2022 primary hospital work plan (General 5)
Time is passing, never stop, and will usher in a new work, new challenges, at this moment we need to start making a work plan. How to write a work plan will not be in form? The following is my 2022 primary hospital work plan for you to organize (General 5), only for reference, I hope to help you.
Primary hospital work plan 1
First, to strengthen the medical management, improve the quality of medical services, to eliminate medical errors, in-depth development of the hospital management year activities
1, in order to conscientiously implement the Ministry of Health 20xx years of the hospital management year activities target, do a good job of medical management "adjustment, In 20xx, our hospital will continue to carry out in-depth activities of hospital management year, so that the management of the layers, the task of each level to the person, seriously implement the medical core system, to eliminate errors, accidents.
2, conscientiously do a good job of business and technical staff of the "three basic three strict" knowledge learning and training, and actively organize the hospital staff to carry out business lectures and new knowledge training, especially to strengthen the knowledge of emergency ambulance training, to strengthen the training of medical technology operations, and regular training of the content of the assessment, examination, and will be assessed, examination results will be made public, and the results of the assessment, examination. The assessment, examination results for publicity, examination results and personal economic linked to the preparation of business lectures 10 to 12 times this year, plans to carry out the "three basic three strict" knowledge and first aid knowledge contest each one, and in the competition to achieve the top three personnel for recognition and reward.
3, strengthen the construction of specialties, seriously do a good job in our urology, cerebral surgery, cardiovascular, cerebrovascular, diabetes, obstetrics and gynecology, pediatrics and other key departments of the construction and investment in equipment, and strive for pediatrics, Obstetrics and Gynecology in the basis of the 20xx year on a new level.
4, cultivate brand awareness, set up a brand-name department, based on the existing professional, in terms of personnel, technology, equipment and other aspects of the cardiovascular and cerebrovascular department, urology, craniocerebral microinjury surgery and other departments invested in the establishment of high-quality professionals, and equipped with a certain amount of professional equipment.
5, seriously do a good job of writing medical documents. This year, we are going to carry out medical writing evaluation activities, random sampling of cases (calendar), the writing of a better material incentives to give poorly written to criticize, and the results of the evaluation will be publicized.
6, 20xx work index plan:
Outpatient visits 60,000 ~ 70,000; ward patient admissions 4,000 ~ 4,500; critical patient resuscitation success rate of ≥ 80; in and out of the hospital diagnosis compliance rate of ≥ 95; aseptic surgical incision infection rate of ＜ 5; nosocomial infection rate of ＜5; the rate of statutory infectious disease report 100; inpatient medical record writing rate of 100; Grade A medical record writing rate of ≥90; medical record 24-hour writing pass rate of 100; resolutely put an end to grade C medical records; doctor-patient communication medical record writing rate of 100; filing rate of 100 cases.
7, laparoscopic surgery in cooperation with higher hospitals (laparoscopic cholecystectomy, laparoscopic hysterectomy and laparoscopic ovarian cystectomy, etc.). Cerebral hemorrhage minimally invasive drilling and drainage continues to be carried out, while continuing to carry out craniocerebral injury treatment to improve the success rate of treatment. The Department of Hepatobiliary Surgery carries out transurethral vaporization electrolysis and pneumatic ballistic lithotripsy, and total hip replacement. Hepatobiliary Surgery to carry out radical cholangiocarcinoma surgery to fill the blank of this operation in our county.
8, to encourage workers to write papers, writing thesis, and require the papers written in the national or core journals published.
Second, nursing
(a), to strengthen the ideological quality of education, to establish a good professional image
1, held quarterly ideological quality of education, combined with the actual work of the clinic, the good people and good deeds vigorously praised, and the damage to the interests of the patients and hospitals strictly criticized the people and things, and firmly established "Patient-centered" service concept.
2, please etiquette experts to our hospital training guide nursing etiquette, to further standardize the speech and behavior of nursing staff, nursing staff to develop a good temperament. Set up nurses "neat, generous, friendly" professional image, really do: "smile on the face, civilized in the mouth, skilled in the hand, the instrument in the body. Enhance the overall image of nurses and hospitals. 5.12 Nurses Day held a nurse image, instrumentation contest.
