Summary of medical work 1 In the new year, hospital medical quality management and medical administration have a long way to go. In order to create better achievements and better serve the broad masses of the people, we must keep pace with the times and face the broad masses of the people with high-quality medical services. The specific working ideas are as follows:
First, around the theme of "patient-centered, running a hospital that the masses are satisfied with", we should establish the working concept of rejuvenating the hospital through science and technology, further improve various rules and regulations, improve assessment methods, and do a good job in the target management of basic quality, link quality and terminal quality.
Second, in terms of attaching importance to personnel training, we should continue to send and invite personnel to higher-level hospitals to study and improve, continuously improve the service function of the hospital's overall service level, strengthen in-hospital training, organize medical staff in the hospital to learn new medical knowledge, regularly develop new theories and methods, comprehensively improve the professional quality of medical staff, improve the quality of medical services, and establish a strict reward and punishment system. Encourage medical backbones with special contributions, punish those who make medical mistakes and violate rules and regulations, mobilize the enthusiasm of medical staff, and promote the healthy development of medical work.
Third, strengthen medical quality management, establish and improve various rules and regulations, technical operation routines, strictly control medical quality, strengthen daily supervision and assessment, supervise self-inspection at any time, and create a top-down atmosphere.
Fourth, improve the humanistic quality of medical staff and build a harmonious doctor-patient relationship. Advocate medical staff to use civilized service terms, provide cordial and enthusiastic service, and put an end to the phenomenon of being raw, cold, hard, pushing and pushing patients.
Five, strengthen the hospital specialized service project, improve the level of medical staff's disease diagnosis and treatment, implement the new department treatment mode of specialized treatment, and establish a special specialty.
Intransitive verbs strengthen the monitoring and management of hospital infection, strictly implement the medical waste management process, medical waste classification methods and work requirements, implement the medical waste handover registration system, medical waste internal transport system and medical waste storage management system, strengthen the destruction and recycling management of disposable goods, regularly monitor, summarize and analyze the environmental sanitation and disinfection of departments, and make a summary registration of clinical antibiotic utilization rate to minimize the antibiotic utilization rate.
Seven, actively learn from the surrounding hospitals, strengthen the daily supervision and assessment of various departments, formulate rectification measures in time for existing problems, strive for practical results, and strive to build our hospital into a new hospital that the masses are satisfied with.
Summary of the work of the medical service 2. In the first half of the year, the medical service was implemented item by item under the guidance of the work plan at the beginning of the year, and all the work achieved initial results. Now, summarize the work in the first half of the year:
First, medical quality management
1, the medical department shall inspect the medical core system, the quality of medical documents and related specifications every quarter, and feed back the problems found to the department in time, and find and solve the problems in time, which shall be carried out by the department director and recorded.
2. Quality management of medical documents
(1) Conduct spot checks on archive ratio management every quarter, issue feedback sheets to responsible doctors for problematic medical records, rectify them in time, and the audit is in good condition, and all doctors can seriously correct them.
(2) Every quarter to the department, check the current medical records, on-site rectification.
(3) As of the first half of the year, the Medical Department * * * randomly selected 24 medical records and found no Class C medical records.
3. During the supervision of each department, it was found that all kinds of records were not timely, especially the handover records were too simple, and rectification notices were issued for the problems found, and the review was in good condition.
Second, do a good job in continuing medical education.
1, in order to absorb advanced technology and improve technical level. In the first half of the year, * * * sent two medical staff to advanced units in provinces and cities for further study, which brought new theories, technologies and methods to our hospital.
2. In the first half of the year, * * * conducted six medical "three basics" studies and two "clinical practice" theoretical studies. Conduct a "three basics" theoretical examination every quarter, and conduct a clinical skills operation examination every quarter, and punish unqualified personnel.
Third, prevent medical accidents and ensure medical safety.
