On the annual hospital work plan practical 5
The days pass without a sound, and ushered in a new starting point, may as well sit down to write a good annual hospital work plan. Here is my carefully organized for you about the annual hospital work plan practical, I hope to help you.
On the annual hospital work plan practical Part 1
In order to hospital personnel and property safety, the Security Section should more fully play a functional supervisory role, security and safety awareness fully penetrate into the grassroots of various departments and individuals, better complete the hospital safety and security work to ensure that the hospital's prosperity and development of the development of this plan.
A unified understanding, strengthen the quality of the new year, the Security Section to strengthen their own learning, improve the quality of business and ability, based on the relevant rules and regulations to standardize the management, improve the quality of work and level of work, to complete the task assigned by the hospital.
Second, strengthen the security, fire management, maintenance of order to protect the hospital security, consolidate the results of the comprehensive management.
1, fire safety management:
(1) adhere to the "prevention-oriented, prevention and elimination of the combination of" policy, do a good job of fire safety, we should continue to implement the daily check, weekly small checks, monthly inspections, the key parts of the key areas to focus on not to let go of the parts of the hidden trouble to seize not to let go of the supervision in place to ensure that the rectification thoroughly.
(2) to strengthen the implementation of the accountability system, to further improve the supervision and rectification measures, the implementation of the responsibility to prevent and resolutely do the three do not spare that is: "the cause of the fire is not clear do not let go; the responsible person is not dealt with do not let go; do not learn from the lessons learned, not take measures do not let go"; to continue to improve the implementation of the other aspects of fire safety work. Establishment of a sound fire archives, etc., to ensure that the hospital fire safety.
(3) in accordance with the requirements of the Fire Services Bureau, the fire control room duty personnel must have excellent job skills, bit once the fire danger occurs when the control room duty personnel should be the first time to participate in the fire and the corresponding equipment operation, to ensure that the rescue in time.
2, security and safety management:
(1) adhere to the combination of combating and preventing, play a functional role in the implementation of the responsibility system combined with the strengthening of public security management and the implementation of a combination of security education to ensure that the hospital security order is good.
(2) The Security Section to improve the layout of the video surveillance system in each building design work to increase the number of video surveillance points to ensure full coverage.
(3) Increase the management of the guards, car parks, to ensure that the hospital security environment is orderly and stable.
(4) continue to cooperate with the local police station in accordance with the law to crack down on "medical malpractice" and other unlawful acts, to safeguard the rights and safety of the hospital.
(5) The implementation of the security responsibility system, strengthen the sense of responsibility of the person in charge of each department, improve the safety awareness of employees and legal concepts, but also should strengthen the management of hospitalized patients' family members to visit, to control the occurrence of various types of cases.
__ Health Hospital
January 20, 2000
On the annual hospital work plan practical Part 2General objectives of the development of the department: on the basis of the existing, develop and improve the management system of the department, improve the level of business and technical skills, to achieve the standardization of the department, standardization, professional management goals; relying on the relevant departments to enhance the level of scientific research and the status of disciplines, so that the Department of Anesthesia to become a medical treatment of the province of ___. The Department of Anesthesiology has become a key medical, teaching and scientific research discipline in the province of ___.
I. Standardized management.
The management of the department depends on the philosophy of the director and the leadership. Because the director of the concept, the department is bound to lose the hospital-oriented and completely towards the direction of personal interests; if the interests over the concept, the department will be retrogressive. Therefore, the department management must be the concept of victory over the interests, where the social test, the correct thinking, must be insisted. We know: in fact, vested interests are far more powerful than ideas, but although people are governed by interests, but the interests themselves, as well as all human affairs, are governed by ideas.
The department is clear about one ideal: to ensure that we succeed in building a brand name for the hospital by building around a key provincial discipline. Correcting the current money prevails, highlighting the highlights of the department is the goal. Creating the provincial key disciplines may make every person in the department give more effort, and even life is not abundant, but it can certainly make your life more fulfilling, and it will make you not fall into the bewilderment of having nothing materially and spiritually after a tense and busy work. The ideal of the department is the height, brightness and depth of anesthesiology.
