The unforgettable work life is over. Looking back at the efforts during this period, there are defects. It's time to record them in the self-inspection report. In order to avoid your headache in writing the self-examination report, the following is a sample of the self-examination report of hospital infection collected by me, which is for your reference only and I hope it will help you.
Hospital infection self-inspection report 1 According to the spirit of the xx meeting of the Municipal Health Bureau, thoroughly implement the Measures for Hospital Infection Management, carefully find out the problems existing in hospital infection management, further strengthen hospital infection management, effectively prevent and control infectious disease pathogens, hospital infection and iatrogenic infection, and ensure people's health and life safety. The leaders of the hospital attached great importance to it, and the dean personally organized and implemented it. Before July 3 1, the self-examination and self-correction of hospital infection management was fully standardized and scientific.
First, strengthen organizational leadership to ensure the smooth development of hospital infection management.
There are hospital infection committees in our hospital, hospital infection management teams in departments, and hospital infection control doctors and nurses in departments. Responsible for the control of the whole hospital in the hospital sense group headed by the competent dean and guide the lower departments. Supervise at least twice a week at ordinary times, conduct standardized inspection once a week, and report the problems existing in the whole hospital to the hospital leading group. Each clinical department has a special person who is responsible for the monitoring of the undergraduate course, and reports the relevant situation to the hospital infection group on time. Due to the implementation of the work at different levels, the smooth development of hospital infection management in our hospital was ensured.
Second, seriously carry out self-examination and self-correction.
After several days of self-examination, there are still some problems in our hospital:
(1) The employees' knowledge and awareness of hospital infection control are weak.
(2) Some departments are not equipped with complete disinfection and cleaning hardware.
⑶ Some medical staff have insufficient knowledge of hospital infection control system.
(4) The details of infection control in some departments are not enough.
5] Some departments have incomplete infection registration. The registration of multidrug-resistant bacteria in some wards is not timely enough.
In view of the problems existing in our hospital, the hospital infection management team analyzed them one by one, tried to find ways and measures to solve the existing practical problems, and put forward rectification measures:
(1) Establish an organization with clear responsibilities, and the responsibility lies with people.
⑵ Improve and perfect the system to bind people.
(3) The relevant departments have applied in writing to the hospital for purchasing equipment, and the departments have installed hand sanitizer anti-pollution shelves. In order to better increase the compliance of medical staff to wash their hands.
⑷ Make a training plan for hospital infection to improve the ideological consciousness of medical staff. It is planned to train the new edition of Technical Specification for Disinfection in the near future.
5] Carry out indoor and outdoor sanitation and cleaning. With the participation of cleaning company, the hospital environment will be improved.
[6] Do a good job in the registration of hospital infection-related activities.
(7) The sense control department strengthens supervision.
Third, further improve the management system and implement it.
Hospital infection management system is the basis and important guarantee for doing a good job in hospital infection. A scientific and practical management system has been formulated, and the systems of hospital infection management, disinfection and isolation of various departments, hospital infection report and logistics sewage treatment have been improved. Standardize the behavior of hospital staff. Strengthening the system construction and research, and conscientiously implementing it are extremely important to improve the awareness of prevention and reduce the incidence of hospital infection. Give full play to the binding role of the system, so that all work can be implemented.
Four, continue to pay special attention to the disinfection and isolation of clinical departments, infection monitoring.
1. According to the Law on the Prevention and Control of Infectious Diseases, the Measures for the Administration of Disinfection and the Regulations on the Administration of Hospital Infection, the hospital has strengthened the disinfection isolation and infection monitoring of clinical departments. Check once a month, and handle problems in time when found. When infectious patients are found, they should register and report the epidemic situation in time. Toxic, harmful and infectious sewage and dirt must be disinfected. In addition to strict disinfection of reusable items, the utilization rate of disposable sterile medical supplies is improved and the possibility of hospital infection is greatly reduced.
2. Strengthen the monitoring of hand surface, object surface, air, disinfectant, ultraviolet intensity, pressure steam sterilization packaging, etc. Nursing staff in clinical departments.
3, the hospital leading group to the department every day to understand whether there are cases of nosocomial infection, whether there are omissions, misstatements, and so on and so forth. All departments should register the hospital infection cases found in time and report them to the Infection Control Department for corresponding treatment.
4. Hospitals should do well in environmental hygiene, indoor hygiene, personal hygiene and food hygiene, strengthen health publicity and education for patients, and create a clean, quiet, comfortable and safe medical environment for patients.
Five, the management of disposable supplies, to ensure the medical safety of patients, to prevent social pollution.
