According to the State Administration of Traditional Chinese Medicine XX Chinese medicine hospital management year activity program of the spirit of the notice, as well as the provincial and municipal health departments, the Bureau of the arrangements and deployment of the hospital leadership attaches great importance to the inclusion of the hospital's work in the important agenda, and in earnest in accordance with the requirements of the higher levels, against the eight key work of the solid and in-depth development of the hospital management year activities, and has achieved good results, is now my hospital! Chinese medicine hospital management activities are summarized as follows:
First, the basic situation of the hospital
Neiqiu County Hospital of Traditional Chinese Medicine was founded in February 1984, 1994 was rated as a second-class hospital. In the county party committee, the county government's concern and support, the hospital has experienced two relocation, three times the site, the scale gradually expanded, the function tends to be reasonable, and now covers an area of 50 acres, building area of nearly XX0 square meters. *** There are 149 cadres, employees, health and technical personnel accounted for 90% of the total number of employees, Chinese medicine category of physicians accounted for 66.7% of the proportion of physicians, Chinese medicine personnel accounted for 81.8% of the proportion of pharmacy personnel, hospital-level leadership team of Chinese medicine personnel accounted for 66.7%. The hospital has 50 staff with titles of intermediate level or above (including 13 staff with the title of deputy chief physician), and experts and professors are employed for year-round consultation, and collaborative hospital relations have been established with the Provincial No. 2 Hospital and the Municipal People's Hospital, etc. The backbone of business technology are all above provincial hospitals. Business and technical backbone of the provincial hospital specialties for further study.
The hospital establishment of 150 beds, with internal, external, women, children, emergency, skin, eyes, ears, nose and throat, oral, anesthesia, acupuncture and physiotherapy, rehabilitation, orthopedic injuries, anus and other 13 clinical departments. Stroke specialty, skin specialty, pain specialty, anal and intestinal specialty are identified by Xingtai Municipal Health Bureau as municipal Chinese medicine key specialties. There are specialty clinics for hypertension and diabetes, sleep disorders, spleen and stomach diseases, asthma, infertility and so on. There are 6 wards including heart disease, brain disease, surgery, trauma, gynecology and pediatrics. As well as laboratory, pathology, ultrasound, heart, electroencephalography, gastroenteroscopy, hyperbaric oxygen chamber, radiotherapy, ct, radiology, Chinese and Western pharmacy disinfection and supply of more than 30 medical, medical and technical departments.
The hospital has a whole-body spiral ct machine, cobalt 60 radiotherapy machine, color ultrasound diagnostic instrument, lung function tester, color transcranial Doppler, electrocardiography workstation, electronic gastroscope, electronic colonoscopy, 500 mA high-frequency remote-controlled gastrointestinal x-ray machine, c-arm x-ray machine, extracorporeal shockwave lithotripsy, hyperbaric oxygen chambers, automatic 5-classification hematology analyzers, automatic biochemical analyzers, blood coagulation instrument, blood flow The hospital is equipped with large and medium-sized modern medical instruments and equipment, such as automatic 5-category blood analyzer, automatic biochemical analyzer, blood coagulation meter, blood flow meter, blood perfusion machine, allergic reaction tester, chemiluminescence meter, osteoporosis tester, specific protein analyzer, 24-hour dynamic electrocardiography and blood pressure monitor, and so on.
Hospital for the city's traditional Chinese medicine system for the first two-class hospital, was identified by the higher level of Hebei Medical University, Hebei University of Engineering, Xingtai Medical College Clinical Teaching Hospital, has been rated for years as the city and county civilized units, by the provincial spiritual civilization construction committee awarded? Three-star civilized service window unit? It has been awarded by the Provincial Health Department as "Three-star Civilized Service Window Unit". Hebei Province, deepening reform, quality service hundred hospitals? The hospital was awarded by the provincial health department as one of the top 100 hospitals in Hebei province for deepening reform and quality service. Model Hospital of Traditional Chinese Medicine in Hebei Province Hebei Provincial Advanced Unit of Medical Ethics Construction; awarded by the Chinese Medical Association as the National People's Reassurance Model Hospital. The national people assured that the model hospital?