From June+10, 5438, our hospital * * * organized five studies on relevant medical laws, regulations and rules. Strictly implement the medical technical operation standard, carry out medical activities according to the scope of practice, and deal with the behavior that damages the image of the hospital strictly and severely.
In the first half of the year, with the support of hospital leaders, our department carried out the plan at the beginning of the year step by step, and all the work achieved good results. In the second half of the year, we will make persistent efforts to make up for and improve the shortcomings in our work, strive for greater achievements, and contribute to the construction of a harmonious hospital.
Summary of the work of the medical department 3. With the support of leaders and colleagues, I earnestly perform the duties of the medical department. I am also very grateful to the leaders of the hospital for giving me the opportunity to exercise. I now report my personal situation as follows:
First, the improvement of ideological and moral quality.
Since joining the work, I have always obeyed the hospital management, actively participated in hospital activities, persisted in studying the hospital construction concept, the president's important speech and work plan, and earnestly studied the hospital reward and punishment regulations. Always be strict with yourself, correct problems found in practical work in time, act in accordance with hospital regulations, and do not be selfish. In the face of work pressure, my thoughts have fluctuated. Through talking with the leader, I was relieved. It is often said that the greatest friend in life is yourself and the greatest enemy is yourself. Now I reflect on myself every day, improve myself ideologically and contribute to the realization of "not leaving the county for three years"
Second, the main work situation
In 20___ years, I often give myself a burden and do some work, such as:
(1) according to the hospital work plan, take part in quantitative inspection, put forward rectification measures and deduct points for some departments with problems in the assessment.
(2) Through the arrangement and coordination of various departments, the leaders completed the physical examination tasks of more than 2,380 college entrance examination personnel, and assisted the leaders to do a good job in the physical examination of conscription.
(3) Assist the director to solve the reception of 34 callers (visitors) and the investigation of sudden medical disputes, record them in detail and report them in time. And assist Mr. Gao to solve the legal proceedings of medical disputes and the identification and investigation of medical accidents.
(4) Complete the detailed management of the quality control circle of the medical system and the daily inspection of the quality control circle of each department.
(5) Do a good job in hospital scientific research and new technology statistics, help clinical departments to declare 8 scientific research projects, 5 project acceptance and appraisal, and 1 won the first prize of health system science and technology.
(6) According to the work arrangement of the hospital, complete the training of assistant general practitioners, ladder training of new employees and business assessment of departments. Comrade Jia Chunlei is responsible for the specific training and assessment arrangements.
(7) Assist the director to complete the monthly medical safety activities.
(8) Making clinical pathway templates and reporting statistics.
(9) Assist hospital leaders to complete counterpart support.
(10) Organize and complete the daily training and reception work of the Anatomy Center.
(10) Complete the statistical report of the judicial expertise center.
(1 1) Complete the regular examination of doctors in the whole hospital.
(12) Obey the arrangement of the hospital, actively participate in various activities of the hospital, and complete other daily work assigned by the leaders, such as the series of activities of the Physician's Day.
Third, the next work plan
1, the regulatory authorities strive to improve the level of medical technology and prepare for the construction of regional medical centers.
2. Complete assistant general practitioner training and regular assessment to further improve the quality of personnel.
3. Complete the existing unprocessed medical dispute litigation. Ensure medical safety.
4. Arrange training practice for new recruits. Be a new trainer.
5. Complete the training of primary medical personnel in the county.
In short, do your own work, eat your own food, sweat your own sweat, forge ahead, roll up your sleeves and work hard, and achieve greater results under the leadership of the leadership for 20 years.
Summary of the work of the Medical Department Over the past year, with the direct leadership of the hospital leaders and the support of various departments, the Medical Department has successfully completed its 20xx-year task. The work of Medical Service in 20xx is summarized as follows:
First, the quality of medical care.
