1. On the premise of ensuring medical quality, actively tap the potential, and all indicators in the comprehensive objectives of the department have increased significantly compared with the same period of last year, including the number of discharged patients and bed turnover, and the annual economic income has increased significantly. In order to better serve patients, all medical staff in the department worked together to improve the admission rate of patients, speed up the turnover of patients, effectively reflect the quick treatment of more income, effectively consider patients and reduce the burden on patients. At present, due to the remarkable social influence of our department, the number of patients has increased greatly, and it has become the norm to add beds in the patient corridor. In order to ensure the medical safety of patients, the department actively communicated with the hospital leaders, and won the strong support of the hospital leaders, leaving enough space for the further expansion of the respiratory department in the design of the future medical complex.
We will steadily build an endoscopic diagnosis and treatment center in respiratory medicine and actively carry out fiberoptic bronchoscopy treatment. After the successful establishment of the endoscopic diagnosis and treatment center in respiratory medicine, the number of patients coming to the endoscopic diagnosis and treatment center has steadily increased. This year, the Endoscopy Center paid more attention to the technical upgrade of the Endoscopy Clinic. In diagnosis, transbronchial needle aspiration biopsy (TBNA), bronchoalveolar lavage, medical thoracoscopy and other techniques were actively carried out, and in treatment, argon-helium knife therapy, airway cryotherapy, medical thoracoscopy and other endoscopic treatment techniques were actively carried out.
13. further improve the quality and safety responsibility system of departments and wards, and establish and improve the working mechanism of medical quality and safety of departments, which is personally grasped by the department director and head nurse, comprehensively grasped by the medical team and specifically grasped by the quality control team leader; Strict department management mechanism, the responsibility will be decomposed into individuals, and all kinds of medical personnel will be responsible for medical quality, so as to achieve quality self-inspection and independent management, and consciously participate in medical quality and safety management; Hold regular meetings of medical quality and safety departments every month to analyze the causes of medical disputes caused by defects, errors and accidents, put forward rectification opinions in time, implement medical safety, and ensure the continuous improvement of medical quality.
4. Implement the medical core system, organize department personnel to study the medical core system seriously, at least twice a month. Strictly abide by and implement the medical core system in daily medical work, and regularly check the implementation of the core system of the department.
5. Standardize the use of antibiotics. According to the Guiding Principles for Clinical Application of Antibiotics issued by the Ministry of Health,
Guidance documents such as Notice on Relevant Issues Concerning the Management of Clinical Application of Antibacterials and Management Measures for Clinical Application of Antibacterials (Draft for Comment) and so on, the Department of Respiratory Medicine actively cooperated with the hospital, in addition to continuing to strictly regulate the rational use of antibiotics in this department, it also actively cooperated with pharmaceutical and other departments to carry out relevant academic lectures to guide and supervise the rational use of antibiotics in brother departments in the hospital.
6. Actively cooperate with hospital requirements, implement clinical pathway management, and strengthen quality control of single diseases. At present, the department has formulated the clinical pathway management measures for five diseases, and actively implemented them, linking the clinical pathway management with the rational use of antibiotics, standardizing the medical behavior of the department and effectively strengthening the standardized management of the medical quality of the department. Strengthen the quality control of patients with community-acquired pneumonia, strive to shorten the hospitalization days and reduce the hospitalization expenses of patients.
⒎ Strictly implement the Interim Provisions on the Management of Medical Record Writing Quality Control in our hospital, strengthen the quality control of medical records, and ensure that the qualified rate of first-class medical record writing is over 95%.
⒏ Refine medical service links, think about what patients think, ensure that medical services are in place, strengthen communication with patients, and improve medical service links in time according to patient feedback. Follow-up of patients with asthma, chronic obstructive pulmonary disease, sleep apnea syndrome and smoking cessation should be further improved, and "Asthma Home", "Education for Patients with Chronic Obstructive Pulmonary Disease", "Friends Home for Snoring" and smoking cessation publicity and education activities should be held regularly to extend medical services and create more social benefits.
