Time flicked, three months flew by in a hurry. Three months, you may have accumulated a lot of experience. We can seriously write a quarterly summary of the work, and to summarize the work is to analyze the achievements and shortcomings of the work, then, what is worth taking out of the quarterly work summary template? I took the time to specialize in my hospital quarterly work summary, for reference only, we take a look at it.
Hospital quarterly summary of the work of the 1This quarter under the leadership of the hard work of the doctors in the department, the work of the department of comprehensive health, coordinated and rapid development of this quarter has achieved gratifying results: the quarter's total business income, the number of admissions, the number of discharges over the same period in the last quarter increased by nearly fifty percent; economic and social benefits of the double growth.
A, increase the management of the department, innovation and quality service new model
1, first of all, we conscientiously organize the department of physicians, repeated study of the hospital's various documents and rules and regulations.
2, establish the concept of quality service, put forward the concept of departmental service, set up a distinctive service concept and code of conduct. The implementation of medical service norms, the implementation of the doctor's room system. This quarter, the department's inpatient doctors in insisting on the implementation of personalized medicine, humane service to patients, attracting a large number of patients to the medical consultation, the number of inpatient hospitalization has increased significantly, all to reach the best level in history.
3, this quarter the department on the one hand to increase the management and training of doctors.
4, actively adjust the medical structure, take effective measures to find ways to reduce medical costs, and achieved significant results.
One is to grasp the rational use of drugs. The second is to grasp the cost of a single disease. The third is to grasp the use of disposable materials. The fourth is to speed up the turnover of hospital beds. By adopting a series of strong measures to ensure the successful completion of the quarter of the department of the hospital under the cost of the indicators, in the case of the department of business growth rate is faster, so that the cost of maintaining a relatively low level, and effectively reduce the burden on the masses. And improve the efficiency of the hospital department.
Second, standardize the quality of medical management, improve the level of medical technology
1, pay attention to the construction of the talent team
a, I use the experts to do clinic time, the Health Bureau lecture time, Guilin business training time to study hard to learn the professional knowledge, the use of the medical record to discuss, the director of the room to accumulate clinical experience, business level The level of business is constantly improving, and the talent team is constantly being strengthened.
b, my section in the leadership of the President and arrangements, our hospital vigorously on the medical business backbone training. This quarter to train the orthopedic surgery, obstetrics and gynecology section business backbone, for our future hospital branch to grow the reserve cadres of talent.
2, strengthen the implementation of rules and regulations
Section of the regular meetings, once a week, emphasizing the safety, quality, doctors, nurses, the implementation of the duties; twice a month, safety, quality inspection, the performance of the failure to give two thorough: regular safety education, to institutionalize and regular. Regular inspection and evaluation of medical records. Regular inspection and assessment of safety hazards:
Third, shortcomings
Clean medical practice, honest service, "careful service, love and care" has not yet become a value that every employee agrees with, but the department's administrative management, business management level The ability to diagnose and treat diseases has been the specialty of each doctor and the influence of the specialty has been improved, the image of the hospital's medical technology is still not widely recognized and so on.
In short, reviewing the work of the quarter, the results are mainstream, we will continue to carry forward the good practices, learning deficiencies, we are confident that we will do better.
Hospital quarterly summary of the work of the 2xx Health Hospital adhere to the "safety first, prevention first" policy, conscientiously carry out the implementation of the national production safety laws and regulations, the implementation of the relevant departments of the higher level of the spirit of the document production safety, production safety work as a hospital as an important work to grasp the hospital, in the hospital. Playing the main theme of "safety is the greatest happiness of workers, safety is the greatest welfare of workers, safety is the greatest peace of workers", to protect the physical and mental health of workers, to ensure that employees come to work in high spirits and leave work in peace. Review of this quarter's safety work, mainly to do the following:
a, the establishment of a complete safety production management network
The hospital set up to the president of the head of the safety production director for the deputy head of the head of the safety production of the members of the production of the leading group, the overall leadership of the hospital's safety production, the formulation of the hospital's safety management The goal is to implement the guidelines, policies, decrees and regulations of the higher level on production safety. It also establishes the hospital's voluntary fire department. The production safety office of the hospital is specifically responsible for the daily safety management of the hospital. It supervises and inspects the implementation of production safety in each section and group, and is responsible for the guidance of the daily safety work of the sections and groups as well as the safety education and training of new employees and temporary workers, and the organization of the investigation and analysis of accidents. The person in charge of each section and group in leading all group members to complete the production task at the same time, strict safety, the section is fully responsible for the safety of the work, and adhere to the safety and production when there is a contradiction, production should be subordinate to the safety, in the hospital is now everyone talking about safety, everyone manages the safety, a top-down safety management network has been formed.
