Time is flying by, we're approaching new challenges, and it's time to start writing work plans. But what can we do to avoid a self-important work plan? The following is my carefully organized work plan for the Nursing Quality Control Center in 2022 (Selected 5), which is only for reference.
Nursing quality control center work plan 1First, recognize the goal, clear positioning
20xx our hospital unique, warm and comfortable 7500 square meters of office inpatient building and our hospital has a special function of maternal and child health care will bring us unlimited space for development, at the same time, the fierce competition in the medical market and the current At the same time, the fierce competition in the medical market and the current economic situation also put us under great pressure. In the face of hope and difficulties together, opportunities and challenges co-exist in the present situation, all the staff of the hospital should continue to carry forward the spirit of unity, harmony, dedication, enterprise, innovation and leadership of the maternal and child health care hospitals, to overcome the difficulties and grasp the opportunities, in accordance with the guidelines of the reform of the medical and health care system, to correctly position the direction of the development of maternal and child health care institutions, and to effectively give full play to its own features and advantages, to seek development in the midst of the reform, and to comprehensively implement health care-centered, clinically based, and to provide the best services to our patients. The new scientific management model is centered on health care, based on clinic, guaranteed by management, featured by service, and oriented by women and children's health demand, seizing opportunities through projects, shaping image by integrity, and taking performance as the driving force to vigorously improve the level of health care, improve the hospital's service capacity, improve the overall quality of the staff, and focus on the construction of specialty departments, and strive to make the hospital into a famous hospital in the city, with a specialty in the hospital, and a speciality in the department, People have expertise in women's and children's hospitals, so that our hospital has become the city's most professional women's and children's medical, health care centers, to achieve greater breakthroughs in economic and social benefits, for the city's women and children to provide high-quality, healthy, satisfied, assured health care services.
Two, clear goals, develop programs
(a) Goals:
1, improve the quality of medical care, to create a people assured that the hospital.
2, strengthen the quality of service, create patient satisfaction hospital.
3, highlighting the health care features, to create a specialty hospital.
4, innovative technology to create a brand hospital.
5, the implementation of performance assessment, scientific management of hospitals.
6, strengthen the external publicity, shaping a good image.
7, strengthen the security measures to create a safe hospital.
8, unity, hard work and enterprise, and constantly develop the hospital.
(B) program:
1, improve the quality of medical care, to create a people's hospital.
Medical quality and safety, related to the health and safety of patients, is the lifeline of medical services, is the core content of hospital management and eternal theme. "Patient-centered, quality as the core, safety as the theme", seriously implement the rules and regulations, job responsibilities, strict implementation of the diagnostic and treatment technology routines, the implementation of the system into all aspects. Ensure patient safety, so that patients are safe, satisfied and assured.
(1) to improve the management system and quality control system, strengthen the hospital and departmental management, and further improve the safety awareness of all hospital staff. The establishment of hospital and departmental medical quality management team, hospital-level quality management organization by the business dean and the head of the functional departments, quality control of the work of the whole hospital; departmental quality management organization by the section chief, head nurse and relevant members of the composition of the section of the overall management of the quality of medical care.
(2) Strengthen business training. In order to the development of the hospital, in order to the safety of patients' lives, it is necessary to strengthen the consolidation of professional knowledge and the learning of new knowledge. 20xx, the hospital will organize the medical, nursing basic theoretical knowledge assessment 12 times, the technical assessment of a monthly organization of medical and nursing staff to study each one, the use of multi-media teaching methods, to practical skills and basic knowledge as the focus of training. The individual examination and assessment results failed, will cancel the section of the evaluation qualification, and at the same time and the section performance evaluation results linked.
(3) Ensure the quality of medical and nursing document writing. Timely, conscientious and rigorous completion of medical and nursing document writing.
(4) Strengthen the daily nursing quality management, and strive to improve the quality of care.
(5) the implementation of professional and technical title dynamic management: the status of the usual participation in learning, examination and assessment results, mastery of the profession's new knowledge, new technologies, business level, contribution, performance, democratic assessment, patient assessment of the excellent priority for employment.
2, strengthen the quality of service, create patient satisfaction hospital.
Strengthen the quality of service, improve the quality of service, strengthen the construction of medical ethics, integrity of medical practice, courtesy to the patient is to establish a harmonious doctor-patient relationship, reduce doctor-patient disputes, improve the reputation of hospitals and departments to create a patient satisfaction with the hospital's important foundation, only to improve the patient's satisfaction, in order to make the hospital in today's increasingly competitive health care market to obtain sustainable development.