Second, the main results
By carrying out the activities of the Chinese medicine hospital management year, improve the whole staff up and down on the Chinese medicine management year's awareness of the work of the Chinese medicine characteristics of the effectiveness of the training of talents has been strengthened, the specialty construction highlights the focus, basically to achieve the management of Chinese medicine year's requirements to promote the Chinese medicine hospital as a whole, the scientific development.
(a) the characteristic advantages of traditional Chinese medicine to further show
We formulated according to the actual hospital embodiment of traditional Chinese medicine as the main medium and long term development plan, clear development goals, and at the same time formulated out of the practical and feasible to play the characteristics of traditional Chinese medicine advantages of the seven measures, and one by one to be implemented in the departmental assessment of the objectives will be used as an important indicator of the results of the assessment of the comprehensive allocation of the departmental program to be embodied. The results of the assessment will be reflected in the comprehensive distribution program of the department. At present, the hospital has anal and intestinal, pain, skin, acupuncture and other specialties were listed as key Chinese medicine specialties by the province and city.
The hospital actively carry out counterpart support, according to the county health bureau, we have two county township health centers in Jindian, Wu Guo, counterpart support, which will be included in the president's target responsibility system and annual work plan, sent two business backbone in the two townships in the countryside for many years at both levels of health centers, health departments of the business guidance of traditional Chinese medicine, and carry out the promotion of Chinese medicine appropriate technology, such as massage, podiatry, etc., so that people can strengthen the understanding of traditional Chinese medicine and the public's understanding of Chinese medicine. The masses to strengthen the understanding and awareness of Chinese medicine, the grassroots personnel to be rewarded.
(2) staffing tends to be reasonable, team building has been strengthened
We strictly in accordance with the "on Chinese medicine hospitals to play the advantages of the characteristics of Chinese medicine to strengthen the staffing of the notice", efforts to make the leadership team, functional departments, key specialties staffing to meet the proportion of the requirements of the staff, so that those who know Chinese medicine, fine business personnel to the corresponding positions, to give full play to their due role.
In order to enhance the overall quality of the hospital, we have formulated a plan for the construction of the Chinese medicine personnel team, find ways to optimize the structure of the Chinese medicine personnel, and encourage the Chinese medicine personnel to go out and come in to participate in various types of training at all levels of traditional Chinese medicine, and at the same time, carry out a good knowledge of traditional Chinese medicine and skills training and job training, so that the Chinese medicine personnel to master more and better traditional Chinese medicine technology.
(C) clinical department construction further standardization
We set up clinical departments throughout the hospital, in strict accordance with the State Administration of Traditional Chinese Medicine on the standardization of departmental names of the notice requirements to be standardized and modified, the hospital outpatient clinics, wards, emergency each area of the setup and equipment to meet the requirements of Chinese medicine in accordance with the relevant requirements of the Chinese medicine characteristics of the service program, each department to carry out case discussions, improve Chinese medicine diagnosis and treatment of acute and critical illnesses and difficult diseases.
Formulate and implement Chinese medicine diagnosis and treatment programs for common diseases and Chinese medicine advantageous diseases, strictly implement Chinese medicine medical record writing standards, and take the lead in implementing Chinese medicine electronic medical records in Xingtai county-level Chinese medicine hospitals.
(D) the construction of key specialties significantly strengthened
The hospital formulated and implemented the stroke, pain, skin, anorectal and other specialties construction and development plan, the four specialties have obvious advantages of traditional Chinese medicine characteristics, specialty outpatient clinics accounted for more than 80% of the hospital, the development of the corresponding specialties of traditional Chinese medicine diagnosis and treatment program, the clinical departments are regularly evaluated, analyzed, and constantly improve the level of specialties. The clinical departments are evaluated and analyzed on a regular basis to continuously improve the level of specialization.
(E) Chinese medicine pharmacy management gradually standardized
Chinese medicine pharmacy set up to meet the "basic standards of hospital pharmacy", expanding the area of the Chinese medicine pharmacy to achieve the library of separate, Chinese medicine pharmacy, decoction room personnel to achieve the professional and technical qualifications qualifications, the Chinese medicine purchasing system, the purchase of channels in line with the relevant provisions.
