Annual medical quality medical safety management work summary (General 5)
Time flies, a period of time has come to an end of the work, looking back on the strong through this period of time, the achievements of the hard-won, to write a summary of this year's work. Then how to write it? The following is I help you organize the annual medical quality medical safety management work summary (generic 5), only for reference, I hope to be able to help you.
Annual medical quality medical safety management work summary 1
20xx year I hospital according to the arrangement and deployment of the higher authorities, medical quality and safety management focus on consolidating the implementation of medical norms and core systems, and actively promote the reform of public hospitals, and better complete the work tasks. Annual outpatient clinic volume completed 40306, completed hospitalization 3958 (of which 2318 agricultural patients, accounting for 58.5% of the total number of hospitalization), hospitalization surgery 420, hospital delivery 685, business growth reached 15%.
Our hospital in 20xx on the basis of previous work, seriously summarize the experience, continue to carry out the "three good and one satisfaction", medical quality Miles and antibacterial drugs clinical application of special rectification activities. The hospital adheres to the theme of "continuous quality improvement and medical safety", continuously strengthens the concept of quality, improves the sense of responsibility, builds a safety line of defense, strengthens the education and training of medical personnel, especially strengthens the concept of quality and safety of medical and nursing personnel, organizes 8 training courses throughout the year, with the participation of more than 650 people. The hospital attaches great importance to medical quality, improves quality management, strengthens quality control and ensures quality and safety. It has established a sound medical and nursing quality control system, regularly inspects the medical quality of each department, and the inspection results are fed back to the department and notified to the whole hospital; it practices strictly according to the law, and utilizes different forms to guide the patients to seek medical treatment correctly and reasonably in the course of work. It further implements various medical core systems, strengthens the quality management of medical records, strengthens the construction of key departments, and improves the management of key departments. It has strengthened the management of the application of clinical medical technology, established a surgical grading management system and surgeon files, and carried out the clinical application of medical technology in strict accordance with the regulations. Standardized drug management, organizing training for medical staff on rational use of medication, seriously reviewing prescriptions, and timely intervention in irrational use of medication; strengthened the management of medical devices, and increased the monitoring and reporting of adverse events.
Improve the antimicrobial drug management system, thoroughly clean up the use of antimicrobial drugs varieties, to retain the antimicrobial drugs 32 dosage forms, non-restricted antimicrobial drugs accounted for more than 2/3 of the total number of antimicrobial drugs. We continue to promote and implement the "patient safety goal", improve the medical accident prevention plan and handling procedures, strictly implement the checking system and medical prescription system, strengthen link management, and implement the medical safety related work system, and no major medical errors or accidents occurred in the current year. Strengthening hospital infection control, highlighting management priorities, implementing link specifications, no underreporting of infectious diseases and no nosocomial infections occurred during the year. Clinical pathway work is further promoted, at present, our hospital has 7 kinds of diseases into the clinical pathway management, but at present there are problems such as low enrollment rate, high variation rate, etc. 20xx - 20xx annual physicians' regular examination work was successfully completed, our hospital 52 people participated in the examination all qualified. Medical liability insurance and people's mediation of medical disputes are being explored and have not yet been formally launched in our hospital.
Medical treatment quality and safety is the core of hospital management, in the upcoming 20xx, our hospital will combine the reform of public hospitals, the second level of comprehensive hospital level review and other work, and strive to achieve medical quality and safety on a new level.
Annual medical quality and medical safety management work summary 2In 20xx, the Department of Neurology in the hospital leadership's strong support and caring guidance, adhering to the "creation of a first-class hospital, first-class professional disciplines," the purpose of the struggle, enterprising, struggling to innovate, conscientious and dedicated in the Department of medical staff unity and collaboration and **** With the same efforts, the Department of medical quality and safety management have made great progress. Now on the work of 20xx year is summarized as follows, and put forward 20xx year rectification measures.
1. Comprehensive target management responsibility system to complete a comprehensive beyond last year
In the section director and the head of the nurses responsible for the leadership of the department, by the entire staff **** with efforts, 20xx January to November outpatient consultations 13107, compared with the same period last year (12,269) an increase of 6.83%. The number of hospitalized people 1739, compared with the same period last year (1674 people) increased by 3.88%; the number of discharged people 1709, compared with the same period last year (1611 people) increased by 6.08%; the number of beds turnover 22.91, compared with the same period last year (21.72) increased by 5.48%; the bed occupancy rate of 87.97%, compared with the same period last year (86.87%) increased by 1.27%; the average number of days of hospitalization 13.33 days, compared with the same period last year (86.87%) increased by 1.27%; the average number of days of hospitalization 13.33 days. The average number of hospitalization days is 13.33 days, a decrease of 2.98% compared with the same period last year (13.74); the rate of Grade A cases reaches 100%.