Two, the establishment of the hospital at all levels of personnel safety responsibility system, the development of safe operating procedures
The hospital according to its own reality has formed a set of effective safety responsibility system and job safety operating procedures, the head of each section for the hospital's safety officer and the hospital to sign a comprehensive social governance, production safety, fire safety responsibility, every Employees to do should know. Specific practices are as follows:
1, at the beginning of each year, the hospital has to organize the relevant personnel to have formed the safety provisions of the revision, supplementation, so that it is constantly improved.
2, is a quarterly hospital to focus on all employees for safety awareness, safety management knowledge and the newly revised safety responsibility system, safety operating procedures for education and training learning.
3, is the hospital volunteer fire department fire safety drills twice a year, to improve the hospital's actual self-rescue capabilities.
4, is a special type of personnel to actively participate in the higher security departments to organize safety training, and to do so with a license.
5, on the drastic, poisonous, anesthetic drugs, flammable, explosive, corrosive substances have special people, special cabinets to keep, special places to place.
Third, production safety work focus on the implementation
Hospitals adhere to the production safety from the grassroots from the section to start, one, check, seriously implement the production safety management of each section, check the hidden safety parts, two, remember, is to do a good job of safety records, records of production safety of each section, accident hazards and treatment. Third, change, is to rectify, mobilize members of all sections and groups to contribute to the timely rectification of security weaknesses. Fourth, strict, that is, strict requirements for the strict implementation of safety regulations. In addition to do a good job of the above sections of their own safety management, the hospital quarterly 1 safety production site management assessment, the safety inspection as an important element, where there are problems with the safety, other project achievements and then outstanding, but also lose the qualification of merit rating, and then one adhere to the safety inspection system, by the hospital safety production office and general affairs personnel from time to time responsible for inspecting the production, accommodation environment of electricity, gas equipment, lines, safety and fire safety facilities The hospital's safety production office and general affairs staff are responsible for inspecting the production and accommodation environment of electricity, gas equipment, wiring, safety and fire safety facilities from time to time. Actively cooperate with the higher authorities of each production safety inspection.
Four, do a good job of year-end assessment and evaluation, adhere to the safety of one-vote veto system
adhere to the annual hospital's year-end assessment of production safety management into the scope of the assessment. The implementation of safety, quality one-vote veto system, any section, any employee, in a year's work in the safety and quality of accidents, the loss of the evaluation of advanced qualifications, the evaluation of advanced sections and individuals in the hospital at the end of the year to make rewards.
Fifth, the next quarter intends
Actively do a good job in the hospital production safety management, not only to protect the safety and health of the staff needs, but also to stabilize the production order of the hospital to improve the economic efficiency of the hospital to promote the management of hospitals on the need to step up, but also to stabilize the economic development of the town to make sure. In last year's achievements on the basis of continue to establish and improve the safety system, the development of production safety procedures, strengthen staff safety education and training, and gradually implement modern safety management methods to ensure that this year, no production safety accidents, for the further development of the hospital to create a good condition.
The hospital quarterly summary of the work of the 3
A take please come in, send out, self-study and other forms to increase the training of professional and technical personnel.
1, to strengthen external academic exchanges, invite provincial medical experts to the hospital consultation, teaching surgery, teaching room 3 times, benefiting more than 30 people.
2, selected and sent 4 professional and technical personnel to xxx hospital, xxx hospital, the provincial people's hospital and other higher hospitals for further study; selected and sent an attending physician to participate in the provincial hospitals for a period of 3 months of primary care physician training; a neurology attending physician to participate in the national epilepsy prevention and treatment training courses held in Beijing; the first quarter of the **** organization to participate in the province and outside of the various types of academic exchanges, lectures, 3 times, 7 people to participate; 5 medical staff to participate in the specialized education re-education.