Second, clinical safety.
Clinical care is the top priority of the hospital work, medical safety is the fundamental work of the department. Only quality and quantity on time to complete the medical task in order to establish the status of the department in the hospital and peers. We will continue to improve and implement the management system and quality standards, strict operating procedures, and minimize various safety hazards.
We will make full use of our advantages to implement the widespread application of blood protection in the perioperative period and gradually form our clinical characteristics and theoretical system. We establish key disciplines should have first-class talents, first-class technology, first-class equipment and high visibility, which represents the image of the hospital, is the first choice of patients seeking medical treatment. Therefore, the key disciplines are the "brand" of the hospital. To protect the perioperative safety of patients is the anesthesiology department to create a comfortable medical brand.
Third, scientific research brand.
Scientific research is the most important part of improving the academic status of the department. At present, the department's isovolumic hemodilution, especially the elective surgery of autologous blood transfusion has reached 88%, the blood reserve has stepped into the ranks of the world's advanced; the department last year, there are two scientific research included in the city's scientific and technological support projects, one of which has been set up in the Department of Health; at the same time, there are still eight subjects in the department is underway. Scientific research technology in the city is now proud of the world is the department to strengthen the quality of scientific research training a true reflection.
This year, we will carry out a scientific research appraisal of the clinical application of autologous blood transfusion in elective surgery, and our scientific research direction will inevitably be blood protection and related organ protection and drug metabolism, and we want to take advantage of our strengths, emphasize clinical research, and at the same time strengthen the drug metabolism research, to establish and promote the position of the perioperative research of blood protection in the domestic counterparts.
The department should publish more high-level professional articles, especially core journal articles. Currently, the Department of Anesthesiology's scientific research to lead the health system, creating a sense of scientific research brand, it is this "brand" is one of the important conditions to attract patients to the hospital.
Fourth, teaching and learning.
The plan is to recruit 2-3 undergraduate anesthesia students, a postgraduate anesthesia student, or an attending anesthesia doctor with some clinical experience. We want to especially strengthen the standardized training of specialists and undergraduate teaching, and now the standardized training of residents has become the highlight of the city. The department insists on organizing three business studies per week, which is in fact a reflection of the department's emphasis on teaching and learning, and is of great significance to the department's sustainable development.
Optimize the workflow, the nurse anesthesia into the anesthesiology department management. In accordance with the anesthesia medical quality control standards and the basic requirements of the hospital's three A review, to strengthen the standardized management of the anesthesia recovery room, the main content of the implementation of the recovery room process and system, planning the corresponding staffing and training, the corresponding equipment acquisition plan. The plan is to organize a provincial continuing project this year, held the second city of anesthesiology director of the learning class and the city of anesthesia academic conference.
V. Talent Xingke.
The sustainable development of the department is inseparable from the construction of the talent team. We have to cultivate talents through various channels in a planned manner, so that everyone in the department has a place to exert their potential, so that everyone can maximize their intelligence and reflect their own value, and ultimately establish a reasonable structure, quality, morality and talent of the talent team, especially in character, ability and performance-oriented, the talent to develop the hospital to the true reality.
The department selected a physician plans to go to the Singapore Central Hospital for half a year to further study, to enrich the backbone of the department and the reserve force. Going abroad for further study is not only to learn advanced technology and management level, but more importantly to learn advanced service concepts, humanistic and transcend ideological development ideas. The department will always need vitality, need sunshine, and advanced social concepts is the endless treasure of our learning.
Sixth, strengthen communication.
Strengthening external publicity and enhancing international and domestic academic exchanges is an `important part of the development of the discipline. We need to use the hospital's network platform and various channels to strengthen external publicity, the use of our existing resources to enhance external academic exchanges, the use of participation in international and domestic important academic opportunities, publicity, to enhance the brand and influence of the department.
Seven, comfortable medical.
This year, the Department of Comfort Medicine, because we are the leading discipline to promote comfort medicine, in the process of promoting comfort medicine, with special emphasis on: respect for patients, to ensure that patients have dignity. All patients who come to the department for surgery, in principle, after anesthesia and then give the patient to take off their pants, catheterization. When some patients are very concerned about strangers, can we use a more humane approach, and so on after anesthesia, and then carry out some of the methods or measures that may hurt their self-esteem.