2. Adhere to the "three good and one satisfied", clinical diagnosis and treatment level significantly improved
Early intravenous thrombolysis of cerebral infarction scale development, arterial thrombolysis breakthroughs; early rehabilitation treatment of stroke, the province's leading, and the reputation and benefits of win-win; cerebrovascular disease endovascular interventional therapy leading the province, the domestic advanced. Interventional therapy for cerebrovascular disease is leading in the province and advanced in China; independent neuromuscular pathology work to improve the quality of clinical diagnosis and treatment in our department; the establishment of the ICU of Neurology; epilepsy specialization workload has increased significantly, and social acceptance has been enhanced.
3. The implementation of no holiday expert outpatient
play the role of outpatient and emergency external window work, the implementation of 365 days every day, experts should be consulted. The general outpatient clinic is for experts, Saturday and Sunday for the chief physician to do consultation. In the case of a small number of staff in the department, but still send the deputy high doctor on duty emergency, emergency and critical patients for timely treatment, stroke green channel efficient operation.
4. Strengthen the management of the department, to eliminate all medical disputes
5. Attention to ideological and political learning
In the party branch secretary Comrade Zhang Xiucheng's leadership and organization, the department held several meetings of the party members and the department of medical and nursing staff, learning the party formulated the relevant documents, to convey the spirit of the hospital in time. Timely convey the spirit of the hospital.
In-depth study and implementation of the "Strive for Excellence, Strive to be a Qilu Pioneer" activities, "Three Good and One Satisfactory" activities, as well as anti-corruption and corruption, China **** production party members and leading cadres of the honesty and integrity of a number of guidelines, strict discipline, cleanliness, and consciously supervise the work of the party members. The company's main goal is to ensure that the company's products and services are well received by the public, and that the company's products and services are well received by the public.
20xx rectification plan:
All comrades in the department should be led by the director and head nurse, actively admit patients, increase the number of outpatient and inpatient hospitalization, improve the cure rate and the success rate of the rescue of critical cases, increase the number of turnover of beds and bed utilization, reduce the mortality rate and the average number of days in the hospital, and control the proportion of drugs. Especially for the management of medical insurance patients, we should strictly implement the provisions of the higher level, from outpatient reception, hospitalization, the proportion of drugs, the proportion of out-of-pocket items, large-scale inspection and other aspects to strengthen the management, so that the medical insurance policy can be fully implemented, and is truly conducive to the people's prevention of disease and treatment.
1. Further improve the "three good and one satisfied" activities. In order to strengthen the harmony between doctors and patients, the department will set up a service supervision group mainly headed by the department director and head nurse to work closely around the theme of how to make patients satisfied, think about the interests of the patients in every way, think more differently, and proactively provide value-added services for patients and their families, so that patients and their families can be more comfortable, warm, and assured in the process of diagnosis and treatment.
2. The reporting of single-disease quality control and clinical pathway cases needs to be further strengthened to achieve timely and accurate reporting. For patients entering the path, the path content should be strictly in accordance with the diagnostic and therapeutic activities. For the variation of patients and out of the path of patients, to seriously analyze the reasons and detailed records.
3. Further strengthen the management of the rational application of antibiotics, standardize the rational application of antibiotics.
4. Strengthen the disinfection and hygiene of the hands of health care workers to reduce the incidence of hospital infections. Once the occurrence of nosocomial infection, to timely report to the hospital infection department, in order to form a perfect information to guide the prevention and treatment of nosocomial infection.
5. For the hospitalization days more than 30 days of patients, we did not pay attention to this part of the future to all hospitalization days more than 30 days of patients, fill out the form, analyze the reasons and corrective measures, the director of the department signed the report to the Ministry of Medical Affairs.
6. Continue to strengthen the standardized training of residents and departmental business learning, to promote the improvement of the business level of all medical personnel.
Annual medical quality medical safety management work summary 3
Medical quality is a hospital survival and development of the fundamental, is a hospital level reflects, medical safety management is an important aspect of medical quality. Over the past year, our hospital in the Health Bureau under the direct and correct leadership, seriously study the Ministry of Health, the Bureau of the relevant spirit of the reform of the health care system, to join the reform of the health care system, open up the health care market, and actively participate in the market competition. Adhere to the patient-centered, all for the patient service, and constantly improve the quality of medical services, improve service attitude. Strictly grasp a variety of medical quality control indicators, improve the overall level of medical effectively reduce medical disputes, to eliminate the occurrence of medical errors.
