Hospital safety inspection report 1

In order to further strengthen hospital management, improve medical quality and ensure people's medical safety, according to the requirements of the municipal bureau, the medical department of our hospital organized relevant personnel to conduct a surprise inspection of medical safety hazards in our hospital and its health institutions. The inspection report is as follows:

I. Existing problems

1, the writing of medical documents is not standardized, and the records of some village clinics are not timely.

2. Village clinics have no or no standardized disinfection infection records.

3. The classification of medical wastes in village clinics is not standardized.

4. The management system of medical quality and safety in village clinics is not perfect, the disposal process is not clear, and the operability is not strong.

5. The infusion rate of clinics in the village is generally high.

6. The village clinic is not equipped with qualified fire fighting equipment as required.

7. The indoor circuits of Guangming, Zhongcun and Jiangshan village clinics are aging, which has serious security risks.

8. The outpatient building in Guangming Village is aging in structure, and there are many wooden structures, which have potential safety hazards.

9. Some oral drugs failed to write medical records in time, communicated with patients less, collected medical records incompletely, and failed to inform patients in place.

10, the identity of the patient was not verified when swiping the medical insurance card in the central health center, which led to the phenomenon that men and women shared gynecological drugs.

Second, the rectification measures

1. Strengthen the knowledge training for medical technicians to standardize the writing of medical documents, and arrange relevant personnel to conduct inspections every quarter to ensure that the writing of medical documents is timely, standardized and accurate.

2. Strengthen the training of hospital awareness knowledge for village clinic staff, and organize relevant personnel to conduct standardized surveys every quarter.

3, the village clinic staff focused on standardized classification of medical waste disposal learning, and check once every quarter.

4, strengthen the village clinic staff safety medical knowledge training, give standardized guidance to the village clinic medical quality and safety system and process.

5. Strengthen the regular and irregular inspection of the three rates of village clinics, and urge them to standardize drug use.

6. Organize village clinic staff to carry out safety production knowledge training and fire safety laws and regulations learning, improve safety production awareness, and urge them to actively rectify the existing safety hazards.

7. Strengthen communication with patients, collect complete medical history, and inform patients or their families when necessary.

8, medical insurance card to do a good job of identity verification, be sure to do each party must be correct, each party must check.

9. To order village clinics with insufficient safety conditions to carry out necessary environmental transformation to meet the requirements of safe production.

Hospital safety production self-inspection report II

According to the spirit of the document "Notice on Doing a Good Job in Health System Safety in Our District" issued by the District Health Bureau, the leaders of our center attach great importance to it. On June 19, the hospital held a meeting to convey the spirit of the meeting to all departments, and set up a leading group for safety production, with Bi Xiaonan, director of the center, as the leader. At the meeting, he asked all departments to carry out publicity and education on production safety, conduct self-examination, and conduct comprehensive, in-depth and meticulous inspections in hospitals.

First, strengthen safety education.

First of all, the center uses LED and TV to educate employees and patients about fire safety.

Secondly, all departments use the morning meeting time to lead employees to learn the knowledge of safety production, strengthen the education of safety production, fully understand the importance of doing a good job in safety production, and firmly establish the awareness of safety production;

Third, in daily work, every medical staff should pay special attention to the work of safety in production around them, so as to be careless in minor matters, resolutely overcome the idea of slackness and paralysis, and always put safety in production at the top of their work.

Second, the hospital carried out in-depth safety inspection.

The safety production team headed by Bi Xiaonan, director of the center, carried out a wide range of safety production inspections in the whole hospital. On the basis of drawing profound lessons from safety accidents and particularly serious fires, we should carefully investigate the loopholes and hidden dangers existing in hospital safety production, focusing on comprehensive, in-depth, thorough and meticulous safety inspection of outpatient department, ward, evacuation passage, fire-fighting facilities, power distribution room, monitoring room, toxic drugs, UPS, vehicle safety, flood control materials and medical safety, and strengthen supervision on the hidden dangers found, and make rectification within a time limit. It is necessary to assign personnel, responsibilities and measures to key positions and positions, and adhere to the safety inspection of the whole hospital to make the hospital safety inspection regular, institutionalized and normalized. The problems found can be rectified immediately, and people will be sent to rectify immediately. If it cannot be rectified on the spot, professionals will be arranged to deal with it immediately.