Some of the language: "Get in bed, take off your pants, and spread your legs" is contrary to basic human rights and damaging to their self-esteem. If we use more friendly language or use the anesthesia method, the assistant to do these actions, when the examination is over, help the patient to dress, when the patient is awake, her dignity is guaranteed. Is this more humane. We often say: at the technical level there is no difference with the developed countries of Europe and the United States, but our culture is quite shallow and there is no respect for the patient.
I do not know: we are a great country with five thousand years of culture, why would the Chinese people's traditional culture of excellence abandoned? Whether there is contempt for the patient's psychology in the process of practicing, it is worth pondering. In the process of promoting comfort-oriented medical care, to ensure that the patient's human rights are respected and the psychology is respected. It is vital to improve the quality of departmental services and enhance the brand image of the department.
The department must not ignore this work, requiring anesthesiologists to talk to the patient in detail during the preoperative visit to his implementation of the significance of comfort medicine: the purpose is to improve his (her) quality of life, to ensure that the basic human rights, so that he (she) more dignified, and to reduce complications. This is an important element in avoiding hospital disputes.
The pursuit of the Department of Anesthesiology is to build on the perspective of strategic thinking, to fine-tune the strategy to rise to fine-tune the operation, only then we can do to talent, technology, academic lead the market, and at the same time for the department this year's key departments to re-evaluate the laying of a good foundation! Promote the provincial anesthesia key disciplines, anesthesia brand building. This is the typical performance of cultural strong department.
We believe that under the correct leadership of the leadership of the hospital, through the unremitting efforts of the Department, successfully passed the line ___ provincial anesthesia A-level acceptance of key specialties for the development of the hospital to contribute all the effort to take off again is just around the corner.
On the annual hospital work plan practical part 3
First, to build a harmonious hospital as the theme, give full play to the role of the majority of the main force of the staff.
In the city Federation of Trade Unions, the county trade unions, the hospital under the leadership of the party branch, the hospital trade unions will mobilize the whole hospital staff to clarify the objectives and requirements, and seriously do a good job in the preparatory work. In this year's "Three Good and One Satisfactory" activities, the hospital labor union will cooperate with the hospital administration to pay close attention to medical quality and medical safety, and do a good job of all the work to successfully complete the task. Fully stimulate the creative energy of the majority of workers. With "Three Good and One Satisfactory" as the goal, mobilize the majority of workers actively involved in a series of interactions, cohesion of the wisdom and strength of the staff, and play the role of the main force of the staff. Further improve the system, highlight the theme, strengthen the assessment, carry out all kinds of competitions, and strengthen medical safety, personal safety of workers and environmental safety. Comprehensively improve the overall quality of the workforce. Advocating staff efforts to learn business knowledge, strengthen skills training, and continue to implement the activities of the hospital. With a good service attitude, superb business skills for patients to relieve pain and restore health, to ensure medical quality and medical safety, to prevent the occurrence of medical accidents.
Second, to coordinate labor relations as the main line, and effectively safeguard the legitimate rights and interests of employees.
Harmonious labor relations is the basis of social harmony. The theme of this year's hospital work is to "create a harmonious" hospital. Trade unions must firmly establish the concept of socialist trade union rights with Chinese characteristics, in order to promote the "Labor Contract Law", "Labor Law", "Trade Union Law" and "Labor Dispute Mediation and Arbitration Law" as the focus of the implementation of the law, to further improve the rights of the rights of the mechanism to increase the rights of the rights of the effectiveness of rights of the unity and mobilization of the majority of the workers to effectively do in the **** build **** enjoyment in *** enjoyment of **** build. Efforts to do a good job in the hospital party committee, the hospital administration and the bridge and link between the workers, to create a harmonious atmosphere and promote the development of the hospital.
Third, in order to sincerely serve the purpose of the workers, and strive to do practical things for the workers.
The labor union is the "mother's home" for workers to solve problems is the responsibility of the labor union, but also "create a harmonious hospital" as one of the basis.
