One, strengthen the ideological understanding, sustained development:
Hospital head of leadership, continue to grasp the quality management work, the implementation of the rules and regulations. Monthly supervision of the department held a quality management committee meeting, medical records quality control group meeting, hospital sensory group meeting, nursing management group meeting, medical safety group meeting, etc., standardize the management, standardize medical behavior, and promote the sustainable development of our hospital departments.
Two, clear section medical, the main work indicators.
1, bed utilization rate of ≥ 92%
2, the average hospitalization ≤ 14 days
3, three days after admission to confirm the diagnosis rate of ≥ 90%
4, the average preoperative hospitalization ≤ 3
5, admission and discharge diagnosis compliance rate of ≥ 95%
6, hospitalized critically ill patients resuscitation success rate of ≥ 85%
7, surgery Before and after the diagnosis of the rate of compliance ≥ 90%
8, clinical and pathological diagnosis of the rate of compliance ≥ 90%
9, the three basic assessment pass rate?100%?80/100
10, outpatient medical record writing rate of ≥ 90%?90/100 points or more?
11, Grade A medical records rate ≥ 90%? No grade C medical records
12, medical equipment? Instruments intact rate ≥ 90%
13, first aid instruments? Drug intact rate?100%
14, antimicrobial use range & lt;60%?DDD & lt;40%, drug sensitivity & gt;80%, antimicrobial restrictions on the use of the rate of & lt;50%
15, 250 surgical procedures
Three, to improve the department of health care quality assessment work, the implementation of standardized quality management, the development of assessment standards, monthly by the The quality controller to carry out inspections, do a good job summarizing the feedback work.