Summary of medical ethics 1
20_ years have passed quickly, and summing up the past is to devote ourselves to new work with higher enthusiasm. In the heavy clinical work, we should not only successfully complete our technical work, but also pay attention to the cultivation of medical ethics, improve our moral standards, and be proud of caring service. We should start from three aspects: doctor-patient relationship, doctor-nurse relationship and nurse-worker relationship, step by step.
"Eliminating human diseases and improving health" is the ultimate goal of our medical industry. It is precisely because of this bright light that our efforts are persistent, and it is precisely because of this commitment that society respects the health industry. Although the relationship between doctors and patients is getting more and more tense, I always put patients first in clinical work to save lives and serve patients wholeheartedly. People-oriented, patients first exist as human beings. Civilized manners and excellent service are the most basic requirements. Respect the personality and rights of patients, keep medical secrets for patients like friends, win the goodwill and trust of patients, abide by the law, practice medicine honestly, and refuse red envelopes and gifts.
Doctors and nurses are comrades-in-arms in the same trench, and they are as close as lips and teeth. Building a harmonious relationship between doctors and nurses is the basis for the safe and effective conduct of the whole medical activity. There are an endless stream of patients all over the country, and there are an endless stream of continuing education personnel from all corners of the country. In clinical work, they take the overall situation into account, unite and cooperate, proceed from the clinic and work together for patients, doctors and nurses. As far as professional treatment is concerned, as many doctors as possible should take part in ward rounds and shift changes to get a deeper understanding of the condition, and at the same time, colleagues in the new rotation should try their best to help them get familiar with the environmental standard process. The doctor-patient relationship is harmonious, and the doctor-patient relationship is naturally stable.
Quality service is not only an attitude, but also a strong professional quality as a strong backing. Over the past year, I have persisted in studying undergraduate courses to improve my own quality, treat diseases in clinical work, standardize medical service behavior, study foreign languages hard, use the resources of hospital libraries, consult Chinese and foreign professional magazines regularly, learn database retrieval knowledge, understand the new trends of this major, broaden my horizons and improve my professional and technical level.
Outline of medical ethics II
The position of nurse is sacred and lofty. When you perform your duties in a white coat, you must devote yourself to your work, so that you can do everything well. Pay attention not only to work efficiency, but also to work quality and work effect. In my opinion, it seems easy to be a nurse, but in fact it is not easy to do it well.
This work has its own responsibilities and internal standards. Due to age, filial piety, work experience, work attitude, personal personality and other factors, all nurses can complete tasks within the scope of duties and work standards, but the efficiency and quality are very different, and there is no top standard of high efficiency and high quality. Some nurses rest at ease in the office after completing hardware work; Some nurses have done a lot of software work after doing hardware work.
"Hard" has scope and scale, while "soft" is not mandatory. Then, how can nurses perform their duties efficiently, with high quality and creatively, so as to achieve the best work effect, reassure patients and actively cooperate with hospital treatment? Although there is no uniform format, there are rules to follow. Through this study of medical ethics, I began to think about the promotion of the establishment of nurses' post consciousness to improve work efficiency and quality!
1, sense of responsibility
Responsibility is the premise of doing a good job. The word "heart" of "sense of responsibility" has long been called thought and spirit by ancient Chinese philosophers, that is, "consciousness" in a broad philosophical category today, which is different from "heart" in a certain part of the body in medicine. The "heart" in the work is in place, that is, holding a heart, doing it attentively in class, and not leaving class with selfishness, so as to do a good job in nursing. As a young nurse, sometimes she is "willing but unable" to the job she just took over, but as long as she has this heart, I believe she will be qualified for this job as soon as possible.
If there is no sense of responsibility, neither new nor old nurses will do a good job in nursing. There is a causal relationship between things, that is, there is a causal relationship, and nursing work also has a causal side. Work is done by people. To achieve good results, even the best results, nurses must have a good psychological state and correct consciousness to guide themselves to perform their duties. A good beginning will lead to a good result. Some things are wrong, but not universal.
Nurses should not be careless in their work. "A tiny difference, a thousand miles away", a beating will not be right. Strengthening the sense of responsibility is a good motivation and the best starting point. Of course, there will be good intentions to do something wrong at work, which is within the normal range. There is no problem with the world outlook and correct consciousness, but there are mistakes in the process of transforming the world outlook into methodology, or in the operation of methods. "Doing bad things with good intentions" is a matter of method, not ideology. The method problem is very complicated and special. For nurses, nursing work has professional level, experience, patient cooperation and other obstacles. , making the method invalid or not in place.
