Part I:
In 20XX, the logistics management section did a lot of, fruitful work under the leadership and support of the hospital department, and the work in 20XX is summarized as follows:
A. Water and electricity safety management
1, In 20XX, the work of our hospital is in the stage of rapid development, and our hospital is the county's electricity users, in the case of fewer staff, more things. Regular weekly organization of water, electrician to each section of the logistics administrative check. Problems found in a timely manner, for things that can not be completed in a timely manner, make a good record and immediately reported to the leadership in charge, after the leadership agreed, together with the outside professionals to make proper arrangements for processing. In April this year, the establishment of ten wards, logistics organizations related personnel to work overtime for water and electricity renovation. Timely completion of the tasks arranged by the higher leadership. Get the leadership and everyone's praise. This year, the leadership of the hospital in accordance with the work arrangements, determined in October before the completion of the creation of grade hospitals. Our logistics management section in accordance with the creation of standards, organizing the relevant professionals to overcome difficulties, overtime on the water, electricity, gas supply equipment for the transformation and improvement of the work. Do a good job of creating information to supplement the work. In the process of creating a grade hospital was highly praised by the evaluation experts.
2, strengthen the water and electricity safety supervision, logistics management section and medical, nursing, administrative section leaders **** with the consultation to develop a relevant management system, **** with the supervision, to prevent dripping leakage and risk of running, effective savings in water and electricity costs.
3, repair the old, save costs, for the replacement of items to do can be used to repair and use again. Save the cost of expenditure.
4, reasonable arrangement of time to organize the water, electrician business knowledge learning, improve business knowledge and service skills.
Second, the material plan, procurement management
1, since the operation of the hospital, due to the shortage of administrative and logistical personnel, supply security planning is poor, to the clinical work of inconvenience, but also does not meet the hospital financial management norms, under the guidance of the financial sector, responsible for the hospital daily material plan development, the implementation of the plan, procurement, separate management. First of all, to understand the rationality of the department's reported plans, to grasp the use of the department's planning cycle, and to make separate statistics.
2, understand the market price, adhere to the "good quality and price" principle, to eliminate the relationship between the bad situation of goods. The implementation of the two lines of planning and procurement, effectively formed a binding mechanism, the effectiveness of the hospital material security has been further improved. At the same time to strengthen the hospital's logistics materials out of the warehouse management, to put an end to the human single.
Third, to strengthen the oxygen, fire, sewage management
1, oxygen is the hospital diagnosis and treatment of an important guarantee. The daily arrangement of 24-hour duty, regular inspection to the ward oxygen pressure, as well as whether there is running, leakage occurs. Problems found in a timely manner. To ensure that the normal clinical oxygen safety.
2, the sewage treatment station is related to the hospital sewage treatment and discharge whether the key section of the standard. In accordance with the requirements of the environmental protection department, 8 hours a day regular work, do a good job of drug delivery, detailed records of operating time. Ensure that the sewage discharge standards.
3, under the leadership of the hospital leadership, production safety committee, in accordance with the work plan, the organization of two fire safety training throughout the year, so that our staff understand, master certain fire safety knowledge and the ability to fight and escape from incipient fires. The fire management department was highly praised. 20XX year by the county fire safety committee as an advanced unit and advanced individual.
Fourth, strengthen the infrastructure maintenance, repair, hospital safety production and inertia operation is guaranteed
Since the implementation of the hospital's large logistics division of labor management, the logistics section of the water, electricity and other types of work to implement a strict management, and adhere to the daily inspection system. Specific practices are: their own inspection of the operating conditions of electrical equipment, check the water pipeline with or without running, leakage phenomenon, found that the problem is dealt with in a timely manner, every day by the water, electricity professionals asked the departments of the existence of the problem and to be repaired to deal with the problem. General problems are dealt with at that time and delivered to the section, and a signing system for maintenance work is implemented. Difficult problems are reported in writing to the person in charge of the section, and the section organizes discussions to come up with a treatment plan. When the hospital's manpower, technology and other factors can not be completed, immediately report to the leaders in charge, and timely outside the staff to be dealt with. This working method avoids the occurrence of procrastination and tug-of-war phenomenon, improves the working efficiency, and eliminates the occurrence of hidden dangers and accidents in the hospital's safety production. Doorman in the case of fewer personnel, reasonable scheduling. Door, emergency, ward in case of special medical disputes actively assist the medical department to deal with related matters.