The second actively carry out medical research, medical assistance.
1, according to the xxx provincial health department "on the identification of xx health system new technology, new business, new methods of the project notice", the hospital carried out the "esophageal cancer resection of the middle arch esophagogastric scarf anastomosis" and other 35 items. Four new technologies among the "three new" projects were recognized as "excellent" in the province. This year will continue to vigorously carry out the "three new" projects to improve the competitiveness of the hospital.
2, in early March, according to the provincial, municipal and county departments in charge of the arrangement, sent pediatrics, obstetrics, 2 business backbone to × × × Township Health Center for medical support work, and × × Township, × × × Township Health Center signed an agreement to help, became a support and guidance unit.
3, in order to solve the remote areas of the masses difficult to access to medical care, treatment, hospital clinic team according to the county party committee, the county government, the competent bureau of the relevant "three to the countryside" requirements, the use of rural medical ambulance tour to the countryside, on the street clinic 19 times, benefiting more than 8,321 people. In cooperation with the County Health Bureau successfully completed to, three villages of Huangshui Jianjiao hundred days of medical publicity, free medical services, etc., more than 200 patients, distribution of more than 300 copies of promotional materials, and received the praise of the local people.
Hospital quarterly summary of work 4I am under the correct leadership of the hospital, under the leadership of the new section chief to seriously study the health insurance policy, financial regulations, hospital accounting system, adhere to the principle of strict compliance with the professional ethics of accountants, abide by the hospital's various work systems, and actively participate in the hospital's activities, strictly abide by the state regulations on cash management, and conscientiously do their own work. As a hospital cashier, I received and paid, reflecting, monitoring the four aspects of due diligence, the past quarter in the continuous improvement of the way and means of work at the same time, for the hospital to do a good job of housekeeping, through the efforts of the better completion of the various tasks, is summarized and reported as follows:
First, the daily cashier's work
1, Strict implementation of the cash management and settlement system, timely handling of daily cash receipts and payments to do day-to-day business to prevent unnecessary losses, waste. Ensure the safety of cash on hand.
2, timely recovery of hospital outpatient and inpatient income, reconciliation. Timely recovery of cash deposited in the bank.
3, according to the basis provided by the accountant, contact with the relevant departments of the bank, in order to complete the work of employee wages and other funds to be issued issued in a well-organized manner.
4, adhere to the financial procedures, strict audit (vouchers must have the signature of the person in charge and the relevant leadership to give payment), the vouchers do not meet the formalities of payment.
5, audit and registration of cash journal and bank deposit journal
Second, the daily accounting work
1, familiar with the country's financial system, the strict implementation of financial discipline. Stick to the principle of impartiality
2, under the direct leadership of the head of the Finance Section, responsible for the hospital's financial reimbursement audit.
3, carefully review the business of the original documents and their attachments to the correctness, legality, standardization. Check whether the reimbursement procedures are complete.
4, according to the audit of a variety of receipts will be prepared in a timely manner vouchers.
5, is responsible for the preparation of the hospital's various types of salaries and wages issued with a variety of subsidies.
6, monthly in accordance with the provisions of the tax law in a timely manner to do a good job on behalf of the withholding and payment of personal taxes.
7, monthly in accordance with the provisions of the law in a timely manner to do a variety of labor insurance withholding work.
Third, other work
1, to strengthen the charge control and supervision, to ensure the safety and integrity of the medical revenue funds strict implementation of the price department approved the scope of the charges and fees, not illegal fees and charges, according to the internal control system, to strengthen the control of daily charges and supervision and management of the daily business income statements and charges. Check the daily business income statement and charging bills one by one, and deposit the collected cash to the bank on time. The company also cooperates with the medical insurance office to do a good job in the settlement and registration management of medical insurance charges.
2, strengthen the management of accounting records, standardize the accounting work. Hospital accounting file management foundation is weak, this quarter to strengthen the standardized management of accounting files, involved in the organization of the quarterly accounting vouchers, file archives.