(1) Convenient consultation process, optimize the diagnosis and treatment environment, and provide convenient measures. The hospital has a guide area on each floor, the guide to the patient to introduce the characteristics of the department and the attending doctor, and for the old and weak and mobility-impaired patients to provide assistance; inpatient admission and discharge procedures by the nurse accompanied by the hospitalization of various types of minor items during the examination are carried out in the wards. Effectively achieve the admission of someone (car) to receive, hospitalization, someone check, check with someone, someone (car) sent home, someone visit. ② clean and tidy, warm and comfortable and quiet orderly environment can give patients a satisfactory first impression. Hospital leaders in charge of the daily inspection, supervise the cleaning of the hospital environment; all hospital staff to maintain and promote the hospital's good environment. ③ Actively implement the people-oriented affectionate, characteristic service.
(2) carry out smile service, use civilized language, focus on communication with patients. A warm smile, a cordial greeting can make the patient feel at home, a relaxed atmosphere conducive to communication between the doctor and the patient, to improve the patient's trust in the medical staff. Medical staff to receive patients, with a smile, say: "Hello"! "Please sit"! And then diagnosis and treatment, nursing operation; strengthen doctor-patient communication, improve the content of communication, improve communication. In the diagnosis and treatment and nursing process, from the original waiting type to ask the type, take the initiative to communicate with the patient, ask the patient's situation, pay attention to the tone of voice calm and soft, easy-to-understand language, and pay attention to the eyes and gestures and other non-verbal communication methods used. In the process of diagnosis and care, timely expression of care and respect for patients, to meet the psychological needs of patients, to obtain the trust of patients.
(3) Strengthen the construction of medical ethics. Noble professional ethics is the basis for preventing medical disputes and improving medical and service quality. In order for hospitals to gain an advantage in competition and make significant progress, they must establish a team of medical personnel with high professional ethics, consciously resist all kinds of unethical practices, establish a good social image, and comprehensively enhance the hospital's comprehensive competitiveness, laying a solid foundation for the hospital's sustainable development. With strict management measures and performance assessment regulations, the hospital binds all the staff to abide by the rules and regulations of the hospital, go on duty on time, dress in standardized and neat attire, provide enthusiastic, timely and accurate diagnosis and treatment and nursing care services to patients, do not shirk or contradict patients, do not charge privately, do not accept red packets, and do not issue false medical certificates and inspection reports. In the whole hospital, set off to vigorously carry out the "quality service window" and strive to be "quality service pacesetter" activities of the craze.
Objectives
1, improve the nursing quality standard system, the work of the indicators to meet the requirements of the second-class hospital.
2, comprehensively improve the quality of nursing services, patient satisfaction rate ≥ 95% or more.
3, seriously do a good job of writing nursing instruments, to meet the standard requirements.
4, strengthen business training, improve business capacity.
Second, the implementation of measures
1, organize the development of various nursing standards, issued by the nursing unit.
2, the members of the quality control committee and departmental quality control staff regular training in nursing quality management knowledge.
3, the Department of Nursing quarterly nursing quality comprehensive objectives of the hospital inspection and assessment, the results of the benefits of salary linked.
4, the Department of Nursing and Quality Control Committee to determine the weekly inspection focus, down the ward on the hospital's nursing unit census, the results are linked to the benefits of salary.
5, the quality control team down the ward inspection 3-4 times a month, and summarize the results of the inspection, in the regular meeting of the head nurse briefing.
6, the head nurse to do a good job of weekly work self-examination, and carefully fill out the work self-examination form.
7, continue to implement the head nurse night inspection system, the night, holiday nursing quality inspection.
8, quarterly patient satisfaction survey, the results of the regular meeting of the head nurse feedback, the patient reflects the problem, to give timely answers and solutions.
9, a monthly nursing error, accident analysis seminar.
10, for nursing defects, to do on-site pointed out, immediately corrected, major problems reported to the Department of Nursing in a timely manner.
11, strengthen the business training, so that the standardization of technical operations, basic theory assessment routine.
12, the annual personal error of more than three times, the nursing department for its face to face warning and financial penalties.
The work plan of the nursing quality control center 3
First, basic care and special, first, second and third level of care
1, to strengthen the quality of the morning and evening wards to organize, and strengthen the implementation of the contents of basic care, so that the ward environment continues to improve.
2, strengthen the responsibility of the nurse to the ward rounds, the requirement to grasp the patient under the control of the eight know.
3, strengthen the nursing team leader on the implementation of basic nursing supervision, inspection, rectification, feedback.