Now on this year's medical treatment and medical safety work is summarized as follows:
First, effectively improve medical services
Strengthen the medical ethics and medical laws and regulations, rules and regulations of education, so that the majority of staff to further establish a wholeheartedly for the patient's services, adhere to the idea of "patient-centered". Patient-centered" service concept, seriously carried out the content of the "good service, good quality, good medical ethics, public satisfaction" of the "three good and one satisfied" activities, and constantly improve the level of medical services. Innovative service process, optimize the diagnosis and treatment environment. We have enriched the outpatient physicians, rationalized the working hours, and insisted on opening the clinic on time to ensure that the patients are treated in a timely manner. The establishment of an open and transparent system of medical costs, the implementation of a one-day list system for hospitalized patients, patients can always inquire about the price of drugs, hospitalization costs and other details, by the patient's praise.
Strengthen doctor-patient communication, improve the content of communication, improve communication, focus on the effect of communication, and effectively strengthen the basic management of the hospital, the establishment of a sound medical safety management organization, the implementation of the core medical work system and safety measures, to ensure that medical instruments and equipment are legal, reasonable, and safe to use, to avoid the occurrence of medical errors and accidents. Strict technical access system, standardize medical practice behavior. To conscientiously implement the "Drug Administration Law", "Medical Device Supervision and Administration Regulations", to strengthen the drugs, medical equipment procurement, storage, use of supervision and management.
Second, effectively improve the quality of medical services
Medical quality and safety is related to the public's health and safety, is the lifeblood of medical services, is the core content of hospital management and eternal theme. Medical safety is carried out first to improve the quality of medical care, enhance the level of service. Strengthen medical quality management, pay close attention to the implementation of rules and regulations, always adhere to the "patient-centered", quality as the core, quality and safety as the theme, and seriously implement the rules and regulations, job responsibilities, strict implementation of diagnostic and treatment technology routines, and the implementation of the various systems in all aspects.
The establishment of Yao Town Health Center medical quality management group, strengthen the quality management of medical documents, strict implementation of the "basic norms of medical record writing", the quality of the case of the implementation of the whole monitoring and management. The development of Yao town health hospital professional and technical personnel assessment program to implement the reward and punishment mechanism to ensure that rewards and penalties in place, the quality of medical services assessment of excellent results in the department or individual to give praise and material incentives; the quality of medical services assessment of the results of substandard departments or individuals in addition to economic penalties and hospital-wide notification of the criticism to strengthen the "three basics and three strict" training, held from time to time at all levels and types of personnel, the quality of medical documents to strengthen the management of the quality of medical documents. The company's main goal is to provide the best possible service to its customers. The company's main goal is to provide the best possible service to its customers, and to provide the best possible service to its customers.
Three, the establishment of a perfect `quality management system, standardize medical behavior is the core
This year, the hospital from the strengthening of the construction of the system, combined with the nature of the work of the job, the work of each post, the development of the relevant management system and the assessment of the rules and regulations, and the development of the functional departments, business departments comprehensive target responsibility, to achieve the first level of management, one level to one level, the pattern of responsibility for the first level, the first level to the first level. The pattern of one level being responsible to one level. Clearly responsible for ensuring that the function, so that the responsibility, the right to clear, moderate interest, so that the management of the chapter to follow, the chapter must follow, and gradually improve the management of the legal system, institutionalization, standardization, standardization.
Four, the proper disposal of disputes between doctors and patients in accordance with the law
According to the relevant laws and regulations, the disposal of disputes between doctors and patients into the legal system, standardized track, to safeguard the legitimate rights and interests of doctors and patients. According to the "Medical Accident Handling Regulations" set up Yao Township Health Center Medical Dispute Coordination and Handling Group, according to the law properly deal with medical disputes. Adhere to the principle of prevention in the first, found in the early, disposed of in the small, establish and improve the prevention and disposal mechanism of doctor-patient disputes, the implementation of the relevant preventive and control measures, and strive to resolve various types of doctor-patient disputes, to prevent the doctor-patient disputes triggered by the mass of the incident.
