Hospital self-correction measures a
First, the guiding ideology
According to the XX County Office of the New Rural Cooperative notification, combined with the actual town, in order to really protect the people's immediate interests, according to the town and village integration management approach, XX County, the implementation of the new rural cooperative medical care program and related laws and regulations, in order to ensure that the New Rural Cooperative funds to ensure the safe operation of the development of the present program. Program.
Second, the principle of work
1, self-correction and focus on the combination of supervision self-correction by the XX town leaders and co-management of the Office of the implementation of the organization, the town of all health departments to carry out a comprehensive supervision.
2, investigate the problem and study the combination of education through the mass visits and investigation supervision, investigate the main problems, research and analysis of the reasons for the policy learning, ideological education, enhance the town and village doctors to carry out the conscientiousness of the policy of the New Rural Cooperative.
3, rectification and standardization and the establishment of a combination of rules and regulations for the existence of problems, immediate rectification, to ensure that the policy provisions of standardized operation, standardized operation. On this basis, the development and improvement of the rules and regulations, clear requirements, according to the work of the chapter, so that the work of the new rural cooperative towards institutionalization, standardization.
Third, to achieve the goal
Through self-examination and self-correction and rectification, so that the town's new rural cooperative work towards formalization, and truly in the strict implementation of the policy provisions, the unity of economic and social benefits, the pursuit of social benefits in the first place, put the interests of the people in the first place, and effectively change the attitude of the service, improve the quality of service, reduce the cost of medicines, so that the masses are satisfied, let the party and the government rest assured. Let the party and the government rest assured.
Fourth, the method and steps
1, self-correction stage. (June 4? June 7), the town of 16 village health room for a comprehensive self-examination.
2, comprehensive rectification stage. (June 7 ? June 8), combined with the town identified its own problems and deficiencies for rectification, and deadline for correction.
3, summarize the stage. (June 8?June 9) will be the town's self-correction of the rectification results in writing to the county joint management office.
Fifth, the focus of rectification
1, whether the strict implementation of prescription writing and management regulations, whether to ensure the authenticity of the prescription, uniqueness, check whether the cost of drugs is reasonable.
2. Whether to strictly implement the "basic medication catalog" and "diagnostic and therapeutic items".
3. Visiting the public to investigate whether there is any phenomenon of indiscriminate charging, and whether the proportion of reductions and exemptions is clear in the consultation.
4. Check whether the original reimbursement documents of the town and village doctors are consistent with the writing in the certificate of the masses.
5, check the town and village doctors stock of drugs whether the implementation of the provisions of the unified distribution of drugs.
Six, specific requirements
1, to attach great importance. The new rural cooperative work is a major livelihood project, involving more than 10,000 people in my town's vital interests, the town party committee and government attaches great importance to the general concern of all sectors of society, in the self-correction and rectification should be rigorous and serious, to ensure that we can find out the problem, solve the problem.
2, to be carefully organized. The rectification and standardization, is my town co-management office of self-requirement, self-strengthening, to solve the town's new rural cooperative work in the implementation of the process of problems in the heavy initiative. To be based on their own, find the problem, solve the problem, and strive to make the problem found in the bud, solve the problem in the bud.
3, to be strict discipline. Self-correction and rectification work a serious work, we need to clarify the responsibility, division of labor, seriously organize and carry out, where the cover-up and cover-up, do not seriously rectify, later exposed the problem, the parties will be held accountable for the relevant responsibilities.
XX Health Hospital
XXXX June 4
Hospital self-corrective measures for self-correction Part II
I. Effectively strengthen nursing safety education, establish a patient-centered service concept, and vigorously advocate the idea of changing passive service into active service.
Specific measures:
1. Nursing staff must adhere to the weekly meeting system, to participate in the weekly medical safety education and learning, and found that a failure to implement the hospital's rules and regulations penalties.
2. Combined with our hospital to carry out the ? Quality nursing service demonstration project? Establish the concept of patient-centered service, provide proactive services, strengthen the nursing staff's sense of responsibility, and advocate nursing staff with? Love, care, patience and responsibility? Service to patients, to carry out quality nursing service advanced individual selection activities.
3. Through the strengthening of clinical nursing work, solid basic nursing services, in the whole society to establish a good image of health care industry wholeheartedly for the people's services, carry forward the humanitarian spirit of saving lives and promote harmonious doctor-patient relations.