Three, strictly implement the responsibility system for production safety.

All departments are required to conscientiously implement the contents of the signed responsibility book for production safety, and the responsibilities are implemented to the departments. The director of the department is the head of the department and is responsible for the daily safety work of the department. Once there is a problem, the department will be investigated and the responsibility will be implemented to people. Strictly implement the on-the-job situation of night shift duty, ensure that all the personnel on duty at night in the department are on duty, especially the total value of night shift, and increase the intensity of night patrol to ensure that the total value personnel patrol inside and outside the hospital at night, and at the same time ensure the normal operation of monitoring for 24 hours. The dean in charge and the comprehensive office constantly improve the safety emergency plan, and handle problems at any time when they are found. For serious natural disasters, we should prevent, prepare and deal with them immediately after receiving the notice. In case of major accidents, report to the superior leaders in time, start the emergency plan in time, and organize personnel to handle it properly.

Four, for major accidents caused by safety in production, the hospital will seriously deal with.

For individuals, the bonus of that year will be deducted, and the first choice is not allowed. The department with production safety accidents will deduct 30% of the bonus of the department in the current month and will not be appraised at the end of the year. Through the inspection, the safety production management of our center, such as "four precautions" and "safety", has been strengthened, and the safety awareness and self-protection ability of employees have been obviously enhanced, and they can take the initiative to regard safety production as an important service concept. At the same time, the prevention and control of sudden safety has been strengthened to eliminate unsafe hidden dangers and prevent safety accidents. Ensure that the hospital's safety production work is in a good state, actively implement various safety work in the hospital, and provide safer and better services for patients.

Hospital safety inspection report 3

According to the spiritual requirements of the regional health system safety production work conference, combined with the actual situation, our hospital held a meeting in time, carefully deployed all the work, and carried out a safety medical inspection within the hospital. The self-inspection situation is summarized as follows:

I. Organization and mobilization

Dean held a meeting of competent leaders and departments to inspect key departments and posts in the hospital, and the competent leaders personally went to their posts to conduct on-site inspections, educating the staff of the whole hospital to do a good job in safety, avoiding accidents and eliminating hidden dangers affecting medical safety.

Second, check the content.

The hospital safety production leading group conducted a thorough inspection of the whole hospital, including the formulation and implementation of various safety production rules and regulations. Electricity consumption and fire fighting, inflammable and explosive dangerous goods management, medical safety management, etc. , as follows:

1, organizational leadership

The implementation of the leadership responsibility system is in good condition, and a leading group for production safety with President Xu, Vice President and Department Director as members has been set up. The personnel on duty are in place and all rules and regulations are sound.

2. Prevention of medical accidents.

The core system of medical safety has been implemented and rescue measures for critically ill patients have been put in place. Medical safety hardware facilities are perfect, and the facilities of supply room, operating room and other departments are standardized. Medical waste treatment rules and regulations are sound, and the treatment methods meet the standards, so that it is managed by special personnel and the responsibility lies with people.

3. Fire fighting

The emergency plan was established, the fire duty and fire drill system was improved, and the personnel and funds were put in place. The protection and monitoring measures of key departments are strict.

Third, self-examination found potential safety hazards.

1, some electrical lines are aging, some departments supply power privately, and some switches are damaged, which has hidden dangers.

2, the fire infrastructure construction is not perfect, the number of fire fighting equipment is not enough.

Fourth, the rectification measures

Through this self-inspection and rectification of safety production, our hospital found the weak links of safety production in our hospital, and we will take excellent measures to actively rectify and eliminate all kinds of safety accidents. The found safety hazards should be rectified in place within this week, when the leading group for safety production will conduct on-site inspection, and those who fail to rectify or fail to rectify within the time limit will be seriously investigated for responsibility.

Hospital safety inspection report 4

In order to implement the work of hospital safety in production, under the leadership of the leaders in charge of each hospital, our hospital organized three self-inspections on safety in production, and conducted emergency drills and training on elevator safety accidents. The relevant work is reported as follows:

First, seriously carry out safety self-inspection and strengthen safety awareness.

