The rapidity of light, a blink of an eye will pass, soon to carry out new work, it is time to take time to write a work plan. But I believe that many people are clueless about the state of it, the following is my collection of hospital sensory annual work plan (generic 7), just for reference, I hope to help you.
Hospital Infection Annual Work Plan 1To improve the quality of hospital infection management, to further improve the management of hospital infections, to ensure medical safety, according to the "Hospital Infection Management", "Disinfection Technical Specification", "Hospital Infection Surveillance Specification" and other relevant documents and regulations, in the hospital under the support of the leadership of the hospital, the main work to do the following:
A, the main work tasks and measures
(a), hospital infection monitoring:
1, monthly sampling of discharged medical records, retrospective survey method, the omission rate of discharged patients survey, reduce hospital infection underreporting, and gradually institutionalize the reporting of cases of hospital infections;
2, the effect of disinfection and sterilization monitoring and environmental hygiene monitoring, the monthly cycle of the whole hospital medical department air, material table, staff hand, Disinfectants, sterilizers, sterile items and other disinfection effect monitoring.
3, continue to monitor the key departments, especially the icu, neonatal ward, to strengthen the target monitoring of the three tubes; choose a surgical incision for the target monitoring of surgical incision infection.
(2) strengthen the quality control inspection, conscientiously implement the hospital infection monitoring measures to carry out quality inspection of hospital infection management, cleaning, disinfection and sterilization and isolation of hospitals, aseptic technology, medical waste management and other work to provide guidance. Problems are found and timely feedback is given to the clinical departments to urge rectification and continuous improvement to ensure medical safety. Each clinical department conducts self-inspection once a month according to the "Hospital Infection Management Quality Inspection and Continuous Improvement Record Sheet". Further strengthen the multi-departmental joint inspection efforts to do a good job of hospital infection control.
(C) to strengthen the key departments of hospital infection management focus on the supply room cleaning, sterilization records, disinfection management of the operating room.
Second, strengthen the hand hygiene management according to the "medical personnel hand hygiene norms", strengthen the hand hygiene training of medical personnel at all levels and publicity, improve hand hygiene facilities, improve the awareness of hand hygiene and compliance of medical personnel.
Third, to strengthen the management of occupational protection of medical staff to further train and guide the work of health and safety occupational protection of medical staff, enhance the awareness of occupational exposure protection of medical staff, and conscientiously implement occupational exposure protection measures to ensure the occupational safety of employees.
Fourth, strengthen the hospital disinfection medicine and disposable medical supplies audit.
Regularly check the use of disposable medical supplies, disinfection medicines and documents.
V. Strengthen the infection management knowledge training, improve the awareness of medical staff hospital infection, hospital infection knowledge training at different levels. The main plan is to train the following:
1, hospital infection-related knowledge and personal protection knowledge;
2, the nursing staff mainly for aseptic technique and disinfection isolation knowledge, medical waste management, etc. 3, the whole hospital personnel for hand hygiene, classification of medical waste, occupational exposure protection training, etc.
3, the hospital staff for hand hygiene, medical waste classification, occupational exposure protection training.
4, new employees (including interns) pre-job training 5, cleaning staff occupational protection training
Hospital Sense Annual Work Plan 220XX year of the Department of Surgery Division of the hospital's hospital sense of work, will be in the unified leadership of the hospital, to strengthen the active collaboration with the Department of Laboratory, and conscientiously carry out the "Management of Hospital Infections," the "Chinese People's Republic of China **** and the State of the Prevention and Control of Infectious Diseases Law," "Disinfection" technical specifications, "Medical Waste Management" and "Medical Waste Management. Technical specifications", "medical waste management regulations", "disinfection supply center management standards" and other laws and regulations, the whole department staff to participate in, *** with the hospital to carry out and complete the Hospital Infection Branch of the hospital to develop a variety of preventive and control work, effective control of hospital-acquired infections. In this regard, my section developed 20XX work plan, as follows:
First, the main objectives:
1, outside the first hospital sense of knowledge training rate of more than 90%, the training pass rate of 100%.
2, air, medical staff hand, object surface qualification rate of ≥ 98%; the use of disinfectant qualification rate of 100%; sterilized items qualified rate of 100%.
3, hospital infection underreporting rate & lt; 5%.
4, infectious patient outbreaks reported 100%; timely rate of 98%;
5, medical waste recycling rate of 100%.
Second, guarantee measures
(a) to strengthen education and training: infection management knowledge training into the focus of this year, to take the form of hospital lectures multi-channel training of all staff, questionnaire assessment, to improve the awareness of health care personnel hospital infection prevention. Monthly hospital infection knowledge training for all health care workers.