V. Strengthen security measures to ensure the safety of the hospital
Regularly organize key positions of staff learning training, the implementation of various internal security measures. Regularly and irregularly on the fire safety to carry out a comprehensive inspection, easy to cause a fire, the storage of dangerous goods and the concentration of people to focus on the inspection (such as the drugstore, outpatient clinics, wards, etc.), on the fire facilities for regular maintenance and replacement, to ensure that the fire equipment is intact. Our hospital implements the general duty system of hospital leaders, clearly defines each person's time period division of labor, and conducts hospital-wide patrols during the duty period, so as to effectively implement the security precautionary measures of fire prevention, anti-theft, and anti-sabotage into practice. Strictly implement the security responsibility system, to improve the destabilizing factors investigation, found that the problem is immediately rectified. Develop human, physical and technological emergency measures to ensure that the hospital does not have major security incidents.
Annual medical quality medical safety management work summary 420xx year our hospital seriously study and implement the party's "18" spirit and the new health care reform policy, to "take the initiative to create a first-class" activities as an opportunity to create a "second-class" activities. "Second Class A" Chinese medicine hospital as the goal, closely around the "patient-centered, quality-centered" purpose, give full play to the advantages of the characteristics of traditional Chinese medicine, improve the quality of medical care. At the same time, constantly strengthen the medical safety management, investigate medical safety hidden danger, to protect the quality of medical care and medical safety, and strive to achieve for the people to provide safe, effective, convenient and inexpensive medical services.
A medical quality and safety management
(a) strict implementation of the core system of medical care, strengthen the management of medical services
The hospital established a medical quality management committee, the president is the first responsible person. The establishment of a quality assurance system for medical quality management organizations at the hospital and departmental levels, the director of the department is responsible for the medical quality management of the department, the medical department organizes and implements comprehensive medical quality management, guides, supervises, inspects, assesses and evaluates the management of medical quality, carries out medical quality and safety education on a regular basis, puts forward the program for the management and continuous improvement of medical quality and establishes the goals of quality management, indexes, plans, measures, effects, evaluations and information feedback. The hospital has also established quality management goals, targets, plans, measures, effects, evaluations and information feedbacks.
The hospital has established and improved the accountability system for medical quality management, strengthened the basic quality, link quality and end quality management, and standardized diagnosis and treatment behaviors with the Diagnostic and Treatment Routine and Clinical Path. Strict implementation of the weekly business review, a monthly administrative review and holidays dean, functional departments, section chief inspection system, timely detection of problems to solve the problem. The annual medical business volume: outpatient emergency xx times, an increase of xx%, hospitalization xx times, an increase of xx%, the bed utilization rate of xx%, all kinds of surgery xx times, an increase of xx%. The hospitalization cure and improvement rate of xx%, the rescue of all kinds of critical patients xx times, the success rate of rescue xx%. Throughout the year, we completed the physical examination of some county-level leading cadres and some enterprise employees, *** counting xx person-times. The county's chronic disease physical examination xx people, the disabled physical examination xx people.
(B) optimize the medical service process, improve the quality of medical services
I adhere to the "patient-centered" service concept, to "three good and one satisfaction" as the goal, improve the medical service measures to achieve the arrangement of reasonable, warm service, smooth process. Reasonable, enthusiastic service, smooth flow, strengthen doctor-patient communication, promote harmonious doctor-patient relationship, improve patient satisfaction; actively improve the medical environment, keep the hospital clean and orderly. Solidly carry out the "quality nursing service demonstration project" activities, effectively strengthen nursing management, standardize practice behavior, solid basic nursing services, fully mobilize the enthusiasm of the majority of nursing workers, and strive to provide patients with safe, high-quality, satisfactory nursing services.
(C) carried out a quality assessment of medical records writing activities work summary
In accordance with the State Administration of Traditional Chinese Medicine, "the basic norms of Chinese medical records writing" and "medical institutions, medical records management regulations", to further standardize the management of medical records. Establishment of the assessment mechanism, monthly outpatient prescriptions, inpatient medical records, a sampling review activities to strengthen the medical record writing assessment. The rate of hospitalized medical records grade A medical records xx%, no grade C medical records.
