The medical department is an important functional department of the hospital, under the leadership of the president, the competent vice president, the specific organization and implementation of the hospital's medical work, the end of the year is here, then, the medical department annual work summary to write it? The following to share with you the annual work summary of the medical department, welcome to learn!
In 20XX, my section in the hospital under the correct leadership of the two committees, in the section of all the staff *** with the efforts, in accordance with the requirements of the health administration at all levels, the successful completion of the work, is summarized as follows:
First, pay close attention to the quality of medical care, and promote the improvement of the level of medical care
The quality of medical care is a hospital's We work around the policy of "safety first, prevention first", enhance the awareness of legal practice, strengthen the system management, standardize medical behavior, and promote the improvement of diagnosis and treatment level.
1, strengthen the quality of inspection and supervision of the department, standardize medical activities
In the hospital under the leadership of the quality management leadership group, by the director in charge of the regular monthly inspection of the department of the quality of medical care, the department of the problems in the monthly "internal newsletter" notification, and at the same time put forward corrective measures, to promote the department to continue to standardize the medical activities to improve the level of medical care. At the same time, in order to adapt to the new changes in the hospital electronic medical record system, from the original departmental inspection to the current departmental inspection combined with electronic medical record monitoring and inspection, to be able to more timely and accurate discovery of the departmental operation of the medical record of the problem.
2, strict examination, standardize medical behavior.
Seriously do a good job of medical, medical and technical quality assessment work, strictly according to the hospital medical core system, medical work system, the hospital developed management specification to carry out management work. Strengthen the key monitoring of patients with acute and critical illnesses, in accordance with the standard of medical operation procedures to carry out medical activities, while strengthening the department and the whole hospital consulting work reasonably, and strive to put each consultation into practice, and effective implementation. 20XX many organizations to participate in the discussion of difficult and critical cases, consulting, through the discussion, consulting to eliminate the patients and their families doubts, and effectively eliminated the safety hazards.
3, the successful completion of the upper level of the quality of medical inspection work in 20XX the higher health authorities work inspection team of the quality inspection of our hospital, to promote my department to improve the management system, management standards and the construction of various types of processes at all levels, the medical department targeted to develop improvement measures, and strive to do inspection once, improve once. In the past work on the basis of further strengthening the early warning mechanism, the establishment of various types of patient management process, standardize and organize the activities of the record, after the leadership team inspection of the hospital's work in full compliance with the requirements of the city's comprehensive score in the forefront of the inspection of the leading group and the hospital leadership of the high degree of affirmation.
Second, in-depth implementation of the core system
1, strengthen the core system of learning.
This year, the health inspection work, the implementation of the core system is a key task, the medical department from the hospital and the actual situation, supervise the department of the core system of learning, deepen the implementation of the core system, standardize the diagnosis and treatment behavior. Relying on our hospital business learning system, the use of business learning time, guiding the department of medical staff to strengthen the core system of learning. In the annual assessment, the core system as a key assessment content into the scope of the assessment.
2, the implementation of surgical safety verification system.
According to the Office of the Ministry of Health issued the "surgical safety verification system" issued by the hospital's surgical safety verification system and surgical safety verification form for all types of surgery at all levels, by the surgeon, anesthesiologist and surgical nurses are responsible for the verification of the corresponding project, to do the verification of error-free, into the medical record.
3, strengthen the informed informed, pay attention to doctor-patient communication.
To ensure that patients and their families have an effective understanding of the evolution of the disease and treatment, to dispel their doubts and confrontation is an effective way to ensure medical safety, so my department in the strengthening of patient communication skills training at the same time, drawing on the experience of the higher hospitals, according to the requirements of the relevant medical records, emphasizing the completeness of the medical record, the authenticity of the medical record, focusing on the details to start, and to increase the signing of the informed consent form and the actual inform the supervision of the situation. The company's goal is to provide the best possible service to its customers, and to provide the best possible service to its customers in the future.
Three, strengthen the clinical path management, standardize medical behavior
Our hospital has 40 types of disease implementation of the clinical path management, to further standardize the clinical diagnosis and treatment process, improve the quality of care.
1, high standard development of clinical path program.
In the process of developing clinical path standards for secondary hospitals, the diagnostic basis and treatment options selected the latest standards, drug selection in line with the "Guiding Principles for the Clinical Application of Antimicrobial Drugs", the cost standard for grassroots patients, the development of the characteristics of the second level of hospitals, suitable for grass-roots hospitals to carry out, and can truly standardize the clinical work to promote the rational use of medicines to reduce the burden on the patient's clinical path program.