(B), strengthen professional and technical training, and cultivate a high level of nursing team
1, to strengthen the "three basic and three strict" technical training and assessment
2, to strengthen the construction of key specialties, and cultivate the backbone of professional nursing, this year, we intend to select and send the internal and external ICU, Obstetrics and Gynecology, pediatrics, operating room, etc., each of which a nurse to provincial hospitals for further training. Nurses to provincial hospitals for further training, learning advanced experience, technology.
3, to carry out the "hundred needle puncture without failure" activities to improve the nursing ability to puncture the vein.
4, clinical nursing innovation and reform. Each section of the quarter at least one nursing innovation project, can be a small experience, small innovation, can also be a large nursing innovation project. Be sure to carry out the implementation.
5, to carry out nursing instrument writing competition activities.
(C), to strengthen nursing
1, to strengthen the standardized training of nursing staff, each nurse at least once a year to go out to participate in training, timely access to new knowledge, new information, new ideas and methods.
2, the nursing quality control work into practice, and resolutely put an end to the fear of offending people, a group of ideas.
3. Increase the spiritual civilization and the construction of ethical practices.
(a) sound legal system, rule by law. Seriously organize the study and strict implementation of the "medical staff on the acceptance of" red packets "and kickbacks to deal with the problem of", and actively carry out the governance of the field of medicine purchase and sale of commercial bribery special work, the establishment of education, system, supervision of the three concurrently, punishment and prevention of long-term mechanism of corrective action, improve the legal system, strict supervision, to eliminate the source of the hospital's Red packets and kickbacks. Regularly convene meetings with patients' families, a monthly patient, family satisfaction assessment, listen to the views of all parties, the adoption rate of reasonable opinions 100, the comprehensive satisfaction of medical services more than 95.
(2) to strengthen the ideological education of the entire hospital staff and professional ethics education. Extensively carry out the ideological education and professional ethics education of loyalty, dedication, pioneering, dedication, and establish the industry style of saving lives, patient first, warm service, civilized medical practice, and strive to establish a new type of doctor-patient relationship in line with the requirements of the majority of the people. By carrying out in-depth competition activities, educating the whole hospital staff to learn from Comrade Bai Qiu'en's spirit of not benefiting himself, specializing in benefiting others, being extremely responsible for his work, full of enthusiasm for the people, and striving for technical excellence. Strive to be "patient-centered", "patients as relatives", "think of the patient's thoughts, urgent patient's urgent", to build a harmonious doctor-patient relationship.
Fourth, improve the construction of the echelon, enhance the competitiveness of the hospital.
Committed to cultivate talent, and constantly optimize the talent structure. 20xx, our hospital will still be in accordance with the principle of "virtue and talent, meritocracy", from the actual situation, to increase the cultivation of high-level talent. Selected 1 ~ 3 technical backbone to the country's leading hospitals for further study, go out to participate in academic activities to improve the level of diagnosis and treatment of various specialties. According to the actual situation of the hospital, by participating in talent exchanges and other channels to plan and target the introduction of highly educated, high-tech, high-level talent, 20xx our hospital plans to introduce 10 undergraduates, high nursing 10, in order to promote the hospital's talent construction, enhance the competitiveness of the hospital.
V. Equipment management
1, the laboratory according to the hospital patients, in order to meet the clinical needs of patients, the second half of a new automatic biochemical analyzer.
2, electrocardiogram room proposed new activity plate system and dynamic blood pressure detector.
3, and actively create conditions for the purchase of prostate electrocuting microscope and pneumatic ballistic lithotripter each one.
Six, logistics and financial work
(a) sound financial system, strengthen economic accounting and supervision. The hospital's various economic behavior must be done in accordance with the rules, according to the rules, adhere to the "unified leadership, centralized management" principle of financial management, to achieve the unity of economic decision-making, economic operation of the coordinated, strictly prohibit the departments and offices to set up the account, the treasury, the major projects to be discussed collectively and in accordance with the provisions of the procedures for approval, the implementation of major economic matters, leadership responsibility and accountability. The company's main goal is to provide the best possible service to the public.