II. Establish and improve the relevant rules and regulations, clear job responsibilities. Summarize the experience, and gradually explore and improve the hospital nursing management system suitable for our hospital, establish a long-term mechanism for continuous improvement of nursing quality, and constantly improve the level of nursing work.
Specific measures:
1. To further implement the "Nurses Regulations", "Ministry of Health on the strengthening of clinical nursing work in hospitals notice", "general hospitals hierarchical nursing guidelines (for trial implementation)", "inpatient basic nursing service projects (for trial implementation)", "basic nursing service work norms", "commonly used clinical nursing technical service norms," the requirements, and effectively strengthen the nursing management, standardize nursing services, and consolidate basic nursing.
2. Establish and improve the relevant rules and regulations, clear job responsibilities.
1) Hospitals and wards have a complete plan to create, target tasks and implementation measures, nursing staff are registered and standardized practice.
2)The establishment of sound clinical nursing regulations, disease care routines and clinical nursing service norms and standards.
3)Establishment of the post responsibility system for nurses, the development and implementation of all levels and types of nurses' post responsibilities and work standards, standardize the practice of clinical nursing behavior.
4) Establish a performance appraisal system for nurses, combining the results of the appraisal with the promotion and evaluation of nurses according to the quantity and quality of clinical nursing work done by nurses and the satisfaction of hospitalized patients.
3. Define the basic nursing projects and work norms that clinical nurses should be responsible for, and must perform basic nursing duties, standardize nursing behavior, and improve nursing services.
4. Define the connotation of clinical nursing services, service programs and work standards. The service connotation of hierarchical care, service projects to include the implementation of the patient's condition observation, treatment and care measures, life care, rehabilitation and health guidance, and into the hospital affairs, as the content of the public to the patients, the introduction of patients and social participation in the evaluation mechanism.
III. Strengthen the study of laws and regulations and various rules and work norms.
Specific measures:
1. To carry out the "Nurses Regulations", "Ministry of Health on strengthening clinical nursing work in hospitals notice", "general hospitals graded nursing guidelines (for trial implementation)", "inpatient basic nursing service projects (for trial implementation)", "basic nursing service work norms", "commonly used clinical nursing technical service norms" and other laws and regulations, at least once a month, so that nursing staff master the rules and regulations. At least once a month, so that nursing staff to master the rules and regulations and laws and regulations.
2. Establish and improve the rules and regulations, strict implementation of operating procedures, and constantly standardize the nursing workflow, the development of patient safety management plan.
3. Strengthen the management of quality control measures, increase the key quality control efforts, the department to establish a quality control group, regularly check the implementation of the system and the quality management of each link, the quality of the problem nipped in the bud, to eliminate and reduce the occurrence of hidden problems.
4. Repeatedly strengthen the legal awareness of nurses, the use of the morning meeting and the usual business learning for legal knowledge and prevention of medical disputes case lectures, with specific cases to inform nurses, any negligence in a small link, may cause irreparable damage. Regularly convene safety analysis meeting, let nursing staff combined with the work of the post, looking for error-prone links, especially for the emergence of the problem, analyze the reasons and develop improvement measures. Update the management concept, encourage nursing staff to report safety hazards, and set up a hidden danger self-reporting incentive system, such as concealment and non-reporting, will be punished according to the appropriate system.
IV. Strengthen nursing? Three basic? Three strict?
Specific measures:
1. Each have a theoretical examination, a technical operation assessment.
2. Encourage nursing staff to participate in various forms of internal and external business learning, training.
3. Develop preferential policies to encourage nursing staff to participate in adult higher education in order to improve the nursing staff's business skills and theoretical knowledge.
4. Adopt the method of inviting in and going out to strengthen the nursing new business and new technology learning, every February to invite the higher experts to our hospital to guide the lectures, nursing staff take turns to the higher hospitals for short-term training.
V. Strengthen the study of nurses regulations, strict implementation of the implementation of the medical prescription system, and resolutely put an end to the phenomenon of inconsistency between medication and medical prescription.
Specific measures: Increase supervision and inspection efforts, once the nurse found that the medication does not match the doctor's orders, immediately cancel the shift nurse nursing license.
