Summary of the work of clinicians in the first half of 20 19 (1) Since the first half of 20 19, I have done the following work on the principle of "consolidating advantages and developing steadily":
1, give consideration to the new building, the main building and the whole hospital, and play a game of chess, especially in xx, to achieve a "zero" breakthrough in infusion response; Through the inspection system, drug quality loopholes 12 cases and disposable goods quality loopholes 29 cases were blocked throughout the year.
2. Cooperate with the joint-stock management mode, pay attention to nursing quality and excellent service, use nurses rationally, and ensure the basic nursing rate of patients; Emphasize the environmental management of the ward, and completely put an end to the problems of dirty, chaotic and poor environment in acupuncture department, and the drying of urine pads everywhere.
3. Strengthen the training of young head nurses in xx from the aspects of business skills and management theory, collect and sort out information, and make them mature as soon as possible and become the backbone of management. After passing the examination this year, five deputy head nurses became full members and three were promoted to ward deputy head nurses.
4. Strengthen external publicity. This year, he presided over and planned a large-scale celebration of "5. 12 Nurses' Day", which was well received by city leaders and nursing experts. Actively explore the publicity space of Xingyuan Daily, Daily News, Tianjin Daily and Tianjin Radio and Television Station, and show the hard work and dedication of nurses through health education, story reporting and works exhibition.
5. Pay attention to the continuing education of on-the-job employees and hold college-level lectures, with a penetration rate of over 90%; Offering training courses on basic knowledge of traditional Chinese medicine for newly assigned employees and newly transferred employees; Completed the annual theoretical and operational assessment of nursing staff, and the qualified rate reached 97.9%. Pay attention to the quality education of nurses, carry out the education of "respecting life and caring for patients", advocate a number of donation activities, and offer love to patients in hematology and cardiac surgery.
6, to meet the annual quality control inspection organized by the Municipal Health Bureau, our hospital's nursing performance reached the standard, with a total score of 96.7, ranking first in the city.
7. Personal self-construction: this year won the title of "Excellent Care Worker in xx City"; Through the investigation and study in xx, I brought back some advanced management experience and actively summarized clinical experience. This year, I finished 3 national papers, 2 conference papers and 1 summary.
8. In order to improve the infrastructure of village health centers, with the support of township health centers and village committees, hospitals, village committees and themselves, a 120 square meter health center was built, which completely improved the villagers' medical environment.
9. He played the exemplary role of rural doctors, went deep into farmers' homes, repeatedly collected and explained through the medical education network, and donated cooperative medical funds to many poor households, which promoted the development of cooperative medical care.
As the director of nursing department and a glorious party member, I pay special attention to my honesty and self-discipline. I endure hardship first, enjoy it later, persist in my work despite illness, and personally lead the head nurse and the head nurse to check each position; Strive to improve ideological understanding, actively participate in the construction of nursing branches, and develop more young party member echelons. Now, xx's team has expanded to more than 20 people, mainly young clinical backbones, which makes the nursing branch show positive vitality and vitality.
As an ordinary rural doctor, in the limited space of rural medical care, he has made due contributions in his ordinary post with silent dedication, hard work and hard work.
20 19 summary of clinicians' work in the first half of the year (2) how time flies. Half a year has passed since 20 19. Under the leadership and guidance of the dean of the department, with the care and help of everyone, I have greatly improved my ideological, political and professional abilities through my own efforts. The situation is summarized as follows:
1, learn the rules and regulations.
I have carefully studied the Medical Work Rules of Military Hospitals, the Code of Conduct for Medical Ethics, the Main Work Norms for Preventing Medical Defects, the Law of People's Republic of China (PRC) on Medical Practitioners and the Law of People's Republic of China (PRC) on Drug Administration. At the same time, I also carefully studied the medical record writing norms, prescription management methods, special drugs and management regulations, medical treatment and so on.
2. Do a good job in outpatient diagnosis and treatment.
In my work, I attach great importance to serving the soldiers, adhere to the principle of focusing on soldiers, and firmly establish the idea of serving the troops and the wounded and sick. As a doctor in xx Hospital, it is both a responsibility and an obligation to serve the wounded and sick in the army. I think the key to the existence of military hospitals lies in the service level for the wounded and sick in the army. I always insist on giving priority to treating the wounded and sick in the army, patiently and comprehensively examining the officers and men, letting them come to the hospital for medical treatment, and then returning to the army for training with peace of mind. In the outpatient work, I have been diligent, conscientious, hard-working, anxious about the patient's urgency, thinking about the patient's thoughts and the pain of the injured. I always adhere to the patient-centered, all for the patient, and strive to serve the patient. In order to facilitate the treatment of patients, I voluntarily give up holidays and lunch breaks, and never arrive late or leave early.