These are external reasons, which are caused objectively, not subjectively. This kind of "mistake" can be easily prevented and overcome. If you make a mistake that you shouldn't make because of your weak sense of responsibility, the nature will change, and it will not fall within the normal scope. You can't use "mistakes" to block the pond, and you must investigate its responsibility. Therefore, the sense of responsibility is not dispensable for nurses, and it must be cultivated by self-cultivation.
The sense of responsibility is closely related to the requirements of job responsibilities, and sometimes it can be combined into one, but the difference is obvious. The former belongs to self-cognition, self-requirement, emphasizes personal internal control and has a soft side; The latter is an external law, which is mandatory and hard. "Hardness" is the duty and standard of work, and "softness" is the soul of personal work. "Hardness" is like bone and "softness" is like meat.
2. Equality consciousness
It is essential for nurses to strengthen their sense of responsibility, but it is not enough to have a sense of responsibility. On the basis of the sense of responsibility, we should work creatively around it. This "expansion" means that the unilateral efforts and wishful work of nurses have become mutual cooperation and coordination between nurses and patients. The initiative and choice of close cooperation between nurses and patients lies with nurses.
How do nurses adapt, cater to and get the support of patients? It is the key to establish the sense of equality, that is, nurses should adopt the concept of equality in treating patients, not only treat all patients as a bowl of water, but also always get along with patients on an equal footing, and nurses should not feel condescending. In the ward, nurses are relatively fixed, patients are mobile, and the choice of hospitalization is in the hands of patients. If the nurse is compared to the master, then the patient can be compared to the guest. The nurse-patient relationship should be "patience and diligence". How does the host receive the guests for their convenience?
First of all, we should respect patients, attach importance to each other's existence, treat every patient with the same enthusiasm as guests, and strive to make patients feel the enthusiasm, easygoing and thoughtful of their hosts. To do this, it is mainly reflected in the service attitude of nurses. Nurses should "speak softly, walk lightly and operate lightly". Nurses work with fresh life, and the sense of equality should also include respect for life.
Outline of medical ethics III
First, strengthen education and cultivate correct concepts.
Strengthen medical ethics education and improve the quality of medical staff. The key to improve the quality of medical staff lies in the fundamental concept, which is the ideological embodiment of humanistic quality. The situation and task education, civic moral education, medical staff's professional ethics, and relevant health laws and regulations education run through hospital activities from beginning to end.
Two, typical demonstration education, enhance the positive education effect.
We should set an example through our own actual behavior and educate the educated by "infection" and "assimilation". Further understand how some excellent medical staff create extraordinary achievements in ordinary jobs, which will resonate and inspire our enthusiasm for taking care of the overall situation, loving our jobs, being positive and willing to contribute. So as to create a good humanistic environment in the hospital.
Third, lead the construction of medical ethics to institutionalization and further standardize medical behavior.
The medical profession is a lofty profession, and medical personnel shoulder the special mission of human growth, which is directly related to people's health and happiness and has special professional norms. The first is to grasp the system construction. The second is to strengthen the measures and efforts of inspection and supervision, and establish and improve the communication channels between doctors and patients.
Training effect: The staff of the whole hospital have been carefully trained to standardize themselves from the following aspects:
First, I can get a good education, consciously abide by the principles and norms of socialist medical ethics, fight in the front line of saving lives with noble medical ethics and superb medical technology, and make great contributions to safeguarding the health of the people, which is well received by all walks of life and the people.
Second, proceed from reality, sum up experience, and constantly explore and learn the spirit of predecessors, so as to better contribute to the development of the hospital.
Three, in strict accordance with the rules and regulations, standardize words and deeds, form good behavior habits, so as to establish the image of angels in white in the eyes of the people and patients.
Summary of medical ethics 4
Under the leadership of President _, this year, the hospital opened up a brand-new situation with the grand goal of five-year plan. In the extraordinary years, the loud call of "building a third-class first-class hospital" inspired the hearts of every staff member. The medical staff of the medical technology department and the clinical department, together with the goal of the hospital's macro-strategic deployment, unite as one, obey orders, obey the command of the hospital department, and combine the platform of "three good and one whole activity".