(D) strengthened the hospital infection management
In accordance with the "Hospital Infection Management Measures" and the second level of Chinese medicine hospital accreditation standards (20xx version) of the relevant requirements, the development of a variety of contingency plans for the stomatology, operating room, emergency department, endoscopy and laboratory and other key departments of infection management to strengthen the management and monitoring. Developed the "Hospital Infection Management Manual", "Department of Hospital Infection Quality Self-inspection Book", set up a hospital infection quality control committee, to strengthen the hospital infection prevention and control of infection management, in biological monitoring, disinfection, medical waste recycling, destruction and other aspects of the strict implementation of the relevant systems, the rate of medical waste disposal of xx%, the rate of hospital infections of xx%, the year to carry out the rate of the current patient xx times, the actual rate of investigation is xx%, to carry out biological monitoring of xx The biomonitoring xx, qualified rate of xx%, quarterly hospital infection-related knowledge training xx, the participation rate of xx%, the year xx hospital infection theoretical knowledge exams, the pass rate of xx%, the year no large nosocomial infections occur.
(E) to strengthen the emergency, first aid work
The establishment of the first aid team based on Chinese medicine personnel to strengthen the basic skills of medical personnel first aid training, medical staff can skillfully and correctly use a variety of resuscitation equipment, mastering a variety of first aid techniques. Strengthen our hospital inter-departmental coordination capacity, in order to adapt to the needs of emergency rescue work in complex situations.
(F) strengthen the management of clinical blood transfusion
Strengthen the management of blood transfusion, the strict implementation of the "Clinical Blood Transfusion Technical Specification" and "medical use of blood management methods" and other systems, the strict implementation of blood transfusion technical operating procedures, grasp the indications for transfusion, scientific and rational use of blood, and the development and implementation of the control of transfusion of infected programs. The annual blood transfusion of xx person times, the amount of blood transfusion xx ml, component blood transfusion 100%, no violation of blood use and blood transfusion errors occurred.
(VII) strengthened the quality control of clinical testing
According to the "Pathogenic Microorganisms Laboratory Biosafety Regulations", "Department of Clinical Laboratory
Room Management Measures" and other relevant provisions, comprehensively strengthened the laboratory biosafety, quality control and management work; provide 24-hour emergency testing services to meet the needs of the clinic; the clinical testing program conducted indoor quality control and room The program has carried out indoor quality control and inter-room quality evaluation.
(H), infectious disease management
According to the relevant requirements, the provisions of the timely reporting of various types of infectious diseases, annual **** reported xx cases of various types of infectious diseases, deaths xx cases, no omission, late reporting and false reporting of cases. Epidemic information network is running normally.
(IX) to strengthen the regular assessment of physicians
According to the Ministry of Health, every two years on the regular assessment of physicians, the establishment of adverse medical behavior, tainted record file on the physician, the requirement for physicians to have good professional ethics, medical ethics. Continuing education credits up to the standard. 20xx in 20xx on xx licensed physicians, physician assistant assessment, all qualified.
(X) clinical path management
In view of the actual hospital, the medical department developed the hospital's Chinese medicine clinical path management regulations, and took the lead in the development of the xx pilot specialties, xx pilot diseases of the clinical path of the implementation of the program, the year into the path of xx cases, the rate of entry xx%, variations xx cases, the number of withdrawal of the path of xx cases, the number of cases of clinical path of the number of cases accounted for the number of all discharged cases ratio xx%. The average hospitalization day xx days.
(xi) Chinese medicine guidance work
In the county medical association, with the assistance of the county held xx times the county township health centers and rural doctors in Chinese medicine appropriate technology training will be training rural doctors *** counting xx, teaching xx hours, not only to enable the rural doctors to be able to master and application of appropriate technology of traditional Chinese medicine, but also for the masses of farmers for the appropriate technology of traditional Chinese medicine can have a deep understanding and understanding, fully enjoy the Chinese medicine appropriate technology, and the Chinese medicine appropriate technology, and the Chinese medicine appropriate technology. The company's products and services have been widely recognized by the public, and have been well received by the public and the private sector.
Second, the quality of care and safety management
Nursing work to the patient-centered, improve the quality of care, deepen the quality of care services, to ensure that nursing safety as the goal. Seriously implement the rules and regulations and strictly enforced. Through quality control to block and change certain bad state, so that the quality of care is always in line with the quality standard requirements. Adhere to the regular monthly meeting of the head nurse; quarterly nursing quality management meeting; nursing adverse event analysis and discussion of thematic meetings; nursing, medical and logistics multi-departmental coordination meeting, etc., strictly according to the work plan to complete the key work, summarize the strengths and weaknesses of the previous month's work and put forward the corresponding corrective measures. The core system of nursing is seriously implemented, and the work of quarterly room visits and difficult case discussions is adhered to.