(F) the quality of Chinese medicine nursing care to improve
In order to improve the quality of Chinese medicine nursing care, the development of Chinese medicine training program for nursing staff, in the hospital actively carry out Chinese medicine nursing care technology and operation, specialty care can provide with Chinese medicine characteristics of health and guidance, the quality of Chinese medicine nursing care in the hospital can be improved.
(VII) Chinese medicine culture construction further strengthened
Our hospital is the Hebei Provincial Bureau of Traditional Chinese Medicine established Chinese medicine culture publicity project unit, implement the "on strengthening the Chinese medicine team Chinese medicine culture construction of the guiding opinions", "Chinese medicine hospitals, Chinese medicine culture construction measures," the relevant requirements, the development of the "staff manual" to make the construction of Chinese medicine culture y rooted in people's hearts. We have taken various measures to publicize the culture of Chinese medicine, such as exhibition boards, hospital newspapers, TV specials, and series of manuals on health care knowledge.
(H) Chinese medicine health care services continue to improve
The hospital has developed a development of Chinese medicine preventive health care services work plan, reasonable settings and construction? Cure the future disease? services, and strive to provide appropriate Chinese medicine technology services for the people in the area.
Three, the main measures
(a) awareness-raising, strengthen the leadership
In order to conscientiously implement a good? Hospital management year? activities, one is set up to dean as the leader, vice president for the vice president, the director of each functional department as a member of the? Hospital management year? Activity Leading Group, responsible for the coordination and supervision of the activities of the Hospital Management Year. The second is to convene a special meeting of the hospital leadership team to unify thinking, division of labor, so that the goal is clear, the responsibility of the hospital management year activities in the work of the hospital's important agenda. The third is to convene a general meeting of the entire hospital staff to mobilize the work, so that the purpose and significance of the activities of the hospital management year so that everyone knows.
At the same time, we also use the hospital newspaper, windows and other forms of extensive publicity to mobilize, and strive to create a good atmosphere of public opinion. Fourth, the use of hospital weekly meetings from time to time on the relevant sections of the relevant standard tasks for scheduling reports. Fifth, through? quality control day? , members of the leading group in-depth departments, field supervision and inspection activities to rectify and implement the situation, and through the hospital weekly meeting to inform. In the hospital management year activities, we seriously against the standard check deficiencies, find problems, continuous improvement, continuous improvement, in order to achieve tangible results.
(2) efforts to strengthen the construction of Chinese medicine characteristics
The focus and core content of the activities of the hospital management year is: the construction of Chinese medicine characteristics of the advantages of the issue. In recent years, we are first of all the hospital team leadership thinking, unified to grasp the embodiment of Chinese medicine as the main direction of development, correct the leadership's ideological understanding of the problem, the development of the introduction of a strengthened Chinese medicine connotation of the construction of specific measures and regulations. First, conscientiously implement the Chinese medical record writing norms, focusing on strengthening.
Clinical Chinese medicine diagnosis and treatment and the use of Chinese medicine nursing technology to improve the quality of medical record writing, regular checks to strengthen quality control; Second, the clinical departments are required to select at least one above the Chinese medicine specialty (disease) project to explore and develop, (such as the internal 1 section ? Spleen and Stomach Disease, Internal 2? Stroke Disease, Surgery 1? Anal and Intestinal Disease, Surgery 2? Low back pain, Obstetrics and Gynecology? Infertility, Pediatrics? Asthma) to the efficacy and characteristics of the cultivation of expanding its specialties (diseases) scale; Third, the key specialties or prospects for the development of the department to give key support, the hospital from the acquisition of equipment, personnel training to give key tilt to the discipline leader to give its rewards or reuse to promote the development of the department; Fourth, from time to time to organize the corresponding section of the backbone of the technical staff to go out to visit the investigation (has gone to Weifang, Pingdingshan, Xi'an, Liuzhou, Rongcheng, etc.), learning from the specialties ), to learn from the construction of specialized specialties experience; five is the use of Chinese medicine tablets included in the hospital's monthly comprehensive quality assessment, for those who can not meet the requirements of the penalty section bonus, and the section director bonus linked to 20%; six is to encourage Western medicine to learn Chinese medicine, Chinese medicine to drive the Western medicine, so that the clinical medical staff can master the basics of Chinese medicine.
