and issuance of the "Medical Quality Assessment Methods and Implementation Rules (Trial)", the results of the various medical quality inspection results and the comprehensive target assessment is linked.
Second, the monitoring of basic quality
Through the hospital lectures, pre-service training in the form of improving the quality of medical staff awareness, the last year, the quality control section of the *** pre-service training 8 hours, resident lectures 3 times, leading medical staff to learn the Ministry of Health's newly issued diagnostic standards, standardize the writing of medical records.
Third, the link quality monitoring
1, regularly carry out medical quality inspection work
Every month regularly carry out outpatient prescriptions, running medical records, application forms and report cards check. Annual *** check outpatient prescriptions 6059, pass rate of 96%; annual *** check medical records 562, no C-class medical records; check defective outpatient medical records 155, pass rate of 97% or more; check defective application form 689, pass rate of 96%.
2, to carry out clinical path management
By carrying out single-disease clinical path, standardize the diagnostic and treatment process, regular inspection of the clinical path registration, and organization of personnel to carry out the review of clinical path medical records. In the previous year *** to carry out? Clinical pathway management of individual diseases, *** has cases of ___ cases. The average enrollment rate and completion rate of the whole hospital are in line with the requirements, but some of the disease types have fewer admitted cases.
3, to carry out "antimicrobial drug remediation work"
with other functional departments, combined with the clinical path management, the smooth promotion of antimicrobial drug special remediation work, and achieved good results.
4, check the implementation of the relevant rules and regulations
irregularly check the software registry of each department, the inspection found that the software book is not in accordance with the requirements of the norms of registration or writing, according to the provisions of the departmental quality control points will be deducted.
Fourth, the end of the quality of the monitoring
with the Medical Department of the hospital's medical quality indicators and archived medical records of the quality of monitoring.
V. Regular notification of medical quality inspection
Through the weekly meeting of the hospital regularly announced the quality inspection of various links, the existence of the problem of notification, the departments put forward rationalization proposals, and constantly promote the improvement of medical quality.
Sixth, there are problems
1, the clinical work is still manual management, low efficiency, departmental diagnosis and treatment plan is often inconsistent with the form.
2, there is no regular meeting of quality controllers, timely listening to the department of medical quality control.
3, the implementation of electronic medical records for a relatively short period of time, has not yet developed the relevant inspection methods.
The quality control section of the individual summary of the work of the 5
I hospital in order to strengthen the quality of care management, to protect the safety of medical care, to improve the community and patient satisfaction with the nursing service, in 20__ set up a nursing quality control committee, the quality of care of the whole hospital departments to standardize the standards of care, regular or occasional inspections, supervision, and to solve the problems in the process of nursing management work. The first half of 20__ is summarized as follows:
1, sound nursing quality management organization, the implementation of hospitals and departments of the second level of quality control, the quality control organization of regular activities, the organization of a monthly analysis of quality control, summary meeting, to strengthen the quality of nursing care management, and to promote the quality of nursing care for continuous improvement.
2, system management, to further improve the nursing system, nursing staff duties, nursing quality standards, and organize the implementation, focusing on the implementation of work.
3, nursing management personnel and quality control organizations at all levels to seriously fulfill their responsibilities, grasp the jurisdiction of the department of nursing quality control work.
4, the section of the second level of quality control organization to carry out regular activities, the Department of Nursing Organization of the hospital quality control team monthly nursing quality inspection, and the quality control situation for feedback, for the existence of problems in the analysis of the causes of rectification measures, review the effect of rectification.
5, quality control organization monthly self-examination and self-assessment, the head nurse usually random sampling, analysis of the causes of problems, rectification measures, review and rectification of the effect of quality management to achieve results.
6, weak links, critical patient management, adhere to the head nurse night room system, check, guide, assist the night shift nurses work, check and supervise the implementation of critical patient care measures.
7, strengthen the quality consciousness of nursing staff, improve nursing staff self-quality control conscientiousness, strict implementation of nursing rules and regulations and nursing technical operation procedures, from the ideological importance of medical and nursing safety, strict implementation of the checking system. Nursing work in the existence of adverse events and safety hazards require the department to actively report, monthly departmental organization held nursing adverse event analysis will be; to find the work of the unsafe factors, put forward corrective measures to eliminate security risks, the first half of the year, no major nursing safety incidents.
8, standardize the management of the ward, the clinical department ward at any time to check, found that the phenomenon of dirty and poor immediately require rectification, and further standardization.
9, nursing instruments written, and strive to achieve accuracy, objectivity and continuity. Nursing instruments that is legal instruments, is the objective basis of the General Agreement on Medical Disputes, the writing process should be carefully considered, can be objective, true, accurate, timely and complete reflection of the patient's condition changes, and constantly strengthen the nursing instruments standardize the significance of the writing, so that each nurse can correct the attitude of the writing, and at the same time strengthen the supervision and inspection efforts, requiring the department of the head nurse, the quality control staff on a regular basis, from time to time to carry out inspections, the Nursing Department every month. Unscheduled inspection, found that the problem is timely corrected, the existence of problems proposed corrective measures, and continue to monitor.
10, hospital infection, according to the hospital infection management standards, quality control personnel part-time monitoring of hospital infection, nurses in various departments can basically conscientiously fulfill their duties, although there are some defects, but the overall hospital infection indicators to meet quality standards.
11, but there are still some shortcomings in the work:
① basic care is not in place, the new patient admission mission and disposal is not timely, in place;
② ward management to be improved, the patient brought too many items, the items placed in a messy;
③ for the patient's initiative to serve the awareness of the patient, the explanation of the lack of patience, satisfaction surveys, there are complaints about nurses! Poor service attitude;
④ learning culture is not strong enough, the departments are not organized within the department of business learning;
⑤ nursing instruments written with omissions, omissions, lack of continuity, the quality of the connotation of the defects are not high;
⑥ nursing staff "prudent" spirit is poor, in the absence of the head nurse or during the shift, not strictly enforce the rules and regulations;
⑥ nursing staff "prudent" spirit is poor, in the absence of the head nurse or during the shift, not strictly enforce the rules and regulations.
Our nursing work is long and arduous, every day will face a variety of different challenges, let us work together for the better development of the hospital, to overcome the difficulties and avoid the shortcomings, and create a brilliant.