Part I medical staff year-end work summary
Medical department rely on the correct leadership of the party committee, relying on the support of the whole hospital cadres and medical staff selfless help, in line with the "quality first, patient first" concept, in medical management efforts to practice the "quality first, patient first" concept, in order to ensure the quality of life of the people. In medical management efforts to practice the "Three Represents" important ideas, strengthen cultivation, hard work, and actively improve the management model, and strive to improve the quality of medical care, I hope that you can give me greater help and support in the new year's work, the work done better.
A medical quality
Medical quality is the fundamental issue of hospital survival and development, pay close attention to the management of medical quality, comprehensively improve the quality of medical services is the primary task of the medical department. This year's medical quality and medical safety work, has achieved significant results.
(a) basic medical quality: we in accordance with the requirements of the hospital quality management, improve the three-tier medical quality control system, supervise the clinical departments to further strengthen the implementation of medical quality control, strengthen the implementation of the core system of supervision and inspection of the departments, the quality of basic medical care and links to the quality of medical care to carry out a strict gatekeeper, multi-movement, so that the quality of medical care of the hospital has been significantly improved.
(B) the quality of medical documents: in strict accordance with the requirements of the "basic norms for the writing of medical records", the inpatient medical records, records of the course of the disease and its related information writing put forward further standardization requirements, requiring each department to seriously organize the study of the number of inpatient hospitalization of 5627, archived medical cases are all filed after review by the director of the department, the medical section of the sampling, the qualification rate of Class A medical records increased significantly. After the quality inspection, especially in August, the quality of medical care was linked to individual performance, and the implementation of rewards and penalties were honored, which greatly improved the clinicians' awareness of medical record writing and the quality of writing. All departments were able to submit medical records in a timely manner. The quality of prescriptions has also improved to different degrees, and the prescriptions randomly and irregularly sampled by other departmental staff have reached the standard pass rate. The sense of responsibility, risk and competition of outpatient doctors have been significantly improved, and they are able to comply with the system of responsibility of the first doctor and the first department, and conscientiously carry out outpatient registration and outpatient prescription writing, and the results of the prescription quality inspection show that the quality of outpatient prescription writing, has been significantly improved. Outpatient and inpatient departments of the basic registration can also be required to carry out, basically in line with the quality standard requirements.
Second, medical safety
In the current medical background, medical disputes occur from time to time, our hospital is no exception. After the occurrence of medical disputes, it directly leads to the disruption of the normal medical order, and more patients will lead to the occurrence of group violence. It is a very complicated and difficult problem to solve. In the face of medical disputes, I am able to organize the coordination of the clinical department director of the dispute, the collation of information, analysis.
Third, medical education and continuing medical education
1, continuing education into our hospital's work plan, focusing on internal and external personnel training and missionary. This year, our hospital sent internal medicine, ultrasound and other departments of advanced training personnel to the third-level hospital specialties for advanced study.
2, this year's business learning and three basic training has a plan, step by step, content, once a month to arrange for senior title personnel to give business lectures, once a quarter of the three basic examination and operation assessment, the results of its performance is linked. In the "Three Good and One Satisfactory" activities, and the comrades of the relevant departments to seriously organize pre-hospital, hospital first aid training work.
3, in accordance with the requirements of the superior actively and conscientiously grasp the training of infectious diseases, so that the training notification, signing, content, assessment and summary.
4, our hospital this year to accept the health school internship students 1 person. Strengthen the management of interns, and further discipline education and requirements for internship students, so that intern nurses feel that the internship in our hospital can really learn.
Fourth, the work plan
Our hospital for the creation of the second B, the hospital leadership organized the relevant personnel to XX, XX and other places to study, back to the hospital I began to invest in this preparation work with everyone. Although there is still a certain gap from the requirements of the standard, but I in the next step of the work, will, as always, efforts to strive to better fulfill their duties.
The Medical Services Section has made some achievements at the same time, there are still some shortcomings and problems. Such as: fear of offending people, the means is not decisive enough to lead to the medical management is not perfect, the implementation of management measures are not in place,
I would like to make persistent efforts, hard work, and continue to overcome the existing problems. With the full support of the hospital leadership, all medical staff *** with efforts, the work of the medical department will be increasingly perfect, the hospital's tomorrow will be better.
Part II medical staff year-end work summary
20XX year is about to pass, in this year, the medical department in the dean, under the leadership of the president of the sub-president, around the people-oriented, scientific development, to maintain the quality of medical care and safety, and constantly learn, improve the quality of personnel and other aspects of some work, is summarized as follows:
First, to establish a people-oriented, scientific development, maintenance of medical quality and safety, continuous learning, improve personnel quality.