At the same time from time to time to convene specialty (disease) seminars, mutual exchange of learning, mutual promotion and improvement; seven is the head of the clinical department is equipped with, in principle, must be a Chinese medicine or Chinese and Western medicine title of personnel, Western medical personnel, in principle, through the Chinese medicine learning to obtain Chinese medicine or Chinese and Western medicine qualifications, to be promoted to the appointment of the eight is the active development of Chinese medicine services, the preparation of traditional Chinese medicine capsules to prevent and control allergic diseases, hand, foot and mouth disease, and the use of Chinese medicine. The eighth is to actively carry out Chinese medicine service programs, formulate Chinese medicine scent capsules to prevent and control allergic diseases, hand-foot-mouth disease, carry out skin beauty care with traditional Chinese medicine masks, carry out evening podiatry service, and introduce decoction-free traditional Chinese medicines for the convenience of patients. Through the management of the year's activities, strengthen measures to reward and punish, Chinese medicine specialties and specialties as well as characteristics of the construction, there has been a new development, stroke, anus for the municipal key specialties.
(C) pay close attention to the quality of medical care, to ensure medical safety
Medical quality is the lifeline of the hospital work, we start from the strengthening of the system construction, re-revised the "hospital work system and duties" and compiled into a booklet, issued by the department to study the implementation of the 14 core systems are hung on the wall. At the same time, to strengthen the construction of quality control system at the hospital and department level, adhere to the hospital leadership led by the Friday quality inspection day activities, to do weekly inspections, monthly assessment, monthly quality inspection information bulletin, strict rewards and penalties, to prevent the occurrence of medical malpractice disputes. In addition, seriously grasp the practice of law, strict licensing, new project access management, seriously in accordance with the requirements of the higher standardize the name of the department, the key parts, the key positions, to strengthen the management of production safety, to prevent all kinds of accidents.
Strictly implement the hospital health management laws, regulations, rules and regulations and diagnosis and treatment of nursing norms, routines, organization of the hospital's medical staff to study the law of the practitioner, the nurse management law, medical institutions management regulations, medical accidents regulations and other health professional laws and regulations, so that the majority of medical staff are familiar with the various health professional laws and regulations, so that according to the law, the law, the conduct of the norms.
At the same time, improve and implement the hospital rules and regulations and job responsibility system, in particular, the system of responsibility for the first diagnosis, the third-level physician check-up system, the system for discussing difficult cases, the consultation system, the system for rescuing critically ill patients, pre-operative discussion of the development of a system for discussing the death of the case, the system of checking the system, the basic norms of case writing and management system, the handover system, the technical access system and other core systems of medical quality and medical safety, and the system. Developed a medical accident prevention and treatment plan, set up a public **** health emergencies disaster relief and disease prevention emergency response team, medical disputes, major medical negligence and medical malpractice disposal system, the establishment of a sound and perfect the nursing work system, hierarchical nursing system, etc..
Four, actively do a good job of Chinese medicine pharmacy
In order to meet the needs of the work of the hospital seriously organize the relevant departments and personnel, study the "basic standards for hospital pharmacy", "hospital Chinese medicine drinks management norms", and "medical institutions, Chinese medicine decoction room management norms," the three monographs, and actively to implement. Equipment such as Chinese medicine cabinet, stainless steel medicine rack and automatic decoction machine were purchased. The introduction of Chinese medicine decoction-free particles, expanding the Chinese medicine decoction room, in accordance with the arrangements of the Provincial Administration of Traditional Chinese Medicine, sent Chinese medicine personnel to Wuhan Hospital of Traditional Chinese Medicine for further study, to participate in the province's senior identification of Chinese medicine tablets teacher training, and actively grasp the standardized management and construction.