2, deepen the implementation of the entire supervision of the department clinical path implementation.
Clinical path work, drive the overall cost of hospitalized patients more reasonable, promote the integration of hospital service processes and reengineering, to avoid various reasons for the waste of time and medical behavior of the arbitrary, to avoid the work of omission, to a certain extent, can guard against errors and accidents. In order to ensure that our clinical path work in practice, our department to strengthen the supervision and inspection function, monthly departmental software reporting statistics department to carry out the situation, the administrative inspection of the department of clinical path to carry out the situation of inquiries, access to the relevant records of the department, to understand the implementation of the clinical path.
Four, strengthen the rational use of drugs management, promote the rational application of antibiotics
1, in the hospital under the guidance of the Pharmacy Management Committee, to strengthen the application of essential medicines training, the development of operable management measures, the clinical application of drugs to carry out effective management and intervention, for the hospital all clinical departments issued "national essential drugs" training materials, the implementation of antibacterial drugs, the implementation of the "national essential drugs" training materials, the implementation of the "national essential drugs" training materials, the implementation of the "national essential drugs" training materials. The training materials, the implementation of antimicrobial drug line management, set prescription rights, and so on.
2, strengthen the review of the departmental drug use, strict self-financed drug approval review, increase the penalty for over-limit drug use.
3, supervise the department according to the national basic drug catalog and the rational use of antibacterial drugs norms for the application of antibacterial drugs, to prevent drug abuse and irrational use of drugs.
V. Strengthen the clinical "critical value" management
The Medical Department has developed a "critical value" reporting system, and the development of the crisis value report registration form and the crisis value of the reception of the registration form. When the test department "critical value" is effectively recognized and confirmed, the staff need to be the fastest and most effective way to notify the clinician and record, the record includes the date, time, the patient's name, medical record number, the results of the crisis, the name of the person who received the notification, telephone, and the reporter. The final report is then issued to the test requester. The Medical Department regularly evaluates the effectiveness of the "critical value" reporting system, including the knowledge of the testing staff of the "critical value", the rate of reporting of critical results and the effective reporting rate, the measures taken by the clinician to receive the report of the critical value, as well as the diagnosis and treatment. The results of this study are summarized in the following table.
Six, strict access, according to the law
1. physician qualification examination registration: the Medical Department for the hospital 74 medical personnel for the 20XX annual physician qualification examination registration work, registration audit rate of 100%, of which 1 Chinese and Western medicine practitioner, 69 clinical practitioners, clinical practice of physician assistant 4 people. The first is the first time in the world that a person has been registered as a physician.
2. Practitioner change registration: Medical Department for the 20XX year for the new hospital practitioners to change the registration of physicians, for the hospital's new "physician's qualification certificate" of the medical staff for the practitioner registration procedures.
3. Prescription rights granted, canceled and changed: the Medical Department for the completion of the change of registration of medical practitioners for the medical staff of the prescription access assessment, the assessment of qualified medical personnel granted the right to prescribe generic drugs and the corresponding antibacterial drugs prescription rights.
Seven, do a good job of government directives
1, poor elderly cataract treatment.
This year, as a designated hospital for cataract surgery, the hospital is responsible for the surgical diagnosis and treatment of 450 poor cataract patients in the county, and at the same time, completes on time the network of related surgical cases. In order to provide convenient and effective services to the poor cataract patients, and to complete the work of this beneficiary with high efficiency and high quality, the hospital has formulated the implementation plan of the blindness restoration program for poor cataract patients. Clearly define the responsible person for each work, so as to achieve specific tasks and clear responsibilities. As of November 20, 20XX, our hospital has completed all the poor cataract patients surgical cases, the effect is good, for the majority of cataract patients brought light, improve the quality of life of patients.
2, the successful implementation of health work.
This year is the implementation of our hospital county hospitals to help township health centers and community health institutions for the third year, *** to the targeted help township health centers to send eight physicians with intermediate or higher technical titles throughout the year, to help outstanding performance of health professionals, in the title promotion, job employment, selected for further training, promotion and use of priority consideration. The company's website has been updated with the latest information about the company's website, and the company's website has been updated with the latest information about the company's website, and the company's website, and the company's website.
Looking back at the past year, the medical department in the hospital leadership support all the work has made greater progress, the medical system continues to improve, the quality of health care continues to improve, the quality of service steadily improved. In the future work we will continue to make efforts to make up for and improve the shortcomings in the work, and strive for greater achievements.