(2) Explore the establishment of a hospital cost accounting system to promote quality medical services, efficient and low consumption. Our hospital will be based on the actual situation, to explore the establishment of cost accounting and cost accounting system, the hospital cost budget, accounting, determine the cost target, strict implementation of the budget management, control costs and expenses, reduce waste, reduce consumption, improve efficiency, so that the hospital's financial management gradually adapted to the requirements of the development of modern society.
(C) Increase the transparency of medical charges, consciously accept social and patient supervision. Our hospital will still strictly implement the national drug pricing policy and medical service charges, standardize all kinds of service charges, and seriously carry out the work of medical service information disclosure, disclosure of the main medical service items, medical service charges, commonly used drugs and consumables prices, etc., to further improve the "one day, one checklist" system, and timely answer to patients and their families on the hospital charges. We also answer patients' and their families' questions about hospital charges in a timely manner, so that patients can see a doctor in an unambiguous manner. The company's products and services are designed to meet the needs of the market, and the company's products and services are designed to meet the needs of the market, and the company's products and services are designed to meet the needs of the market, and the company's products and services are designed to meet the needs of the market.
(D) Increase revenue and reduce expenditure.
In the hospital's relative shortage of funds, the hospital staff should pay attention to increase revenue and save money, and conscientiously implement the provisions of the hospital regulations, such as "on the use of heating and cooling equipment," "on the rational use of water and electricity regulations," etc., in response to the slogan of saving "a drop of water, a degree of electricity, a piece of paper, a piece of gauze". Departments to enhance the awareness of saving, to eliminate the occurrence of long bright lights, long flowing water and other man-made waste phenomena. The hospital has gradually implemented paperless office, online document circulation through the office system to save paper. The hospital still encourages everyone to start from the hospital point of view, on the increase in revenue and expenditure, open source, put forward rationalization proposals for the development of the hospital.
(E) logistics, safety and security management.
The general material implementation of quota management, sound implementation of good procurement, acceptance, warehousing, distribution, scrapping system. Logistics services continue to implement the "three down", "three through", timely treatment of the "three leaks", regular inspection and acceptance according to standards. Improve the management and supervision system of sanitation and cleaning, keep the hospital environment clean and tidy, and prevent "dirty, messy and poor". Continue to strengthen the fight against medical care, hospital security management; strengthen the night patrol, after 22:00 to the hospital patients and their families to register (signature, the original reason), to ensure that the hospital, the patient's property safety. Cooperate with functional departments and assist in handling various disputes. Strengthen fire management to prevent fire.
primary hospital work plan 2A year's time passes quickly, review the work of this year, there are many gains, but also many shortcomings, sum up the experience, learn a lesson, combined with the actual situation of the department and the Ministry of Nursing requirements, is now the development of 20xx nursing plan:
First, continue to strengthen the details of the management and the nursing staff's hierarchical management, to ensure that the The nursing care safety.
20xx year will strictly implement the performance appraisal system, the quality control work divided into people, responsibility, give full play to the role of nurses, in the daily work to strengthen the inspection, increase the self-management ability of the staff of all shifts in the department, standardize the management of the department.
II. Strengthen business learning, update knowledge, expand the service connotation, increase economic income.
Develop a training program for midwives, focusing on training midwives on the observation of the labor process and the judgment of difficult labor, nursing paperwork to increase the observation record of labor, in order to record in detail the progress of the entire process of labor, so as to improve the midwives on the observation of abnormalities in the process of labor and the ability to deal with it, at the same time will be for the department of the care of common and critical illnesses of the organization of the nurses to conduct business studies, the critical patient At the same time, all nurses will be organized for the nursing of common and critical illnesses in the department for business learning, and for critical patients to organize timely nursing checkups; to strengthen the training of new business and new technology to improve the theoretical and operational capabilities of the whole department.