Second, the ward, drug management
1, to strengthen the ward, the nurse station, the management of the warehouse, responsibility to a person, high-risk drugs, standby drugs shift handover.
2, the refrigerator drugs dedicated, strictly prohibited into the miscellaneous, daily shift check the refrigerator temperature and make a record.
3, to strengthen the daily ward bedside table, pager, bedside, equipment with the cleaning work, do a good job of the patient's items placed on the mission.
Three, first aid drugs, equipment
1, first aid drugs, equipment, shift handover and have a record, the nurse in charge of the daily inspection, the head nurse weekly inspection, to ensure that first aid drugs, equipment, at any time to maintain the emergency state.
2, the nurse is familiar with the name, role and use of various emergency drugs.
3. Eliminate the existence of expired drugs and articles, and strengthen the management of drugs and equipment.
Four, quality care
1, strengthen the responsible nurse to the patient's health education and disease-related knowledge and complications of publicity.
2, the implementation of the overall responsibility system of nursing, the responsible nurse to master the subdivided patient's condition, psychology, treatment and so on.
3, to strengthen the implementation of the overall care of the random inspection efforts to analyze the problems in the inspection, rectification.
4, daily telephone follow-up, public holiday talks, satisfaction assessment and other ways and means to collect the patient's suggestions during the hospital, and actively grasp the patient's needs, solve the problem in a timely manner, improve patient satisfaction.
V. Nursing document writing
1, to strengthen the quality control management team supervision, inspection efforts, strengthen the responsibility of responsible nurses, reduce the rate of omission of medical advice, and strengthen the timely and accurate writing of nursing documents.
2, strengthen the training of nursing document writing, improve the connotation quality of nursing document writing.
3, do a good job of patient health education, will focus on, special education content in the nursing document fully embodied.
4, the head nurse strictly discharge medical records quality control, discharge medical records in a timely manner to check, and on the existence of problems in a timely manner to convene a meeting of the department, the implementation of improvement measures.
Six, safety management
1, regular training of nursing staff safety knowledge, strengthen the safety awareness of nursing staff, and conscientiously implement the target management of patient safety.
2, to strengthen the pressure ulcer, bed fall, fall management knowledge, process, measures of learning and assessment and implementation of nursing measures to improve the ability of nurses to the overall care of patients.
3, to strengthen the learning of wristband identification system, strengthen the application of safety warning signs and warm tips, the implementation of the details of the management, such as: bed fall and fall safety warning.
4, the strict implementation of hierarchical nursing management system, especially the night shift, holiday ward rounds, timely detection of problems and timely resolution.
5, conscientiously implement the shift handover system, strengthen the content, mode and rigor of shift handover, reduce the link of hidden safety hazards.
6, strengthen the safety management of perioperative patients, rigorous surgical handover, do a good job of the skin, mental, pipeline, drugs, vital signs and other handover.
7, strengthen the quality management of the critical value program, to do serious registration, timely reporting.
8, improve all kinds of treatment implementation of the order of the real name of the signature work, the implementation of the system who performs the signature, to complete the daily small check, the weekly head nurse check the daily work.
9, to strengthen the ward oxygen, electricity safety, public **** bathroom ` water safety and the whole ward burglary security awareness, do a good job of admission mission.
10. Strengthen the use of various instruments in the department such as cardiac monitors, ECG machines and other safety, regular testing.
11, to strengthen the management of nursing defects, nursing disputes, strict supervision of all aspects of the work, found that the safety of hidden danger, timely treatment, so that nursing errors and accidents nipped in the bud, the department of nursing defects errors in a timely manner to discuss and analyze.
12, strengthen the communication and collaboration between nurse and patient, nursing technology, medical and nursing, to reduce the obstacle links, to ensure safety.
Nursing quality control center work plan 4
Nursing services are ultimately embodied in the protection of patients' lives, according to the requirements of the hospital quality management "quality, safety, service, cost," quality management must be throughout the nursing work, so it must be closely around the quality of this main line, according to the hospital and nursing work plan, the development of this plan:
< strong> First, the quality of nursing quality of the quality of the work of the nursing staff, the quality of the work of the nursing staff, and the nursing staff. strong> First, the quality of nursing quality control principles:
Our hospital to implement the quality management monitoring under the leadership of the president of the chief nurse, the implementation of the continuous improvement of the quality of nursing care, the full implementation of the quality control forward, strengthen the special quality control, the implementation of the dispute defects in the management of the implementation of the safety of the early warning management, the continuation of the group's activities.
Second, the implementation of nursing quality management program:
(a) further improve the nursing quality standards and workflow.
