Over the past year, under the direct leadership of the competent department of Yuncheng Health Bureau, hospital ethics work has been carried out in depth. Taking the year of hospital management activities and the establishment of a model hospital with open hospital affairs as the carrier, we are committed to solving the problem of "difficult and expensive medical treatment", further optimizing the hospital management process and service process, putting people first, striving to explore a long-term management mechanism for the construction of hospital medical ethics, and striving to reach a new level.
First of all, improve the ideological quality of employees from the understanding.
1. Carry out in-depth study and education activities on the socialist concept of honor and disgrace.
Taking the socialist concept of honor and disgrace as the main line, the publicity and education activities of "eight honors and eight disgraces" were carried out in the whole hospital, which created a strong publicity atmosphere in the whole hospital and enabled the medical staff to further establish a correct outlook on life, values and world outlook.
2, earnestly grasp the governance of commercial bribery in the field of pharmaceutical purchase and sale.
The leaders of our hospital attach great importance to the governance of commercial bribery in the field of pharmaceutical purchase and sale. To this end, they specially formulated the "Implementation Plan for the Special Work of Hospital Governance of Commercial Bribery in the Field of Medicine Purchase and Sale", carefully reported the progress of governance of commercial bribery to superiors, and carried out self-examination and self-correction in strict accordance with the list of commercial bribery. Through various ways to educate hospital staff to make good use of policies, grasp policies, give full play to the power of policies and pay attention to the timeliness of policies, hospital staff are required to fully understand new policies and regulations, grasp the boundary between crime and non-crime, do a good job of self-examination and self-correction in combination with reality, and explore the establishment of a long-term mechanism for hospitals to resist commercial bribery.
Second, strengthen the leadership of the work style construction from the organization.
1. Improve institutions and clarify their respective responsibilities.
We will implement the construction of medical ethics to departments and people, attach importance to the supervision of hospitals from all walks of life, and prohibit medical personnel from accepting illegal acts such as "red envelopes" and "kickbacks" to ensure the effectiveness of the construction of medical ethics in hospitals.
2. Improve the system and standardize medical behavior.
Strengthen the guidance service system. Timely "point out the direction" for patients, avoid patients rushing back and forth because they are unfamiliar with the environment, and strive to reduce the invalid time for patients to see a doctor.
Pay attention to the doctor-patient communication system. Make clear the civilized language and service taboos of medical staff, fully respect patients' right of informed consent and choice, and obtain patients' consent in advance for "expensive medicine and major examination", safeguard patients' legitimate rights and interests, and strive to narrow the gap of medical information asymmetry between doctors and patients.
Third, create morality by quality and fundamentally improve the level of medical services.
1, strict personnel access, improve the quality of basic medical care.
Strictly implement the Regulations on the Administration of Medical Institutions, the Law on Medical Practitioners, the Measures for the Administration of Nurses and other medical and health management laws and regulations, as well as the norms and routines of diagnosis and treatment and nursing, standardize medical behavior, strictly control the entry of medical personnel, and strengthen the pre-job training and on-the-job training of new medical personnel. Standardize the medical record writing system, organize regular medical record quality inspection, strengthen basic nursing, continuously improve nursing quality, strengthen safety supervision of auxiliary departments, and strengthen daily maintenance of various medical instruments and equipment to ensure the accuracy and safety of instruments.
2, strengthen the "three basics and three strictness" training, improve the link quality and terminal quality.
Strengthen the monitoring of clinical adverse drug reactions, establish a hospital clinical nursing operation technology practice base, strengthen daily "three basics and three strictness" training, regularly carry out various lectures on medical nursing knowledge, and organize clinical medical staff to perform skill operation and knowledge assessment.
Over the past year, with the joint efforts of all the staff in the hospital, our hospital has made remarkable achievements. In the future, our hospital will start with perfecting the long-term mechanism of professional ethics construction, do a good job in publicity, strengthen leadership, optimize processes, improve quality and improve the environment, and realize another new take-off of the May Fourth General Hospital of CITIC Electromechanical Manufacturing Company.
In order to speed up the development of construction and better serve people's health, our hospital has always insisted on paying attention to both spiritual civilization and material civilization, focusing on improving the overall quality of the staff of the hospital, taking the construction of professional ethics as the guide, deepening the establishment of the "People's Rest assured Hospital" as the carrier, sincerely uniting, advancing with the times, pioneering and innovating, and doing solid work. Through deepening the reform and carrying out colorful activities, we have created a strong atmosphere of civilized medical practice, excellent service, purification, optimization and beautification of the environment in our hospital, and achieved good results in the construction of professional ethics in our hospital. In the torrent of competition, hospitals show a good trend of overall stability, steady improvement of social and economic benefits and all-round development.