Three, strict disinfection and isolation, to prevent hospital infections.
1, labor and delivery room and neonatal room management: labor and delivery room and neonatal room is the prevention of hospital infection of the top priority. Responsible for the team leader responsibility system and the nurse in charge of the overall way to do a good job of comprehensive quality control. Strict sterilization and isolation and handover management of goods, strengthen the control and monitoring of hospital-acquired infections. Through inspection and supervision, the management of labor and delivery room and neonatal ward will be comprehensively improved, and all nursing quality control and management work will be completed.
2, standardize the disposal of medical waste, strict disinfection and sterilization. And do a good job of all the registration work.
3, strengthen the ward management, strict implementation of disinfection and isolation system, the mother and baby in the same room and fever patients in the room daily air disinfection, patients discharged on the day of the final disinfection to prevent cross-infection.
Four, strengthen the nursing safety management, strict internship teaching.
Internship teaching is an important part of nursing safety management, will be implemented on interns, advanced students one-on-one teaching mode, let go of the eyes, strengthen the management of labor discipline, the development of a learning plan, regular transfer exams, and internship students with the teacher's satisfaction with the survey, the selection of the annual most satisfied with the teacher.
Fifth, the morning nursing shift to take the way off script shift
To improve the nurses on the patient "ten know" mastery and language ability and communication skills.
Sixth, continue to carry out quality nursing services
Continuously expand the service connotation, increase the content of quality services, improve service quality. Continue to provide free newborn babies with the first step of birth footprints, do a good job of postpartum breast care and newborn care of health education, carry out Chinese medicine nursing operation technology, as far as possible to meet the reasonable needs of the patients, and regularly seek the views of the patients to improve the quality of service for the families of the patients to provide a satisfactory health care environment.
Seven, strengthen the management of medical equipment, emergency medical equipment
Responsibility to the person, the equipment placed in each area is assigned to a person responsible for the management, maintenance, regular checks and repairs, to ensure that each piece of equipment is in a good state of standby; to strengthen the management of emergency medical equipment, the person assigned to a person, a fixed point of placing, regular disinfection, regular inspections, inspections, and maintenance, at any time in a state of standby. The company's products and services have been well received by the public and the public at large.
Eight, strengthen the health education and postnatal visits
In 20xx, the department will establish a maternal QQ group, ready to solve the problems raised by pregnant women and do a good job of pregnancy fingerprints. At the same time, the daily work to do in the room with the mission, treatment, care at any time with the guidance, use every opportunity to do a good job of missionary work.
The midwife is responsible for postnatal visits by phone 15-40 days after delivery to learn about postnatal recovery, breastfeeding and urge mothers to come to the hospital 42 days after delivery for follow-up and family planning guidance.
九、开设孕产產產知识講座：
由科室资深的. Doctors, midwives to give lectures, lectures take the lecture demonstration, question and answer interaction, visit and study and other ways. And widely solicited opinions and suggestions to adjust the content of the lecture to meet the needs of expectant fathers and mothers to meet the demand for health care knowledge.
Tenth, actively develop Chinese medicine characteristics of nursing technology
Including cupping, moxibustion, in clinical use, to increase the therapeutic effect, give full play to the advantages of the characteristics of traditional Chinese medicine, to carry out different forms of traditional Chinese medicine treatment of disease knowledge education and health care education and guidance.
Grassroots Hospital Work Plan 3In 20xx, in order to consolidate the results of our hospital xx hospital creation, so that xx hospital management system measures in place. Our hospital continues to fully implement the implementation of the "Chinese People's *** and State Maternal and Child Health Care Law Implementation Measures", "xx City Children's Development Program", "xx City Women's Development Program" identified to promote the objectives of maternal and child feeding. Around the long-term management, sustainable protection, promotion and support of breastfeeding, improve breastfeeding rates in order to reduce infant morbidity and mortality, to promote the further construction and development of xx hospital, specially formulated xx hospital work plan:
First, improve the organization of Trona
Consolidation of the results of the xx hospital is a permanent and arduous The project, in order to avoid the creation of love after the ideological laxity, decline in work, solid and effective work, continue to set up to Qiu Feng, President of the consolidation of the xx hospital leading group, the work of the xx action as a management objective of the work of the whole hospital to strengthen the supervision and assessment, the formation of a long-term management mechanism, so that the work of the xx hospital to get sustainable development.