The quality of medical care is the fundamental problem for the survival and development of hospitals. Paying close attention to medical quality management and improving the quality of medical services in an all-round way is the primary task of the medical department. In strict accordance with the Basic Specification for Medical Records Writing of the Ministry of Health, the writing of outpatient and inpatient medical records, course records and related materials is further standardized, and the study is carefully organized to check the medical quality of the department every month. The medical quality inspection this year is reported as follows:
(1) Clinical examination
1. quality of medical records: all departments can complete medical records according to the requirements of the hospital, and the quality of medical records has been significantly improved compared with last year, among which pediatrics, internal medicine and gynecology have the most comprehensive medical records.
(1) Filing medical records: In the past, it was a big problem that medical records could not be filed on time. This year, under the personal supervision of President Gong, the timely filing rate of medical records reached over 95%.
(2) Current medical records:
① In strict accordance with the Basic Standards for Medical Records Writing of the Ministry of Health, further standardize the current writing standards for medical records and course records. This year, an average of 30 medical records were examined every month, and the completion rate was over 90%, which was better than last year.
(2) Be able to handle the admission and discharge procedures in time;
③ The outpatient medical records are basically completed.
(3) The hospital conducted 1 medical record review and 1 medical record display.
(4) Prescription quality: randomly check prescriptions for 5 days every quarter, and the average monthly pass rate of 5438+ 10 is 96.2%.
2. Various notification records: This year, the Medical Department unified various medical notification forms and distributed them to all departments, which were basically completed on time as required. Our hospital's medical notice is the most comprehensive hospital in the city.
3. "Three basics" skills/theory assessment: The "three basics" theory test was taken three times, and the passing rate was 80%, which was lower than last year. The main reason is to highlight the characteristics of Chinese medicine. This year's assessment focuses on Chinese medicine, and most doctors are clinical and do not have enough knowledge of Chinese medicine.
4. Prevention of medical errors and accidents: Strengthen the training of medical staff's professional ethics and professional technical ability, especially study the Regulations on Handling Medical Accidents, Classification Standards for Medical Accidents, Provisions on Major Medical Negligence and Reporting System issued by the Ministry of Health, and revise the Precautionary Plan for Medical Accidents in qitaihe city Hospital of Traditional Chinese Medicine and the Procedures for Handling Medical Disputes in qitaihe city Hospital of Traditional Chinese Medicine. There were 3 medical disputes in * * * this year, and no major medical accidents occurred. All disputes have been settled satisfactorily.
5. Standardize operation management: The Medical Department has established a consultation system for foreign experts and a grading management system for operations, and strictly invites foreign experts and key operations to ensure medical safety.
6. Business rounds 10 times.
(B), the medical quality of medical departments
Strengthen the technical training of medical technicians and improve the service quality, pay attention to the monitoring of the coincidence rate and accuracy of test results, and constantly add new projects to meet clinical needs. The critical value reporting system and the mutual recognition system of auxiliary examination in hospitals at the same level were formulated and implemented.
(3), outpatient and emergency medical quality
1. With the cooperation of the outpatient department, we adjusted the layout and visiting time of the expert clinic, improved the visiting process, strengthened the management of outpatient medical records, and improved various signature notification forms.
2. In order to highlight the characteristics of traditional Chinese medicine and build a brand of traditional Chinese medicine, nine outpatient clinics with characteristics of traditional Chinese medicine, such as encephalopathy and nephropathy, were opened.
Second, science and education work.
1. The continuing education was included in the work plan of our hospital, and the continuing education management committee and the continuing education management agreement of qitaihe city Hospital of Traditional Chinese Medicine were formulated.
2. Send three people for long-term training and more than ten people for short-term training.
3. Undertake 16 municipal continuing education.
4. Won the Municipal Science and Technology Progress Award 14, including the first prize 12 and the second prize 2; There are 4 municipal academic achievement awards, all of which are first prizes.
5, the provincial health department, the provincial administration of traditional Chinese medicine project 1.