Fifth, strengthen the hospital environment management, establish the image of the public hospital administrative functions
Our hospital is the county's second-class public hospitals, bear the county most of the administrative functions of health and other behavioral activities such as hosting, in a number of large-scale inspections, acceptance, observing the activities of the hospital to spend a great deal of effort to manage the hospital environment and the order of the public **** in September, to complete the West In September, we completed the security work of the west gate (installing speed bumps and lifting poles), and cooperated with the medical department to complete the acceptance work of the safe hospital. In each of the inspection activities in the environmental appearance have been higher leaders and relevant units of the affirmation, by the community unanimously praise.
Six, strengthen the management of the cafeteria
The hospital cafeteria has played a pivotal role in the development of the hospital. How to reasonably solve the hospitalized patients and our staff's diet, is one of the important things hospital leaders concerned about, in April of the canteen outsourcing bidding. The opening hours of the cafeteria are set in the morning, midday and evening. Organize a variety of breakfast, evening to ensure that the normal meals of overtime physicians.
Part II:
In 20xx, the staff of the Department of Medical Services in the hospital committee of the correct leadership and strong support, in-depth implementation of the scientific concept of development, and always "patient-centered, quality-centered". Strictly to the "national people assured that the model hospital", "hospital management year" standards, "medical quality" activities to strengthen the scientific management, to promote the thirteen core systems and post The implementation of the thirteen core systems and job responsibility system, improve the quality of medical records writing, strengthen continuing medical education and other measures to improve medical quality, ensure medical safety, to ensure the overall development of the work of the Medical Department. Now the work of the medical department in 20xx is summarized as follows:
First, the quality of medical care
1, the completion of the work indicators:
The number of open beds 420
Hospital beds utilization rate: 106.1%
Annual Total number of outpatient visits: 49,453
Total number of inpatient visits: 24,405
Average hospitalization: 6,7 days
Number of beds actually occupied in the hospital: 162,506
Rate of Class A medical records: 98.5%
Prescription pass rate: 98%. p> Prescription pass rate: 98%
Admission and discharge diagnosis compliance rate: 93.5%
Pre- and post-operative diagnosis compliance rate: 97%
Positive rate of ct: 70%
Successful rate of emergency and serious illnesses rescue: 88%
Infection rate of sterile surgical incision: 0
Accuracy rate of pathologic diagnosis: 98%
Percentage of component blood transfusion: 99%
Average preoperative hospitalization of patients with elective surgery: 38 hours
Average preoperative hospitalization of patients with elective surgery: 38 hours
All of the above indicators have met the quality control requirements of the Ministry of Health for level II hospitals.
2, pay close attention to the quality of medical records, improve the writing level of young doctors
The writing of medical records is the focus of medical quality management, the medical department has always paid close attention to the quality of management of the medical records do not let up, especially since the second half of the year by President Li, President Niu, President of the Board of Directors, in turn, the team of the medical department, the Department of Nursing, Infection Section of the clinical departments to carry out a three-month intensive supervision and management since constantly emphasizing the quality of medical records, the Department of Nursing, the Department of Infection. Since the supervision and management, constantly emphasize the importance of medical record writing, and on-site review of the link medical records, to the supervision of the medical department put forward more stringent requirements, therefore, the medical department to change the way of thinking focusing on the details and completeness from the link medical records, strengthened hospitalization records in the main complaint, the current history of the review of the physical examination, the requirements of the main complaint of the description of the main complaint to be accurate, to be able to show the main characteristics of the symptoms; The content of the current medical history must be comprehensive, complete, systematic, and consistent with the chief complaint; physical examination must be written only after the resident has actually, meticulously, conscientiously, and comprehensively examined the patient, and the appearance of positive signs must be recorded in detail, and be consistent with the chief complaint and current medical history.