First, establish a people-oriented, scientific development.
Science and technology is the first productive force. 20XX medical department around the people-oriented, scientific development has done a lot of work:
1, the establishment of medical personnel technical files. This year, the medical department through the planning operation, collection, organization of the hospital medical, pharmaceutical, nursing, technical personnel files, so that each person a technical file, stored in a special file box. At the same time, the production of electronic files, a more comprehensive understanding of the technical structure of the hospital's medical staff, to facilitate the management of the hospital, for their promotion, promotion, further training, training provides a convenient and guarantee.
2, do a good job of the medical staff of the good logistics, good helper, improve the enthusiasm of the medical staff. 20XX, around the on-the-job medical staff promotion, promotion, the medical department spared no effort to do a lot of work. To help meet the promotion conditions of medical personnel to register for foreign language, computer, theory level test, and promotion file organization and preparation work, so that each eligible medical personnel promotion, examination is not delayed due to human factors, so that the medical staff feel the competent departments, hospitals, their care and concern, and improve the work of the medical staff motivation.
Second, improve the quality of medical care, to ensure medical safety.
Medical quality and safety is the lifeblood of medical work. 20XX around the improvement of medical quality, to ensure medical safety, the Medical Department has done the following work:
1, the establishment of a variety of sound medical management organization. This year, the Medical Department organized the establishment of the hospital medical quality management committee, departmental medical quality management team, critical patient rescue leading group, blood transfusion management committee, to provide organizational security for medical quality and safety.
2, the establishment of a variety of rules and systems. This year, the medical department combined with the actual hospital, with reference to the relevant medical management system, developed a "hospital thirteen core management system", and manual. At the same time the system also developed "medical record writing system", "prescription management system", "clinical blood transfusion related system", "clinical blood transfusion management implementation rules", "surgical classification management system", "inpatient laboratory examination procedures", etc., to provide institutional safeguards for the quality of medical care and safety.
3, the implementation of medical quality management and supervision of accountability. Over the past year, in accordance with the provisions of the hospital management, the Medical Department once a week to participate in the administrative examination, regular and irregular inspection and supervision of medical quality management, timely detection of problems and hidden dangers in the process of medical care, and put forward corrective comments on the implementation of rewards and penalties for medical behavior. It has played a role in the whole process of supervision and management of medical quality and safety.
Third, active medical activities, the successful completion of medical work.
The medical department in the hospital medical activities in the host, management, organization and coordination of responsibility. This year, the Medical Department has done a lot of work around the hospital's medical work, so that the hospital's medical business activities are standardized and orderly, the medical business work is completed very well. As of the end of November, the hospital received a total of 78,481 outpatient visits, an increase of 11% over the same period last year, 2,289 hospitalized patients, hospitalization surgery 1,164.
Fourth, actively mediate medical disputes, to protect the medical work order.
In the current medical context, medical disputes occur from time to time, and our hospital is no exception. After the occurrence of medical disputes, directly leading to the destruction of the normal medical order, more patients will lead to the occurrence of group violence. It is a very complicated and difficult problem to solve. In the face of medical disputes, the medical department is always fully committed to the coordination of each dispute, the collation of information, can be organized in place in a timely manner. Medical insurance claims after medical disputes are handled by the medical section is also responsible for the completion of the work. This year **** presided over and deal with their own 13 medical disputes, medical disputes processing rate of 100%, medical insurance claims preparation work has been completed, waiting for the insurance company's claims.
Fifth, the development of new technologies, new businesses, enhance the hospital development momentum.
New technology, new business, is the trend of medical development, is the hospital's new medical income growth point. This year, the medical department coordinated the introduction of "long-range electrocardiogram" and other new technologies, new business, played a role in promoting hospital business and development.
Sixth, medical training to improve the quality of medical staff.
Medical technology is the fundamental survival and development of the hospital. This year, the Medical Department organized four large medical business lectures, other small lectures many times. Requirements for clinical departments to organize monthly business and technical lectures 1, to enhance the atmosphere of learning. Selected and dispatched to participate in the Xiaogan Medical Association of the various levels of academic annual meeting organized by the medical staff to promote academic exchanges. Through training, further training and academic exchanges and other activities to improve the overall quality of medical staff of the medical business.
VII. Encourage clinical research, improve the influence of the hospital.
Scientific research is the basis of academic development. The medical department actively encourage the hospital medical staff, combined with clinical practice, actively carry out clinical research and write scientific research papers. This year **** achieved a scientific research results, published and exchanged 16 academic papers.
