1. Quality self-inspection report
In order to implement the quality inspection of drugs and medical devices in our hospital by the US Food and Drug Administration, ensure the safe and effective use of medical devices by the people, and standardize the use and management of drugs. The hospital set up a self-inspection team headed by the dean in charge, and conducted self-inspection one by one in accordance with the Drug Administration Law, the Quality Management Standard for Drug Use and the Standard for Regulating Pharmacy Work. The self-inspection team has done a lot of detailed self-inspection work, and the self-inspection report is as follows: 1. Institutions, personnel and systems:
Our hospital has legal qualifications such as practicing license of medical institutions. A drug quality management organization was established, which was composed of the director, the head of pharmacy department, the head of pharmacy, the head of quality and the buyer, and defined the responsibilities of personnel and organizations at all levels. At the same time, various quality management systems have been formulated, continuing education and training plans have been established, and the quality of personnel has been improved. Conduct annual health check-ups for those who have direct contact with drugs in pharmaceutical work, and establish health files to ensure the safety and effectiveness of drug use.
Second, the procurement and acceptance:
Purchased drugs in strict accordance with the centralized drug procurement system formulated by the Health Bureau. Purchasing drugs from enterprises with pharmaceutical production and business qualifications; The acceptance of drugs in storage shall be carried out in strict accordance with the standard operating procedures, and the quality of drugs purchased and returned after sale shall be accepted batch by batch in strict accordance with the statutory quality standards and contract quality terms.
Three, the implementation of standardized pharmacy management system:
In strict accordance with the standard of standardized pharmacy, the hospital pharmacy, pharmacy library and outpatient pharmacy are managed.
Four, drug storage and maintenance:
The warehouse is divided into drug warehouse and medical device warehouse, and each warehouse is divided into qualified area, pending inspection area, unqualified area and return area. Each area is managed according to the regulations, that is, the qualified area is green, the returned area to be inspected is yellow, and the unqualified area is red. After acceptance, the drugs should be stored in a special warehouse and classified in strict accordance with the Drug Storage and Preservation System, and stored in the corresponding reservoir area according to the storage conditions and requirements of drugs. Drugs and non-drugs, drugs for internal use and external use, prescription drugs and over-the-counter drugs should be stored separately, and drugs and odorous dangerous goods should be stored separately from other drugs. Drugs should be piled up in a centralized way according to the batch number and expiration date, or piled up separately according to the order of batch number and expiration date. For drugs approaching the expiration date, an expiration date table should be filled out every month.
Five, the deployment of drugs:
Pharmacists must prepare drugs with prescriptions issued by registered medical practitioners, and drugs may not be prepared without prescriptions issued by doctors. Drug preparation should be carried out in strict accordance with the requirements of four checks and ten pairs, and distribution should follow the principles of "production first, distribution first", "distribution first in the near future" and distribution according to batch number.
Six, adverse reaction monitoring:
Establish an adverse drug reaction monitoring and management team, designate full-time or part-time personnel to be responsible for reporting and monitoring adverse drug reactions, establish and save adverse drug reaction monitoring files, actively collect adverse drug reactions, and report them through the national adverse drug reaction monitoring information network. The contents of the report shall be true, complete and accurate.
Seven, special drugs:
Special management drugs have safe storage measures that meet the requirements, and five special management methods are implemented, such as double locks for two people and matching accounts and goods. The purchased special drugs shall be accepted upon arrival, unpacked by two persons, counted according to the minimum package, and special acceptance records shall be kept. The returned, expired and unqualified specially managed drugs and wastes recovered according to regulations shall be destroyed under the supervision of the health department, and the destruction records shall meet the requirements.
Eight, problems found in the inspection:
Through the self-inspection team, all aspects of hospital drug use and quality management were self-inspected, including personnel organization, management system, hardware facilities, management records, etc., which basically met the requirements of drug use quality management norms. However, we also found some shortcomings, such as poor sanitary conditions, irregular drug placement, irregular classification, unclear zoning, and insufficient written records in some places involving medical equipment. All stations, groups and departments shall be ordered to make serious rectification according to the system and implement it to people.
In actual work and implementation, there may be some subtle problems that are easily overlooked. I hope the superior leaders will put forward valuable opinions on our work. In the future work, we will make persistent efforts to do a better job in pharmaceutical affairs in our hospital and ensure the safety of people's medication.