On the actual examination of the process of the main complaint description is not in place, the current medical history is not written comprehensively, without detailed questioning, clinical examination will be blindly recorded past history, personal history, family history, physical examination, the course of the disease, in strict accordance with the penalties, as of the end of November, my department **** sampling session of more than 2,800 copies of the medical records, the prevalent problems are: diagnostic and treatment plan no Signature of the superior physician; preoperative, pre-transfusion necessary examination items are incomplete; the current medical history is not comprehensive, past history, personal history and other basic items are sketchy, the questioning is not detailed; pre-surgical anesthesia visit records of the visit time conflicts with the operation time, the visit content is simple, in form; daily medical records are not timely; the patient was discharged without the consent of the superior physician to sign the discharge records. In response to these problems, we will continue to strengthen the supervision in the future work, the use of business learning time to organize special training, strengthen the sense of responsibility of physicians, and strive to correct the root cause.
In order to enhance the young physician's sense of responsibility, improve the young physician's business quality and the level of medical record writing, the Medical Department requires all rotating physicians to select two cases of representative diseases per week from their departments, according to their own actual inquiries, clinical examination and treatment and observation of the inpatient hospital records, after completion of the modification of the director of the department, supplemented by the completion of the medical department to the medical section to review again! The review, and will modify the opinion marked in the original medical records, as of the end of November medical section *** review hospitalized medical records more than 370, scheduled for the second half of December in the hospital for the centralized evaluation, after the end of the evaluation of the exhibition of the main problems appearing in the medical section plans to hold three to five lectures in the hospital for training.
For the final medical records, we continue to use the case room as the initial screening point, as well as for the basis of the first page, admission records, three-stage checkups, discharge records and other all items for a comprehensive inspection and evaluation, as of the end of November, the Medical Section **** sampling of the final medical records of 370 points, no B, C-level medical records, A rate of 100%. In addition to strengthen the case filing management, the hospital 72 hours filing rate of 100%.
3, continue to strengthen the implementation of the core system, update and improve the construction of the departmental system
**** medical department from the actual situation of the department, continue to deepen the thirteen core system. Participate in the departmental morning *, three-level checkup: adhere to the weekly participation in the departmental morning *, supervision includes: whether the participants are complete; on the night to deal with the patient's medication and the way to the correct and effective; whether the resident can do 24 hours on duty. In addition, according to the time reported by each department, the department regularly attends the three-level checkups, focusing on the following: group checkups, distribution of checkup echelon personnel, checkup process, teaching, young physicians' practical ability and mastery of knowledge of related diseases, and quality of medical care. After the end of the medical department will exist problems and improve the views of timely feedback to the department, and tracking and supervision of the implementation of the department. Continue to standardize the departmental case discussion: focus on strengthening the proceduralization and institutionalization of the discussion of difficult, preoperative, critical and fatal cases, from time to time to participate in the departmental discussion, in the ordinary course of participating in the department *, room visits found in the process of a representative case, the Medical Department will also recommend the department to organize discussions, and the whole process to participate in the presidency, on the need to invite other relevant professionals and technicians to participate in the discussion, the Medical Department is responsible for coordinating the arrangements, to ensure that When it is necessary to invite other related professionals to participate in the discussion, the medical department is responsible for coordinating and arranging the discussion to ensure that the staff of the department can expand their disease-related knowledge through the discussion and improve the quality of the department's case discussion. Strengthening the supervision of critical patients: In order to improve the success rate of rescue of critical patients, effectively guarantee the safety of patients, and reduce the hidden danger of medical safety, the Medical Department continued to strengthen the tracking supervision of critical patients in 2009, and regularly went to the ICU every week to carry out quality assessment, to check the reasonableness of the patient's treatment and medication, and to organize timely in-hospital or invite the experts of the higher level hospitals to come to the hospital for consultation for the patients who need to be treated in consultation, and to record the information of the consultation in detail, to ensure the smoothness and quality of the treatment information. The patient needs to be consulted in time to organize in-hospital or invite experts from higher hospitals to consult, and record the consultation information in detail to ensure the smoothness and quality of treatment information.