1, continue to do a good job of warmth. More to the staff to understand the staff's life and difficulties, warm reception of staff's letters and visits, and give a timely response, condolences to hospitalized workers and retired comrades, condolences to the deceased workers and employees' families, to help employees encounter difficulties in life to solve the problem. At the same time to carry forward the Chinese nation "old as we are old, young as we are young, and the fine tradition of the young, and actively respond to the call of the superior to the poor, needy families and disaster-stricken compatriots to lend a helping hand, to offer sincere love.
2, continue to carry out health-related cultural and sports activities. In order to activate the amateur cultural life of workers, enhance the friendship between workers, enhance the sense of collective honor, the trade union will be held to welcome the New Year poker tournament, catching the colorful activities. To celebrate the 8th of March "May? One", "Five", "Four", "Five" and "Four". Four" "five? 12" "July 1" "August 1" "National Day" and other festivals, combined with the actual work of the hospital to carry out speech contests, calligraphy contests, knowledge contests, large-scale The hospital has organized speech contests, calligraphy contests, knowledge contests, large-scale joint activities, and sports activities in conjunction with actual work. With the Health Bureau team to participate in the county government departments to hold various cultural and sports activities. Organize a retired old comrades cultural and sports activities to enrich the life of the old-timers, healthy body and mind. Hire experts to give lectures to the hospital staff, political ideological training, professional knowledge training, so that staff to further establish self-confidence, self-improvement, self-reliance, self-love consciousness, to strengthen learning, improve their own qualities, to become a qualified health care workers. To carry out a "fire safety" as the theme of large-scale publicity and education activities.
3, continue to do "health checkups" and "low-income workers" clinic work. Trade unions will continue to do a good job of "health checkup" publicity, contact reception work, the hospital's good service, superb technology through the "checkup" this window to all units, departments, communities. Continue to carry out "low income workers" clinic work, the medicine to the need to help the relatively poor people in the hands of the people, in order to solve the problem of the people "expensive, difficult to see a doctor" to contribute to the service of the people at the same time to publicize the medicine, in the hospital at the same time to create social benefits The hospital will be able to create economic benefits at the same time.
On the annual hospital work plan practical part 4In the new year, combined with the "Chinese People's **** and the State Practitioners Law", "Medical Institutions Regulations", "Medical Institutions Regulations", "Rules", etc., to play the role of the Department of Medical Services function: in the chairman of the board of trustees and the president of the leadership of the hospital, the organization, implementation of the hospital's medical care, teaching and research, preventive health care (medical examination) and other work. Plan 20__ annual work is as follows:
First: the organization of the Hospital Management Committee for the hospital room, respectively, fixed on Wednesday morning every week, the entire morning only check a department, in addition to holidays or special circumstances. All clinical departments in the hospital take turns to cycle. At 8:00 a.m., they attend the departmental shift handover, and after the shift handover, they attend the formal three-level checkup of one patient in the department, which is a checkup model including teaching checkup and director's checkup, and it lasts about 40 to 80 minutes. Then randomly check the quality of inpatient medical records, check the status of the necessary record books prescribed by the hospital, focusing on the implementation of systems such as the discussion of critical cases, death discussion, business learning, medical quality management team activities, etc., which lasts for about 15 minutes. Afterwards, we will enter the stage of reporting and discussion, in which the staff of the hospital department who participated in the inspection and the director of the department will concentrate together, and the director of the department will report the medical operation, quality management, scientific research and teaching, the ideological dynamics of the staff and the problems at this stage, and put forward the opinions on the service guarantee of the hospital and the problems that need to be solved; and then the staff of the hospital department will give feedbacks on the inspection of the same day and grasp the situation in the usual way, and solve the problem on the spot by making a board and putting forward the suggestions on the construction of the department. Then the hospital staff will give feedback on the day's inspection and usual mastery, solve problems on the spot, and put forward suggestions on the construction of the department; the time of the talk is about 1? hours to 2 hours. The whole inspection time is one morning. Some of the problems that can not be solved are brought back to the dean's office to discuss the decision.