1, monthly department according to the business of this section to organize hospital infection related knowledge training, and make a good record.
2, actively participate in the hospital organization of hospital infection knowledge education and training, and learning into the departmental assessment.
3, on the new staff to carry out pre-service training, the main training content for disinfection and isolation of knowledge, the prevention and control of hospital-acquired infections and the classification of medical waste collection and treatment, so that the awareness of hospital-acquired infections throughout the work.
4, to strengthen the nurse's disinfection and isolation knowledge training, such as the nurse's work requirements, the basic knowledge of disinfection and sterilization, cleaning procedures and personal protective measures.
5, the implementation of the responsibilities of all levels of personnel, to do a good job of isolation and protection, to avoid cross-infection.
(B) to strengthen the hospital infection monitoring and management
1, give full play to the role of hospital infection quality control management team, through the monthly quality control inspection timely detection of problems and timely correction.
2, according to the "Disinfection Technical Specification" and "Hospital Infection Management" requirements, quarterly monitoring of the sterilization effect of key departments of the air, surfaces, staff hands, disinfectants, sterilizers, disinfectants, sterilized items and so on.
3, require the whole department to do a good job of occupational protection of health care workers, and will be reported to each occupational exposure and injury, and do a good job of registration, the protection of susceptible people, and effective control of hospital infection.
4, on the use of air sterilizer filter cleaning once a month.
(C) strict medical waste classification, collection, transportation, storage, outbound management, / to eliminate leakage events.
1, medical waste according to the requirements of classification and placement, airtight transportation, bags with identification, out of the Department of registration. Specialized recovery with a signature, sent to the medical waste storage point centralized placement.
2, medical waste transfer orders filled out by specialized staff, and save the stub for inspection.
Annual work plan for hospital infection management 3
Hospital infection management is an important part of hospital infection management, is an indispensable and important element of medical quality, in order to ensure medical safety and improve the quality of medical care, with reference to the provincial health department of the second hospital hospital hospital infection work review standards, combined with the actual hospital, specially formulated the management of hospital infection work plan:
First, conscientiously carry out
"Chinese People's **** and State Infectious Disease Prevention and Control Law", to strengthen the management of infectious disease network direct reporting, daily collection of infectious disease report card network direct reporting, and improve the management of tuberculosis referrals:
1, at any time signing the infectious disease epidemic report card, and at the same time in the signing of the review card to fill in the content to ensure that the contents of the complete;
2, a daily access to Laboratory, Radiology positive results register, found that the omission of timely notification of the relevant departments to make up the report.
3, conscientiously do a good job of the higher health administrative departments of the hospital's epidemic management and reporting of the inspection work, with the disease prevention and control departments to do a good job of epidemic investigation.
Second, do a good job of nosocomial infection monitoring
1, control the infection rate: emphasize the importance of nosocomial infection control, and strengthen the basic training for the various departments of nosocomial infection quality control personnel.
2, monthly monitoring of key departments of environmental hygiene and other five, the rest of the departments from time to time to check the self-test.
3, according to the "disinfection supply center infection prevention and control technical specifications" and "disinfection technical specifications," the requirements of the cleaning, disinfection and maintenance of instruments to supervise the test.
Third, the hospital infection knowledge training into this year's work focus
Take the form of experts and hospital lectures to carry out training for the whole staff, questionnaire assessment, to improve the awareness of medical personnel hospital infection prevention. The implementation of pre-service training, training content involves:
1, hospital infection diagnostic criteria;
2, the rational use of antimicrobial drugs knowledge;
3, the main content of the training of nursing staff disinfection and isolation of knowledge, the prevention and control of hospital-acquired infections and medical waste classification and collection;
4, hand hygiene disinfection of healthcare personnel, cleaning staff work requirements
Fourth, do a good job of medical waste management and supervision
Regular supervision of medical waste classification, collection, transportation and other systems to eliminate leakage. Monthly inspection of medical waste handover register, temporary storage place and disinfection register, found that the omission of timely fill.
The annual work plan for hospital infection management4
According to the "Hospital Infection Management" document requirements, in order to strengthen the sense of management of the Academy of Sciences, to improve the quality of sense of management work of the Academy of Sciences, to ensure medical safety, in view of the actual work of the Department of the work of the Department, specially formulated this plan.
First, strengthen the organizational leadership
Effective implementation of the work of the hospital sensory team fully aware of the importance of hospital sensory management work in the medical work, a clear sense of hospital sensory management team of each member of the 'responsibility, and do a good job of related members of the training work, the team members are asked to conscientiously perform the job duties, participate in the management of hospital sensory management in the Department of work and know. The team will be able to work together with the other members of the team.