The second focus of the training to ensure quality
1, in order to ensure the consolidation of the results of the xx hospital, to strengthen the health care personnel to strengthen the training and retraining work, so that the standard is consistent, the same understanding of the same, the same goal, the same quality, the same effect.
2, on the new staff for operational guidance and in six months for xx hospital knowledge training, assessment and qualification before taking up their duties.
3, the original on-the-job personnel retraining, and combined with the three basic assessment, a theoretical assessment, failed to immediately carry out intensive training.
4, the specific training program is as follows: see the attached page
Third, to strengthen the obstetrics and pediatrics infection management, to ensure the safety of mothers and children
1, set up the infection management team, in the hospital under the leadership of the Department of Sensory Control, is responsible for the work of the hospital in the department of sensory control.
2, set up the delivery room and isolation of the delivery room and the implementation of strict disinfection and isolation system, strict control of the number of people entering the room, the isolation of pregnant women in accordance with the isolation of the technical procedures for delivery and care, delivery is completed in accordance with the requirements of the delivery room for wiping and disinfection.
3. The neonatal incubator is sterilized and managed according to regulations.
4, the baby shower utensils to do a use a disinfection, and the use of disposable supplies, shower is completed, ultraviolet air disinfection.
Four, strengthen the obstetrics and pediatrics first aid and standardization of construction
1, in order to conscientiously reflect the children first, mother and child safety purposes, the future focus of work based on the obstetrics and pediatrics first aid and standardization of construction, the opening of the maternal green channel, continue to implement the free maternal transport.
2, the obstetrics staff on duty all hold a licensed physician's license and maternal and child health certificate, to provide the necessary technical support for medical safety.
3. Improve the technical level of obstetrics and pediatrics, reduce the rate of cesarean section, strengthen the screening, management and monitoring of high-risk pregnancies, and reduce the mortality rate of mothers, infants and children.
4, the maternal breastfeeding guidance to the implementation of responsible nurse management, breastfeeding problems in a timely manner to guide.
5, continue to implement the third-level physician room system, to grasp the quality of medical record writing, to do seriously and truthfully, timely records.
Fifth, grasp the prenatal mission and consultation work, and strive to run a good maternity school
1, grasp the outpatient missionary work, monthly focused on maternity school knowledge lectures, women and pregnant women to carry out a full range of health knowledge education, and make a good registration.
2, deepen the work of xx outpatient clinic, effective guidance and implementation of corrective measures to ensure that mother and child feeding after delivery can be successfully implemented.
3, continue to improve breastfeeding counseling clinic, the opening of the consultation phone, the mother in the breastfeeding problems to give timely guidance.
4, continue to do a good job of folic acid distribution, so that the rate of knowledge and compliance rate to meet the target requirements.
5, to do a good job of AIDS, syphilis, hepatitis B consultation and testing, to prevent mother-to-child transmission.
Consolidation of the results of the xx hospital is an important project, the hospital medical staff to continue to improve the level of business, to eliminate the occurrence of medical errors, to protect the safety of mothers and infants, in order to improve the overall image of the hospital.
Primary hospital work plan 4In order to make the xx hospital work can be carried out consistently, consolidate and develop the results of the xx hospital, improve breastfeeding rate, and really do mother and child safety, mother and child health. Now we have formulated the following work plan for this year's XX Hospital:
I. Strengthening the leadership of the XX Hospital and readjusting the leadership of the XX Hospital:
1. Members of the leadership team of the XX Hospital: xx
2. The Technical Steering Group for the Promotion of Breastfeeding.
Second, to strengthen the training of breastfeeding knowledge
To strengthen the relevant departments to promote breastfeeding knowledge and skills training, the purpose is to make breastfeeding activities persistently adhere to, and better improve the quality of service.