3, do a good job of the hospital medical staff and experts in the service work, to ensure that wages and benefits on time. This quarter, the hospital x-area relocation, to the work of the inconvenience, in order to serve the whole hospital staff and experts, the expert service, warm and considerate, to ensure that the needs of experts, wages and benefits on time and without error issued in place.
4, to complete the social security audit and charges annual audit work, with the College of the hospital this quarter, the audit of financial income and expenditure. For this quarter's social security audit and fees for the annual audit to provide accurate financial information, organize the financial system in 20xx, accounting books, vouchers, statements, with the college's financial income and expenditure audit.
Through the financial office of all staff *** with efforts, financial work has been fully recognized by the hospital, this quarter, the financial office was named the hospital advanced collective, while I was named advanced individual.
Four problems and recommendations
First of all, due to the hospital without a basic account, the financial accounting in the cash flow is larger, sitting on the cash situation produce ecological environment. Can not pay in a timely manner the departments in urgent need of money, secondly, the hospital's business is larger, fewer financial personnel, limited to the daily accounting matters, can not provide timely statements for the leadership, and finally, the financial staff of the knowledge structure needs to be updated and adjusted, in the continuous updating of professional knowledge at the same time, but also to learn the new accounting system and other knowledge related to finance.
A medical quality part
1, the quality of medical records
20xx the third quarter of the quality control room sampling final hospitalization records xx, through the sampling of medical records, Class A medical records x, Class B medical records x, Class A rate of x %, Class C records x.
The ranking of medical record writing in the third quarter was pediatrics, obstetrics and gynecology, internal medicine, orthopedics, and surgery.
2, the hospital's medical records are generally written **** problem:
(1) individual medical records to fill in the first page of the existence of missing items and fill in the wrong: such as discharge and discharge summary of the treatment results do not match the number of resuscitation to fill in the wrong allergy medication omitted to fill in the patient's identity card number omitted to fill in or date of birth does not match the pathology diagnosis, injury, poisoning factors omitted to fill in.
(2) the main complaint writing is not standardized, orthopedics, surgery is more obvious, the current history of the relevant negative differential symptoms depiction is incomplete, surgical department physicians writing physical examination of some positive signs omitted to fill in the positive signs or positive signs and specialty situation description is inconsistent. Especially in the writing of the medical records of critically ill patients, such as comatose patients, before and after the appearance of inconsistent writing is common, speculative medical records are more (comatose patients with speech fibrillation, abdominal palpation, hearing, olfactory, sensory system and other investigations), confirm the diagnosis, supplemental diagnosis is not timely.
(3) the first medical record in the physical examination is cumbersome, focus is not prominent; diagnosis is not based on sufficient, differential diagnosis is not standardized (such as "clear history", "diagnosis is clear" and other terms significantly increased.) The diagnosis is not based on sufficient evidence, and the differential diagnosis is not standardized (e.g., the terms "clear history" and "clear diagnosis" are significantly increased). Incomplete analysis of auxiliary examinations and insufficient basis for the use of antibiotics. Record of preoperative discussion and record of transfer discussion The statements of the tertiary care physicians had no substance, and the record of preoperative discussion was incomplete and lacked a record of what measures should be taken to remedy any accidents that might occur during the operation. Resuscitation records lacked the physician's guidance on the analysis of the condition. To date, there are still copies of each other in the medical record, the content of the same phenomenon.
(4) condition assessment: most of the departments can carry out condition assessment on schedule, but individual physicians on the condition assessment system is not in place, the report of seriously ill patients should be carried out three days a condition assessment, individual physicians condition assessment connotation is not in place, the lack of describing the condition of the transition, the adjustment of the diagnosis and treatment program, the next step in the adoption of therapeutic measures and other content.
(5) third-level physician examination records: the superior physician examination records are defective (for the diagnostic basis of the `analysis did not focus on highlighting the lack of characteristics, but a simple copy of the current history and physical examination, the lack of differential diagnosis of the analysis of the views). Individual departmental physicians to record the large room, the title does not clearly indicate the large room or in the record attending physician room record, did not indicate the title of the superior physician.
(6) the higher level of audit: there are still some clinical departments of the higher level of physicians did not review the medical record or only sign the phenomenon of not reviewing or hand-signing in a timely manner, the doctor's orders have a hospital consultation, but the medical record is missing the consultation sheet. The Surgical Safety Verification Form lacks the hand signature of the attending physician; the consultation record is not electronically signed or hand signed by the attending physician.