2. Quality self-inspection report
According to the requirements of the Notice on Carrying out the General Inspection of the Supply of Commissary in the City (X Shang Han Liang [20xx] 104), our bureau attaches great importance to it and organizes relevant personnel to conduct self-inspection on the supply quality of commissary. The relevant information is hereby notified as follows. First, the supply policy and quality supervision of the canteen
In order to conscientiously implement the Measures for the Quality Management of Commissary of the State Grain Bureau, further improve the supply quality management system of commissary, strengthen the quality supervision responsibility of commissary, improve the quality management level of commissary, and ensure the assured supply of grain and oil, our bureau first strengthens leadership, and the deputy director in charge personally grasps the supply of commissary to ensure the smooth development of the supply of commissary; The second is to implement the responsibility, specifically to implement a responsible person, keep in touch with the troops on a regular basis, handle problems in time when they are found, and ensure that the quality of grain and oil supplied is intact, the quantity is accurate and the supply is timely.
Second, the implementation of the quality system of the canteen
In order to correctly grasp and implement the quality management system of the commissary, our bureau first conscientiously implements the Measures for the Quality Management of the Commissary of the State Grain Bureau; The second is to improve the ration quality management system and strengthen the responsibility of ration quality management; The third is to formulate the responsibility system for the quality of military grain supply, implement the responsibility system management, and be responsible at all levels to ensure the quality of grain and oil supply; The fourth is to formulate a traceability system for food quality and safety, improve the management level of food quality and safety, and ensure the safety of food use in the army.
Three. Sampling inspection of supply quality of canteen
The supply sources of commissary of grain and oil companies under our bureau are strictly in accordance with the requirements of the Municipal Grain Bureau, and all of them are purchased by qualified commissary fixed-point processing enterprises. The quality and hygiene of the company meet the national standards. The company has laboratories and testing equipment, and two people have obtained the qualification certificate of grain and oil inspection issued by the State Grain Bureau, and carry out sampling inspection on military grain at any time to ensure the quality and safety of military grain.
Four. social survey
In the management of commissary supply, our bureau strictly implements the commissary supply policy, and the commissary supply is delivered to the door, making it as convenient as possible for the troops. According to the needs of the army, adjust the varieties of grain and oil, exchange needed goods and meet the supply. Adhere to the holidays to visit the army, get together with the officers and men of the army, hold a forum, and listen to their opinions and suggestions on the supply of rations. Everyone got together, talked freely and cordially, which enhanced the feelings between the military and the people, seriously improved the service attitude and consciously accepted the supervision of the army. The supply work was well received by the officers and men of the army.
Five, carry forward the achievements, continue to do a good job in food supply.
In the future work, our bureau will continue to actively explore new ideas and measures for the supply of commissary, further enhance the national defense awareness of employees, and earnestly do a good job in the logistics support of the troops. With a high sense of political responsibility, our bureau will continue to strengthen the supply quality management of the commissary, ensure the demand of the troops for the supply of the commissary, further improve the quality services such as telephone reservation, variety adjustment and home delivery, provide strong material support for the troops, and strive to raise the supply of the commissary in our county to a new level.
3. Quality self-inspection report
According to the requirements of the Notice of the Office of the Forestry Department of xxxxxxxx on Doing a Good Job in the Administrative Law Enforcement and Quality Inspection of Forest Seedlings in the Region in 20xx, our bureau organized and carried out the quality inspection of forest seedlings in the whole city in late 20xx, and the Municipal Forestry (Garden) Technology Extension Station was responsible for conducting spot checks on the quality, production and management of forest seedlings in xxx city. The inspection situation is now reported as follows. I. Basic information
(1) Spot check scope
Tree seeds and seedlings used in afforestation of key forestry projects in counties (cities) and districts of the city. Seeds and seedlings produced and operated by key forest seed breeding bases, all forest seed breeding and seed collection bases in the city, and units enjoying subsidies for forest seed breeding. Tree seeds operated by subsidiaries.
(2) Sampling method
The above-mentioned units should conduct self-examination according to the requirements of the Notice of the Office of the Forestry Department in xxxxxxxx on Doing a Good Job in Administrative Law Enforcement and Quality Inspection of Forest Seedlings in the Region. City Forestry (Garden) Technology Extension Station conducts spot checks on the basis of self-examination of each unit, and the spot checks are conducted by combining random spot checks with fixed-point spot checks.
(3) Spot check content
1, implement the licensing and labeling system for the production and operation of forest seedlings.
2, forest seedling quality self-inspection.
3, the establishment and improvement of archives (paper, pictures, electronic documents).
4. Determination of seed-collecting forest and announcement of seed-collecting period.
5. Production, storage and quality of afforestation seedlings in spring of 20xx.
6, the source of forest seeds.