Second, to strengthen the department of hospital infection monitoring, supervision
1, the department of hospital infection and its related risk factors to analyze, for the problem of measures and guidance for the implementation of;
2, to the department of hospital infection events timely report, and to assist in the Hospital Infection Management Committee to deal with;
3, according to the "Hospital Infection Management Measures" requirements, to do a good job. Hospital infection management approach" requirements, do a good job in the department of cleaning, disinfection and sterilization and isolation, aseptic technology;
4, according to "medical waste management regulations" requirements, do a good job in the management of medical waste.
5, do a good job of monthly hospital monitoring sampling, timely registration, analysis, summarize the shortcomings and put forward improvement measures.
Third, to strengthen the rational use of antimicrobial drugs
Strictly require the physicians according to the "antimicrobial drug classification and management system" reasonable application of antimicrobial drugs, strict control of the indications for the use of combined drugs, pay attention to the contraindications and interactions, and timely reporting and treatment of adverse drug reactions.
Four, improve the department of medical staff of hospital infection prevention and control awareness, strengthen the medical staff of their own protection, prevention is better than cure.
1, to strengthen the awareness of medical staff prevention and related laws and regulations of the training efforts;
2, strictly require medical staff to implement aseptic technology operations, disinfection and isolation work, hand hygiene, hand disinfection;
3, strictly require medical staff to implement standard precautions, try to avoid infection due to occupational exposure.
Hospital Infection Annual Work Plan 5
20xx according to my hospital infection management work plan, the development of this year's hospital infection work plan for my department, the plan is as follows:
First, abide by the rules and regulations of hospital infection, strict implementation of the corresponding management system developed by the oral cavity, and conscientiously implement the rules and regulations of hospital infection, adhere to the "early detection, early reporting, early control", "early detection, early reporting, early control", "early detection, early reporting, early control". The company is also committed to the principle of "early detection, early reporting, early control" to eliminate the occurrence of hospital-acquired infections.
Second, strengthen the infection training in the department, improve the knowledge of hospital infection prevention and control, according to the actual situation of the department, every semester to organize a department within the hospital infection related knowledge training and learning, and make a good record.
Third, my hospital hospital infection group quarterly hospital infection assessment of my department, the department of the assessment of demerit part of the discussion, analysis of my department in the management of hospital infection problems, and actively rectify.
Fourth, strict management of medical waste, regular inspection and supervision of the collection and classification of medical waste, infectious, injurious and household waste must be strictly separated.
V. Strengthen the management of hand hygiene, improve the hand hygiene awareness and compliance of my department staff. Hand hygiene must be implemented before contacting patients; before performing clean (sterile) operations; after contacting body fluids; after contacting patients; and after contacting the patient's surroundings.
Sixth, the clinic is regularly ventilated, daily air disinfection with ultraviolet lamps, and daily cleaning of the department's countertops, desktops, and floors.
Seven, sterile items should be placed in order according to the date of sterilization, expired or damp should be re-sterilized. Hand washing facilities are complete, equipped with hand sanitizer, rapid hand disinfectant. Strict implementation of aseptic technology operating procedures, alcohol, hydrogen peroxide and other disinfectants should be kept closed; disposable medical bag packaging sterilized instruments stored in sterile containers for backup, once opened, the use of the expiration date shall not exceed 4 hours. The date of sterilization and expiration date should be indicated on the outside of the package for sterilized instruments. Injections should be done one person, one needle, one tube. Disposable latex gloves should be used and replaced by one person. Oral instruments, e.g., mouth mirrors, trays, and saliva suction tubes, should be changed for one person. The implementation of standard precautions, the operation must wear a good hat, mask, blood, saliva splash should also wear a protective mask. Once the operation of occupational exposure, immediately reported to the hospital infection department, in accordance with the infection management regulations and registration, regular testing and follow-up.
Hospital Infection Annual Work Plan 6In the new year, the Hospital Infection Management Department will adhere to the policy of prevention, strengthen the management of hospital infections, improve the quality of medical care, in order to protect the safety of patients as the goal, and conscientiously grasp the various aspects of the work of hospital infection management. The following work plan has been formulated.
First, further improve the system and measures for hospital infection control, continue to check the implementation of its systems and measures in accordance with the requirements of the second hospital accreditation, the operating room, supply room, maternity ward, endoscopy, pediatrics, stomatology, hemodialysis, laboratory, and other key departments of the quality of the infection supervision, prevention and control of outbreaks of nosocomial infections and epidemics. And regularly check and assess the quality of the hospital infection link in all departments of the hospital.
