Time flies, every minute counts, and this stage of work is coming to a successful conclusion. How to write a good work summary can we look forward to the future and get new goals. So what should you pay attention to when writing a work summary? After collection, I sorted out the summary of the hospital clinical pathway work, please collect and share it with your friends!
Summary of Hospital Clinical Pathway (1) (1) Strengthen organizational management.
The hospital has set up an organizational network system, such as clinical pathway management pilot work leading group, guidance and evaluation group and department implementation group.
(1) The leading group is headed by the president, with the vice president of business as the deputy head. Its members are the heads of medical department, nursing department, pharmacy department, hospital infection department, information department, finance department and pilot department. The leading group is responsible for organizing the formulation of specific pilot work objectives and implementation plans in our hospital, studying and formulating relevant management systems for pilot work, determining the diseases of clinical pathway implementation in our hospital, reviewing clinical pathway documents, reviewing the evaluation results and improvement measures of clinical pathway, coordinating the problems encountered in the formulation and implementation of clinical pathway, and regularly reporting the relevant situation of pilot work to superiors.
(2) The guidance and evaluation team is headed by the vice president of business, and the heads of relevant functional departments and experts in related disciplines are members. Responsible for guiding the formulation and implementation of clinical pathway and pilot work in our hospital, organizing the training of medical staff in clinical pathway pilot departments, organizing the formulation and implementation of evaluation indicators and methods, analyzing and evaluating regularly, putting forward improvement opinions and measures, and feeding back to the leading group and pilot departments in time.
(3) The director of the department is responsible for the implementation team of the department, and senior medical personnel of the department participate.
As a member, I am specifically responsible for the implementation of clinical pathway of diseases related to my major and the collection and collation of data related to clinical pathway, regularly evaluate and analyze the implementation effect of clinical pathway in our department, and make reasonable adjustments to medical resources in our department according to the actual needs of clinical pathway management pilot work.
(2) Selection of professional diseases
In X years, according to the clinical pathway of 1 12 diseases issued by the Ministry of Health, combined with the actual situation of our hospital, 6 diseases (internal medicine pulmonary distension; Surgical professional breast abscess and inguinal hernia; Simple thoracolumbar fracture in orthopedics: neck joint pain in acupuncture department; Gynecological pelvic inflammatory disease) to implement the pilot work of clinical pathway management. After gaining some experience, our hospital continued to explore deeply. In X years, the scope of clinical pathway management diseases was expanded, and hemorrhoids (mixed hemorrhoids) and turbid diseases were added in surgical specialties; The major of orthopedics and traumatology increases femoral neck fracture; Internal medicine majors increase stroke; Acupuncture specialty increases the disease of partial arthralgia; Hysteria increases in obstetrics and gynecology. With the development of business and the change of treatment, in X years, our hospital carried out clinical pathway management of traditional Chinese medicine, and adjusted the diseases of clinical pathway management on the original basis. Four specialties 15 diseases (gallstones, hemorrhoids (mixed hemorrhoids), spleen heart disease, intestinal carbuncle, urinary calculi, and sperm opacity (chronic prostatitis); Femoral neck fracture, femoral trochanter fracture, tibia and fibula fracture; Acupuncture major: low back pain, neck joint pain, stroke; Clinical pathway management of traditional Chinese medicine should be implemented in acute stage of pulmonary distension, chest obstruction and stroke (cerebral infarction).
(C) pay attention to training and guidance
1. Actively publicize through hospital journals, briefings, intranet, etc. Unify thinking, raise awareness, and stimulate the enthusiasm and subjective initiative of professional departments and medical staff for clinical pathway pilot work.
2, through intensive training, let each department personnel understand the concept and content of clinical pathway, master the undergraduate course room to implement clinical pathway management target requirements, steps, links, measures, etc.
3, guide the evaluation team to strengthen the technical guidance in the process of clinical pathway management in each department, and solve the difficulties and problems in the implementation process in time.
(4) Establish and improve the evaluation mechanism.
1. Incorporate clinical pathway management into medical quality assessment, formulate corresponding assessment standards and scoring rules, and the medical department and quality control room are responsible for supervision and inspection at ordinary times, and conduct floor-to-floor assessment once every six months. The assessment results are first linked to the evaluation of various departments.
2, the implementation of individual assessment. In X years, the hospital issued a single assessment index notice, requiring all clinical departments to carry out clinical pathway management in depth, and the quality control room was responsible for the assessment, and strictly implemented the reward and punishment regulations according to the completion of each department.