1, for the new to our hospital staff, each person issued a booklet of breastfeeding knowledge manual, while breastfeeding knowledge of pre-service training, after the examination before taking up the job.
2, obstetrics and gynecology, pediatrics, medical staff annual breastfeeding knowledge of three hours of intensive training, the examination twice.
3, plans to send the relevant departments every year 1 ~ 2 medical staff to higher hospitals for further study, learning new knowledge, new technologies, better carry out the work of the XX hospital, improve the quality of service.
Three, continue to run a good maternity school
1, continue to distribute information about breastfeeding knowledge.
2, the maternity school is regularly open 1 to 2 times a week, to pregnant women lectures, watching videos, teaching pregnancy health and breastfeeding knowledge, and do a good job of counseling.
Fourth, to comply with the rules and regulations of the XX Hospital, to ensure the quality of breastfeeding
1, to comply with the Obstetrics and Gynecology, Pediatrics breastfeeding system, the implementation of early contact, early sucking, mother and baby in the same room, on-demand breastfeeding, and continue to improve the rate of exclusive breastfeeding.
2, strict compliance with the promotion of breastfeeding rules and regulations, the Nursing Department from time to time to the obstetrics and pediatrics department to carry out inspections, found that the problem is timely pointed out and rectified.
V. Strengthen the management of prenatal clinic
Maternal and child health clinic work management, required to do conscientious implementation of the clinic work system, and actively carry out maternal and child health knowledge and breastfeeding knowledge of the publicity and guidance work.
Sixth, conscientiously implement the hospital rules and regulations
Strengthen the construction of medical ethics and medical style, strengthen the quality of medical management, and improve the success rate of breastfeeding.
Primary hospital work plan 5
First, the goal
Through scientific quality management, the establishment of a normal, rigorous work order, to ensure medical quality and safety, to eliminate the occurrence of medical accidents, and to promote the hospital's level of medical technology, the level of management, and the development of continuous.
The gradual implementation of comprehensive quality management, the establishment of a clear mandate and responsibility for mutual constraints, coordination and promotion of the quality assurance system, so that the hospital's medical quality management work to achieve legalization, standardization, standardization of facilities, and strive to improve the quality of work and efficiency.
Second, sound quality management and assessment of the organization
1, the establishment of hospitals and departments of the two-level quality management organization;
The establishment of the medical quality management organization, in charge of the dean is responsible for the Department of Medicine, Nursing Department of the main clinical, medical, pharmacy department director. Responsible for the development and modification of the hospital's medical care, medical technology, pharmacy quality management objectives and quality assessment standards, the development of medical work systems suitable for our hospital, diagnosis and treatment and nursing technical procedures, the quality of medical care, nursing, teaching, scientific research, the implementation of the quality of the case of comprehensive management. It is responsible for formulating and revising the medical accident prevention and treatment plan, and investigating and dealing with medical defects, errors and disputes. It is responsible for formulating and revising the medical quality management rewards and punishments, and implementing the rewards and punishments system.
Each clinical, medical technology, pharmacy departments to establish quality control group. Composed of section chiefs, head nurses, nurses, technology, pharmacists and other people. Responsible for the implementation of health care laws, regulations, medical care and other rules and regulations and technical operation regulations. Regularly check one by one registration and assessment report.
2, sound three-level quality supervision and assessment system
The establishment of the hospital medical quality inspection team, headed by the dean in charge, the medical department, the director of the Department of Nursing were responsible for the supervision and assessment of the medical group, nursing group. Each department set up a medical quality control group, the medical and nursing quality of the department at any time guidance, assessment. The formation of medical quality management organization, medical quality inspection team, departmental medical quality control team three-level quality supervision and assessment system.
3, gradually establish and improve the case management committee, pharmacy committee, hospital infection management committee, blood transfusion management committee, medical accident prevention and treatment committee. Respectively responsible for related affairs and management.