This year, the hospital introduced the reform measures of work performance incentive mechanism, which promoted the vigorous development of hospital medical work and expanded the scope of diagnosis and treatment, and achieved remarkable results. The workload of each examination room in medical technology department is not lower than that in clinic. However, the workload of each examination room is unbalanced, and some examination departments have reached the expected goal. In May, the daily workload exceeded the historical peak, and the daily workload was the highest, with color Doppler ultrasound 156 person-times and ct day 85 person-times. I am busy almost every day, and the number of patients has reached the expected goal. However, there are still a few examination rooms that can't meet the expected requirements of the hospital, such as pathology. Last year, the number of inspectors decreased by 670, and the income decreased by 1 406,747 yuan. Therefore, we must not relax in the second half of the year. We must redouble our efforts to make every medical staff actively participate in the transformation and upgrading of the hospital, seriously cooperate with the clinic, strengthen the sense of responsibility, standardize the operation process, improve the praise of quality control, and never stop along the direction of continuous improvement. Strive to complete the important task of medical technology inspection. The work in the past six months is reported as follows:
One; In the construction of medical ethics,
Only by conscientiously implementing and studying the contents of the document "three good and one satisfaction" can medical technicians establish the service concept of "all for patients". Strengthen people-oriented professional responsibility, professional ethics and the professional ethics of "all for the patient, all for the convenience of the patient, all for the patient", and gradually improve the humanistic thinking concept of care, patience, carefulness and responsibility of medical technicians in patient examination. Medical staff refused to give red envelopes in medical treatment activities, which harmonized the relationship between doctors and patients and their families. Through investigation and evaluation, no employee dissatisfaction was found.
Second, department management;
Implement the hospital management system formulated by the hospital department, obey the command of the hospital department, perform various tasks assigned by the hospital department, and gradually improve and sort out various medical materials according to the standards of tertiary hospitals, strengthen the management and supervision of labor discipline, conscientiously do a good job in quality management, constantly improve the direction, and improve the quality and accuracy of medical technical diagnosis.
1; Basic information; Personnel structure;
2; Work performance bonus distribution scheme;
Doctor level; 1 10, the attending level; 130, the director level is determined by the hospital department;
2; Personal workload calculation method; ,
Ct diagnosis; 0.5 points for a part, 0.3 points for scanning operation 1 part, photo; 1 part 0.2, 1 person 0.5.
Night shift; 1 post 1 minute, 1 night shift 3 points.
The work performance of color ultrasound and B ultrasound is quantified to people.
Through the calculation of personal workload, it reflects more work and more income and improves work efficiency.
Third, the integration of departmental professional resources;
This year, the personnel of color ultrasound and B ultrasound will be integrated to open up the space for human resources to cooperate and develop together. Although it has not reached the point where everyone is proficient in color Doppler operation and diagnostic technology, it has laid a good foundation for planned scale expansion in the future.
Fourth, strengthen training-improve the awareness of labor discipline;
Labor discipline is the minimum quality performance to test the efforts of a person and a team, the basic driving force for the development of the department, and an important guarantee factor to ensure the normal development of all work. Strengthening organizational discipline and strict labor discipline are the main internal factors to improve work efficiency. In March, under the supervision of the director of Jiang Hospital, the medical and technical departments concentrated on changing shifts and strengthened discipline training, and the punctuality rate of labor discipline increased to 98%- 100%. Work enthusiasm has improved, mental outlook has changed, medical quality has improved, the responsibility for patient examination has been put in place, and routine work has been extended beyond off-duty hours, especially in examination rooms such as ct, color ultrasound and B ultrasound.
However, the poor cultural and ideological quality of the staff, the lack of a high sense of responsibility and security of some staff, and the absence of duty are intolerable phenomena in the hospital and signals the danger of medical safety. The hospital attaches great importance to this. In view of this problem, the medical technology department held a special meeting, the parties made a profound review, educated the staff and the meeting, and repeatedly stressed that medical technicians should always remember the danger and the seriousness of the consequences of their absence. I hope this phenomenon will not happen again in the future.
Five, strengthen training, improve the quality of medical care.