At the same time, the medical department in the hospital committee's strong support, will be more standardized, detailed classification of the department system, all the systems were bound for the medical work system fascicle, thirteen core system fascicle, medical technology management system fascicle, medical research, continuing medical education system fascicle, medical documents, prescription management, special drug management system fascicle, medical safety system fascicle six items. The Department has issued six major items to all clinical and medical departments for filing and study, which has completely changed the scattered and incomplete phenomenon of system management in the business departments in the past. In addition, I also further improved and updated the clinical departments of various case discussion records, departmental records of continuing medical education, "three basic three strict" assessment records, monthly quality analysis records, the medical department quarterly to each department to check the activities of the records, where the records are not perfect, not standardized departments are penalized in accordance with the rules of the assessment.
4, the successful completion of the higher level of medical quality inspection
As of the end of June, the Medical Department in turn to meet the "Hospital Management Year" activities inspection, "national people's peace of mind demonstration hospitals "The leading group inspection and" the city's medical documents inspection "through the inspection of the Medical Department to continuously improve the management system, management standards and level of various types of process construction, for each feedback deficiencies in a timely manner to find the root cause of the problem, develop improvement measures, increase the improvement efforts, and strive to achieve an inspection, improve the quality of the work of the medical department. One time. Especially at the end of May, "the national people's peace of mind demonstration hospital" inspection activities, the medical department at the same time bear the "National Practical Skills Examination for Medical Practitioners" Texas test site tasks, in the face of the heavy task, the time is urgent, insufficient staff allocation and many other difficult problems, our department Facing the heavy task, urgent time, insufficient staff allocation and many other difficulties, our department rose to the challenge, worked overtime, on the basis of previous work combined with the "safety target self-examination table" to further strengthen the early warning mechanism, the establishment of various types of patient management processes, standardization and organization of the activities of the records, the leading group inspection and acceptance of the department of the work fully meet the requirements of the implementation of the strength of more than 90%, the overall index ranked among the top of the city's The city's leading group and hospital leaders have highly affirmed.
Second, medical safety
1, seriously do a good job of medical quality assessment, strictly according to the thirteen core systems, medical work system, the hospital developed management standards to carry out management work. Such as strengthening the key monitoring of critically ill patients, the strict implementation of medical precautions and medical dispute handling plan, the implementation of medical defects accountability system, in strict accordance with the standards of medical practice to carry out medical activities, and at the same time to strengthen the section and the hospital-wide consulting work reasonably, and strive to put each consultation into practice, and effective implementation. 09 *** organization to participate in the difficult, critical and so on 16 times of the consulting, through the consulting to eliminate Patients and their families doubts, but also effectively eliminate the security risks.
2, strengthen informed, emphasize patient communication to ensure that patients and their families on the evolution of the disease progress and treatment of effective understanding of the situation, to eliminate their doubts against the psychological, is to ensure the effective way of medical safety, the medical department to strengthen the training of communication skills of the doctor and patient at the same time, focusing on the details of the beginning to increase the signing of the informed consent form and the actual inform the situation of the supervision, requires each physician to inform the patient truthfully and honestly about the situation of the patient. Every physician should inform the patients in detail about the content of the informed consent form, and criticize and educate the physicians who only write about the condition and ignore the evolution and complications, and order them to make corrections in a timely manner.
3, to improve the quality of medical record writing as a way to comprehensively improve the overall quality of medical staff and sense of responsibility, to supervise the link medical records as a means of urging medical staff in the process of admitting patients to pay attention to the general checkups, diligently communicate with the patient, through the details of the diagnostic and treatment process found that there are deficiencies, to do so from the subtle links to eliminate potential safety hazards.
Third, continuing medical education
Hospitals can be a long-term healthy development, talent training is the key, especially in recent years, the hospital has been expanding the scale, has introduced a large number of health care personnel, so it is necessary to create a good learning environment to train young physicians to become a success, become an important topic of the development of the hospital. In 2009, the medical department in the hospital committee's support, and constantly adjust the management idea, the development of suitable for the development of the hospital's various talent training programs and programs, and strive for the development of the hospital reserves of talent.
