Hospital department quality control work summary
Summary refers to the social groups, business units and individuals to a certain stage of learning, work or its completion of the review and analysis, lessons learned and some regular understanding of a written material, which can give a person the motivation to work hard, so we need to go back to summarize, write a summary. But found that do not know what to write, the following is my carefully organized hospital department quality control work summary, welcome to read and collect.
20xx year we quality control section in the hospital party, political leadership of the correct leadership, in the hospital under the strong cooperation of comrades in all departments, hard work, active work, bold management, dare to innovate, serious and responsible, leading the comrades of the section to develop and innovate, and strive to complete the hospital handed over to the work of the various tasks. According to the health administrative departments and hospital quality management requirements, the quality control section conscientiously fulfill their duties, strict system, high standards, strict requirements for medical records, prescriptions for regular and occasional inspections, comprehensive reviews. To do the work seriously have a record, the existence of problems have analyzed, have commented on the timely communication with the section director and responsible for feedback, to be rectified, and regularly analyze the results of the evaluation reported to the dean in charge.
I. Work responsibilities
1, quality control section under the leadership of the President, the Dean in charge, the hospital's quality of care for the entire monitoring; according to the overall development of the hospital, our section of the hospital's medical records, prescriptions for strict quality control, and the review of prescriptions to summarize and assess the situation. And put forward quarterly, quarterly stage of quality control focus on the goal of medical quality management to be summarized, put forward suggestions for rectification, and promote continuous improvement.
2, the development of the hospital's medical management of rules and regulations, planning, standards and major measures, is responsible for organizing and coordinating the implementation of hospital quality management, supervision, inspection, analysis and evaluation.
3, quality control section in charge of the leadership of the President, the specific organization and implementation of the hospital's clinical medical, nursing quality management. Responsible for the development of the hospital's medical quality management implementation program, and often supervise and inspect, summarize and report on time. In-depth understanding of the medical quality of each department, urging each department against the medical quality standards of self-examination, the development of the standard program. Responsible for organizing the quality inspection of prescription, medical record writing, clinical medication, preventive medication, outpatient clinic and emergency clinic, and regularly analyze and summarize and report to the dean in time. Completing other related work assigned by the hospital leadership. The staff of this department carefully and meticulously check the medical record homepage, antimicrobial drug approval list, surgical nursing record, medical prescription record, surgical laboratory list, etc., to keep the quality control, and find out the problems and correct them in time. We go deep into the outpatient clinics and departments and urge the doctors in charge of each department to write carefully. In order to strengthen medical quality control and medical quality and safety management. And increased efforts in the following areas: the writing of medical records, the third level of physician visits, the approval of surgery, the grading management of surgery, the approval of antimicrobial drugs and grading management, prescription writing, talking about difficult cases, doctor-patient communication, and so on.
Second, the collective efforts
1, the hospital: in order to further strengthen the hospital rational use of medication guidance, supervision and management of standardized clinician medication behavior, to reduce and avoid the occurrence of adverse drug reactions, to reduce or alleviate the emergence of bacterial resistance, to ensure that the clinical use of medication is safe, effective and economically appropriate to improve the quality of medical care maximized. To minimize the cost of medicines, the following measures have been developed:
(a) strict implementation of the principle of graded use of antimicrobial drugs management, the hospital limited varieties are divided into non-restricted use, restricted use and special use of three categories, fill in the antimicrobial drug application for approval of the single development
(b) the establishment of antimicrobial drugs special rectification leading group and members of the antimicrobial drug use steering review, by the Quality control personnel weekday review of the work record daily assessment of the situation is summarized, into the hospital performance of the integrated quality assessment, rewards and penalties.
(C) the daily microcomputer database of the hospital's sales of antimicrobial drugs in the amount of the top ten drugs level prescribing antimicrobial drugs in the amount of the top ten doctors ranked public, the use of antimicrobial drugs to analyze and report to the dean in charge of the Department of Medical Sciences for scientific treatment
(D) the amount of the top ten physicians to prescribe antimicrobial drugs to take a scientific treatment
(E) strengthen the knowledge training on the rational application of antimicrobial drugs, the use of antimicrobial drugs to improve the quality of life. Rational application of antimicrobial drugs knowledge training Circular drug news, the introduction of new drugs, pre-service training, kitchen standardized writing training and typical medical records issued in the form of education and training organized by the Department of Medical Services, each time the content of the self-defined, the examination test, to guide the rational use of clinical medication to improve the rational use of antimicrobials in hospitals of all types of personnel of the comprehensive quality of the rational use of antimicrobial drugs.
2, the departments: in the hospital's strong control, the use of antibacterial drugs in the departments have also been controlled, especially cefmenoxime, cefoxitin sodium 's dosage has been controlled, and now the departments of physicians basically do according to the indications for the use of medicines, such as the application of antibacterial drugs, if necessary, but also the use of the level by level. But occasionally there are individual physicians still use high-grade antimicrobials, expect physicians from the fundamental interests of the masses, from the people's health.
3, quality control section: quality control section mainly from the following aspects of the inspection, quality control
(1) the use of antimicrobial drugs indicated
(2) preventive medicine selection time
(3) the choice of antimicrobial drug varieties
(4) the use of antimicrobial drugs dosage, cycle, pathway, frequency
(5) the antimicrobial drugs Classification management
(6) replacement of antimicrobial drugs with or without medical records and whether the medical advice is consistent
(7) rationality of the combination of drugs at the same time to review the typical medical records. Issued a feedback circular, take the method of intervention and feedback combined testing, in advance
Review of antimicrobial prescriptions or medical prescriptions, direct intervention in the doctor's prescription or medical records for rectification In this year, the whole hospital *** check all kinds of prescriptions 4585, of which 3986 qualified prescriptions, unqualified prescriptions 554, the reasonable rate of 87% (did not reach the standard 95%), the intensity of antimicrobial drug use 45 (the prescribed range does not exceed 40), outpatient antimicrobial drug ratio of 13% to meet the standard, inpatient antimicrobial drug use rate of 54.5% to meet the standard, the above data before the rectification of a lot of irregularities, do not meet the standard, now there has been a significant improvement and enhancement.
In the whole hospital medical staff *** with the efforts of our medical quality has improved greatly, our department will continue to work hard for the hospital's medical quality improvement to dedicate their own strength.
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