Summary of Hospital Clinical Pathway Work (II) In order to implement the Opinions of the Central Committee of the State Council on Deepening the Reform of Medical and Health System and the Opinions of the State Council on Supporting and Promoting the Development of Chinese Medicine, according to the Notice of state administration of traditional chinese medicine on Printing and Distributing the Implementation Plan of Clinical Pathway Management of Chinese Medicine (Order No.8 of state administration of traditional chinese medicine) and the spirit of the kick-off meeting of the pilot project of clinical pathway management of Chinese medicine in state administration of traditional chinese medicine, our hospital started the pilot project of clinical pathway management of Chinese medicine in xx. Over the years, under the correct leadership of the superior departments, our hospital has made great efforts to explore and deepen the clinical pathway management, and achieved certain results, but there are also some problems, which are summarized as follows:
First, the main practices
(A) to strengthen organizational management
The hospital has set up an organizational network system, such as clinical pathway management pilot work leading group, guidance and evaluation group and department implementation group.
(1) The leading group is headed by the president, with the vice president of business as the deputy head. Its members are the heads of medical department, nursing department, pharmacy department, hospital infection department, information department, finance department and pilot department. The leading group is responsible for organizing the formulation of specific pilot work objectives and implementation plans in our hospital, studying and formulating relevant management systems for pilot work, determining the diseases of clinical pathway implementation in our hospital, reviewing clinical pathway documents, reviewing the evaluation results and improvement measures of clinical pathway, coordinating the problems encountered in the formulation and implementation of clinical pathway, and regularly reporting the relevant situation of pilot work to superiors.
(2) The guidance and evaluation team is headed by the vice president of business, and the heads of relevant functional departments and experts in related disciplines are members. Responsible for guiding the formulation and implementation of clinical pathway and pilot work in our hospital, organizing the training of medical staff in clinical pathway pilot departments, organizing the formulation and implementation of evaluation indicators and methods, analyzing and evaluating regularly, putting forward improvement opinions and measures, and feeding back to the leading group and pilot departments in time.
(3) The director of the department is responsible for the implementation team of the department, and senior medical personnel of the department participate.
As a member, I am specifically responsible for the implementation of clinical pathway of diseases related to my major and the collection and collation of data related to clinical pathway, regularly evaluate and analyze the implementation effect of clinical pathway in our department, and make reasonable adjustments to medical resources in our department according to the actual needs of clinical pathway management pilot work.
(2) Selection of professional diseases
In X years, according to the clinical pathway of 1 12 diseases issued by the Ministry of Health, combined with the actual situation of our hospital, 6 diseases (internal medicine pulmonary distension; Surgical professional breast abscess and inguinal hernia; Simple thoracolumbar fracture in orthopedics: neck joint pain in acupuncture department; Gynecological pelvic inflammatory disease) to implement the pilot work of clinical pathway management. After gaining some experience, our hospital continued to explore deeply. In X years, the scope of clinical pathway management diseases was expanded, and hemorrhoids (mixed hemorrhoids) and turbid diseases were added in surgical specialties; The major of orthopedics and traumatology increases femoral neck fracture; Internal medicine majors increase stroke; Acupuncture specialty increases the disease of partial arthralgia; Hysteria increases in obstetrics and gynecology. With the development of business and the change of treatment, in X years, our hospital carried out clinical pathway management of traditional Chinese medicine, and adjusted the diseases of clinical pathway management on the original basis. Four specialties 15 diseases (gallstones, hemorrhoids (mixed hemorrhoids), spleen heart disease, intestinal carbuncle, urinary calculi, and sperm opacity (chronic prostatitis); Femoral neck fracture, femoral trochanter fracture, tibia and fibula fracture; Acupuncture major: low back pain, neck joint pain, stroke; Clinical pathway management of traditional Chinese medicine should be implemented in acute stage of pulmonary distension, chest obstruction and stroke (cerebral infarction).
(C) pay attention to training and guidance
1. Actively publicize through hospital journals, briefings, intranet, etc. Unify thinking, raise awareness, and stimulate the enthusiasm and subjective initiative of professional departments and medical staff for clinical pathway pilot work.
2, through intensive training, let each department personnel understand the concept and content of clinical pathway, master the undergraduate course room to implement clinical pathway management target requirements, steps, links, measures, etc.
3, guide the evaluation team to strengthen the technical guidance in the process of clinical pathway management in each department, and solve the difficulties and problems in the implementation process in time.
(4) Establish and improve the evaluation mechanism.
1. Incorporate clinical pathway management into medical quality assessment, formulate corresponding assessment standards and scoring rules, and the medical department and quality control room are responsible for supervision and inspection at ordinary times, and conduct floor-to-floor assessment once every six months. The assessment results are first linked to the evaluation of various departments.
2, the implementation of individual assessment. In X years, the hospital issued a single assessment index notice, requiring all clinical departments to carry out clinical pathway management in depth, and the quality control room was responsible for the assessment, and strictly implemented the reward and punishment regulations according to the completion of each department.