1, practicing according to law and pre-job training;
Abide by laws and regulations, firmly grasp the principles of health laws and regulations, strengthen legal awareness and self-protection awareness, and enhance the consciousness of practicing according to law.
2. Pay close attention to medical quality and train technicians.
Medical and technical departments have always attached great importance to medical quality, adopted various forms, comprehensively carried out professional and technical personnel training, and strived to improve the professional and technical ability of medical personnel. It is emphasized that medical personnel should attach importance to scientific development. We require every technical worker to give priority to self-study and study together, and give full play to the spirit of mentoring, so that the professional knowledge diagnosis level of medical technicians can gradually develop and meet the requirements of tertiary hospitals.
Actively participate in the training and examination of professional theory in the hospital, and constantly improve the level of professional and technical diagnosis. Strictly implement the medical core system and improve the medical level.
Medical technology management documents,
Six, do a good job in quality service, and create a new image of hospital medical technology.
Do a good job of "patient-centered, create high-quality services, change the past evasive and rigid service attitude of medical technology, realize the concept of humanized service, and shape and enhance the glorious image and reputation of" patient-centered "white soldiers in hospitals.
VII. Completion of economic indicators1; 20_ year1-June and 20_ year-on-year;
8. Existing problems;
The contents of the handover to and from work are not perfect, the statistics of work logs are not standardized, and they are not filed by day, month and year, which is chaotic. The phenomenon of stealing without collecting still exists.
The consciousness of observing labor discipline is not strong, procrastination and lateness exist, discipline is lax, post responsibility is not firm, and the phenomenon of leaving the post without permission is repeatedly prohibited.
In view of the existing problems, labor discipline supervision should be strengthened in the second half of the year. After the improvement of the working environment, we should regroup and dress up again and return to the solemn new chapter of the collective handover team in March.
In the first half of the year, although we have done a lot of work in the continuous improvement of medical quality, service attitude and management, we have achieved certain results. However, there is still a certain gap from the requirements of hospital departments, and the increase in workload is not large enough. In the future, under the banner of the unified purpose of the correct leadership of the hospital, we will further strengthen the execution, update concepts, raise awareness, carry out technological innovation, strengthen medical quality management, ensure medical safety, create benefits, promote the hospital to establish three levels, and make new contributions!
Outline of medical ethics 5
Our hospital is a modern large-scale general hospital, and now it is a provincial civilized unit, the city's "Top Ten Hospitals", "People's Satisfaction Hospital" and "Top Ten Works of Workers' Professional Ethics Construction", and it is also the county people's medical emergency center. In recent years, the hospital leadership has taken the service concept of "all for patients" and "patient satisfaction is our pursuit" as the starting point and the end result of the construction of hospital medical ethics, paid close attention to services, adopted various effective measures, and constantly explored new laws and methods for the construction of hospital medical ethics, which has obviously improved and improved the medical quality, service attitude and medical environment of the hospital and reshaped the sacred images of "People's Doctor" and "angels in white". The construction of hospital medical ethics is summarized as follows:
First, strengthen leadership, improve organization and strengthen sense of responsibility.
Strengthening the construction of medical ethics is related to the overall image of the health system. Hospital leaders fully realize the great significance of the construction of medical ethics, insist on the construction of medical ethics as the top priority of hospital work, and pay close attention to implementation according to the requirements of the document spirit of the higher health department. Quickly convene a team meeting to convey and implement the spirit of the document. A leading group for the evaluation of medical ethics in the county people's hospital was established, with Rao as the team leader, Shao Rong as the deputy team leader, and other hospital leaders and relevant department heads as members. The leadership system of "who is in charge, who is responsible" is implemented. The leaders in charge are specifically responsible, the functional departments carry out their duties, the party and government work groups work together, and the employees actively support their participation. Form an organizational system of medical ethics construction that is linked up and down, implemented at different levels, integrated with each other, with a clear division of labor, with tasks assigned to departments and responsibilities assigned to individuals, thus providing a strong organizational guarantee for the construction of medical ethics in our hospital.
Second, make plans, define goals, and fully mobilize the layout.