In order to conscientiously implement the spirit of the hospital work conference and do a good job in general logistics safety production during the New Year's Day and the Spring Festival, on February 18 and 18, the General Affairs Department of our hospital organized a working meeting for the heads of electrician, hydraulic engineer, tee joint, boiler and elevator teams, and the security department of our hospital organized a meeting for security personnel to convey the spirit of the hospital meeting and strengthen the awareness of safety precautions. Require each team to carry out pre-holiday safety quickly. On February 25th, 65438, each team organized the staff of this department to conduct a comprehensive safety inspection of all safety equipment and facilities in this department, and timely rectified the problems found in the inspection process, and made relevant records, thus realizing trace management.

Two, strengthen the emergency drill training, improve the ability of safe disposal.

In order to ensure the safe operation of the elevator, reduce and reduce the occurrence of elevator safety accidents, improve the emergency handling ability of elevator sudden safety accidents, and ensure the safe use of the elevator during the two festivals. 65438+February 19, led by the General Affairs Department, organized more than 50 security personnel, elevator drivers, emergency rescue personnel and general emergency rescue personnel in the security department, emergency department and medical service center, and invited professional safety management personnel of the elevator company to conduct a professional training on elevator structure, operation, safe use and emergency rescue in the conference room on the fourth floor of the clinic. At the same time, organize all trainers to simulate the emergency drills of sudden safety accidents such as hands caught in the vertical elevator hall door and clothes caught in the escalator. Through this training and two on-site drills, the elevator safety knowledge and emergency rescue ability of sudden safety accidents have been improved.

Third, do a good job in inspection and supervision, and comprehensively implement safety rectification.

On February 29th, 65438, the functional departments of our hospital inspected the production self-inspection in the safety team, and urged the implementation of the rectification. Through the inspection, it was found that the electrician class conducted a comprehensive inspection of transformers, high and low voltage distribution cabinets and diesel generators. , the company established 1 security risks. For the potential safety hazards that may be in poor contact with the bus cabinet providing ct power supply, it is planned to take the opportunity to rectify within one week. The hydraulic class conducted a comprehensive self-inspection of the secondary water supply and sewage treatment system, and the equipment was running well; Class 3 inspected the central air conditioning host system, central oxygen supply, positive and negative pressure machine room, and found no potential safety hazards; The boiler squad conducted a comprehensive inspection of the boiler, and inspected four pressure gauges in time, thus eliminating potential safety hazards in time; The elevator class conducted a safety self-inspection and investigation on 24 elevators in the whole hospital, replaced the safety signs in time, and timely replaced the elevator lock failure of outpatient 1 1, waiting for the manufacturer to deliver the goods to replace the motherboard of outpatient 13 elevator. This elevator has been ordered to stop using. During the inspection, it is found that the power-off leveling layer has expired, so it is recommended to ask a professional company to replace it in time. In terms of fire fighting, fire hydrants, fire extinguishers, etc. Check regularly every week, record problems and replace them in time.

Four, the implementation of three-level management system, improve the efficiency of production safety.

In order to do a good job in the safety production management in our hospital, comprehensively implement the two-level management system of the hospital and improve the safety production efficiency. According to the relevant regulations of the hospital and the management requirements of the secondary hospital, on June 3, 5438+February 3 1 day, the hospital leaders in charge of general affairs and logistics led the heads of the general affairs department to conduct a comprehensive safety inspection of the power generation room, water plant, laundry room, boiler room, central air conditioning room, central oxygen supply room, positive and negative pressure room and canteen, and to check the implementation of the production self-inspection of the safety team and the supervision and rectification of the secondary management by the general affairs department. During the inspection, verify the rectification situation and inspection records of each team, arrange the problems that cannot be rectified immediately, require the electrician class to complete the maintenance of the bus junction box within one week with relatively few patients at noon, eliminate potential safety hazards in time, and urge the elevator manufacturer to replace the elevator car roof motherboard and power-off floor in time to ensure the normal, safe and reliable operation of related equipment and facilities.