7, the main forest species trial (recognition) and the use of improved varieties.
8, sampling seed, mainly including purity, germination rate (or viability, or goodness), water content.
9. Sampling inspection of seedlings mainly includes comprehensive control conditions, seedling height, ground diameter and root system.
Second, the results of spot checks
(a) the production and operation of forest seedlings shall be subject to the licensing and labeling system.
Among the randomly selected 15 seedling production and operation units, 15 have the license for tree seedling production and operation, and the license rate for seedling production and operation reaches 100%. The implementation rate of the seedling identification system in the spot check unit reached 87%. The main problem is that the format and content of the label are incomplete and irregular.
(B) the establishment and improvement of archives
According to the sampling results, the 15 seedling production and business operation unit established the seedling use management file, and the filing rate reached 40%, which was greatly improved compared with previous years.
(three) the production, storage and quality of afforestation seedlings in 20xx years
This time, four tree species and four seedling batches were randomly selected in the whole city. The main tree species were Populus hopeiensis, Robinia pseudoacacia, Ulmus pumila and Ailanthus altissima. There are 4 batches of qualified seedlings, and the qualified rate is 100%. See Table 2 for the measured data and judgment results of seedling quality of each batch.
Third, spot check analysis
The results of this spot check show that the seedling production and business operation units in xxx City have well implemented various seedling management systems such as seedling license, label and file, and the seedling quality has also been improved to some extent. However, there are still some problems in the implementation of the relevant management system, mainly the file content is not standardized, the self-inspection record of seedlings is missing, the source of seedlings is unknown, the improved varieties have no use certificate, and the establishment of seedlings use files is not perfect.
Four. Comments and suggestions
(a) to strengthen the seedling law enforcement management team.
Seedling law enforcement management team is the premise of seedling law enforcement management. Forestry authorities should actively create conditions, strengthen training, and improve the professional level of seedling law enforcement management team.
(2) Strengthen infrastructure construction.
At present, the infrastructure of seedling law enforcement and management institutions in our city is weak, and the relevant departments at higher levels should increase investment, improve the current situation of insufficient infrastructure construction of seedling law enforcement and management institutions in our city, improve equipment, and improve service capacity and law enforcement supervision and management level.
(three) to strengthen the publicity of the relevant provisions of the production and operation of seedlings.
The inspection found that some seedling production and business units lacked understanding of the national laws and regulations on forest seedlings and were not active enough in implementing relevant rules and regulations. In the future, they should strengthen publicity and raise employees' awareness of law-abiding.
4. Quality self-inspection report
In order to implement the spirit of the document 19971February 1 1/. X city social medical word 20xx29, responding to the requirements of service quality management evaluation and hierarchical management in medical insurance bureau of xx city; The results of the 20xx annual self-inspection are summarized as follows: Under the correct leadership of the higher authorities, our hospital strictly abides by the relevant national, provincial and municipal laws and regulations on medical insurance and conscientiously implements the medical insurance policy.
First, attach great importance to it, strengthen leadership and have a sound medical insurance responsibility system.
Since our hospital became a designated medical insurance hospital, it has been hanging a designated medical insurance signboard in a conspicuous position; Under the correct leadership and guidance of the medical insurance bureau, establish and improve various rules and regulations and leasing institutions, set up a leading group with xxx as the team leader and xxx as the deputy team leader, and appointed xxx as the full-time manager; At the same time, the hospital internal management system and measures adapted to the basic medical insurance management system have been established, such as the basic medical insurance referral system, hospitalization process, medical insurance work system, fee bill management system, outpatient service system, etc. Regularly publicize the policies and regulations of basic medical insurance on the hospital bulletin board, announce the complaint telephone number 1590000000, medical insurance process and various charging standards, make annual plans at the beginning of the year, and summarize the work for the whole year at the end of the year; Attach great importance to the medical insurance meetings organized by higher authorities, so as not to be absent, late or leave early, take seriously the tasks assigned by the medical insurance bureau, and submit data and statements on time.
Two, medical insurance outpatient medical records and prescription management
Since its establishment, our hospital has always advocated providing quality services, improving facilities and convenient medical treatment for insured persons. Strictly implement the routine of diagnosis and nursing, conscientiously implement the responsibility system of the first-visit doctor and all kinds of responsibility systems, emphasize the integrity of medical records, and have full-time staff to sort out and file the prescriptions and medical records issued by doctors; Regularly organize doctors to carry out business and professional ethics training, so as to be responsible for patients from the patient's point of view, not to over-examine and abuse drugs, and to conduct reasonable examination and treatment and rational drug use according to the patient's condition; Carefully verify the identity of medical personnel to prevent impersonation; Fees for drugs, medical treatment items and medical service facilities shall be clearly marked, and a detailed list of fees shall be provided to patients. Strictly implement the basic medical insurance drug management regulations, and strictly implement the medical insurance drug approval system.