3. Seriously and properly handle the doctor-patient relationship.
The medical field is full of many uncertainties. Even if the medicine is developed again and the doctors try hard, the diagnosis and treatment effect will not reach 100%. No hospital or doctor can cure all diseases. But due to the development and progress of modern medicine, many medical problems have been solved (note: this is only theoretical). Many patients and their families have high expectations for medical care and think that spending money can cure the disease. This is a common problem in outpatient work. I take the initiative to become a patient's manager, communicator, caregiver, spokesperson, protector and educator in diagnosis and treatment activities, pay attention to doctor-patient communication skills, and strive to build a harmonious doctor-patient relationship.
4, seriously study the documents of the party organization.
I have carefully studied the spirit documents of the 18th CPC National Congress and thoroughly implemented the spirit of the 18th CPC National Congress. Study at work, study in books, study in practice, be strict with yourself in ordinary posts, always remember that you are a doctor in xx Hospital, and strive to serve the sick and wounded. Ideologically, I always adhere to the Four Cardinal Principles, support the leadership of the China Producer Party, support the socialist system, abide by the rules and regulations of the hospital, be rigorous and realistic, obey the arrangement, unite with comrades, have a decent style, have a strong sense of responsibility, have a good professional ethics, care and considerate patients, and be trusted by patients.
5, take seriously the difficulties and shortcomings in the work.
Due to the shortage of outpatient staff, many patients and heavy workload, routine work takes up a lot of time, so I relaxed my study.
I will try my best to overcome difficulties, make up for deficiencies, study hard, consult modestly, and strive to become a qualified or even excellent doctor.
20 19 Summary of the work of clinicians in the first half of the year (III) The past six months have been a year in which our hospital has conscientiously studied and implemented the spirit of the 18th National Congress, emancipated its mind and made pioneering efforts. During this year, our hospital received great help and support from leaders at all levels and people from all walks of life. With the efforts of all the staff in the hospital, the hospital has made great progress in all aspects of its work and achieved a double harvest of social and economic benefits. My ideological work on 20 19 is summarized as follows:
First, show your work.
(A) to create a "mass satisfaction hospital" as an opportunity to focus on strengthening the service awareness and brand awareness of hospital staff.
In April this year, the provincial health department advocated the establishment of "hospitals satisfied by the masses" in medical and health units in the province. This activity is a good measure to improve service quality, establish hospital image and promote hospital development. In order to carry out this activity in a down-to-earth and fruitful manner, and promote the work of hospitals in by going up one flight of stairs, we mainly make efforts in the following four aspects:
First, work hard to improve the quality of medical care, strive to improve the awareness of medical quality, and form a good atmosphere of "quality prospering the hospital". We have established and improved the necessary medical quality management organizations with clear levels, clear responsibilities and appropriate functions, improved various medical systems, formed a strict supervision and reward and punishment mechanism, and implemented a series of measures and methods to ensure medical quality. The business dean should make business rounds in at least one clinical department every week, and relevant functional departments should check the implementation of the medical quality system in the ward every week. Since the launch of the activity, the quality of medical care has improved significantly, and no medical accidents have occurred in the first half of the year. The business volume of hospitals has also increased rapidly, with the number of outpatients and inpatients increasing by 10% and 2 1% respectively compared with the same period of last year.
Second, efforts should be made to improve medical services. In order to put the awareness, measures and effects of the founding activities in place, the hospital regards the founding activities as a "popular project" and a "practical project" to provide the warmest "humanized service" for patients, putting themselves in the patient's shoes, starting from the patient's thinking, advocating zero-distance contact between doctors and patients, and launching more than 40 measures to facilitate the people and benefit the people, and putting humanized service throughout medical services. At the same time, conduct a service quality survey once a month, hold a symposium for patients' relatives, widely understand the demands and opinions of patients and their families, and consciously accept social supervision. The hospital hired 10 voluntary supervisors, set up complaint boxes and suggestion boxes in eye-catching positions, and announced complaint telephone numbers. With the attitude of "I'm happy when I hear about it", we accepted it modestly. As long as the requirements are feasible and the opinions are reasonable, the hospital will try its best to solve them and seriously rectify them until.