Safety self-inspection and inspection * * * found 6 potential safety hazards in general affairs and logistics, established rules and regulations to rectify 4, and rectified 2 potential safety hazards within a time limit. The general affairs section of our hospital will strengthen the supervision of rectification and report it in time. Through the self-inspection of safety production before the two festivals, the hidden dangers of safety production in general logistics and fire fighting were effectively eliminated, which provided a good safety guarantee for the logistics safety production during the two festivals in the hospital.

Hospital safety inspection report 5

According to the spirit of the document "Notice of the Office of the Health Department on Immediately Carrying out the Safety Inspection of the Medical and Health System in the Province" forwarded by the Health Bureau, our hospital immediately conducted a comprehensive self-examination and self-correction on medical safety, therapeutic instruments, oxygen, boilers, autoclaves, power distribution rooms, elevators and other water, electricity and gas equipment, inflammable and explosive, highly toxic drugs, fire safety and catastrophic emergency plans. The self-inspection situation is summarized as follows:

First, set up a safety inspection leading group, clarify responsibilities and pay close attention to implementation.

Set up a safety production leading group with the dean as the team leader, the dean in charge as the deputy team leader and the directors of various departments as the team members. Organize and hold a mobilization meeting for all employees' inspection. The Medical Department, the General Affairs Department and the Security Department jointly set up a supervision team to discuss and study all kinds of safety-related hidden dangers item by item, define the division of labor, assign responsibilities to people and implement them layer by layer. According to the principle of "who is in charge, who is responsible", sort out the contents of self-inspection, decompose the safety responsibilities layer by layer, and investigate them one by one. Immediately rectify the problems found, and the supervision team will strictly follow up and supervise them, and report the rectification plan and results to the leader of the safety inspection leading group for signature.

Second, in all fields, check item by item.

(1) medical safety.

Check the implementation and clinical pathway management of 15 medical core systems such as "first consultation responsibility system", "three-level physician rounds system", "difficult medical records discussion system", "consultation system" and "death medical records discussion system", and check whether the details management is strengthened in accordance with the requirements of "good service, good quality, good medical ethics and public satisfaction" in the implementation process of each system. The inspection results are as follows:

1, the medical quality management responsibilities at the hospital and department levels are clear, and the department rules and regulations, personnel responsibilities and workflow are put in place. As the first person in charge of the department, the department director can strictly control the basic medical quality, operation quality, nursing quality, medical record writing quality and various inspections, so as to implement a series of core contents such as medical quality and safety, strengthen medical service quality management and doctor-patient communication, and prevent medical disputes and medical accidents. A set of relatively perfect medical quality and safety management system has been formed.

2. Standardize medical behaviors and continuously promote clinical pathway management. As the first batch of pilot hospitals for clinical pathway implementation in Xi, our hospital has established clinical pathway technical management committee, clinical pathway guidance and evaluation team and clinical pathway implementation team, formulated clinical pathway management implementation plan and clinical pathway management regulations, and established clinical pathway management record books in various clinical departments to record the variation in time. Each department can choose the appropriate diseases as patients within the scope of the pilot diseases of the Ministry of Health in strict accordance with the regulations on clinical pathway management and the actual situation of the undergraduate course, and follow the implementation of the disease treatment model, so as to truly achieve reasonable inspection, rational drug use, reasonable treatment and reasonable charges. At the same time, we can analyze the variation factors, explore the causes of variation, put forward rectification opinions, correct the process deviation, and realize the transformation from terminal management to process management.

4, medical system in place, to ensure medical quality and medical safety. All management systems are clear and perfect. Provide comparative data and statistics of radiation diagnosis and operation, pathological diagnosis or discharge diagnosis, with special personnel in charge of machinery and equipment and maintenance, inspection and registration records; The management of medical imaging department conforms to the relevant requirements of the Regulations on the Management of Radiological Diagnosis and Treatment, and the medical technicians are relatively fixed, and the relevant personnel hold relevant certificates; The clinical laboratory strictly implements the critical value reporting system. After the critical value appears, the specimens, specimen collection, specimen sending, specimen receiving and specimen monitoring are rechecked and confirmed in strict accordance with the critical value processing flow, and the clinic is immediately notified to register in detail. All inspection professional groups carry out indoor and indoor quality control in strict accordance with relevant quality control standards. The laboratory biosafety management team is in the department, and the laboratory is equipped with necessary safety equipment and personal protective equipment according to the biological protection level, and medical waste and wastewater are treated in strict accordance with relevant regulations. Strictly implement the check system before blood transfusion, complete the signing of the consent form for blood transfusion treatment, and evaluate after blood transfusion, so as to achieve the purpose of rational and standardized blood use in clinic.