Third, sound rules and regulations:
1, the implementation of the job responsibility system as the center of the content of the rules and regulations, conscientiously fulfill the duties of all levels and types of personnel, strict implementation of a variety of diagnostic and nursing care technical operation procedures routine.
2, focusing on the implementation of the following key systems for supervision and inspection:
(1) medical record writing system and norms
(2) critical rescue system and the responsibility of the first diagnosis
(3) the third level of physician responsibility system and the system of room visits
(4) the system of medical advice
(5) consultation system
(6) on duty and shift handover system
(7) critical, difficult cases and death case discussion system
(8) medical disputes, accident reporting system
(9) infectious disease registration and reporting system
(10) the first diagnosis is responsible for the responsibility system
3, medical and technical departments should be set up to sign the receipt of the specimen, checking, quality follow up, report double signatures and difficult and typical case discussion system. Gradually establish imaging, pharmacy and clinical joint discussion system.
4, sound hospital infection management system and infectious disease management, epidemic registration and reporting system, strict implementation of disinfection and isolation system and aseptic operation procedures.
4, strengthen the overall quality management, education, enhance legal awareness, quality awareness.
1, the implementation of practice qualification access system, in strict accordance with the scope of practice of the "Practitioners Law".
2, the new staff pre-service education, must be health care laws and regulations, departmental rules and regulations and diagnosis and treatment norms, routines and medical quality management.
3, held from time to time, the whole quality management education, and into the professional and technical personnel examination content.
4, the violation of health care laws and regulations, rules and regulations and technical procedures for individual intensive education.
5, each section of the medical quality control team should regularly organize the section of the personnel to learn health laws and regulations, rules and regulations, operating procedures and the relevant provisions of the hospital.
6, the medical quality management organization on a regular basis for all types of medical personnel to carry out the "three basic", "three strict" intensive training, to achieve the participation of everyone, everyone pass. To the "three basics", "three strict" role in the implementation of the medical business activities and quality management at all times. The first step in the process is to make sure that you have a good understanding of how to use the equipment and how to use the equipment.
V. Establishment of a complete medical quality management monitoring system.
1, hierarchical management and assessment:
(1), all levels of medical quality management organization regular inspection and assessment of the quality of medical care, nursing, medical technology, pharmaceuticals, medical records, hospital infection management, etc. Supervision and inspection, assessment, evaluation, and put forward the improvement of opinions and measures.
(2), the function of the department of medicine regularly under the department of quality inspection, focusing on the implementation of health care laws, regulations and rules and regulations, the ability of the superior physician to inspect and guide the resident's "three basic" ability and "three strict" style.
(3), the director in charge should organize the functional departments and related departments in charge, to carry out pre-holiday inspections, unannounced inspections and night inspections, to supervise and check the quality of management work.
(4), the hospital medical quality inspection team should regularly and irregularly organize departmental cross-checking and assessment.
(5) The medical quality control team of each department should carry out self-examination, summarize and report on the medical quality work of the department every month.
2, functional departments and clinical, medical technology, pharmacy departments, quality control group to develop practical quality management measures and evaluation methods. To establish and improve a variety of medical quality records and registration. A variety of quality indicators to do a good job of registration, collection, statistics, regular analysis and evaluation.
3, the establishment of quality management effect evaluation and two-way feedback mechanism.
(1), the department of medical quality control team monthly self-examination and self-assessment, serious analysis and discussion, to determine what should be improved and focus, the development of improvement measures, and every month there is a medical section of the monthly statement of business work.
(2), the Medical Department, Nursing Department, Hospital Sensory Office and other functional departments should be the results of the inspection and assessment, medical quality indicators, etc., analyzed and proposed corrective action, timely feedback to the clinical, medical and technical departments of the quality control team. The departmental quality control team should develop corrective measures based on the corrective suggestions and report to the relevant functional departments.
(3), the medical quality management organization should hold regular plenary meetings to evaluate the quality management measures and effect analysis, discuss existing problems, exchange quality management experience, discuss and develop rectification plans and measures.
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