Second, strengthen the knowledge of nosocomial infection training, through a variety of forms of nosocomial infection knowledge training of the entire hospital staff, to let the staff to understand and pay attention to the importance of hospital infection management and the need to organize the staff of nosocomial infection knowledge test 2 times.
Third, seriously do a good job of monitoring the management of hospital infections, including the environment, air, sterile goods and other hygienic monitoring and evaluation of the effect of quarterly hygienic monitoring of the hospital's clinical departments, urging departments to do a good job of disinfection and sterilization isolation, every six months of the hospital's various departments of the ultraviolet lamp irradiation intensity of the monitoring and evaluation of the effect of the unqualified, can not achieve the effect of disinfection of lamp, disinfectant supervision and timely replacement of the lamp, disinfectant.
Fourth, the monthly statistics and summary of the hospital's nosocomial infection cases, supervise the clinical departments of the nosocomial infection cases of reporting and summarizing, and regularly under the department to understand the situation, sampling cases of underreporting investigation, the hospital's nosocomial infection analysis and summary of the situation. Monthly sampling of outpatient prescriptions to check the use of antibiotics and calculate the utilization rate.
Fifth, continue to strengthen the management of medical waste, often down to the department to check and supervise the collection of medical waste, classification and transportation of norms, in accordance with the "Medical Waste Management Regulations" and other regulations in the requirements of the standardized disposal of medical waste.
Sixth, the implementation of medical personnel hand hygiene management system, strengthen hand hygiene publicity, education, training activities, to enhance awareness of the prevention of hospital infections, regular or irregular monthly spot checks on medical personnel hand hygiene knowledge, hand hygiene implementation to ensure that hand washing and hand disinfection effect.
VII, the establishment of infectious disease prevention and control work organization system, the implementation of hospital infection management methods and emergency response plan for hospital infection outbreaks. Develop departmental management system and personnel responsibilities. Firmly implement the "Hospital Infection Management" and "Infectious Disease Prevention and Control Act" rules and regulations, the development of infectious disease prevention and control workflow and norms. Infectious disease reporting to achieve "early detection, early diagnosis, early treatment, early reporting, early control". Hospital Sense
Hospital Sense Annual Work Plan 7First, comprehensively promote the creation of "three A", strengthen the organizational construction, strengthen the division of responsibility for the management
1, give full play to the role of the hospital infection management committee of the Dental Hospital, regularly convene meetings and regular inspection work. Regularly carry out inspection work.
2, the collaboration of the functional departments, play the functions of the functional departments, refine the work task, to achieve their respective responsibilities.
3, hospital infection management into the overall work of the hospital planning and quality and safety management objectives. And based on the higher departments and the relevant requirements of the hospital infection, the development of the 13th Five-Year Plan and work plan and organization and implementation.
Second, improve the system and workflow, do a good job at all levels of personnel of the relevant systems and workflow training, improve the implementation rate
1, according to the relevant laws and regulations continue to revise and improve the prevention and control of hospital infections system, repair all medical activities in the hospital hospital infection management workflow, and guidance and supervision Specific measures, so that each work in practice.
2, all levels of hospital infection management personnel familiar with the relevant systems, workflow and the department under the jurisdiction of the characteristics of hospital infection, the hospital staff familiar with their own departments, positions related to hospital infection management system and requirements, and the correct implementation.
3, for all levels and types of personnel to develop the hospital infection management training program, training program and training content, the preparation of training manuals and design of related knowledge and skills assessment test questions.
Third, to strengthen the hospital hospital infection target monitoring, targeted to carry out hospital infection prevention and control work
1, planned hospital infection monitoring, including target monitoring and hospital-wide comprehensive monitoring, monitoring the directory / list of the scope of the requirements of the "Hospital Infection Surveillance Specification", hospital infection monitoring covers all hospital infection monitoring items and different specimen types, and the monitoring of hospital infection monitoring. The hospital infection surveillance covers all hospital infection surveillance programs and different specimen types, and has complete records.
2, focusing on supply rooms, wards, operating rooms, outpatient operating rooms, surgery, implantation surgery and other key populations and and diagnostic instruments cleaning, disinfection, sterilization and other high-risk factor management and monitoring, the development of preventive and control measures and workflow.
3, the infection of higher-risk departments and infection control risk assessment, and develop targeted control measures.
4, continue to do a good job of infection prevention and control of surgical sites, and constantly improve the system and measures.
5, the key departments such as operating rooms (including outpatient operating rooms), supply rooms and other hospital infection prevention and control systems and measures to implement the monitoring data.