VI. Strengthen the training of aseptic operating procedures, the management of aseptic items, do a good job of all kinds of aseptic items issued by the use of process management and autoclave sterilization monitoring supervision and inspection; do a good job of disinfection and isolation of infectious patients, supervise and do a good job of hygienic wards end of the unprocessed work.
Specific measures: joint division of labor, strengthen the nursing staff's sense of responsibility.
vii. Strengthen the duty handover system.
Specific measures:
1. Once a week the core system of learning.
2. Once a week at least nursing staff collective handover.
3. Increase the administrative room inspection and supervision.
viii. Strengthen nurse-patient communication.
Specific measures:
1. Carefully study the Wei No. document "Strengthening the implementation of doctor-patient communication work".
2. Effectively change the mindset, promote patient-centered active service.
3. Combined with the creation of high-quality nursing service demonstration wards to do a good job of nurse-patient communication.
4. The admission mission, health education, disease guidance, discharge guidance, discharge patient surveys and other work scientifically combined together to do a good job of nurse-patient communication.
ix. Do a good job in the management and custody of rescue medicines and goods.
Specific measures:
1. Development of rescue equipment maintenance and repair system.
2. Actively introduce new rescue equipment.
3. Do a good job of rescue medicines, items in the spare state of the inspection work
4. Strengthen the duty handover responsibility.
x. Strictly grasp the drip rate of special drugs, strictly fulfill the special medication notification.
Specific measures:
1. Strengthen the prompt, where the doctor's special requirements of the drip rate of drugs, be sure to use a red pen to indicate the drip rate on the infusion bottle label.
2. Strengthen the sense of responsibility, strict fulfillment of the notification system.
Hospital self-corrective measures three
To implement the scientific concept of development and the party's 17th National Congress, the 17th Plenary Session of the Fifth Plenary Session and the Central Commission for Discipline Inspection of the Sixth Plenary Session of the spirit of the establishment of a good image of the health system, and strive to create a people's satisfaction with hospitals, strive to be the masses satisfied with the medical staff, according to the District Health Bureau, "Heping District Health Care System? Three Good and One Satisfactory? Notice of Activity Program", combined with deepening the reform of the medical and health system, the activities of creating excellence and the construction of the style of work, our hospital in May 20XX began to carry out in the whole hospital? Good service, good quality, good medical ethics, public satisfaction? The three good and one satisfied? Three Goods and One Satisfaction? activity. After three months of mobilization, study and propaganda and actual operation, the hospital has started the activity of "Three Good and One Satisfactory". Three Good and One Satisfaction? activities have achieved initial results, the whole hospital cadres and staff morale, public satisfaction generally improved.
In order to further consolidate the results achieved, the hospital organized a? The first time I saw this, it was a very good idea. Special self-examination activities, in the process of self-examination and self-correction, we found that the following issues can be further improved or improved, more conducive to the whole? Three Good and One Satisfactory? activities and achieve better results.
First, a very small number of health care workers have not been unified or their thoughts on the? The three good and one satisfied? The activity of the acceptance is not high. Mainly in the participation in the activities are not active, in front of the patient service attitude is hard, or not seriously write medical records and so on.
Second, the hospital infrastructure and patient care process to be further improved. Performance in the relative patient concentration period such as the morning, outpatient registration is still more crowded and disorderly; infusion patients to the bathroom is not convenient and so on.
Third, the volunteer activities of the organization is relatively weak, the social supervision mechanism needs to be improved. On the above self-examination, our hospital? The three good and one satisfied? Activity leading group after summarizing the following corrective measures:
First, continue to strengthen the medical ethics education, vigorously promote noble medical ethics, serious industry discipline, and strive to do? The first step is to make sure that you have a good understanding of what you are doing and how you are doing it.
Medical ethics is the first, good medical ethics is the premise of a harmonious relationship. Our hospital combined with the actual, using various forms to strengthen learning and education, the cultivation of noble professional ethics and improve the level of business in the same position, to win the trust of patients and the community, so that the construction of medical ethics continue to improve.
Vigorously implement? The company's goal is to provide the best possible service to its customers. Work norms, strengthen training and education, change the concept of medical services in our hospitals, the establishment of medical ethics, quality of service, social assessment and other major elements of the performance appraisal system, so as to spend less money, look good, so that the masses really feel the benefits of the new health care reform.