Three, medical insurance hospitalization system
In terms of hospitalization of insured persons, first, strictly implement the routine diagnosis and treatment and technical operation procedures, and conscientiously implement the responsibility system for first-time doctors, the three-level doctors' rounds, the handover system, the discussion system for difficult and critical medical records, the medical record writing system, the consultation system and the surgical grading management system. Improve the medical quality management control system. Second, all kinds of documents are complete, clear, true and accurate, and the records of doctor's orders and various inspections and charges are complete and clear, and the list of hospitalization expenses is provided to patients, and the voluntary project notification system is earnestly implemented without being forced. Third, in strict accordance with the medical insurance standards, personal expenses are strictly controlled within 30%, and expenses beyond the scope of medical insurance are strictly controlled within 15%.
Fourth, admission criteria.
In terms of admission, first, in terms of admission, strictly verify the identity of the admitted personnel, resolutely put an end to the phenomenon of impersonation, actively verify whether there is a phenomenon of hanging bed in hospital during hospitalization, and stop it together when it is found. The second is to formulate a reasonable diagnosis and treatment plan according to the condition, give full consideration to patients, do not extend or shorten the hospitalization time of patients, do not decompose the number of services, do not decompose the fees, and dispense drugs according to the prescribed dose. The third is to conscientiously implement the coincidence rate of admission diagnosis.
Verb (abbreviation for verb) special examination and treatment
In terms of special examination and treatment, our hospital requires doctors to make reasonable diagnosis and treatment plans according to the different situations of different patients. If you need special examination and treatment, you should fill in the application form seriously, carefully and truly, and handle it in strict accordance with the procedures. No violation or arbitrary charges.
Sixth, drug use
In the management and use of drugs, first, the fees for drugs, diagnosis and treatment projects and medical service facilities shall be clearly marked and a detailed list of fees shall be provided. Second, strictly implement the scope stipulated in the drug list, and may not expand or narrow the scope of drug use without authorization. For drugs and medical treatment items that are not listed by medical personnel, the consent of the insured must be obtained in advance. Third, there is no drug quality problem after inspection by the drug supervision department. Fourth, strictly follow the proportion of medical insurance drug expenses to total medical expenses, and resolutely put an end to such incidents.
5. Quality self-inspection report
According to the requirements of the Notice on Statistical Verification of Education issued by the superior, we actively cooperated with the Education Group to carry out this statistical verification of education, and our park conducted a comprehensive self-examination on the generation and reporting of educational statistical data. The self-inspection is now reported as follows: (1) Actively implement statistical laws and regulations; Submit relevant data in time and complete data statistics on time.
(two) basically improve the school statistical work rules and regulations, set up the original records in accordance with the provisions of the statistical system.
(3) Strengthen the management of statisticians. Our garden is specifically responsible for statistical work by specialized personnel, and the class teacher is specifically responsible for the collection and reporting of various data of each class, so as to ensure that the data are consistent inside and outside, without distortion or moisture.
(four) focus on checking the relevant data of the basic education database and the basic statistical statements submitted by the school:
1, the number of students in the park. By checking the database of the registered number of preschool schools, the registered number is consistent with the actual number in the park;
2. The number of teaching staff and full-time teachers is the same as the current one;
3. Campus land area. The land registration area is consistent with the actual use and area of school land;
4. School building area. Check and verify whether the building area of the school building (teaching administration building) is consistent with the figures reported in the database;
5. Fixed assets and teaching equipment. Through the inventory of fixed assets (teaching instruments and equipment), the data of fixed assets are basically consistent with the existing data of kindergartens;
6. Number of books. By checking the book records, the actual situation of books on the shelves is basically the same;
7. The classes of basic education basically meet the requirements.
(five) the establishment of archives, the establishment of children's roster and faculty roster, and updated in a timely manner. In order to strengthen data management and maintenance. We require the head teacher to communicate with the staff in charge of statistics frequently, report the changes of all kinds of data in time, and revise them in time when problems are found to ensure that the school base table is consistent with the reported database.
The above is the inspection of education statistics in our park. We are determined to take this educational statistical verification as an opportunity to further improve our work and update relevant data in time, so as to improve our educational statistical work day by day.