Eight, clinical teaching, training of successors.
Medical teaching is an important part of the work of the hospital. This year, our hospital *** accept Xiangnan piece of internal medicine doctor training program a, successfully completed the training work task. Accepted advanced training students 7, internship 20, apprenticeship students 16. The trainees, interns, and apprentices were all satisfied with the teaching work of our hospital.
Nine, the organization of health checkups for the benefit of students, residents.
This year, the hospital has organized health checkups for more than 16,250 students in 41 schools in 6 townships*** in Xiangnan. The second middle school, Nanhe central school district *** counted more than 440 teachers, Qiu Zi village committee, Makou town CPPCC, Jinma cement factory workers and other more than 100 people carried out health checkups, chronic disease audit of more than 400 people, by the people of the people's unanimous praise, and achieved a double harvest of social benefits and economic benefits.
Part III medical staff year-end work summary
A medical quality management
1, the establishment of a sound medical quality control system
Medical quality is the core of the hospital, medical quality control is an important task of the medical department. In response to the problems found in the previous year's quality control work, the quality control assessment standard of each department has been revised to make it more effective and operational, and the assessment standard is strictly in accordance with the assessment of the three levels of hospitals and departments. Monthly praise or reward for the good aspects of the work, the existence of problems to inform the criticism, the existence of problems rectification is not in place to punish.
2, constantly improve the system, pay close attention to the implementation of the system
According to the new "Shaanxi Provincial Hospital work system and personnel duties", revise and improve the medical part of the hospital's work system and personnel duties. Improvement and development of the "newborn safety management system", "surgical risk assessment system" and prohibit the "two illegal" behavior of the relevant system.
Continue to increase the implementation of the fifteen core systems and implementation efforts, from time to time on the implementation of the system supervision and inspection, focusing on the inspection of the shift handover system, the three-stage physician check-up system, the case discussion system, the first diagnosis of the implementation of the system of responsibility for the existence of the problems of the rectification of the time limit for the violation of the system, in accordance with the hospital's relevant system of penalties.
3, increase the intensity of medical records sampling, improve the quality of medical record writing
medical department to assist the quality control section of the regular monthly quality control of the final medical records, focusing on checking the connotation of the quality and completeness of the medical record writing, including preoperative summaries, analysis of changes in the condition of the medical practitioner to implement the record, and so on. Through the quality control software and in-depth departments, focusing on the supervision of the timeliness of the writing of the current medical record, the rationality of the treatment plan, the effectiveness of the condition of the information and the writing quality of the three-stage checkup, etc., so as to achieve timely detection, timely feedback and timely correction.
4, the strict implementation of the medical business checkup system
In order to better implement the rules and regulations, to ensure the continuity of the departmental supervision, the Medical Department in conjunction with the quality control section, the Nursing Department, the Hospital Awareness Section to seriously implement the medical business checkups, to truly achieve a more comprehensive, more solid, more subtle supervision of the management of clinical medical and medical technology departments, and found that the problem of timely feedback, urging departments to rectify the problem in a timely manner, some of the medical safety and security of the hospital. The company's website has been updated with the latest information about the company's products and services, as well as the latest information about the company's products and services, and the company's website.
Second, medical safety management
1, increase the assessment and inspection efforts to ensure that the core system in place
Medical core system can be put into practice is to protect the key to medical safety, the medical department to increase the clinician to master the core system of assessment and inspection efforts to participate in the department's shift meeting, focusing on the inspection of the system of responsibility for the first diagnosis, the three-stage system of checkups, The medical department has increased the assessment and inspection of clinicians' mastery of the core system, and participated in the shift meetings of the departments, focusing on checking the implementation of the first-responsibility system, the three-stage checkup system, the system of discussing difficult diseases, and other core systems, to ensure that the core system is implemented. Organized the first hospital-wide seminar on difficult and fatal cases, invited Li Hongmei, chief physician of Yanda Hospital, to comment on the lessons learned from the experience and improve the level of treatment of difficult and critical patients.
2, strengthen the condition of the information, pay attention to the doctor-patient communication
To ensure that patients and their families on the evolution of the disease progress and effective understanding of the treatment, to eliminate their doubts against the psychological, is to ensure the effective way of medical safety.
First, to strengthen the training of doctor-patient communication skills, enhance the awareness of the prevention of medical disputes.
The second is to increase the signing of informed consent and the actual informed supervision, in the monthly quality control inspection, focusing on viewing the signing of the relevant informed consent;
The third is in the ward of the conspicuous location of the hospital complaint phone, easy to patients reflect the problem in the first time to be resolved.