Continuing to carry out in the inpatient department "quality nursing service demonstration ward" activities, inpatient satisfaction is xx%. The annual completion of business indicators: rescue of critically ill patients xx times, rescue success rate of xx%, the number of hospitalized patients xx times, outpatient observation of patients xx times, intravenous infusion xx times, blood transfusion xx times, intravenous injection xx times, intramuscular injections and various types of skin tests xx times, catheterization of xx times, oral cavity care xx times, gastric lavage xx times, oxygen inhalation xx times, ultrasound nebulization xx times, surgical tables xx times, the number of times, and the number of times. Surgery xx times, Chinese medicine care (fire cupping, moxibustion strips, external application of traditional Chinese medicine, fumigation of traditional Chinese medicine, functional exercise, fracture healing instrument, auricular acupuncture points, tdp, etc.) xx times. Nursing instrument writing qualification rate xx%, first aid items intact rate xx%, routine instrument disinfection and sterilization qualification rate xx%, the number of decubitus ulcers is xx, patient satisfaction rate is xx%.
Three, logistics and safety management
To adhere to the "strengthen the quality, improve the management, make the best use of things, service clinical" principle, to protect the logistics supply. Strengthened medical equipment, instruments, water, electricity, vehicles, and hospital fire facilities, channel management, to provide protection for the hospital's work.
Four, medical quality and safety incident management
Carry out the whole medical quality and safety education, improve the awareness of medical safety. Seriously implement the "Interim Provisions for Reporting Medical Quality and Safety Incidents", "Interim Measures for Medical Quality and Safety Cautions and Talks System", our hospital has formulated a major medical safety incident, medical accident prevention plan and handling procedures. It further improves the organizational leadership, management institutions, rules and regulations, operating procedures and standards of production safety, clarifies the staffing requirements, and implements the measures in place; special management and measures are taken for key areas and departments. Hospitals regularly report medical quality and safety incidents, the annual **** reported xx cases. No medical accidents occurred throughout the year. No medical disputes throughout the year.
Annual medical quality medical safety management of the work summary 520xx, according to the hospital's medical quality and medical safety management committee work plan, set a number of goals, and one by one implementation. However, there are still many shortcomings, in the future work still need to continue to improve and perfect, now the 20xx medical quality and medical safety management work is summarized as follows:
First, according to the law practice management
In order to further strengthen the implementation of the implementation of the practice of the law and the implementation of the safeguard of medical safety, the Medical Department to strengthen the hospital's legal practice to carry out Check, supervision, implementation, feedback, organization and implementation of learning. The company's main goal is to provide the best possible service to its customers, and to provide the best possible service to its customers in the future.
Second, the system construction, continue to improve the system
In the implementation of the medical regulations and operating standards at the same time, the hospital revised the medical, pharmaceutical, technical management standards and clinical specialty diagnosis and treatment standards.
Three, regular medical quality inspection, continuous improvement of medical quality: the medical department of the whole hospital clinical departments to carry out quality inspection. Strictly in accordance with the "basic specification for the writing of medical records," the requirements of the organization at least once a month to supervise and inspect the quality of medical records.
Fourth, the main deficiencies
(1) the quality of medical documents in some departments is poor: mainly in the superior physician check-up records are exactly the same, the routine inspection is not perfect, there are many logical errors in the medical record (such as the patient's name, gender, age, inconsistent entry and exit diagnosis, etc.), the important The results of abnormal tests are not analyzed, not recorded, the diagnosis is not based on enough, some physicians or nursing staff should be signed where there is no signature, the daily medical records are not written in a timely manner, the surgical safety verification and surgical risk assessment is incomplete and so on.
(2) The use of antibiotics in some departments is not standardized.
(3) The work of the medical quality control team in some departments has not been put into practice.
Fifth, the next stage of medical quality and medical safety management work focus:
1, to strengthen the study of laws and regulations, strengthen the supervision, strictly good access to practice, so that medical personnel at all levels consciously according to the law, according to practice.
2, to strengthen the study of various types of quality management system, to improve the quality of medical care, so that the diagnosis of a standard, the treatment has a basis.
3, do a good job in the "basic specification for medical record writing" (20xx version) training, improve the quality of medical record writing. Strengthen the "three basic and three strict", and constantly improve the quality of medical staff and practice level, and continuously improve the quality of medical services.
4, improve and unify the hospital medical quality evaluation standards.
5, to further improve the hospital and departmental management organization, the implementation of hospital and departmental medical quality management system and responsibility.
6, now running medical records by the Medical Department to organize regular inspections; archived cases by the Medical Department and the case room to organize the relevant department director or quality control physicians regularly or irregularly supervise the inspection of medical records, at least once a month.
;