1, combined with clinical practice, constantly improve the quality control system, and further improve the nursing quality assessment content and scoring standards, such as, basic care, disinfection and isolation, the writing of nursing documents, supply room, operating room nursing quality. Ward management, basic care, special, first-class care, disinfection and isolation, the writing of nursing documents, first aid goods management, nursing safety management, etc., monthly nursing quality assessment and analysis, and develop appropriate corrective measures.
2, the head nurse at any time to monitor the timely correction of nursing problems, the problem of outstanding in the morning meeting for the notice, so that nurses know the existence of the problem and the solution.
3, regular monthly inspection of various items and drugs, emergency vehicles, timely detection of expired items and drugs. To ensure the safety of medical care.
(B) the establishment of an effective nursing quality management system, to develop a good nursing quality management team
1, play the role of nursing quality monitoring group, focusing on the link quality control and focus on the rectification of the problem effect of tracking. The implementation of the principle of combining the usual inspection and quarterly inspection, focus and comprehensive inspection. The Nursing Department of the monthly quality control summary score once, put forward solutions.
2, increase the implementation, supervision, inspection efforts, pay attention to the quality of the nurse operation process supervision. Grasp the three-level quality control management, so that everyone participates in, layer management, *** with the gatekeeper, to ensure quality, give full play to the work of nursing quality control officer, full participation in nursing management, inspection records, analysis, evaluation and improvement measures.
3, improve the nursing quality control management committee system, responsibilities, the existence of difficult problems in nursing to discuss, analyze, put forward effective corrective measures.
4, strengthen the management of nursing defects, nursing disputes, adhere to the strict supervision of the quality of each work link, found that the safety hazards, take timely measures to nip nursing errors in the bud. Nursing Department of nursing defects errors in a timely manner to discuss and analyze.
5, strengthen the medical care laws and regulations of training to improve the legal awareness of nursing staff, according to the law from the nursing, protection of patients and nurses of their own legitimate rights.
6, to establish and improve the safety of early warning work, timely detection of hidden dangers in the work, and put forward improvement measures.
7, the daily nursing document writing check, discharge medical records by the nurse in charge of the initial review, the head nurse last review submitted to the case room.
8, strengthen the nursing staff formal operation, and assessment. Timely detection of problems in the operation and timely correction.
Nursing Quality Control Center's work plan 5To improve the quality of our outpatient nursing services, to protect the safety of patients, this year will focus on the "Further Improvement of Medical Services Action Plan" implementation program, the construction of safe hospitals two themes, to carry out this year's outpatient nursing services work. To provide the people with safe, effective, convenient and inexpensive basic medical care services. Let the people convenient medical care, safe medical care, effective medical care, understand medical care. According to the Hospital Nursing Quality Management Committee and secondary comprehensive hospital medical quality review standard rules, based on the Nursing Department in 20xx "nursing quality and nursing safety management program", specially formulated outpatient nursing quality and nursing safety management program.
A quality control principle
The implementation of the nursing department under the leadership of the director in charge - the head nurse of the second level of quality control, to strengthen the special quality control and safety management, to promote the continuous improvement of nursing quality.
Second, the work of the target
1, nursing staff "three basic" assessment pass rate (passing score of 70 points) ≥ 100%
2, nursing technical operation pass rate (passing score of 90 points) ≥ 95%
3, Nursing staff to participate in continuing education qualification rate of ≥95%
4, quality of care quality assessment pass rate (pass mark 90 points) ≥95%
6, first aid items intact rate of 100%
7, disinfection and isolation qualification rate of 100%
8, health education coverage rate of 100%
9, health education efficiency ≥90%< /p>
10, medical waste disposal qualification rate of 100%
11, one person, one needle, one tube, one towel, one bandage, one disinfection implementation rate of 100%
12, the injection room quality of care assessment standard pass rate (passing score of 90 points) of 100%
13, hand hygiene compliance ≧ 90%
14, the implementation of the core system of 100% <
15, the patient's satisfaction with nursing ≥ 90%
16, nursing error rate & lt; 0.5%
17, medical guide attendance rate of 100%
Third, the nursing quality and nursing safety management program is as follows:
According to the "second-class general hospital", "nursing quality assessment standards" and "further", "the nursing quality assessment standards" and "further".
In accordance with the "nursing quality review standards" and "further improve medical service action plan", "ten safety goals for patients," "safe hospital construction" and other requirements, to further improve the quality of standards, improve outpatient service level.
1, to strengthen the guide guide, triage nurse service capacity training, reflecting the good spirit of our hospital. On duty dress neat, standardized, wearing a badge, medical staff language easy to understand, kind and warm attitude, respect for patients, reflecting good medical ethics. Reasonable allocation of outpatient hall staff, effective guidance and diversion of patients.