Second, the effectiveness of the work.
Through continuous exploration and in-depth promotion, clinical pathway management in our hospital has achieved certain results. First, it promotes the further standardization and process of medical behavior, and improves the accuracy of disease diagnosis and treatment and the evaluability of prognosis; Second, it reduces the average length of stay of inpatients; The third is to reduce medical expenses; Fourth, the relationship between doctors and patients has been improved, and patient satisfaction has been improved. Taking X years and X years as an example, the relevant data are compared as follows:
Third, there are problems.
1. There are still some limitations in the existing professional diseases that implement clinical pathway management, which cannot fully highlight the characteristics of specialties.
2. It is difficult for some patients to do relevant examinations according to the time specified in the path, and there are misunderstandings. They don't want to go to the hospital for examination and only ask for medical treatment; Patients' habits or working conditions make some patients unable to follow the path requirements, resulting in variation and retreat.
3. Some departments and medical staff have some misunderstandings about the purpose and significance of clinical pathway implementation. They think that clinical pathway may not achieve the purpose of improving medical quality, controlling medical expenses and improving patients' satisfaction, and it wastes paper and increases the workload of medical staff and the cost of hospitals, so it lacks initiative. There is some resistance in the development of clinical pathway management in hospitals, which affects the promotion of clinical pathway management to some extent.
4. Supervision needs to be strengthened. The records of clinical pathway implementation in some departments, the filling of clinical pathway evaluation form and the withdrawal of patients from clinical pathway are incomplete, which is not conducive to summing up and accumulating experience.
Fourth, the rectification measures
1, it is necessary to further expand the categories of professional diseases in clinical pathway, do a good job of investigation and study according to the admission situation of diseases, adjust diseases in time, continuously optimize the pathway, and give full play to the characteristics and advantages of traditional Chinese medicine.
2. Pay attention to publicity and create an atmosphere. Strengthen the publicity and interpretation of policies related to clinical pathway management to improve patients' acceptance and recognition of clinical pathway management; It is necessary to correctly guide public opinion, publicize positive information, and strive for the understanding, support and cooperation of all sectors of society.
3. Strengthen study and raise awareness. Medical staff in the whole hospital should attach great importance to clinical pathway management, strengthen the training and education at the hospital and department levels, change the traditional concept of medical staff, do everything possible to mobilize their subjective initiative and actively carry out clinical pathway management.
4. Constantly sum up and be brave in innovation. It is necessary to strengthen the supervision and inspection of clinical pathway management in the whole hospital, strictly implement reward and punishment measures, do a good job in data collection, archiving and summary, be good at discovering good experiences and practices in the implementation process, and steadily promote them.
Overview of Hospital Clinical Paths (III) To further standardize the clinical diagnosis and treatment process, improve medical quality, ensure medical safety, provide patients with safe, effective, convenient and inexpensive medical services, and make greater contributions to people's health. Combined with the actual situation in our hospital, the Department of Cardiology has carried out the clinical pathway work, and achieved certain achievements and experience through the practice of clinical pathway of palpitation. The summary report is as follows:
I. Work progress and results
1, the hospitalization time of patients is shortened and the hospitalization expenses are reduced. In 20xx years, 120 cases entered the route, and 30 cases exited the route due to mutation. Through the clinical pathway of palpitation, the medical process of palpitation is further optimized, the medical behavior of medical staff is standardized, and the overall medical quality is improved. The average hospitalization fee is 2500 yuan/person, less than 20xx. The average length of stay was 16 days/time, which was 2 days less than that in 20xx years.
2. Improve medical efficiency. Through the implementation of the clinical pathway of palpitation, the working time of medical care has been shortened, the working efficiency has been improved and the turnover of hospital beds has been accelerated.
Second, the problems encountered in the implementation of clinical pathway and solutions
1, the medical staff in our department have different levels of understanding of the clinical pathway of palpitation and different quality of implementation, so it is necessary to further strengthen ideological mobilization and training.
2. the phenomenon of "one head is hot". Hospital leaders, medical departments, quality control departments and nursing departments attach great importance to clinical pathway management, and functional management departments spare a lot of manpower and time to quality control, analyze, summarize, reward and punish all medical records that implement pathway management every month. It may be that the director of the department is too busy with his business work, or he may not pay enough attention to it ideologically. The work of path management, quality control, analysis and summary in the implementation of departmental path is not satisfactory, which affects the quality of clinical path management in the whole hospital. In the future, department directors should pay more attention to, manage and implement clinical pathway.