(7) a variety of consent form writing problems:
① doctor-patient communication records: a lot of content, no focus;
② power of attorney: the patient column on behalf of the signing of more, the medical record appears to be unsuitable for the agent to sign the phenomenon.
③ Surgical consent: writing is not targeted, most of the same surgical consent.
④ Transfer and automatic discharge letter: the template has not been modified, the content is not perfect.
⑤ Blood transfusion quadruple bill: incomplete; transfusion type does not match; no physician signature.
(8) running medical records in addition to the above, there is also a general: medical records can not be written in a timely manner, there is a lack of phenomenon.
3, the operation of the clinical path
The third quarter of the clinical path running xx cases, into the group xx cases, enrollment rate of x%, completed x cases, completion rate of x%. The main audit x month clinical path, the main problems are as follows:
(1) medical time and path does not match
(2) nursing level does not match
(3) medication confusion has nothing to do with the path
(4) all kinds of processing uneasy path requirements, arbitrarily added.
(5) a variety of variations without record
(6) disease and pathway does not match (the first diagnosis is not the pathway name)
4, prescription analysis
(1) the name of the disease is not filled in
(2) the role of drugs in the disease does not match
(3) the writing format error
5, inpatient medical records antibacterial drugs Points of view
In the inpatient category of incision prophylactic use of antibiotics 100%, the use of antibiotics beyond the scope of the problem is common, the use of antibiotics over the level of no approval and description.
6, physician handover implementation
The third quarter of the clinical departments of the physician handover system in place, there is no missing physician handover records and incomplete records of the phenomenon.
Second, the departmental rules and regulations and the core system part
Most departments are able to carry out the core system, the departmental rules and regulations of the study on schedule, but the learning mastery is not good, the rate of knowledge is not high, so the implementation is not in place. In particular, the implementation of the consultation system is not in place, inter-departmental consultation in the consultation order sent out, and in the repeated urging to come to the consultation, and can not properly deal with the patient, there is the phenomenon of mutual shirking of responsibilities.
Three recommendations
1, the director of each department should strengthen the section of the 20xx version of the "basic specification for medical records writing", the first diagnosis is responsible for the system, the three-stage check-up system, the consultation system, the system of resuscitation of critically ill patients, and the difficult case discussion system, and other learning.
2, the director of each section should strengthen the section of the medical record three
quality control efforts to strengthen the awareness of the responsibility of the three physicians, each responsible for their own responsibility, layer by layer, to improve the quality of medical record writing.
3, the director of each department and the superior physician should strengthen the audit, guidance work, do not put the quality control of the medical record in form, to carefully review and modify the signature, in order to improve the quality of medical records.
4, should strengthen the management of surgical patients, the "surgical safety verification form" in the requirements of the content of the real, not a formality, the strict implementation of surgical grading management and surgical qualifications of access, to eliminate the occurrence of overstep surgery.
5, should be in accordance with the "Antibacterial Drugs Clinical Application Guidelines" reasonable use of antibiotics, to avoid the phenomenon of antibiotic abuse. The next quarter of the nursing work check!
Hospital quarterly summary of the work of the 6A according to the actual hospital, in accordance with the "strengthen hospital management, improve medical quality, reduce medical costs" theme of the work of the XX "comprehensive objectives of the management of the book of responsibility" has been revised and improved, the dean of the department with the director of each section signed the "responsibility", and will be used as a basis for the "management" of the hospital, and will be used as a basis for the management of the hospital, and the "management" of the hospital.
The second conscientiously implement the agricultural cooperation, medical insurance policies and regulations, strict control and reduce the total cost of hospitalization of patients, real-time monitoring, weekly notification of the impending exceeding the standard to the department and the doctor in charge of the situation himself, from the source of regulation, to the current average cost of hospitalization of patients with agricultural cooperation to control the average cost of hospitalization in the 1,864 yuan; agricultural cooperation in the hospitalized patients to implement the one free of the four reductions on the low income of the towns and cities, people with disabilities, Rural five-guaranteed households and special hardship cases implemented a free seven reduction, 1 to March **** reduction of 27,182.68 yuan; the first quarter **** receive agricultural inpatient 1625, reimbursement of hospitalization costs amounted to 1,565,475.69 yuan, acceptance of municipal health insurance inpatient 128, the cost of 523,997.94 yuan, 4,638 outpatient visits, the cost of 324,172.67 yuan. Receive provincial health insurance hospitalized patients 109 times, the cost of xx02.72 yuan, outpatient 4588 people, the cost of 244,194.04 yuan.