Leaders attach great importance to improving organizational construction;
The hospital leadership attaches great importance to the construction of professional ethics and always puts the creation work on the important agenda. Facing the increasingly arduous and arduous situation and task of health reform, we should pay close attention to the team's self-construction and ideological style construction, strengthen control by stressing politics, unity, cohesion, purpose, appeal, discipline, self-control, supervision and binding force, and promote the team members to keep pace with the times ideologically, emotionally integrate into the workforce, be pragmatic in style, be strict with themselves in life, and always maintain a good mental outlook and high morale at work.
With ideological education as the core and professional ethics construction as the main line, we should strengthen the connotation construction of hospitals and strive to build hospital brands.
Vigorously advocate dedication, diligence and selfless dedication. Through the education of situation and task, civic morality, medical staff's professional ethics, medical accident handling regulations and health laws and regulations, medical staff's service etiquette education, advanced character deeds education, etc., we pay attention to excavating, cultivating and popularizing advanced models in our work, educate and infect people with the power of role models, motivate employees to be high-spirited and enterprising, guide employees to learn and catch up with the advanced, strive to form a working atmosphere where advanced deeds and lofty spirit coexist, and sing a positive song of triumph. As a result, employees have a better understanding of the professional behavior, discipline and responsibility of medical staff, their service concept, innovative consciousness and ideal pursuit have been further sublimated, and their comprehensive quality and enthusiasm for participating in spiritual civilization construction have been improved. Actively carry out various cultural and recreational activities for employees. Create a harmonious working environment and realize the activities and arrangements of major festivals. In order to celebrate July 1 day, "Knowledge Contest for Celebrating Nurses' Day 5. 12" and "Square Performance" were held. While enriching the cultural life of employees, the education of loving the party, the hospital and the post was carried out, which not only created the cultural atmosphere of the hospital, but also enriched the amateur life of employees.
Various forms of send warm and caring activities have been carried out.
According to the actual situation of the hospital, our hospital organized medical staff to carry out free clinic activities in surrounding villages all the year round, and achieved the goal of sending doctors and medicines home. The number of free clinics in rural areas reached more than 10, with more than 20 participants and more than 500 patients treated free of charge, which facilitated farmers' friends to seek medical treatment. Both benefits have been significantly improved. Through our efforts, we have won unanimous praise from all walks of life and patients. Thank-you letters and banners are increasing day by day, and our reputation is constantly improving. The news media has repeatedly reported that our business income has increased by 28% and 8%, and the number of outpatients and inpatients has increased day by day. Per capita income has increased by 15 and 3%, and hardware construction has been increasing.
While affirming the achievements, we also recognize the existing difficulties and problems:
First, from the perspective of development gap, compared with hospitals at the same level in the city, the gap is outstanding; Second, the construction of spiritual civilization is not solid enough; Third, there are still weak links in the construction of cadres' work style, and the ideological style and work style of some party member cadres have not fully adapted to the requirements of reform and development. In the future work, we must attach great importance to it, take effective measures and persist in solving it seriously by means of reform and development.
For more than half a year, our hospital's professional ethics construction has always adhered to the service tenet of "patient-centered", insisted on testing all work with patient satisfaction as the standard, and gradually formed a good atmosphere of stressing learning, politics, righteousness, unity, civilization and dedication, which made the hospital's reform and development achieve remarkable social and economic benefits. We deeply realize that under the new situation of health reform, we must pay special attention to the construction of spiritual civilization, adhere to the working standards of people's dissatisfaction, unhappiness and disapproval, and strive to establish an internal operating mechanism with goals, responsibilities, incentives, constraints, competition and vitality to effectively provide patients with satisfactory medical and health services. Only in this way can we keep pace with the times, innovate constantly and strive to achieve good results.
Under the correct leadership of the superior health administrative department, the staff of our hospital carry forward the spirit of "kindness, harmony, honesty and dedication" and adhere to "patient-centered, quality service; With quality as the core, heal the wounded and rescue the dying, implement the service concept of "serving with heart and creating emotion", and take "scientific management, exquisite technology, advanced equipment, excellent service, first-class environment and humanistic care" as the main line, implement the development strategy of "building hospitals with talents, strengthening hospitals with science and technology, developing hospitals with characteristics and reforming hospitals" to promote reform. It has been commended by the municipal party committee and municipal government for many times as a municipal civilized unit, and won the titles of "Honesty Hospital", "20xx Civilized Industry" and "National Women's Civilized Demonstration Post" in Xuancheng City.