Third, efforts should be made to control medical expenses so that patients can enjoy the best service at the lowest cost. This year, we cleared more than 100 kinds of high-priced new drugs that can be replaced by ordinary drugs out of hospital drug shelves, and all drugs were purchased at competitive prices, effectively reducing drug costs and drug prices, with an average price reduction of 40%. According to incomplete statistics, the hospital benefited the masses 6.5438+0.6 million yuan. At the same time, all departments are required to adhere to rational examination, rational drug use and rational treatment, advocate "simple treatment" with low cost and good effect, and correct excessive examination and prescription. Therefore, it is necessary to formulate the Catalogue of Essential Drugs, which focuses on commonly used drugs, guide and control clinical drug use, establish a three-line and three-level management system for clinical drug use, and strictly control the use of imported and expensive drugs, so as to reduce the proportion of hospital drug total income from 20% to 20%.
In order to standardize the charging behavior of the hospital, the internal audit department of the hospital was established to conduct irregular special audits on the charges of various departments of the hospital. For those who exceed the standard or charge fees at different levels, in addition to returning the fees to patients, they will also be given economic penalties, and a system of computer management of hospital fees and a one-day list of hospitalization expenses has been implemented. Through the efforts in the past year, the outpatient service fee and the average daily bed fee in the hospital decreased by 7.6% and 165438 respectively compared with the same period of last year.
Fourth, efforts should be made to strengthen the style construction of the health industry. According to the requirements of the "Eight Industry Discipline" of the Ministry of Health and the "Six Prohibitions" of the Provincial Health Department, the medical ethics evaluation system should be improved, and the evaluation results should be linked to wages, promotion of professional titles and evaluation of the first. Intensify the investigation and punishment of violations of discipline and discipline, and implement the "one-time complaint waiting for posts" system for those who report bad medical ethics. This year, the hospital handled five people and things that violated the rules and regulations, and two of them were treated by waiting for posts.
Since the launch of the activity, complaints from the masses have gradually decreased and satisfaction has gradually increased. The establishment of people's satisfaction hospitals in provinces, cities and counties came to our hospital for a comprehensive inspection. Through listening to reports, reading materials, on-site evaluation, visiting departments, investigating patients, holding symposiums, etc., the establishment of our hospital was fully affirmed. In the comprehensive evaluation, the satisfaction of outpatients is 90% and that of inpatients is 95%. At the end of June, our hospital successfully passed the evaluation of county health bureau and won the evaluation of "People's Satisfaction Hospital" at the county level and "People's Satisfaction Hospital" at the municipal level.
(2) Highlight key points, strengthen discipline construction, and strive to build the talent structure of the hospital.
Grasping discipline construction is the basis of improving medical quality and an important guarantee for hospital development. In view of the nonstandard discipline construction in our hospital, the advantages and characteristics of specialties are not obvious, and talents are out of the file, according to the development direction of contemporary medical technology and the actual situation of various departments, we should give full play to the role of market regulation, adjust the discipline structure, highlight key points, develop advantages and support characteristics. In personnel training, the hospital adopts various forms to improve the technical level of medical staff, and shifts the focus to training specialists and academic leaders. This year, more than 10 young doctors with good professional skills and strong working ability have been sent to famous hospitals in xx and xx for further study, which has laid a certain foundation for improving the talent structure, technical level and medical management level of our hospital. At the same time, we are preparing to divide surgery from two departments into three departments, and obstetrics and gynecology into obstetrics and gynecology, and gradually form a pattern of professional and key departments to enhance the core competitiveness of hospital medical technology.
(3) Increase investment in science and technology to further improve medical infrastructure.
In order to occupy a place in the fierce medical market competition, not only must we have a high-quality, high-level and high-quality medical team, but also medical equipment should keep up with the clinical needs. This year, under the extreme shortage of hospital funds, we managed to raise funds and invested more than 2 million yuan to purchase a large number of advanced medical equipment such as Beckman automatic biochemical analyzer in the United States, Liszt C-arm machine in South Korea and Toshiba B-ultrasound in Japan. The scientific and technological content of hospitals has been further improved.
(4) Take precautions and expand the development space of the hospital.