V. Strengthen the construction of Chinese medicine culture
Our county is the originator of the Chinese medicine magpie medical hometown, we take this as a grasp, and strive to promote the magpie's medical ethics and medical skills. According to the State Administration of Traditional Chinese Medicine "on strengthening the construction of traditional Chinese medicine culture guidance" and "traditional Chinese medicine hospitals, traditional Chinese medicine culture construction guide" document requirements, our hospital developed on strengthening the implementation of the construction of traditional Chinese medicine culture program. It has successively shaped the statue of Bian Magpie in the center of the hospital and carved the hospital shielding wall using the ? The Great Physician's Sincerity? in order to honor and learn. In the hospital garden planting Chinese herbs and other flowers, set up fitness equipment, in front of the outpatient clinic building to establish a publicity window, in the building corridor as well as the waiting area hanging Chinese medicine health care and other knowledge of Chinese medicine publicity board.
In some wards installed closed-circuit television, broadcasting Chinese medicine health lectures for patients to watch, and the county television station to shoot five episodes reflecting the hospital's Chinese medicine specialty (disease) characteristics of diagnosis and treatment of feature films. At the same time, we run our own newspaper "Neiqiu New Chinese Medicine" 46 issues, actively promote the culture of traditional Chinese medicine, the development of the hospital's purpose, the direction of the hospital, the hospital motto, the development strategy, business service concepts and other hospital spirit as well as civilized service norms of the staff, etc., to the hospital to the internal and external collection of the hospital logo, the hospital song. Printed Chinese medicine health and health care series of more than 10,000 books, to further promote and disseminate the rich connotation of Chinese medicine culture.
In short, in? Hospital management year? We have done a lot of work in the activities, but also achieved some results, on May 7 last year, on behalf of Hebei Province, we accepted the State Administration of Traditional Chinese Medicine on the management of the year of work inspection, assessment, but the distance from the higher level of the requirements and standards, there are still some shortcomings and problems, such as: our specialty specialties are still not large scale; Chinese medicine treatment rate is still to be further improved.
We will take the leadership of the provincial administration of traditional Chinese medicine and experts on our hospital XX years of traditional Chinese medicine management year work inspection, assessment and guidance of the east wind, to further improve, improve the work of the problems and shortcomings, in-depth and solid Chinese medicine hospital management year activities, give play to the advantages of the characteristics of traditional Chinese medicine, and comprehensively improve the level of hospital management and medical level, and further promote the healthy development of the cause of traditional Chinese medicine, and make a contribution to the revitalization of the cause of traditional Chinese medicine. The revitalization of the cause of Chinese medicine, make our due contribution!
Summary of the work of the hospital management year activities twoAccording to the ** City Health Bureau issued the "** City 201* annual hospital management year activities implementation program" document requirements and the Ministry of Health, the Provincial Department of Health, the spirit of the relevant documents of the ** Municipal Bureau of Health, my station in-depth carry out to ? Improve the quality of hospital services, build a harmonious doctor-patient relationship? As the theme of the hospital management year activities, in the medical work to quality, safety, service as the focus. Now the work is summarized as follows:
A, solid foundation, full participation in the management of the year activities
(a) strengthen leadership, sound organization. My station will? Hospital management year? activities as this year? Theme year? Included in the year's work program, in the City Health Bureau issued a document immediately after the convening of the entire station? Hospital Management Year? Activity mobilization meeting was held immediately after the document issued by the Municipal Health Bureau, the whole station was mobilized for the activities of all staff, and a comprehensive deployment was made for all the work. The establishment of a station chief as the leader, the relevant middle-level cadres specifically responsible for the working group, the activities of the content of the article by article refinement, decomposition to the section to the person, to enhance the operability.
(ii) extensive publicity to create an atmosphere. Since the launch of the activity, we hang in the hospital in a conspicuous place ? Improve the quality of hospital services, build a harmonious doctor-patient relationship ? Doctors think for the patients, medical care to the satisfaction of the masses? and other content of the banner. Opened a column, the use of the edition of the newspaper, the progress of the activities and the effectiveness of the report.