Professional ethics construction is an important part of hospital spiritual civilization construction. Taking the "Hospital Management Year" as an opportunity, our hospital integrated the work of professional ethics construction into it, and specifically did the following work:
First, strengthen organizational leadership, improve organizational structure and improve organizational measures.
In order to implement the construction of professional ethics, a leading group for the construction of professional ethics in hospitals was established, with the dean as the leader, the dean in charge as the deputy leader, and the hospital affairs meeting as the member. Under the leading group, there is an ethics construction office, and the heads of various functional departments jointly participate in the specific operation of ethics construction. Formulated the "Implementation Plan for Work Style Construction of People's Hospital of * *" to ensure that the special rectification work will not go through the motions and be implemented.
Second, systematically carry out professional ethics education and strengthen social supervision and self-restraint mechanisms.
1. Deepen professional ethics education and strengthen connotation construction. Starting with improving ideological and political quality and hospital culture construction, we should strengthen the concept of medical staff's dedication to their jobs and honesty for the people, enhance their sense of responsibility and honor, and improve their consciousness of obeying the law and practicing medicine honestly. Make a quality learning plan for employees every month, not only organize medical staff to learn the "eight prohibitions" issued by the Ministry of Health, the "ten prohibitions" issued by the Health Department of Anhui Province and the eight service commitments, but also strengthen the training of professional ethics related knowledge such as honest service and humanistic service, and also make exquisite publicity boards to hang in eye-catching positions for medical staff to remember. In medical activities, medical personnel are not allowed to take advantage of their position to accept or ask for "red envelopes", gifts and banquets from patients and their relatives and friends. Those who violate the "eight industry disciplines" and "ten prohibitions" will be punished according to the regulations and will never be soft.
2. Conduct extensive investigations and strengthen social supervision. In order to strengthen the construction of professional ethics, our hospital announced ten service commitments to the society, and at the same time, departments made commitments to hospitals and individuals, and hired leaders and comrades of CPPCC, Commission for Discipline Inspection, Consumers Association, Price Committee, Bureau of Retired Veteran Cadres, newspapers, TV stations, Xijin Street Office, courts, neighborhood committees and other units as hospital professional ethics supervisors, and conducted quarterly satisfaction surveys to understand the medical quality and nursing quality in medical and health services. At the same time, through electronic screens, major newspapers, announcements and other forms, publicize the disciplinary provisions of professional ethics to patients and the society, consciously accept supervision, and set up the dean's e-mail, suggestion box and telephone number to deal with the problems reflected by the masses.
3, establish and improve the mass complaint reception mechanism, seriously accept and receive letters and visits from the masses. Strictly implement the "first visit responsibility system", establish and improve the complaint procedure, encourage real-name reporting, strengthen supervision and supervision, and ensure that reports must be answered and handled. At the same time, seriously accept, properly handle, do not shirk, do not perfunctory, do not intensify contradictions, timely organize investigation and verification of the problems reflected, and put forward handling opinions. Verify, process and feedback the investigation.
Third, implement the service concept of "serving with heart and creating emotion" and establish a people-oriented honest service system.
1, define the service purpose: adhere to "patient-centered, quality service; Taking quality as the core and saving lives to heal the wounded and rescue the dying "as the service tenet, we guarantee patients' rights when seeking medical treatment and provide humanized services for patients. Therefore, when formulating policies and guidelines, we should resolutely take patients as the center, take patients' satisfaction as the standard, fully respect and understand patients' needs, and start from trivial matters. In addition, logistics support personnel actively change their posts, change passive service into active service, provide medical security, and provide patients with efficient, fast, convenient and comfortable services. Understand and understand the pain of patients, solve the difficulties and inconveniences of patients, add a window of outpatient registration fee, and solve the phenomenon of crowded outpatient service and long queue of registration fee; At the same time, set up a medical guide desk and arrange two nurses to guide the doctor; The pharmacy arranges 5 people to deliver medicine to the inpatient ward; Introduce dynamic air disinfection system to ensure the safety of patients' operation; Install central air conditioning in outpatient and inpatient departments to provide a good medical environment; Give patients more spiritual care and comfort besides treatment, and communicate with patients orally, physically and psychologically, such as strictly demanding the standardization and implementation of the conversation system, including admission talk, preoperative talk, anesthesia talk, adverse drug reaction talk, injury examination and treatment talk, postoperative talk, discharge talk, etc. , and stipulate civilized terms and taboos, and standardize service behavior; Do everything possible to solve the patient's medical suffering, do everything possible to solve the patient's problems, and care for the patient everywhere. The service desk provides boiled water free of charge for 24 hours, guides doctors to provide consultation, takes various checklists for patients, and takes medicine for veteran cadres to provide warm service for patients.