Due to historical reasons, the current business land area of our hospital is only 23 mu, which can no longer meet the medical needs, and there is no possibility of expansion around it, which further restricts the future development of the hospital. In order to further improve the people's medical and health environment and lay a foundation for the development of the hospital, this year, the hospital sized up the situation, and from the long-term development perspective of combining urban construction and facilitating people's medical treatment, raised 3.5 million yuan by itself, and purchased 65 mu of land on the side of Yindao Road to build a branch of the People's Hospital. At present, the land acquisition work is nearing the end, and preparations are being made to cut mountains, build roads and level the land.
(5) Innovating the service concept and broadening the medical service market.
Based on the concept of "people-oriented" and innovative ideas, the county took the lead in establishing a health service center integrating medical insurance, community service and physical examination. Extend medical services to the community, and provide integrated services for the community based on the community, taking the family as the unit, taking the individual residents as the center and taking health promotion as the goal. A new medical model has been formed, in which patients are excavated from the community for the hospital, and inpatients are transferred to the community center during the recovery period, and a development road that can meet the social health needs and save medical resources has been initially explored. At present, the health service center has consulted more than 3,000 people for physical examination, which has achieved good social benefits and won favorable comments from the masses.
(six) actively participate in the activities of our county to create a civilized and hygienic city.
In order to cooperate with the development strategy of "connecting Changsha, Zhuhai and Fujian, integrating into globalization, echoing new Ganzhou and building a new capital", we actively participated in the activities of provincial civilized and sanitary cities and collected and arranged medical education and education networks. The hospital has set up a leading group, a founding office, two full-time staff and a specific work plan. The hospital invested more than 20,000 yuan to improve the health infrastructure inside and outside the hospital's responsibility area, such as laying floor tiles, dredging sewers, hardening the ground and greening. And comprehensively managed the mess in the responsibility area outside the hospital, and the creation work met the requirements of the superior.
Second, political study and honesty and self-discipline.
Adhere to the guidance of "Theory of Three Represents" theory, conscientiously study and implement the spirit of the Third Plenary Session of the 18th CPC Central Committee, combine the study of "Theory of Three Represents" theory with the transformation of the subjective world and the objective world, persist in stressing study, politics and righteousness, persist in self-esteem, self-examination, self-vigilance, self-encouragement, persist in going deep into the grassroots, contacting the masses, listening to opinions, extensively promoting democracy, adhering to the principle of democratic centralism, and actively carrying out criticism and self-criticism.
(a) take the lead in improving the unity of the party and government leading bodies. On the one hand, we should unite and rely on the hospital party branch to do the work, give full play to the role of the party organization as the political core and fighting fortress in the hospital reform and construction, pay attention to respecting the leadership of the party branch in the work, and achieve "more exchanges in thought, more ventilation in work, and more consultation in decision-making". On the other hand, unite and lead the deputy leaders to work hard, give full play to the role of the deputy leaders, have more heart-to-heart talks with the team leader at ordinary times, and make the work public first. At the same time, according to the characteristics and expertise of deputy leaders, they are assigned to be responsible for specific work. They are decentralized and pay attention to maintaining their prestige in their daily work, so that they can work independently and boldly within their respective responsibilities.
(2) Take the lead in implementing the "four disciplines and eight requirements" and adhere to democratic decision-making. Major decisions, the appointment and dismissal of cadres, the arrangement of important projects, and the use of large sums of money are all decided by the leading bodies through collective discussion. All equipment purchases in our hospital with more than 10,000 yuan are first applied by the user department, and a feasibility report is attached to avoid blindness. After the approval of the Council, the relevant departments will conduct demonstration and investigation, collect and listen to the opinions of relevant experts and users, and then report to the government procurement office for organizing bidding. In drug procurement, the hospital implements the practice of step-by-step control by the pharmaceutical affairs management Committee, pharmacy department and purchasing personnel. All new drug purchases must be discussed and approved by the Drug Administration Committee. The hospital conducts competitive price-seeking procurement for drugs every six months, and purchases according to the principle of lowest price to avoid unhealthy practices in procurement. The procurement of other bulk goods is also carried out by a special procurement leading group, taking the form of fixed-point procurement and open bidding. In order to ensure the procurement of materials, the internal audit department was set up to understand the market situation and increase supervision.
(3) Take the lead in honesty and self-discipline. In daily life and work, always be strict with yourself, pay attention to personality cultivation, no, strengthen the exemplary role, take the lead in what others are asked to do, and resolutely do what others are asked not to do. As the dean of the people's hospital, he usually faces many temptations. Self-discipline, introspection and self-love are very important. So when he took office, he made rules for his family, and all business matters would be discussed in the office. No one will open the door when visiting, which reduces a lot of unnecessary trouble.