1, to further strengthen the pre-service training efforts: in order to accelerate the new medical staff to the hospital related laws, regulations, systems and norms of understanding, so that it can adapt to the role of change as soon as possible, since the beginning of July 27, 20xx, the Medical Department, Nursing, Infection, Personnel jointly organized a month-long pre-service intensive training, Cebuano Changjun, vice-president of the training in the beginning of the speech and the training staff put forward strict requirements. Vice President Changjun Su made a speech at the beginning of the training and put forward strict requirements for the trainers. Training involves medical, nursing work system, medical documents writing standards, medical safety, medical ethics, hospital infections, drug management, etc., divided into fifteen classroom lectures, after the end of the training for a comprehensive examination, unqualified persons shall not be allowed to go on duty, after the assessment of 89 rotating physicians qualified rate of 100%, 95% reached more than 85 points.
2, 20xx our hospital *** sent 12 attending physicians were sent to ** hospital, ** hospital, **** hospital, ****** hospital, **** hospital, **** hospital for further training in cardiology, blood center, nicu, pathology, anesthesia and other specialties. Sent various types of short-term *, seminars *** more than 130 times, the end of further training back to the hospital medical staff medical section in a timely manner to organize a full seminar to ensure that they learn new knowledge, new technologies can be taught to other medical staff in a timely manner to ensure that the level of medical technology in our hospital to get an overall improvement.
3, 20xx year I hospital *** receive to hospital learning personnel *** 81 people, including 11 people for further training, 1127 project 14 people, "three support one" 12 people; Taishan Medical College, Xinglin Medical College, Modern Vocational College, and other medical school interns 43 people, I specialize in developing a standardized training system for resident doctors. Our department has specially formulated a standardized training system for resident doctors and ensured the quality of their study in the hospital by combining with their teaching syllabus. In addition, our hospital also undertook the XX County Hospital of Chinese medicine 18 advanced training personnel practice teaching tasks, as of the beginning of November teaching tasks were successfully completed, XX County Hospital of Chinese medicine to our teaching work has also given a high degree of affirmation.
4, 2009 medical department in Monday, Friday business learning, *** organization, including hand-foot-mouth disease, influenza A h1n1, including (20 ** learning department of the work of the academic year summary) business training and lectures *** 25 times, the training of personnel up to more than 4,000 times; organization of the hospital's theoretical knowledge assessment four times, *** assessment of more than 800 people, the qualification rate of 99%.
5, complete the standardized training base for residents to declare the work
Since April **, the Medical Department in the hospital under the guidance of the Committee began "XX province standardized training base for residents" in internal, external, obstetrics and gynaecology and pediatrics specialties to declare the work. The Residency Standardized Training Committee and the Residency Standardized Training Guidance, Assessment and Quality Supervision Working Group have been set up, with the Medical Department acting as the office of the Training Committee to deal with the preparatory work for the declaration. In order to ensure the smooth development of base declaration and assessment network, the medical department sent specialists to the provincial Red Cross to participate in the training. As of the beginning of June, all the declaration forms and specialty data sheets have been submitted to the Municipal Health Bureau to ensure the effective development of the hospital's future standardized residency training.
6, in order to ensure that the knowledge of medical personnel to update, promote the development of the departmental discipline, in March, the Medical Department in the hospital committee's strong support, for the hospital's technical staff ordered "09 version of the three basic and three strict" medical sub-books, medical imaging sub-books, test sub-books ****345 sets, and in June again! In June, the clinical diagnosis and treatment guide and clinical medical technology diagnosis and treatment norms for each clinical department were ordered, involving 42 disciplines such as pathology, hematology, cardiovascular surgery, etc., and the content was meticulous and novel and was well received by each clinical department.
*** year is the medical department challenges and opportunities co-exist in the year, a year in the hospital under the support of the leadership of the Department of the work have made greater progress in the future work we will continue to make up for the shortcomings in the work and improve, and strive for greater achievements, in order to build a harmonious hospital to contribute to their own strength.