(C) organizational learning, full participation. In accordance with the unified arrangement of the station, the organization of the entire station personnel to study the "Medical Practitioners Law", "Nurses Management Measures", "Medical Institutions Regulations" and "Medical Accident Handling Regulations" and other health professional laws and regulations, to strengthen the understanding of the requirements of the entire staff to do according to law, behavioral norms.
Second, quality service, build a harmonious doctor-patient relationship.
(a) standardize staff speech and behavior. Further standardize the service language and ? Prohibited language? ; implement holistic care, responsible nurses to communicate with patients at any time, timely answers to patients' questions; the establishment of doctor-patient communication system, improve informed consent, fully respect the patient's right to health and informed consent.
(2) the implementation of convenient measures. According to the needs of patients introduced a series of convenient measures, including the provision of chairs for accompanying, provide family members with a telephone, inpatient checkups accompanied by medical staff and other humane convenience measures, won the praise of patients. Strengthen and improve the patient return visit system, according to my station for tuberculosis, mental illness and other special diseases, focusing on the guidance of discharged patients home health care and rehabilitation, and patients sincere communication, build a bridge of trust between doctors and patients.
(C) Improve the medical environment. In addition to enjoying high-quality medical services and warm nursing care, the medical environment is also a major concern for patients. In the hospital management year activities, the implementation of the post responsibility system in outpatient wards day and night patrols to protect the safety of patients' property; increase investment in comprehensively improve ward facilities.
Three, strengthen the management, comprehensively improve the quality of care.
In order to fully promote? The hospital management year? activities, the spirit of the document really put into practice, we start from improving the management level of middle-level cadres, through the grasp of quality management and improve the system, comprehensively improve the quality of medical care.
(a) Improve the management system. Each functional department in accordance with ? Hospital Management Year? The specific requirements of the activity, the establishment of a sound system and responsibilities, so that all the work of the station are in accordance with the rules, do not go beyond the scope of the practice of medicine, do not set up unauthorized departments and rented departments; all the staff through the study of a unified understanding of the consciously act according to the rules, and adhere to the law of practice.
(ii) the implementation of hospital affairs. Clearly see the doctor? is the patient's request, I will station the outpatient doctor profile, expert specialist introduction, drug prices, large equipment inspection are to be announced, so that the patient is clear consumption. Hospitalized patients implement a one-day list system, so that patients can always know their hospitalization costs and medication. The company has set up a complaints office to receive and deal with patients' complaints, and issues patient satisfaction questionnaires every month to solicit patients' opinions.
(C) Strengthen supervision and inspection. In order to put the hospital management year activities into practice, labor discipline, medical ethics, medical staff instrumentation and other aspects of the investigation and key departments to focus on random checks, and resolutely put an end to the acceptance of red packets, kickbacks; from the grasp of the quality of medical care medical start, strictly according to the management of the regulations deductions to the section to the person in order to promote the overall improvement of health care quality, so far, there has not been a dispute between the doctor and patient disputes and other disputes.
(D) strict management and use of antibacterial drugs. According to the spirit of the "201* Clinical Application of Antimicrobial Drugs Special Remediation Activity Work Plan", strengthen the rational use of antimicrobial drugs full training; strict implementation of the antimicrobial drug classification and management system; organization of the "Antimicrobial Drugs Guiding Principles for Clinical Application" to achieve the learning of everyone knows. Further promote the rational use of antimicrobial drugs, to ensure the safety of the majority of patients with medication.
Management of the year's activities so that patients to my station to see the excellent service environment, hear the civilized standardized service language, enjoy the high quality of medical services, get a healthy body. Harmonious doctor-patient relationship in? Hospital Management Year? activities came to the fore.
With? Hospital management year? activities in-depth, my station's medical ethics and practice construction has been significantly improved, the management of the more orderly, medical quality has also greatly improved, service awareness has been enhanced, the rectification measures have been implemented, effectively promote the work of the expected results. We want to create conditions against the standard, continue to improve the quality of medical services, seize the masses to see the doctor in the hot spots and difficult problems, to ensure medical safety, to provide high-quality, humanized service, continuous reform, continuous improvement, so that the management level and quality of medical care in my station jumped up to a new level.
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