Second: the medical education department is deputy director of each department to live in a week (morning), encountered problems in a timely manner to contact the relevant departments or personnel to assist in solving, can not be resolved in a timely manner to the leadership of the hospital to reflect. Details are as follows:
(a) clinical departments
focus on the quality of the case (including now hospitalized cases, archived cases), the rational use of antibiotics, prevention of medical errors and accidents, etc., the organization of the medical quality management team to discuss the development of the inspection and evaluation rules and the system of rewards and penalties:
1, the quality of the case: strictly in accordance with the "Zhejiang Provincial Medical Record Writing Code," the hospitalized medical records, The writing of medical records and its related information is further standardized requirements.
① On the afternoon of the first Monday of each month, the management team of the organization went to the clinic to check the quality of the current medical records and make a comparison. Each check 5-10 medical records;
② every three months to check the quality of archived medical records and make comparisons. Requirements for Grade A rate of 100%. Each month, each department can turn in the previous month's medical records before the 5th.
2, the rational use of antibiotics: according to the "Zhejiang Province, the rational use of antibiotics management approach", the supervision of clinicians whether the rational use of antibiotics. On the second Monday of each month, the drug management committee is organized to check
① indications and contraindications for the use of antibiotics;
② principles of preventive antibiotic application;
③ courses of antibiotic treatment;
④ therapeutic doses of antibiotic drugs and routes of administration;
⑤ contraindications to combined use of drugs and compounding.
3, to prevent medical errors, accidents and disputes:
① Emphasize the admission of the "letter of information", "authorization", "all kinds of diagnosis and treatment of informed consent" writing;
② Emphasis on true and accurate "death case discussion record", "critical and difficult case discussion record", "rescue of critically ill patients discussion record" and the physician's handover of the record of the project;
③ Departmental organization and treatment of records. > ③ Departmental organization of diagnosis and treatment norms and related laws and regulations.
Monthly from time to time, the medical education department to each department to check the records and medical records. The lack of one or incomplete in accordance with the performance appraisal methods.
(B) outpatient emergency department
1, to further improve the function of the outpatient clinic of various departments, outpatient clinic entrance to set up fever triage, and set up an independent infectious disease pre-screening triage department.
2, set up, arrange the outpatient department experts column, announced the specialties of the experts and outpatient time, convenient for patients.
3, the organization of quality management team to discuss the development of inspection and evaluation rules and rewards and penalties system. The first Monday afternoon of each month, check and evaluate outpatient medical records. The second Monday of each month, the organization of drug management committee to check and evaluate outpatient medical records and prescriptions.
(C) medical auxiliary departments
Once a month, the organization of medical quality management team inspection and evaluation.
Third: assist the hospital to set up a case room, library reading room, nutrition section.
Fourth: to assist the hospital to improve the setup of infectious disease triage points and rationalize the arrangement of the staff of the clinic.
Fifth: increase the new rural cooperative medical work, coordinate the work of the social security, good medical services, so that patients actually get the benefits of cooperative medicine to them, through the new rural cooperative medical work to further realize the win-win situation for doctors and patients and the two benefits of a double harvest.
On the annual hospital work plan practical 520__ year nursing department in accordance with the "second" hospital standard requirements, combined with the overall work of the hospital's objectives. Closely around the "quality, safety, service, management, performance" new standards to carry out their work, now the specific plan is developed as follows:
First, the work of the objectives:
1, improve the quality of care, safety, service, management and other project management system, the work to achieve the institutionalization, scientification, standardization.
2, strengthen the connotation of construction, and constantly improve the overall quality of nursing team.
3, improve and implement the nursing staff at all levels of business training and the three basic assessment (including: laws and regulations, rules and regulations, professional theory, operational skills, etc.) to implement the hierarchical training to improve the nurses' three basic theory and operational level.
4, adhere to the "people-oriented" principle of service, so that the nursing service closer to the masses, close to the community, and constantly meet the people's growing demand for health care services, to create a high-quality nursing benefits.