Third, in order to improve the enthusiasm of medical staff, in accordance with the relevant provisions of the integrated target management, the bed occupancy rate of more than 100% of the department to increase the incentives. By the end of March, the number of extra beds was 763, accounting for 33% of the total number of admissions.
Hospital quarterly summary of the work of the 7First, the establishment of the departments, medical personnel, medical ethics file, hospital assessment of the leading group of monthly in accordance with the "spiritual civilization and medical ethics construction standards" of the departments and medical personnel of professional ethics and clean practice assessment, will refuse to accept or accept the "red packets". The refusal or acceptance of "red packets", kickbacks, "treats", patient complaints and other aspects related to the construction of medical ethics and medical practice are included in the scope of the assessment, which is carefully registered and linked to the individual benefits and salaries. Where there is a record of violations of the department and personnel, in the promotion of the examination, title assessment, evaluation and selection, the implementation of the "one-vote veto" system.
The second hospital continued with the departments, the director of each department and medical staff signed a "medical service integrity responsibility", the doctor in charge of the patient signed a "two-way construction of medical ethics and medical ethics responsibility", standardize behavior, and put an end to the unlawful phenomenon of the doctor for personal gain. At the same time increase the implementation of the system, if the open and secret or patient complaints have eaten, accept "red packets", kickbacks and other phenomena, once verified, will be in accordance with the "three prohibitions" and the relevant provisions of the hospital for serious treatment. Through multi-level, multi-faceted work carried out effectively, our hospital acceptance of "red packets", the phenomenon of food has basically eliminated. In the first quarter, medical staff refused to accept "red packets" 34 times, amounting to 5,300 yuan, *** received a banner, thank you letter 6 (seal).
Three hospitals nursing department, office organization, president, medical director and other participants to invite patients and their families to hold regular hospital-level wind construction forum 1, more than 20 patients to participate in, to solicit comments and suggestions and timely solutions; section chiefs presided over, patients and their families, the president in charge of the participation of the department to convene a wind construction forum*** more than 30 times, more than 150 people to participate in. For patients repeatedly put forward "to do b ultrasound patients wait a long time" problem, the hospital specifically purchased more than 300,000 yuan worth of "Toshiba Nano 10" black and white b ultrasound machine, alleviating the problem of patients waiting for a long time to check.
Four continue to hire, for the hospital's long-term review of the style of representative, March 28 ~ 31 to the outpatient clinic questionnaire issued 100 copies, 100 copies of the recovery, is currently in the inpatient department of the 11 clinical departments of the inpatient and their families to carry out satisfaction surveys, at the end of April, will also go to the community and the discharged patients home to carry out a return visit to the survey. The hospital will formulate corresponding corrective measures to actively correct the opinions and suggestions solicited.
Five for the conscientious implementation of the county party committee on the organization of cadres in the countryside to propagate the central No. 1 document and the provincial party committee No. 1 document of the spirit of the notice, March 10, the hospital sent four comrades were sent to, × × × × × × village to carry out a one-month centralized propaganda and a year-long joint help activities. 26 March, when the hospital learned that some poor families in the spring sowing and preparation for cultivation of a lack of fertilizer after the news, attaches great importance to the hospital funds shortage, in the case of the hospital. Hospital funds in short supply, purchased 15 bags of fertilizer (141 yuan per bag), were sent to the above townships of the 15 poor farmers home, to solve their urgent needs. When the hospital learned that x x village in the road hardening lack of funds, hospital leaders personally sent more than 700 yuan in cash to the village office, while calling on all hospital staff to donate 275 pieces of clothing for x x village. In March this year, our hospital in four townships for the people to do practical things, the total **** spent funds for 2820 yuan.