Summary of Hospital Clinical Pathway Work (Part IV) From April 0 1 day of 20xx to October 3 1 day of 20xx, 37 cases of single-disease clinical pathway management were implemented in our department, all of which were community-acquired pneumonia, of which 2 cases were discharged because of patients' failure to recover, and 1 case withdrew due to medical insurance settlement (uncontrollable variation). The average hospitalization days of 34 patients were 10.9 days, the shortest was 7 days, and the longest was 18 days, with an average hospitalization expense of 2964.8 yuan. Among the 34 patients, 7 were complicated with hypertension, 65,438+0 with hypoproteinemia, 65,438+0 with diabetes, 65,438+0 with respiratory failure, 65,438+0 with hypoproteinemia and 65,438+0 with complications. All 34 patients were cured and discharged. 1 patient was hospitalized again due to community-acquired pneumonia with complications. It may be that the first hospitalization was not completely cured, and 3 patients exceeded the standard hospitalization days (hospitalization days 16 ~ 18 days), of which 1 patient was due to unclear absorption of imaging data. Prolonging the days of using antibacterial drugs, 1 case delayed the reexamination of abnormal indicators, 1 case was seriously ill, but the clinical symptoms of 3 patients were obviously improved and the condition was stable, and the diagnosis and treatment was still completed according to the clinical path; The remaining 3 1 patients' hospitalization days met the standard hospitalization days, and the expenses were well controlled. From April 0 1 day of 20xx to April 3 1 day of 20xx, 42 cases of community-acquired pneumonia were treated in our department. Five cases were diagnosed more than 48 hours after admission and did not enter the clinical pathway. The entry rate of community-acquired pneumonia in 20xx was 88. 1%, and the variation rate was 29.7% (uncontrollable variation rate was 8.65438+).
Experience and understanding:
1. Strengthening medical quality control is the basis of successfully implementing clinical pathway. The implementation of clinical pathway itself is to improve medical quality and standardize medical process. In the process of implementation, firstly, the access of the pathway should be strictly controlled, and the attending doctor should communicate with the specialist in time, inquire about the medical history in detail, accurately analyze the condition and judge whether it meets the requirements of entering the clinical pathway. Second, closely observe the changes of the disease, find, handle and intervene abnormal situations at any time, and organize case discussions in time, instead of just mechanically copying treatment procedures and doctor's orders. Third, do a good job in data collection, analysis and effect evaluation, sum up experience in time, and improve the clinical pathway process and text. Fourth, we should pay attention to communication and explanation with patients.
2. A good reward and punishment mechanism is conducive to the development of clinical pathway and single disease management. Appropriate reward mechanism can improve the enthusiasm of clinical pathway implementation team, and appropriate punishment system can ensure the smooth progress of clinical pathway and single disease management.
There is a problem:
1, single disease selection, fewer cases, the main reason is that there are fewer patients with single disease in clinic, and most patients are complicated with other diseases or complications, so it is impossible to implement diagnosis and treatment according to the path requirements.
2. Some cases were not treated strictly according to standard procedures, which led to prolonged hospitalization.
3. Access to clinical pathway is not strict. The main reason is that the medical staff in the department are not familiar with the relevant policies and knowledge of clinical pathway, and they are not clear about the access standards of the pathway. When judging whether patients meet the admission criteria, the treatment of complications and the change of disease prognosis are often ignored.
The communication between doctors and patients needs to be strengthened. The implementation of clinical pathway is also a process of strengthening communication between doctors and patients. Some of our medical staff lack a deep understanding of this point, do not pay attention to communication with patients, can not explain and introduce the basic knowledge and implementation purpose of clinical pathway to patients well, and patients are not clear about the basic diagnosis and treatment plan and daily treatment process, which seriously affects the evaluation and improvement of the implementation effect of clinical pathway.
5. Nursing units seldom participate in the implementation of clinical pathway management.
6. The hospital information system is not supported enough, the degree of informatization is not high, many project data cannot be provided, and the statistical work is in the manual operation stage, so it is difficult to organize, analyze, evaluate, supervise and standardize the data.
Next step:
1, in-depth publicity and promotion of clinical pathway work. All departments continue to strengthen the publicity and education of clinical pathway work, so that medical staff can master more knowledge of clinical pathway management, so that more patients can understand and understand clinical pathway work, and make analysis and summary in time, laying a solid foundation for further implementation of clinical pathway work in the future.
2. Continue to strengthen the quality control in the implementation of clinical pathway. Strengthen the quality control of diseases that carry out clinical pathway work from the aspects of path acquisition, case documents, diagnosis and treatment process, doctor-patient communication and rational drug use. , to ensure that no related medical disputes and accidents, to ensure the smooth implementation of the pilot work.
3. Strengthen the supervision of the clinical implementation team to ensure that the established clinical pathway and single disease text are implemented in practice.
4. Formulate and improve the reward and punishment system, and better supervise the implementation and execution of clinical pathways and single diseases.