Second, the work of the indicators
1, basic care pass rate ≥ 90%
2, specialty care pass rate ≥ 90%
3, graded care pass rate ≥ 90%
4, critical care pass rate ≥ 90%
5, first aid items in good condition rate of 100%
6, routine instrumentation sterilization Sterilization of routine equipment sterilization rate of 100%
7, nursing paper writing rate of ≥ 95%
8, the patient's satisfaction with the nursing work of ≥ 90%
9, the "Three Fundamentals" assessment of the passing rate of 100% (score ≥ 90)
10, the nursing technical operation of the passing rate of ≥ 90% (including Chinese medicine operation)
10, the nursing operation of ≥ 90% (including Chinese medicine operation)
11, the nursing operation of ≥ 90% (including Chinese medicine) 90% (including Chinese medicine operation)
11, nursing error rate of "0", the incidence of pressure ulcers "0"
12, 100% qualified rate of medical waste disposal
13, one person, one needle, one tube, one use Sterilization qualification rate of 100%
15, disposable syringes, infusion (blood) device after the use of the destruction rate of 100%
15, health promotion coverage of 100%
16, health promotion success rate of ≥ 95%
17, quality care services coverage rate of ≥ 50%
18, the overall responsibility of the nursing care qualification rate of ≥ 100%
Third, specific measures
(a) to strengthen the quality of care and safety management, continuous improvement in the quality of nursing services, to ensure the safety of care
The quality of care management is the eternal theme of nursing management, is the core content of nursing management work. In the nursing work in 20__, the nursing department will follow the pdca cycle model of assessment, analysis, evaluation, rectification, tracking, re-evaluation, reflecting the continuous improvement, the implementation of target management against the quality assessment standards.
1, re-adjust the division of labor of the nursing quality management committee team members, monthly nursing quality supervision, the nursing unit weekly nursing quality self-inspection, timely rectification of existing problems tracking, timely revision of the nursing quality standards, improve the system, and put forward improvement measures to promote the continuous improvement of nursing quality.
2, to strengthen the key links, key time, key populations, key departments (disinfection supply room, operating room, emergency room) of the quality of care management, the Department of Nursing will from time to time under the department in accordance with the standard requirements of the second A supervision, to ensure that the safety of care.
3, further increase infection control, strict compliance with the implementation of disinfection and isolation system, strengthen occupational protection, to protect the safety of nursing staff, and do a good job in the management of disposable items, medical waste, the use of disposal.
4, sound, improve the patient risk assessment system, strengthen the management of critically ill patients and nursing bad time, the reported critical patients and adverse events nursing department timely down the ward to view, put forward rationalization proposals to avoid the occurrence of medical disputes.
(2) accelerate the nurse manager, nursing backbone, nurses work ability to train, and effectively improve the overall quality of the nursing team.
1, increase the assessment of the work of the head nurse. Increase the basic technology, specialty technology, Chinese medicine skills and technology training; nursing department monthly assessment of the head nurse of Chinese and Western medicine operation each one, and constantly improve the head nurse operation ability, strengthen the ability to correctly guide the nurse, so as to make the various sections of the nursing skills operation to achieve standardization.
2, the Department of Nursing quarterly organization of hospital-wide business learning, monthly organization of skills test once a year, the organization of hospital-wide skills test twice, **** eight (Chinese and Western medicine skills operation of each four). Section of the organization of business learning once a month.
3, according to the nurse layered training program, revised nurse layered management and assessment manual.
4, strengthen the nursing management system, duties, processes, emergency plans for training and assessment.
5, the Department of Nursing regularly and irregularly organized nursing room, teaching room, nursing consultation, difficult case discussion. The department organizes a monthly nursing checkup, arranges discussion and analysis, identifies the weak links in the work, and formulates corrective measures. The nursing department goes into the ward every day to provide field guidance on daily work, and holds regular meetings for the exchange of management experience among the head nurses to improve the management level of the ward.
6, to strengthen the training of specialized nurses, arrange for further training and learning, 20__ year proposed to arrange for the backbone of the nurses to further training in traditional Chinese medicine, operating room and emergency specialist nursing, to accelerate the construction and development of specialized nursing.
7, encouraging nurses, head nurses to participate in various forms of learning and improve the level of education and management level, plans to exclude this year, 5 - 10 backbone of the business, head nurses, to go out for further study.