Standardize the work of doctor-patient communication. The company's website has been updated with the latest information about the company's website, including its website and its website. Make full use of our hospital in a prominent position to set up the opinion box and opinion book, in order to solve the difficulties of patients in a timely manner.
Adhere to the principle of seeking truth from facts, objectivity and fairness of the medical ethics assessment of all employees, and with the employment of positions, assessment of excellence, performance pay, etc., and resolutely do not engage in formalism.
Second, continue to improve the service attitude, optimize the service process, and constantly improve the level of service, and strive to do? Good service?
? Good service? is the embodiment of the purpose and style of health care work. Medical services should adhere to the people-oriented, firmly establish? Patients first, quality first, service first? The concept of service awareness, improve service attitude, improve service mode, optimize the service process, enhance the level of service, and strive to provide patients with a full range of high-quality and warm service. Improve service attitude, continue to adhere to? Patient-centered? The service concept. Require the majority of medical staff to improve the quality of service at the same time, treat every patient with care, patience and sincerity. Effectively enhance the awareness of humanistic care, vigorously advocate humanistic services, everywhere reflecting humanistic care, and strive to provide warm services and skills. Optimize the service process, convenient for the masses to see a doctor. Focus on the hospital registration, charging, pharmacy, outpatient and other windows, starting from the development of business processes to facilitate access to the public, work systems that meet the needs of patients, and take comprehensive measures to further optimize the service process, improve the service facilities, beautify the service environment, to facilitate access to patients and shorten the waiting time of patients. Strengthen the construction of hospital information technology, open medical cost information to the community, and strive to improve the public transparency of the charges, so that the masses to see a doctor to understand the consumption.
Third, continue to strengthen quality management, standardize diagnostic and treatment behavior, and continuously improve the quality of medical care, and strive to achieve? The quality is good.
Medical quality and safety is the core of medical services,? The three good and one satisfied? The activity of the proposed? The quality is good.
The first step in the development of the medical quality and safety system is to seriously implement the medical quality and safety system and enhance the awareness of the responsibility of medical quality and safety. Our hospital should always take medical quality as the core, effectively strengthen the internal management of the hospital and basic medical quality management, continue to strengthen the capacity building of clinical specialties and medical staff? Three basic and three strict? Training. In order to promote the further improvement of the quality of medical care, to ensure medical safety, and to improve the professional quality of medical personnel.
Continue to strengthen the management of the clinical application of medical technology and equipment, to ensure the quality and safety of medical care and patients' rights and interests. To effectively strengthen the management of the clinical application of medical technology, the establishment of a strict medical technology access and management system. Firmly establish the correct outlook on life and values of medical personnel, establish the quality of the first consciousness, the main focus on learning business, research technology.
Fourth, continue to carry out in-depth review of the wind, proactive acceptance of social supervision, and strive to achieve ? The public is satisfied?
? The masses are satisfied. is our ultimate goal, but also we carry out? The three good and one satisfied? The original intention and purpose of the activity. The first is to seriously do a good job of patient satisfaction survey, to win patient satisfaction. Through the on-site survey of outpatients, pay attention to the patient's feelings, listen to the patient's views; their comments or suggestions, and actively implement corrective action, and effectively promote the improvement of the quality of medical care and service level, to win the patient's satisfaction. The second is to comprehensively carry out the democratic evaluation of behavior, so that social satisfaction. Relying on the people's orderly supervision, solving the outstanding problems reflected by the masses, an important initiative to win the trust of the people with practical results. Through solid work, we will win the satisfaction and recognition of the public and the understanding and support of the society. Thirdly, by strengthening the various forms of free clinic and inspection activities, go to the masses, understand the needs of the masses, help the masses to solve practical problems, publicize the hospital, publicize the medical policy, enhance the image of the entire hospital.
In short, to carry out? The three good and one satisfied? activities, so that our hospital medical ethics and medical style significantly improved, the quality of medical care steadily improved, the level of service continues to improve, the rate of satisfaction of the masses continue to rise, the hospital's work to a new level, really make? Three Good and One Satisfactory? The first step is to make sure that the people can get the best out of their lives.
Heping District Hunhe Station West Health Center
August 15, 2000
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