The hospital put the construction of medical ethics in a very important position and held many meetings to study, deploy and implement it. The leading group focuses on the construction of medical ethics in our hospital. According to a series of documents on the construction of medical ethics in municipal and county health systems, combined with the actual situation of our hospital, the work plan for the construction of medical ethics in county people's hospitals was studied and formulated, and the contents and work requirements were clearly put forward: closely combining the annual activities of hospital management, focusing on standardizing diagnosis and treatment behavior, improving medical quality and improving service attitude, focusing on curbing kickbacks, "red envelopes", billing commissions and arbitrary charges, strengthening education, perfecting systems and strengthening supervision, and promoting medical ethics. Through the formulation of the plan, the specific work can be followed.
Third, pay attention to ideological education and promote the healthy development of medical ethics.
Persistently strengthening the education of medical ethics should be a regular educational task of medical and health departments, and it is also the primary task of strengthening the construction of medical ethics with the times.
First of all, we insist on positive education. It is in line with the above guiding ideology that our hospital insists on positive education, especially for young medical staff who have joined the work in recent years. Through systematic positive indoctrination, medical staff can further clarify their historical responsibilities theoretically and ideologically, so as to consciously adjust their behavior and change incorrect concepts. In recent years, hospital leaders should talk about medical ethics at every meeting, and new graduates should receive professional ethics education before taking up their posts.
The second is to organize the staff of the whole hospital to learn advanced models, encourage medical staff to take advanced models as their learning models, and consciously be white soldiers who serve the people wholeheartedly with high standards and strict requirements.
The third is to organize everyone to seriously study the requirements of professional ethics construction and learn the "five prohibitions" recently stipulated by the Provincial Health Department.
Fourth, departments are required to insist on political study every week, with "lectures on medical ethics" as the main content, study hard and record the learning content.
Strengthen the education of workers' political thoughts and professional ethics, and vigorously advocate and cultivate the spirit of loving their posts and being dedicated, abiding by medical ethics, selfless dedication and serving the masses. Through study and education, medical staff are guided to firmly establish the concept of "patient-centered" and the construction of medical ethics in hospitals is comprehensively promoted.
Fourth, adhere to the people-oriented, establish a service concept, and build a medical and health team that will reassure the masses.
As a medical service unit, it is not enough for a hospital to have superb medical diagnosis and treatment technology. In this regard, hospital leaders have a very clear understanding and forward-looking vision, clearly put forward the service policy of "all for patients" and "patient satisfaction is our pursuit", put improving service level and improving doctor-patient relationship in the first place in hospital work, and launched a series of service measures to facilitate patients:
First, establish a "green channel", open 24 hours a day, and provide one-stop services such as registration, medical treatment, medicine taking and hospitalization for critically ill and unaccompanied patients to ensure that critically ill patients are treated in time.
The second is to provide a clean, comfortable and warm medical environment for patients who come to the hospital for medical treatment. The hospital has carefully carried out the greening construction of the hospital environment and improved the medical environment. The service signs at the hospital entrance, emergency room, ward and medical technology department are standardized, clear and eye-catching, and correctly guide patients to see a doctor in time. The emergency department has facilities such as hospitalization guide, information desk, waiting chair, public telephone and drinking water.
The third is to provide patients with warm, careful, caring and patient services. Standardize service terms, and put an end to the phenomena of raw, cold, hard, top and push.
The fourth is to improve the communication system between doctors and patients, actively strengthen communication with patients in easy-to-understand language, patiently explain or explain the illness to patients, listen to patients' opinions and actively improve their work.
Fifth, the system of selecting doctors for patients, demonstration posts in party member, demonstration windows in party member, smiling service activities, first consultation responsibility system, first inquiry responsibility system, one-day list system, and drug price disclosure system shall be implemented.
Sixth, establish and improve the patient complaint handling system, announce the complaint telephone number, accept and handle patient complaints in time, reduce the occurrence of doctor-patient disputes and build a harmonious doctor-patient relationship. It has become a routine for our hospital to constantly improve the convenience measures, strive to provide quality services, practice medicine in a civilized way and treat patients with enthusiasm. Paying attention to medical ethics, loving their posts and being dedicated to their work has become the conscious action of the broad masses of workers.
Five, strict system management, improve service quality
Medical quality is the life of a hospital. In order to further strengthen medical safety and improve the safety and effectiveness of medical services.
First, on the basis of carefully studying the Guidelines for Hospital Management Evaluation (Trial) issued by the Ministry of Health, comprehensively check the compliance of various rules and regulations, and re-formulate or supplement outdated systems that do not meet the requirements of the guidelines. Functional departments shall establish and improve relevant systems and responsibilities according to the requirements of management year.