In the second half of the year, I conscientiously studied and implemented the spirit of the 18th National Congress of the Communist Party of China, led the staff of the whole hospital to seize opportunities and forge ahead, with accelerating development as the first priority, reform and innovation as the driving force, talent team construction as the focus, and discipline construction as the main line to comprehensively improve the comprehensive strength and school-running level of the hospital.
Summary of clinicians' work in the first half of 20 19 years (4) In 20 19 years, under the leadership of hospital leaders and nursing departments, with the support and help of all the brother departments in the hospital, all the nursing staff in the five internal departments coordinated, took the initiative to work, and were not afraid of hardship and fatigue, and established a high sense of professionalism and responsibility. Combined with the nature of neurology, they worked around the hospital center and achieved satisfaction.
1. Nurses should conscientiously study the spirit of Deng Xiaoping Theory and Theory of Three Represents in politics, establish a correct world outlook, outlook on life and values, carry forward the fine traditions of the Party, firmly establish the concept of "all for patients", strengthen communication between doctors and patients, standardize their words and deeds with the standard of "eight honors and eight disgraces", constantly improve their ideological and moral cultivation, and seriously carry out self-criticism.
Second, all nursing staff conscientiously implement the rules and regulations. The core system is that ordinary care staff can consciously abide by the rules and regulations and labor discipline in the hospital, so as to stress style in minor matters and principles in major matters, and never engage in unprincipled disputes. They support and understand each other in their work, and the nurses have a clear division of labor, carry out their duties, unite and be pragmatic, overcome the problems of insufficient staff and heavy nursing tasks, and ensure the smooth development of normal nursing work. Adhere to the check system: the main class and the medication class are required to check twice a day, and the head nurse participates in the check 1 time to check the first-level care, blood pressure measurement, various nursing, drugs and treatment of critically ill patients in detail. And record the signature; Nursing operation strictly requires three checks and seven pairs; Strictly hand over the bedside shift of critically ill patients and bedridden patients, and strictly hand over the skin condition for treatment! Strengthen the implementation of basic nursing, daily morning nursing and noon nursing, arrange and replace bed units for patients in time, and create a clean and warm ward.
Third, pay attention to improving the professional quality of nursing staff, train nursing staff in three basics, buy nursing books for neurology majors, organize learning in time and take random exams. Hold regular branch meetings every month, organize business study, insist on nursing rounds and organize nurses to discuss, which not only improves their professional and technical level, but also enhances nurses' confidence in themselves and the development of their departments. Actively organize nursing staff to participate in hospital business study and constantly improve the professional level of nurses!
Fourth, pay attention to service details, improve patient satisfaction, adhere to the purpose of taking patients as the center and quality as the core, provide quality services for patients, strengthen the construction of medical ethics for nursing staff, implement the code of conduct for nursing staff, and require nursing staff to smile in their daily work. The satisfaction questionnaire is distributed to inpatients every month, and the satisfaction survey results are all above 97%. It also received letters of commendation and banners from patients many times. And put forward rectification measures for the problems existing in the satisfaction survey. Every month, the department will hold symposiums regularly on holidays to solicit the opinions of patients and their families and give maximum satisfaction to the requirements put forward by patients and their families. In-depth health education centered on patients has been carried out. Through the formulation and distribution of health education manuals, as well as the words and deeds of nurses and the propaganda of blackboard newspapers, patients are familiar with disease prevention, rehabilitation knowledge and related medical, nursing and self-care knowledge. Advance the time of infusion treatment every day and arrange treatment and nursing reasonably. Accompany and escort patients to take photos, do B-ultrasound, electrocardiogram, CT, MRI and other examinations, help patients go through the admission procedures, provide disposable paper cups, and help patients without family members or the elderly to open water. Call me back regularly. Its small and high-quality service has been well received by patients and their families.
Five, strengthen the management of hospital infection, strictly implement the disinfection and isolation system formulated by the hospital management leading group. The department insists on regular air culture in the treatment room of the ward every month. Also insist on ultraviolet disinfection of treatment rooms and wards every day, and make records. Disposable articles can be destroyed in time after use, centralized treatment, regular inspection and supervision. The treatment room in the ward can insist on mopping the floor with 84 disinfectant twice a day, and mopping the floor with disinfectant regularly in the ward to carry out terminal disinfection (cleaning the bedside table and wiping it with disinfectant) on the bed unit of discharged patients.
I recommend it carefully.