Fourth, do a good job of hospital infection outbreak emergency treatment capacity training
1, according to the hospital on the re-establishment of the hospital infection outbreak reporting process and disposal plan for training and drills.
2, there are a variety of forms and channels, so that medical staff and hospital infections of the relevant management personnel to obtain timely information on hospital infections, the opening of the network information, according to the requirements of the timely reporting of outbreaks of hospital infections.
3, the relevant personnel of the hospital infection outbreak reporting process and disposal plan knowledge rate of 100%.
Fifth, continue to do a good job of hand hygiene behavior management of medical staff
1, quarterly "three: hierarchical stratification subsection" for hand hygiene knowledge and skills training and assessment, and into the department of comprehensive goal assessment.
2, hand hygiene knowledge of medical staff strive to reach 100%, hand hygiene correct rate of 90%, hand hygiene compliance of 70%.
Six, the strict implementation of multi-resistant bacteria management joint meeting system, strengthen management
1, for multi-resistant bacteria hospital infection diagnosis, monitoring, prevention and control of various aspects of the work, combined with the actual work, and constantly continue to improve and develop the implementation of multi-resistant bacterial infection management rules and regulations and preventive and control measures.
2, do a good job of regular supervision of wards on the implementation of multi-drug-resistant bacteria control measures, including hand hygiene measures, isolation measures, aseptic operation, cleaning and environmental disinfection system.
3, according to the monitoring of bacterial resistance, the joint medical department, pharmaceutical and equipment to strengthen the management of the clinical application of antibacterial drugs, the implementation of the rational use of antibacterial drugs.
4, the implementation of MRSA, CRE, VRE, CRPAE, CRABA control measures of the workflow. Improve the repair of clinical departments, laboratory, hospital infection management in the management of multi-drug-resistant bacteria in the collaborative mechanism and the specific implementation of the program.
5, the laboratory regularly provide clinical trends of drug-resistant bacteria and antimicrobial susceptibility report
6, the establishment of clinical staff and laboratory personnel to prevent multi-drug-resistant bacterial infections in the training system, training programs and implementation measures
7, continue to do a good job of bacterial drug resistance monitoring and early warning mechanism, and regular (at least quarterly) feedback; timely publication of the top five hospital infections. The top five hospital infections in the name of pathogenic microorganisms and drug resistance rate; monthly to do clinical therapeutic use of antimicrobial drugs microbiological delivery rate of statistical analysis; clinical therapeutic use of antimicrobial drugs and microbiological testing of the type of annual statistical analysis work.
8, to carry out the "perioperative antimicrobial prophylactic use of the implementation of the provisions of" and "Class I surgery prophylactic antimicrobial drug use norms (species selection, timing of medication, postoperative application time, etc.)" survey and statistics; related personnel know and implement
Management of the rate.
seven, strengthen the hospital diagnosis and treatment of environmental health cleaning, disinfection management, continue to do a good job in the department of hospital management supervision, the development of inspection standards, to strengthen the assessment
1, the ward, outpatient clinic layout of the departments need to be reasonable in line with the norms of the requirements of the environment, neat and clean, with good ventilation facilities and air disinfection standards.
2, ward, outpatient departments and related departments have hospital infection prevention and control of the relevant rules and regulations and work norms, and seriously implemented. Ward, outpatient departments workflow in line with the principles of hospital infection control.
3, the strict implementation of hand hygiene standards, oral diagnostic and treatment equipment disinfection specifications, medical waste management norms, medical staff can correctly use occupational protective equipment.
4, the development of the operating room, supply room, ward, laboratory, outpatient departments of the hospital infection inspection standards for the implementation of regular inspection and assessment scores, the results of the assessment into the medical quality assessment.
VIII, strengthen the supervision of disinfection supply room and information management
1, the guidance of the supply room health room disinfection and isolation work system and ten cleaning and disinfection sterilization workflow; and standardize the cleaning and disinfection and sterilization effect of the monitoring process and determination of standards.
2, disinfectant disinfection knowledge rate of 100%, and regularly receive disinfection and sterilization knowledge training.
3, the establishment of hospital infection monitoring indicators system information system, in accordance with the "Hospital Infection Monitoring Specification" (WS/T312-20xx) to carry out monitoring work and records. There are monitoring information collection and feedback channels to ensure the quality of information.
Nine, strengthen the hospital staff hospital infection knowledge training and assessment
According to the plan for medical staff to carry out related knowledge, disinfection and isolation technology education and training, the establishment of a complete training, assessment records, and improve the training records manual.