The second is to adjust the medical quality management committee, improve its responsibilities and establish a scientific medical quality evaluation mechanism.
Third, pay close attention to the implementation of various rules and regulations, technical operation routines and responsibilities of each post, formulate and strictly implement outpatient service, first consultation, emergency service, duty shift, third-level doctor rounds, consultation and other systems, especially the core system of medical quality, strictly implement the pre-operation discussion system and major surgery approval system, standardize the signing and approval of various surgical notices, and strictly manage the quality of basic medical care. Check the implementation of rules and regulations of all subjects, and handle problems in time when found. All departments strictly implement various rules and regulations, standardize medical behavior, adhere to the system of three-level rounds, handover of difficult patients and critically ill patients, specialist consultation, three inspections and seven equivalents, carry out safety production activities in the whole hospital, and vigorously create an atmosphere of caring for life and paying attention to safety.
Sixth, strengthen supervision, win the trust of the people, and reshape the good image of the hospital.
By paying close attention to the construction of medical ethics and strengthening professional ethics education, our hospital requires all employees to have excellent internal quality and external image, strictly abide by professional ethics and discipline, earnestly perform post responsibility system, improve work style, improve efficiency and serve the people enthusiastically.
First, improve and strengthen the supervision and restriction mechanism. Our hospital has successively issued such rules and regulations as Medical Service Commitment, Medical Ethics Reward and Punishment System, and Three Systems on Strengthening the Construction of Medical Ethics, forming a set of strict, standardized and effective management systems, which provide guidelines, management basis and assessment standards for the words and deeds of hospital staff.
The second is to effectively manage and solve the problems strongly reflected by the masses: organize employees to study the provisions of the Ministry of Health on the accountability of medical and health personnel for accepting medical kickbacks and "red envelopes" and the decisions of the Health Bureau on resolutely stopping unhealthy practices such as drug kickbacks, accepting "red envelopes" and billing commissions, requiring cadres and workers in the hospital to conscientiously implement them to the letter, and strictly stipulating that medical personnel are not allowed to collect various kickbacks and ask patients and their families for "red envelopes" in medical activities. Medical staff who are verified to receive or ask for "red envelopes" and gifts will be dealt with seriously in accordance with the spirit of the above documents and will not be tolerated, so that our hospital can eradicate unhealthy practices and establish a good medical style.
Third, the hospital establishes medical ethics files for each employee and conducts medical ethics assessment at the end of each year. The results of medical ethics examination are linked to promotion, appointment and selection of advanced posts. Informed criticism and punishment will be given to those who violate medical ethics, and spiritual and material rewards will be given to individuals who have good professional ethics performance, social recognition and high evaluation in their posts. Through the above measures, we can effectively improve and strengthen the construction of professional ethics, so that the medical ethics will always be innovative.
Seven, in-depth self-examination and self-correction, strengthen inspection and supervision.
Combined with the actual work, our hospital carried out self-examination and self-correction, and the leading group held a special meeting on the investigation of medical ethics, and investigated the existing medical ethics from the aspects of ideological style and work style. First of all, this unit and various departments focus on three aspects:
The first is the implementation of rules and regulations.
Second, whether the system formulated by the unit conforms to the national laws and regulations, the provisions of the Ministry of Health, the principles and policies of health reform, and whether the medical charging items and the price disclosure system are implemented.
Third, whether there are bad behaviors such as large prescription, over-examination, arbitrary charges, billing commission, withdrawal and deduction of fees, "red envelopes", and whether there are problems such as "three long and one short" in outpatient service, difficulty in hospitalization and expensive medical treatment.
Eight, the main problems
Although some achievements have been made in the work of medical ethics in our hospital, there are still some shortcomings: first, ideological and political education needs to be further strengthened; Second, the management system is not perfect; Third, the effective incentive and supervision mechanism is not perfect; Fourth, we should further improve the convenience service measures; Fifth, it is necessary to further strengthen the special rectification of unhealthy practices in medical services.
Nine. The direction of future efforts
In the future work, we will carry forward our achievements, make up for our shortcomings, continue to strengthen the construction of medical ethics, and provide high-quality, efficient and convenient services for the people of the county.
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