3, in-depth departments, to strengthen the supervision of key safety hazards
According to the actual situation of the hospital, the medical department of the hospital every day on the registration of key patients, so as to achieve the hospital hospitalized patients have a number. The strict implementation of the "hospitalized persons report system", requiring the first time the department will be difficult, critical patient information reported to the Medical Department, the implementation of tracking management of critical patients, to grasp the patient's condition, diagnosis and treatment, the quality of medical records written and patients and families emotional condition, found that there is a hidden danger of health care safety, focusing on the supervision.
Third, strengthen the business training and assessment, and constantly improve the level of medical technology
1, the beginning of the year to formulate the annual business training and assessment plan, this year to strengthen the training efforts, the organization of a centralized training every month, the director of the clinical departments to take turns to teach, and urge the director of the department and the general medical staff **** with the study.
According to the epidemic situation at home and abroad, respectively organized special training on the prevention and control of hand, foot and mouth disease and Ebola hemorrhagic fever knowledge. In order to achieve the purpose of the test to promote learning, highlighting the practicality of the quarterly assessment of the basic knowledge of the profession, to strengthen the mastery of this professional knowledge.
2, the organization held a hospital maternal and child health skills competition, selecting the best players on behalf of the unit to participate in the city's competition, the hospital team won the second prize for the group, Tian Yanhua achieved the first place in the group of children's health care good results.
Part IV Medical Department staff year-end work summary
Since joining the work in x months this year, I have always been diligent, down-to-earth work attitude towards their work. In the work actively to the director of the department, colleagues to ask for advice to learn, in the progress of certain at the same time, but also exposed some of their own shortcomings.
Now I will briefly summarize the work of the year as follows:
First, ideological and political
Since joining the work, I conscientiously study the spirit of the CPC Central Committee's various documents, and effectively implement the guidelines and policies of the CPC Central Committee and the State Council, to support the leadership of the hospital and the director of the work of the department, self-discipline, consciously abide by the system, and actively participate in the political study, and require progress, to strengthen political thinking and moral integrity. Strengthen the political thinking and moral cultivation.
Second, the work
In the work of efforts to seek truth, truth, and new, with a positive, enthusiastic mind to complete all the work, with a diligent attitude towards their work. Strictly in accordance with the operating procedures, rigorous, meticulous, solid, realistic, down-to-earth work, to enhance the sense of service as the basis of all work. As a new employee who just left school to work, the lack of practical work experience is my weakness.
For this reason, in the daily work, in addition to active work, in addition to experience in practice, but also take the initiative to identity colleagues to seek advice to learn, and constantly improve their own work skills. Although just joined the work soon, in the section director, technical team leader and predecessors of the support and care, to the present for this I can independently operate dr, ct and other medical imaging equipment, and independent scheduling on duty. Work attitude and work ability has been praised by colleagues
Third, the organization and discipline
I abide by the law, integrity and self-discipline, consciously abide by the system, punctual work, not late, do not leave early, and always with a good service attitude to complete the work task.
Fourth, the achievements
(a) further establish and improve the rules and regulations, standardize medical behavior, improve medical quality. To meet the people's health care needs, we drafted and formulated the "implementation of medical quality management program"; "on the implementation of medical incident handling regulations and their supporting documents to carry out learning activities". Forwarded the Ministry of Health, the State Administration of Traditional Chinese Medicine, "the basic norms of medical record writing" notice, organized the entire hospital medical staff to study the "xx medical institutions, medical case writing norms", a clear goal of this year's quality of medical care, measures and business indicators, standardize the majority of the business staff's medical behavior, education, learning the law, understand the law, use the law, abide by the law, according to the law to protect the legitimate rights and interests of doctors and patients, for the hospital's safe medical care. In order to better implement the clinical medical management system, comprehensively improve the level of service of our hospital health care, under the leadership of President Peng, held several meetings of the directors of various departments, the layout of the clinical work, on the development of our hospital health care work to seek extensive advice; in order to further improve the implementation of the hospital leadership and other operational departments, in-depth study of the departments, on the business learning, medical record writing, difficult medical record discussion, error registration, etc. The company's website has been updated with the latest information on the company's website.
Supervision of various departments strictly according to the health care system, checking for gaps, through the inspection, so that many clinical problems easy to ignore have been successfully resolved. In order to further strengthen the medical safety, regularly convene a meeting of the clinical departments of medical safety, on the various departments of the error and the existence of medical safety risks to be discussed, to discuss the next step and how to prevent the clinical safety of medical care to provide a more reliable guarantee.
20xx year past, I will continue to carry forward the advantages, and strive for greater progress.
The year 20xx is over.