6. Carry out in-hospital business study 10 times.
7. Receive interns 10 and graduates 10 for rotation training.
Third, department building.
1. This year, state administration of traditional chinese medicine announced that "Cardiovascular" major was the national key major in the Twelfth Five-Year Plan. The Provincial Bureau of Traditional Chinese Medicine approved the orthopedics and traumatology department of our hospital as a provincial key specialty in the "Twelfth Five-Year Plan".
2. Last year, we applied to the Provincial Health Department for four second-class medical technology projects, namely, "Artificial Total Knee Implantation Technology, Artificial Total Hip Implantation Technology, Artificial Vertebral Implantation Technology and Gynecological Endoscopic Diagnosis and Treatment Technology", which will be accepted in our hospital in the near future.
Fourth, health emergency work
1, carefully improve various emergency plans and strengthen the management of infectious diseases.
2. Train infectious diseases such as hand, foot and mouth disease and measles, and formulate and issue routine diagnosis and treatment plans.
3. A fever clinic was set up to screen infectious diseases.
4. Organized two hospital health emergency drills.
Verb (abbreviation of verb) counterpart support and free clinic activities
1, carried out the free clinic activity of "Chinese medicine enters the community and enters the countryside", and publicized Chinese medicine 7 times in Taoshan Park, Beishan Pedestrian Street, Changxing Township and other towns 13 times. Free medical staff 150, patients 5 100.
2, two-way referral of 87 people, greatly facilitating the residents in the jurisdiction to see a doctor.
Six, antibacterial drugs special rectification work
According to the requirements of the Ministry of Health, the Provincial Health Department and the Municipal Health Bureau, and with the cooperation of the Infectious Diseases Department and the Pharmacy Department, we have formulated the control scheme, management measures and classified catalogue of antibacterial drugs in our hospital, and inspected the use of antibacterial drugs in our hospital. In August, September and June of 10, the utilization rate of antibiotics in our hospital was before 10.
Seven. others
1, successfully completed the practical skills examination of practicing doctors of traditional Chinese medicine and integrated traditional Chinese and western medicine in the city.
2. Complete the registration examination for promotion of junior, middle and senior titles in the whole hospital.
Disadvantages:
1, doctors take turns to go to the countryside to wait for work in primary clinics, which has not been fully carried out.
2. The scientific research foundation is weak and the scientific research results are insufficient.
3. The quality of medical records needs to be further improved.
Summary of the work of the Medical Department: The year of 5-20xx was a year of continuous innovation and development of the hospital. In this year, under the unified arrangement and deployment of hospital leaders, the hospital's appearance and medical technology have made great progress. Especially since the second half of the year, the hospital has entered the implementation stage of creating dimethyl ether. Qi Xin, all the staff of the hospital, worked together to forge ahead in unity, always putting the interests of the masses first and building a harmonious doctor-patient relationship. Under the direct leadership of hospital leaders, the medical department has made unremitting efforts, adhered to patient-centered, quality-centered and technology-based, constantly rectified and improved hospital rules, regulations and laws, and put all core systems into clinical work. The work of the hospital in the past year is summarized as follows:
First, the hospital operation
The number of outpatients in the hospital was 53 103, which was 2877 fewer than last year. The reason may be that the second outpatient service was cancelled, which had a certain impact. 8662 inpatients, an increase over last year 1944; There were 1.690 operations in various departments, an increase of 45 person-times compared with last year, and ordinary X-ray 1.003 person-times increased1.4/kloc-0 person-times compared with last year; CT5280, increased by 1595, B-ultrasound 13565, increased by 3851; 45 160 person-times of routine biochemistry were added in the laboratory, including biochemistry 19036 person-times and 26 124 person-times, an increase of 7057 person-times; Pathological examination was 50 1 person-time, an increase of 5 person-times; 550 gastroscopes, 4556 electrocardiogram, 985 emergency vehicles and 978 emergency patients. Judging from the above data, with the continuous efforts of all the staff in the hospital, all the work indicators have increased greatly, which fully shows that the work of one year has achieved remarkable results.