In this self-inspection, all disposable supplies purchased by our hospital are unqualified. The storage management of disposable sterile medical supplies was strengthened, and they were stored off the ground and off the wall as required. Every quarter, the hospital checks the disposable sterile medical supplies stored in the warehouse and various departments, and the nursing staff strictly checks them before use to prevent the expired disposable supplies from being used by patients. Due to strict control, no patients used unqualified disposable sterile medical supplies. For used disposable articles, all departments have always insisted on sorting them out of shape and centralized disposal by the medical waste disposal center.
Six, strengthen the training of hospital infection knowledge, improve the awareness of hospital staff to control hospital infection.
Combined with the actual situation of our hospital, the Infection Control Department organized the training of Technical Specification for Disinfection, Management of Medical Waste, Diagnosis of Hepatitis C and related laws and regulations in the first half of the year, which enhanced everyone's awareness of preventing and controlling nosocomial infection. Improve the level of prevention and control of nosocomial infection in our hospital. However, there are still some deficiencies in hospital infection control in our hospital, such as the diagnosis, reporting and statistics of hospital infection cases, which need to be continuously improved and perfected in the future. We believe that as long as we constantly sum up experience and learn with an open mind, we will do a better job in hospital infection control.
Hospital infection self-inspection report 2 According to the spirit of the special inspection of infection management carried out by the Health Bureau, the hospital infection management is further strengthened, the hospital infection prevention and control ability is enhanced, and people's health is guaranteed. The leaders of the hospital attached great importance to it, and the dean personally organized and implemented it. From establishing organization, perfecting system and responsibilities to front-line inspectors, hospital infection management should be carried out with emphasis, orientation and measures. Xx month, 20xx, conducted a self-examination on hospital infection, and now the results of the self-examination are reported as follows:
A, hospital infection organization
1, the leader is in command, the top leader personally grasps, and the dean is in charge of the specific grasp. A hospital infection management committee and a hospital infection management team were established, which were attached importance by the leaders, with complete organization, clear responsibilities and division of responsibilities. Hold special work meetings every quarter, inspect departments every month, supervise hospital infection, and conduct daily supervision and inspection at any time. Due to the attention of leaders, responsibilities at all levels are clear and work well.
2, hospital infection management team is responsible for the daily work of hospital infection.
3, often check the medical records, do a good job of missing hospital infection cases.
4. Formulate and implement various rules and regulations of hospital infection management, such as disinfection and isolation system, hospital infection case registration system, aseptic operation system and infectious disease reporting system.
5. Pay special attention to publicity, education and training, and conduct hospital infection management and infectious disease knowledge training for the medical staff in the hospital every month, and assess them twice a year.
6. There are monthly and quarterly hospital infection data report and analysis. Up to now, the rate of missing reports of infectious diseases is 0.
Two, improve the monitoring system, hospital infection monitoring has been effectively implemented:
1, each department monitors the air, object surface and staff hands once a month.
2. Monitor disinfectants in use (spraying essence, spraying iodine and collecting dialdehyde, etc.). ) once a month, and monitor chlorine-containing disinfectants every day.
3. Monitor the intensity of ultraviolet lamp once a year in February.
4. Pressure steam furnace (each sterilization package has a chemical indicator card).
5. Disposable articles (syringes, infusion sets, etc.). ) should be recycled after destruction.
6. The pharmacy department has a strict monitoring system for the use of antibacterial drugs.
7, hospital infection management team for key departments to take a combination of regular monitoring and irregular spot checks.
8. Bacteria monitoring in operating room, delivery room and supply room of key departments of the hospital can basically meet the standard.
9. Strengthen the management of key links in hospital infection prevention and control. The infection rate of surgical site was 0, and the infection rate of invasive operation such as indwelling catheter was 65438 0%.
10, medical staff strictly implement hand hygiene standards, strictly implement aseptic operation and hospital isolation technology.
Third, rational use of antibacterial drugs.
Fourth, the existing problems:
1, some departments do not attach importance to hospital infection, and the written records of hospital infection are incomplete.
2. Sterile solvents and disinfectants are not dated.
3. The use of sharps box is not standardized, and the aseptic cylinder is not replaced in time.
4. Some nurses' aseptic operation is not strict enough, such as not wearing a mask during treatment.
Verb (abbreviation of verb) rectification measures:
1, the concept of disinfection and sterilization needs to be strengthened.
2, the hospital feeling records in a timely manner.
3. Strengthen the occupational safety protection of medical personnel, and further strengthen the operation of aseptic technology and the use of aseptic items.
4. Strictly implement the Regulations on the Management of Medical Wastes and standardize the management of medical wastes.
5. Further strengthen the training and study of medical personnel.
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