2, keep the environment clean, create a cozy environment. Do a good job of environmental health improvement in the consultation area, strengthen the waiting area, clinic, bathroom and other environmental management, keep quiet, clean, safe and comfortable. To achieve the public **** place no smoking requirements.
3, set up eye-catching signs. Signposts, floors, departments, safety signs and guidelines are eye-catching and easy to recognize.
4, to provide convenient facilities. Improve the self-service reservation, registration, inquiry and other services, provide patients with drinking water, emergency phones, wheelchairs, paper, pens and other convenient facilities; improve the barrier-free facilities.
5, continuous improvement of nursing services, the implementation of quality care requirements. Outpatient full coverage: guide, triage, injection room and other departments, responsible nurses to fully fulfill their nursing duties, according to the characteristics of the disease and physiological, psychological and social needs of the outpatient patients in charge of the implementation of physical and mental holistic care of patients. Focus on humanistic care and psychological guidance. Strengthen the humanistic education and training of medical staff to improve communication skills and service consciousness.
6, triage nurses do a good job of triage. Implementation of the "one room, one doctor, one patient" system, in the outpatient clinic, treatment room, examination room set up privacy protection facilities. Protect the privacy of patients.
7, strengthen social work and volunteer services. Cooperate with the hospital to improve the professional construction of social workers and volunteer teams. Actively carry out social worker and volunteer services, giving priority to the old, young, disabled and pregnant patients to provide guidance, maintain order, psychological guidance, health guidance, rehabilitation accompaniment and other services. Give full play to the role of social workers as a bridge and link in doctor-patient communication.
8, properly resolve medical disputes and build a harmonious doctor-patient relationship. Standardize the management of outpatient complaints. Provide effective ways to facilitate patient complaints. By the director of the clinic, the head nurse is responsible for patient complaints and feedback, for patients to respond to the problem of strong timely processing and feedback, for patients to focus on the response to the problem of supervision and rectification, continuous improvement.
9, strengthen the hospital infection control related knowledge training, seriously implement disinfection and isolation measures to strengthen the dermatology treatment room, outpatient surgical examination room, outpatient injection room a few key departments of hospital infection management. Strictly implement the core system of medical care and technical operation norms, to prevent the occurrence of hospital infection and errors and accidents.
10, extensive health education. The mission is to teach the prevention and control of common diseases and chronic diseases and various infectious diseases that seriously affect the people's health.
11, strengthen the management of production safety. Set up eye-catching safety warnings for dangerous, flammable, explosive, toxic and hazardous substances and radioactive sources. Increase emergency response capabilities and first aid knowledge and skills training. Widely carry out safety education in order to improve the personal safety precautionary awareness of outpatients. Inform the alarm and complaint telephone numbers. Emergency disposal in outpatient clinics is mainly for sudden fire, earthquake, water and power outages and sudden public **** health incidents and infectious disease outbreaks and epidemics. First of all, do a good job of emergency training, so that once the emergency can be correctly dealt with, to minimize the harm. According to the full management of the leading group, the development of a good nursing safety management plan for the year, and constantly improve the outpatient department nursing safety management system and the various emergency plans.
12, strengthen the nursing staff at all levels of the three basic training and first aid ability training, improve the nursing staff's ability to work and professional and technical level and the ability to cooperate with the rescue of critical illnesses.
13, seriously implement the two-level quality control function responsibilities. Department of quality control team weekly quality self-examination, the head nurse monthly inspection, the nursing department monthly comprehensive nursing quality inspection. Each inspection has records, feedback and improvement measures, and the key issues tracking inspection, to ensure continuous improvement of nursing quality.
14, strictly in accordance with the requirements of medical writing, improve the registration of various instruments and forms.
15, to strengthen the quality control personnel and the nurse manager capacity development, will apply: five methods, QCC, PDCA and other quality management tools, continuous improvement of nursing quality.
16, further implementation of the performance appraisal system. The use of incentives to fully mobilize the work of each nursing staff enthusiasm.
17, the department held a monthly discussion and analysis of nursing adverse events, according to the department of the existence of safety hazards and nursing defects to discuss and analyze, summarize the lessons learned and formulate corrective action plan to prevent the occurrence of nursing errors and accidents. And timely feedback on the nursing quality and safety committee meeting held by the nursing department every month and the nursing adverse event discussion and analysis will be the spirit of the meeting, to share the experience and lessons learned in the hospital's nursing work, in order to play a warning role.