Second, blood for clinical use
Blood transfusion is a necessary means to treat many diseases, but it always has certain risks and may even cause serious harm to patients. The highest idea of modern blood transfusion is to advocate "scientific and rational use of blood", reduce unnecessary blood transfusion, minimize the risks other than patients' own diseases, and ensure the safety of blood recipients. Therefore, our hospital has established an effective blood use management system, made scientific and rational use of blood as the key goal of blood transfusion work, and adopted a series of management measures to strengthen the supervision and management of clinical blood use.
Through a series of rectification, the procedures related to blood transfusion are constantly improved and the indications for blood transfusion are strictly controlled. 30 1 person-time blood transfusion throughout the year. Except for a special case, 1 blood sample was collected in an emergency to save the patient's life, and the rest were stock blood. In the whole year, 220xxmL of stock blood, 590u of blood suspension and 26800mL of plasma were used, and the proportion of blood used for components was over 98%.
The Medical Department will further implement and do a good job in the management requirements of scientific and rational blood use in our hospital, and the Blood Transfusion Department will further strengthen the management functions, strengthen the supervision and inspection of clinical blood use in our hospital, and ensure the safety of clinical blood use.
Third, the quality of medical care.
1, the formation of medical quality is both a process and a certain law. From a certain point of view, the technical level and management ability of department directors determine the quality level of departments. Link quality control, final quality inspection and evaluation are the responsibilities of the director, and also the regular work of the director. Every department head should be fully aware of this. In order to ensure medical safety, improve medical quality and put an end to medical patients, the Medical Department conducts quality inspection on clinical departments twice a month, and some problems are corrected on the spot. Some directors of organizational departments study, convey and feed back the inspection at the end of the month, requiring all departments to conscientiously implement the thirteen core systems, and organize the study of relevant laws and regulations according to the characteristics of undergraduate courses, strengthen the "three basics" training and study, and improve the comprehensive professional quality of medical personnel. For difficult and critical patients, in addition to organizing relevant personnel to meet and discuss, relevant experts from superior hospitals are also invited to consult and give clinical guidance and participation.
Medical record writing has always occupied a very important position in China's medical management system, and it is a very important reference for management departments to evaluate doctors' level and medical quality. Management departments can standardize doctors' medical behavior through strict requirements on medical record writing, strengthen doctors' basic knowledge, urge doctors to establish strict medical thinking and leave complete medical materials. The Medical Department does not regularly check and analyze the quality of medical records every month, so as to ensure the quality of medical records and medical treatment, effectively promote the implementation of hospital rules and regulations, especially the thirteen core systems, and improve the quality of medical treatment.
2. In order to further improve the technical strength of our hospital, according to the different characteristics and clinical needs of various disciplines, the Medical Department actively contacted superior hospitals, intensified training and study, and sent 13 long-term students and short-term students successively, which improved the technical strength of our hospital to varying degrees and solved the practical problems existing in our hospital's clinical work to some extent.
3. In order to strengthen the contact with township hospitals, do a good job in the assistance of township hospitals, and let more patients and township medical staff know more about our technical strength and medical equipment, the hospital organized medical staff from various subjects to conduct free clinics in relevant towns and villages, which made our hospital establish a good image in the hearts of the majority of patients.
4. The Department of Pathology and Microbiology in our hospital has some serious problems, such as backward equipment, low professional quality and outdated knowledge of existing inspectors. It has become an important content related to the survival and development of the hospital to update the concept of inspectors as soon as possible and improve their practical operation ability. In view of this, the hospital has increased its efforts to send inspectors to relevant hospitals for further study, and most of the staff in the laboratory have the opportunity to learn and improve. We believe that through this initiative, the technical and comprehensive quality of the staff in this department will have a qualitative change.