(9) Strengthening special lectures in departments and forming a strong learning atmosphere. At present, the department's special lectures are divided into three levels: ① Actively invite experts from other hospitals and other departments to introduce the latest progress at home and abroad, especially our hospital invites Professor Tao Zhongwei, a famous Shandong respiratory medicine expert, to visit our department every week and participate in the discussion of difficult cases, to guide the treatment of difficult and critical patients in our department, and to impart relevant experience and knowledge and cutting-edge content. (2) The deputy chief physician or above in this department taught me my specialty' new technology and new knowledge' to promote the progress of young doctors in this department. ③ Young and middle-aged doctors in our department focus on strengthening the training of "three basics and three strictness" and stimulate their enthusiasm for learning through lectures. At present, lectures on basic knowledge such as guide interpretation series and basic operation series have been held.
Our department actively carried out ⒑ clinical research and participated in the declaration of 2 provincial natural fund projects. At present, the research projects include the Natural Fund of Shandong Science and Technology Department and a number of bureau-level projects, and many papers have been published, including many SCI papers.
(1) Strengthen the construction of collective lesson preparation system, standardize and seriously teach interns, advanced doctors and residents, and successfully complete various theoretical teaching tasks assigned by medical colleges such as Shandong University. At present, there are two graduate students in our department. Actively participate in the training of clinical pharmacists, currently accompanying 2 clinical pharmacists, clinical pharmacists graduate students 1.
12。 Pay close attention to the average hospitalization days and average hospitalization expenses of patients in the department, actively summarize and analyze the reasons, and take various measures to reduce the average hospitalization days and average hospitalization expenses of patients. Mainly took the following measures:
(a) to strengthen the management of outpatient service, all the inspection and laboratory items that can be done or reserved before admission are completed in outpatient service, so as to improve the coincidence rate of outpatient diagnosis.
(2) Most inpatients in large general hospitals are incurable patients, and it is relatively difficult to shorten the average length of stay due to their basic diseases, physical condition, economic ability and other factors. There are also some inpatients involved in disputes, justice, insurance and so on. Who can claim hospitalization expenses from the other party. For personal purposes, the patient has great care when he is sick, and he is unwilling to leave the hospital or refuses to go through the discharge procedures after recovery. For these patients, publicity and education can help patients and their families to establish a correct consciousness.
(3) Department directors and department staff should fully understand the importance of shortening the average length of stay in hospital management, and urge professional groups to strengthen the management of inpatients, standardize and optimize the workflow of diagnosis and treatment, and improve work efficiency by increasing the assessment and rewards and punishments of the average length of stay. According to the proportion of doctors and patients, relevant medical staff can be deployed accordingly through a certain reward mechanism to reduce the work pressure of medical staff.
(4) Through medical process optimization, further improve the diagnosis and treatment norms, strengthen quality management, implement various medical core systems, actively carry out modern management technologies such as clinical pathway and single disease management, actively introduce and carry out new diagnosis and treatment technologies and projects, continuously improve the quality and work efficiency of ward diagnosis and treatment, and reduce the average hospitalization days and hospitalization expenses.
(5) Improving the quality of nursing service, emphasizing that nurses should change their service concepts, improve their awareness of active service, and ensure that the "patient-centered" measures are implemented. Strengthen the three basics training of nurses, improve the professional and technical level, and ensure nursing safety. Strengthen the observation of illness and health education, ensure that patients get efficient and high-quality nursing services, and reduce hospital infections and complications.
In short, through the unremitting efforts of all medical staff in the department, the work of 20 12 respiratory medicine has achieved good results. Taking this opportunity, the department will continue to work hard, strive to break the traditional service concept and service model, earnestly achieve "patient-centered" and strive to achieve the goal of "brighter windows and more satisfied patients" in future work. Promote the consciousness, initiative and sense of responsibility of department staff to change their service concept, enhance their service awareness and optimize their service behavior, and further promote the in-depth development of the activities of "polishing windows, serving the people" and "three good and one satisfaction".