Sample Hospital Infection Self-Inspection Report
The unforgettable working life has come to an end, looking back on this period of hard work, there are defects, it is time to record them properly in the self-inspection report. In order to make you no longer for the headache of writing a self-inspection report, the following is my collection of hospital infection self-inspection report sample, just for reference, I hope to be able to help you.
Hospital infection self-examination report 1
In accordance with the City Health Bureau xx month xx meeting instructions, in-depth implementation of the "Hospital Infection Management Measures" to seriously look for problems in the management of infection in our hospitals, to further strengthen the management of hospital infections, effective prevention and control of infectious disease pathogens, hospital-acquired infections and health-care-induced infections, to protect the people's health and safety of life. The hospital leadership attaches great importance to the president of the personal organization, grasp the implementation of the July 31st comprehensive norms of science to carry out the management of hospital infection self-correction work.
First, to strengthen the organizational leadership, to ensure the smooth implementation of the management of nosocomial infection.
My hospital has a hospital infection committee, the department has a nosocomial infection management team, the department has a sense of control doctors and sense of control nurses. The nosocomial infection team, headed by the director in charge, is responsible for the control of the whole hospital and provides guidance to the lower-level departments. Normally at least 2 times a week supervision and a weekly standardized inspection of the whole hospital problems and report to the hospital leadership team. Each clinical department has a person in charge of the monitoring work of his or her department and reports the relevant situation to the hospital sensory team on time. Due to the implementation of the work of the layers, to ensure the smooth implementation of our hospital infection management.
Second, seriously carry out self-examination and self-correction
Through a few days of self-examination of the hospital there are still problems:
(1) the knowledge of the workers in the hospital infection and the control of awareness of thin.
(2) part of the department disinfection cleaning hardware is not fully equipped.
(3) Some medical staff do not have a comprehensive grasp of the nosocomial infection control system.
(4) Some departments do not do enough infection control details.
(5) Some departments had incomplete infection registries. The registration of multi-drug resistant bacteria on some wards was not timely enough.
In response to the problems of our hospital hospital infection management team to analyze one by one, think of ways to find measures to solve the practical problems, put forward the following corrective measures:
(1) the establishment of an organization to clarify the duties and responsibilities of the person.
(2) sound and improve the system to bind people.
(3) the relevant departments have written to the hospital to apply for the purchase of equipment, departmental installation of hand sanitizer anti-positioning shelves and so on. To better increase the compliance of medical staff hand washing.
(4) the development of hospital infection training program to improve the ideological awareness of medical staff. Plan to train the new version of the "disinfection technical specifications" recently.
(5) to carry out indoor and outdoor hygiene cleaning. With the participation of cleaning companies, *** with the improvement of the hospitalization environment.
(6) To do a good job of registration of activities related to nosocomial infections, etc..
(7) Control Sensory Section to strengthen the supervision.
Third, further improve the management system and implement
The hospital infection management system is the basis for good hospital infection and an important guarantee. Develop a set of scientific and practical management system, improve the management of hospital infection, disinfection and isolation of various departments, hospital infection report, logistics sewage disposal system. to regulate the behavior of hospital personnel concerned. Strengthen the construction and study of the system, and conscientiously carry out the implementation of the system is extremely important to improve the awareness of prevention and reduce the incidence of hospital infections. Give full play to the binding effect of the system, so that the implementation of the work in practice.
Four, continue to grasp the clinical departments disinfection isolation, infection monitoring work.
1, according to the "Prevention and Control of Infectious Diseases Act", "Disinfection Management Measures", "the provisions of nosocomial infection", the hospital has strengthened the disinfection isolation of the clinical departments, infection monitoring work. It inspects once a month and deals with the problems found in time. When infectious patients are found, the outbreaks are registered and reported in a timely manner. Toxic, harmful and infectious sewage filth must be sterilized. In addition to checking the reuse of items strictly in accordance with the requirements of disinfection, increased the use of single-use sterile medical supplies, greatly reducing the possibility of nosocomial infection.
2, to strengthen the clinical department nursing staff's hand surface, the surface of the object, air, disinfectant, ultraviolet light intensity, autoclave sterilization packages and other monitoring.
3, the hospital leadership team to the department every day to find out whether there are cases of nosocomial infection, there is no omission, misreporting, etc.. Each section of the discovery of nosocomial infection cases, timely registration and reported to the Control and Sensory Division, and the appropriate treatment.
4, the hospital should seriously improve environmental hygiene, indoor hygiene, personal hygiene and dietary hygiene, to strengthen the patient's hygiene education, for patients to create a clean, quiet, comfortable, safe medical environment.
Fifth, the management of disposable supplies, to ensure the medical safety of patients and to prevent social pollution.