5. As the emergency department is a newly established department, the level of personnel in the department is uneven, and the purpose of daily first aid in the emergency department is to "save lives, reduce disability, reduce death and promote health". Therefore, in the first half of 20xx, the Medical Department organized directors of various departments, attending physicians and doctors with certain clinical experience to carry out knowledge training on cardiopulmonary resuscitation, brain trauma, limb fractures, lumbar fractures, cardiovascular diseases and so on. At ordinary times, self-study is organized according to the situation of the department, so that the department can master the relevant first aid knowledge. Through ideological education and learning rules and regulations, emergency personnel have a certain sense of professional responsibility and social responsibility.
Fourth, the existing problems and shortcomings. Although we have done our best in practical work, we have done a lot of work and achieved some results. However, due to fierce competition in the medical market, patients' expectations for hospitals are getting higher and higher. Relatively speaking, we seem to have many shortcomings. For example, many rules and regulations have been formulated, but it is still difficult to implement them; Medical record writing is always talked about, but the quality of medical record writing has not been greatly improved. In clinical work, insufficient communication between doctors and patients often leads some patients to misunderstand doctors and so on. These problems need continuous study and training in the future work, correct service attitude, improve service quality and comprehensively improve the comprehensive quality of medical staff.
Summary of medical work In the past 6 1 year, with the support of the president and the correct leadership of the hospital Council, and under the guidance of the Municipal Health Bureau, the medical work in our hospital has made certain achievements, but there are still many shortcomings.
1, infectious disease management
Seriously implement the network direct reporting of infectious diseases and public health emergencies, and the data of patients' visits, laboratory tests, card filling and network direct reporting are timely and accurate, without any omission, delay or concealment, which greatly improves the timeliness and accuracy of epidemic reporting, from 1 in xx to1in xx. Clinical medical staff have been organized to learn the knowledge of clinical experts in the treatment of hand, foot and mouth disease, and the knowledge of prevention and control of novel coronavirus and West Nile fever virus, so as to further improve the management system of various infectious diseases.
2. Physical examination work
This year, more than 440 people were organized to have physical examinations in party member, and 170 people were organized to have physical examinations in government departments, municipal organs and retired cadres, which were well received by the people.
3. Medical treatment
Medical safety is the core of medical work, which is related to the life safety of patients and the economic and social benefits of hospitals. Vigorously strengthen medical safety education throughout the year. Liu Yumin, An Liyang and other senior experts were invited to train clinical medical staff on the knowledge of rescuing critically ill patients, and some personal experiences were told, which further improved our hospital's ability to rescue critically ill patients under the existing conditions. In July, Dr. Cheng Fangling was invited to talk about ECG knowledge, which provided reference for clinical medical work. There was a shortage of clinicians.
At the beginning of the year, clinical departments were organized to study the fifteen core systems, the management system of medical accident prevention and treatment, the prescription management measures and other relevant rules and regulations, and special rectification activities for clinical application of antibacterial drugs were carried out, and the implementation plan for further promoting quality nursing in 20xx years was formulated, which strengthened hospital infection control. Four surprise inspections were carried out throughout the year, and problems were immediately pointed out and rectified within a time limit. Further standardize the management of medical waste, strengthen the management of all aspects of medical waste, and prevent occupational exposure. There was no nosocomial infection in the whole year.
In order to strengthen continuing education, in May, employees were organized to participate in the training on the new progress of clinical treatment of endocrine diseases organized by the Endocrinology Branch of Chinese Medical Association in Rongjun Hospital, and medical staff carried out various distance education and learning on the Internet.
4. There is a problem
Some achievements have been made in medical work in 20xx, but there are still many problems. There is a shortage of talents in hospitals, some work cannot be arranged for a long time, and there are still some loopholes in medical safety. Medical technology needs to be further improved, and it will continue its ability in the future work to better serve the urban people.