2. Establish the concept of honest service and enhance the brand awareness of honest hospitals. It is necessary to combine the work practice of "price service into ten thousand families", "price integrity unit" and "enterprise alliance with good faith commitment", take people-oriented and good faith service as the important content of the current industry style construction, establish a complete work system, and truly implement it in all aspects of service work. In addition, activities such as establishing civilized hospitals, establishing civilized women's demonstration posts and standardizing civilized words and deeds have been carried out one after another.
3. Strengthen medical safety measures to prevent medical accidents. Organize medical personnel to seriously study the Regulations on Handling Medical Accidents, the Law on Medical Practitioners, the Drug Administration Law and other relevant laws and regulations, enhance their sense of responsibility, carry out in-depth analysis of typical cases and medical accident case education, and improve medical standards. Educate medical staff to respect the scientific laws of medical and health care, consciously abide by various rules and regulations, practice medicine in strict accordance with the law, abide by medical operation procedures, fully implement the responsibility system of three inspections, seven pairs, three rounds and first consultation, and strive to put an end to medical accidents and reduce medical errors.
Four, the implementation of medical and health fees sunshine project, put an end to the unreasonable medical burden of patients.
1, adhere to the publicity system of various medical service charges. Publicize service items and prices through electronic display screens, bulletin boards, price lists, etc. In case of price adjustment, timely update the publicity content, so as to clearly mark the price. We will implement the list system of outpatient drug expenses and the list system of hospitalization for one day, so that patients can clearly see the doctor and clearly understand the consumption.
2, clean up and rectify unreasonable charges, put an end to the unreasonable economic burden of the masses in medical treatment. Adhere to the "National Medical Service Price Project Specification", the whole hospital adopts a microcomputer management system to charge fees uniformly, and it is strictly forbidden for any department or individual to charge fees privately in any name, so as to reduce the unreasonable burden of medical expenses of the people, and seriously investigate and deal with behaviors that infringe the interests of patients such as driving hitchhiking drugs and doing hitchhiking inspections, so as to treat patients due to illness and further improve the transparency of various inspections. At the same time, the policy of "three reductions and one exemption" is implemented for some poor people, that is, the bed fee is 40%, the medicine fee is 10 ~ 15%, the large-scale inspection is 30%, and the registration fee is free. This year alone, 55 people were exempted, amounting to nearly 40,000 yuan. In addition, an effective supervision and inspection mechanism has been established, and the financial department has also strengthened accounting supervision to ensure the accuracy of medical treatment, fees and drug prices. It is strictly forbidden to collect fees at random, and strive to make patients spend less money and be optimistic about the disease.
Five, the implementation of centralized bidding procurement system, and constantly reduce the operating costs of hospitals, do our best to benefit the people and serve the society.
Strictly implement the national centralized bidding and purchasing policy for drugs, medical consumables, reagents, instruments and equipment, general supplies, infrastructure projects and other projects. In the bidding process, the number of bidders shall not be less than three. In the bidding process, business departments, leaders in charge of the institute, discipline inspection and supervision, trade unions, finance, experts and other personnel must always participate, adhere to the principle of "fairness, openness and justice", determine the winning bidder on the spot through collective discussion, prevent the occurrence of "black-box operation", and sign letters of responsibility with all suppliers to prohibit improper behavior. It saved the operating cost for the hospital, especially the centralized bidding and purchasing of drugs was 2.52 million yuan, which directly benefited patients 360,000 yuan. Before the hospital 10 months, the drug income only accounted for 4 1 of the total hospital income, which was in the forefront of hospitals directly under the city.
Sixth, establish an advanced model of moral construction and increase the propaganda of moral work.
1, vigorously promote the healthy atmosphere of the industry, and pay attention to the publicity of the construction of professional ethics. Give full play to the role of the news media, and do a good job in the propaganda of the work style construction of the health industry. Carry out publicity through newspapers, cable radio stations, billboards and other forms, regularly publish hospital newspapers, and launch online medical services such as medical care knowledge and consultation on the website.
2. Strengthen positive guidance and set an example for the industry. Extensively carry out activities to learn from advanced figures, and stimulate the sense of responsibility, mission and positive work enthusiasm of cadres and workers. Commend and reward advanced departments and individuals with noble medical ethics and excellent service, give full play to the typical call and incentive role, form a good industry atmosphere, and promote the continuous improvement of hospital industry image.