In this self-inspection, the hospital purchased disposable supplies without a substandard product. The company has strengthened the management of the storage of single-use sterile medical supplies, according to the requirements of the storage away from the ground and away from the wall. The hospital quarterly on the warehouse and the departments stored in the one-time use of sterile medical supplies check once, nursing staff in the use of strict check before, in order to prevent the expiration of the expiration date, failure of the one-time use of supplies to the patient use. As a result of strict control, there is not a single case of patients using unqualified sterile single-use medical supplies. For the used disposable supplies, each department has always insisted on disfigurement, classification and placement, by the medical waste disposal center centralized disposal.
Six, strengthen the knowledge of hospital infection training, improve the hospital staff to control the awareness of hospital-acquired infections.
Combined with the actual hospital, the control of the first half of the Department of Sensory organized "disinfection specifications", "medical waste. Management", "Hepatitis C diagnosis" training, and the relevant laws and regulations of the training of the whole enhance everyone's awareness of the prevention and control of hospital infections. Improve the level of prevention and control of hospital infection in our hospital. However, due to our hospital's hospital infection control work there are still deficiencies, such as hospital infection cases of diagnosis, reporting, statistics and other aspects of not enough, to be continuously improved and enhanced in the future. We believe that as long as we continue to summarize our experience and learn with an open mind, we will do a better job of nosocomial infection control.
Hospital infection self-examination report 2According to the Health Bureau to carry out infection management special inspection of the spirit, to further strengthen the management of hospital infection, enhance the hospital infection prevention and control capacity, to protect the people's health. Hospital leadership attaches great importance to the president personally organize, grasp the implementation, from the establishment of the organization, improve the system, duties, to the first-line inspectors, focus, parts, measures, comprehensive standardization of scientific hospital infection management, in 20xxxx month of our hospital infection work carried out a self-inspection, the results of the self-inspection is now reported as follows:
First, the hospital infection organizational structure < /strong>
1, the leadership is in charge, a hand personally grasp, the director in charge of the specific grasp. The establishment of the Hospital Infection Management Committee, hospital infection management team, leadership attention, institutionalization, clear responsibilities, division of labor, held quarterly special working meetings, monthly under the department to inspect and supervise the work of hospital infections, daily at any time in-depth supervision and inspection of the department, due to the attention of the leadership, all levels of responsibility is clear, functioning well.
2, hospital infection management team is responsible for the daily work of hospital infection.
3, often check the medical records, do a good job of checking the omission of hospital infection cases.
4, the development and implementation of hospital infection management rules and regulations, such as: disinfection and isolation system, hospital infection case registration system, aseptic operation system, infectious disease reporting system.
5, grasp the publicity and education, training, monthly hospital infection management and infectious disease knowledge training for all medical staff, the annual assessment of 2 times.
6, hospital infection monthly, quarterly information statements and analysis, so far, the rate of underreporting of infectious diseases is 0.
Second, improve the monitoring system, the hospital infection monitoring has been effectively implemented:
1, each department to monitor the air, the surface of the object, the staff hand once a month.
2, on the use of disinfectants (sprinkle essence, iodine sprinkle, Hundred Days and so on) monthly monitoring, chlorine disinfectants daily monitoring.
3, the intensity of ultraviolet lamp monitoring every two months.
4, pressure steam oven (each sterilization kit has a chemical indication card).
5, disposable items (syringes, infusion sets, etc.) after the use of destroyed uniform recycling.
6, the Pharmacy Department on the use of antibacterial drugs have a strict monitoring system.
7, the hospital infection management team of the key departments to take regular monitoring combined with unscheduled spot checks.
8, the hospital's key departments operating room, delivery room, supply room bacterial monitoring can basically meet the standard.
9, to strengthen the hospital infection prevention and control of key aspects of management, surgical site infection rate of 0, indwelling catheterization and other invasive operations infection rate of 1%.
10, medical staff to strictly implement hand hygiene standards, strict implementation of aseptic technology operations and hospital isolation techniques.
Third, the rational use of antibacterial drugs.
Fourth, there are problems:
1, there are individual departments do not pay attention to the work of hospital infections, hospital infection text records are incomplete.
2, sterile solvent, disinfectant did not write the date of opening.
3, the use of sharps box is not standardized, the sterile cylinder is not timely replacement.
4, individual nurses aseptic operation implementation is not strict enough, such as: treatment did not wear a mask.
Fifth, corrective measures:
1, disinfection, sterilization concept to be strengthened.
2, hospital sensory records in a timely manner.
3, strengthen the medical staff occupational safety protection, further strengthen the aseptic technology operation and the use of sterile goods.
4, the strict implementation of the "Medical Waste Management Regulations", standardized management of medical waste.
5, to further strengthen the training and learning of medical staff.
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