5. Improve the content of quality care. Optimizing the outpatient (emergency) service process and implementing "one-stop service" can provide health education and guidance to patients; It can provide standardized perioperative care for surgical patients and ensure the safety of patients; Carry out the holistic nursing work mode of ward responsibility system to provide patients with all-round, whole-course, professional and humanized nursing services. Nurses fully perform their nursing duties. The head nurse evaluates the key patients in the department every day, and makes a reasonable division of labor among nurses according to the patient's condition, nursing difficulty and technical requirements, and makes corresponding energy grades. At the same time, the head nurse evaluates the high-risk groups of bed falling and falling, improves safety measures, reduces the occurrence of bed falling and falling, and reports adverse events in time; Responsible nurses can fully perform their duties such as observation of illness, basic nursing, rehabilitation guidance and health education. In the process of nursing, she does not rely on the patient's family members or their families to hire nurses to care for the patients. Actively carry out extended services, hospitals and departments can adhere to the follow-up of discharged patients.

6, strictly implement the "special rectification activities of antibacterial drugs", and actively promote clinical rational drug use. According to the requirements of 20 13 special rectification of antibacterial drugs and the arrangement of hospital leaders, a series of rules and regulations, such as the special review system of antibacterial drug prescriptions and doctor's orders, have been established and improved to ensure the implementation of antibacterial drug rectification from the system. The computer management of Dr. Yamatonokusushi's prescription right of antibacterial drugs was realized, and the occurrence of illegal prescriptions was put an end to. The use of super antibacterial drugs shall be subject to the examination and approval consultation system. Strictly implement the prescription review system and strengthen the audit of the rationality of drug use in key departments and key diseases.

7. Medical waste management is standardized and orderly. The hospital has set up a medical waste management committee, established and improved a series of rules and regulations such as medical waste management system, placenta management system, emergency plan for medical waste loss, leakage and diffusion, and can update, revise and improve in time according to new requirements; Personnel in charge of medical waste collection can master the relevant requirements of medical waste management after professional training, and full-time medical waste collection personnel have complete protective facilities. Medical waste should be strictly classified, placed in designated places, and marked with eye-catching signs. Medical wastes should be packed in double layers, collected separately, transported in a closed way, and disposed according to the regulations, and the sewage discharge meets the requirements. In strict accordance with the relevant requirements, we will set up an independent clinic to deal with chemical infectious diseases such as pathogen culture medium, specimens and pathological tissues, placenta, chromogenic agent, fixative, benzene, etc., and the entrance and exit are separated from ordinary outpatient and emergency departments, with obvious signs. The three areas are clearly divided, with intestinal and respiratory clinics, their own waiting areas and corresponding patients. Infectious diseases department has set up independent registration fee, examination, radiation examination, medicine box, special toilet, treatment room and rescue room. Adequate protective equipment, complete hand hygiene and disinfection facilities.

8, optimize the service process, improve the medical environment, convenient for patients to see a doctor. The outpatient hall of the hospital is equipped with the general service desk, mobile medical guidance, nurses in various departments and electronic sorting call system to guide patients to see a doctor and effectively maintain the order of seeing a doctor. The first aid green channel is clear and clearly marked, and the emergency department is fully equipped and on standby.

(2) narcotic drugs.

Five special management: special custody, counter lock, special prescription, special account and special volume. The drug warehouse is equipped with a safe to store toxic and hemp drugs, which is managed by two people and two locks, and a special account is established, and a special person is responsible for it. Prescriptions should be issued by medical practitioners who have obtained the qualification of prescription right of narcotic drugs and refined drugs, and meet the requirements of the Prescription Management Measures. Empty ampoules of poisonous and hemp drug injection after use shall be recovered as required, and records shall be made as required.

(3) Instruments and equipment.

The instruments and equipment are checked and used normally, all within the safe service life range, with voltage and phase meeting the requirements and grounding devices. The operating environment of the equipment is clean and dry, and the indoor environment meets the requirements of the equipment. Operators should be certified after pre-job training. Instruments and equipment have regular performance testing records.

(4) Fire safety.

Fire fighting equipment and fire safety signs are in good condition, and emergency evacuation passages are unobstructed; Fire fighting equipment can be used safely within the validity period. At the same time, the security department went to various departments for fire protection knowledge training, explaining and demonstrating the use of fire hydrants and fire extinguishers; How to call the police, save yourself and guide the patient to evacuate in case of fire; How to put out the initial fire; Emphasize the location of fire exits and other knowledge.

(5) Boiler, pressure vessel and central air conditioner.

Both boilers and autoclaves are within the safe service life. Operators hold certificates, and special personnel are responsible for the daily storage, use, registration, inspection and maintenance of instruments and equipment. The equipment department regularly checks and maintains them. At present, all pressure-bearing equipment runs safely and effectively, and there is no potential safety hazard. The channel in the boiler room is smooth, and there is no flammable and explosive debris piled up.

(6) Water, electricity, gas, oxygen, elevators, etc.

Water, electricity, gas, oxygen, elevators and other channels have passed the inspection, and there is no potential safety hazard. Department emergency lights are charged in time and in place.

(7) canteen hygiene.

Every staff member in the canteen of our hospital should have a physical examination every year, and those who fail the physical examination will not be hired. The staff are familiar with the requirements of the food hygiene law. The canteen is clean, the tables and chairs are neatly arranged, and the lights are bright enough; Raw materials, finished products, semi-finished products and other items in the warehouse are neatly arranged and stored without landing; Separate raw and cooked food from knives, cases and containers, and cover cooked food in the refrigerator without cross-contamination; Tableware is disinfected at high temperature every day; Leftovers should be properly disposed of in time. At the same time, the leaders of our hospital are actively transforming and renovating our canteen. The reformed canteen will face patients and staff with a new look and higher standards.

(8) Public vehicles.

The public vehicles in our hospital were strictly inspected and maintained, the first-aid equipment and medicines on the first-aid vehicles were inspected one by one, and the expired medicines were replaced. Strictly implement the vehicle management in our hospital, and it is forbidden to drive after drinking and fatigue.

(9) Catastrophic events and public health emergencies.

Organize the staff of the whole hospital to learn the catastrophic emergency plan and the handling process of public health emergencies, and ensure that public health emergencies can be handled at any time while ensuring daily medical treatment.

Through the comprehensive implementation of this medical safety inspection, not only the hidden dangers of the whole hospital were corrected and prevented in time, but also the problems that should be paid attention to and need continuous improvement in all aspects of hospital management were fully realized. Only by attaching importance to detail management, strengthening detail standards, preventing leakage and filling vacancies, and strictly guarding against death, can we ensure medical quality, ensure safe production and promote the continuous development of medical undertakings in our hospital.

Hospital safety inspection report 6

1. Inoculation, culture, identification and other operations with infectious risks in the microbiology room must be carried out in the sterile room, and it is strictly forbidden for non-staff in this room to enter.

2. Microbiological laboratory staff should wear latex gloves, isolation gown and masks during all bacteria cultivation and treatment, and take correct self-protection measures.

3. Reject unqualified culture media and test tubes.

4. The bacteria exposure operation must be carried out in the biosafety cabinet to prevent the operation from generating aerosols that may contain high concentrations of pathogenic bacteria or fungi.

5. Strictly implement the technical operation specifications and procedures of microbiology laboratory, consciously participate in relevant knowledge training, and update knowledge in time.

6. Prevent contact with all objects that may contain high concentrations of pathogenic bacteria, such as plugs and tapes used for culture.

7, timely treatment of pollutants produced in the process of culture, to prevent the spread of pathogenic microorganisms, microbial laboratory waste must be autoclaved.

8, found suspicious highly pathogenic microorganisms, must immediately report to the head of the room.

9. When a biosafety accident occurs in the laboratory, it shall be immediately implemented in accordance with the biosafety accident treatment plan.