Time flies, we are busy, and finally we can say that we have made more progress in our continuous growth. Summarizing the hospital work in the past year, the following is a selection of the hospital annual work summary that I carefully arranged for you, hoping to help you.
Selected articles of hospital annual work summary 1 1. Hospital infection management.
1. Highlights: the operating room and delivery room are clean, and the evaluation feedback from the first-level general hospital of the health center.
2. Disadvantages:
(1) The management personnel did not participate in the training and study of hospital infection management, and they did not have a job certificate; Medical staff have weak awareness of hospital infection control and lack of relevant knowledge.
(2) The hand washing facilities and air disinfection facilities in the operating room and delivery room are not perfect.
(3) Disinfection containers and instruments were not strictly implemented in Technical Specification for Hospital Disinfection.
(4) No biological monitoring, self-examination and continuous improvement measures.
(5) The classified disposal of medical wastes is not perfect.
3. Suggestions for improvement:
(1) Strengthen the training of medical staff on hospital infection control and improve their basic knowledge.
(2) further improve the air disinfection facilities in delivery rooms and operating rooms, and conscientiously implement the Technical Specification for Hospital Disinfection;
(3) Strengthen the management of medical waste.
(4) Strengthen supervision and management of quality control.
Second, the hospital management part
1, Highlights: The laws, regulations, rules and routine texts of diagnosis, treatment and nursing are complete, and the training and learning are in place.
2. Disadvantages:
(1) The person in charge of the functional department did not attend the management knowledge training;
(2) The long-term development of the hospital has no specific objectives and implementation steps, and the short-term work objectives are unclear.
(3) The emergency material reserve is not balanced.
3. Suggestions for improvement: formulate a clear medium-and long-term development plan for the hospital, and organize its implementation after deliberation by the workers' congress.
Three. Infectious disease management
1, Highlights: The system is complete, the information is complete, the infectious disease training is completed on time, and a special person is responsible for reporting the epidemic situation of infectious diseases, with a reporting rate of 100%.
2. Suggestion: Improve the supervision of discharged patients.
Fourth, logistics management:
1, Highlights: orderly filing of data, sound system and responsibility, standardized wall surface, eye-catching signs, clean and comfortable indoor and outdoor, and bright ground. There are logistics departments and full-time logistics management personnel, and logistics support is in place.
2. Disadvantages: there is no equipment and facilities ledger and maintenance, maintenance registration, organized training and no training records.
3. Suggestion: Improve the registration of various lists and organize training records, strengthen the standardized management of logistics support, and ensure the normal operation of clinical work.
V. Pharmacy management:
1, highlights: there are pharmaceutical professionals, all kinds of systems are complete, clean and perfect, and medicines are neatly placed.
2. Disadvantages: the area of drug storehouse and pharmacy is insufficient, and there are no dehumidification, moisture-proof and other equipment and facilities; There is no cool warehouse, the temperature and humidity registration records are not standardized, and the storage conditions of drugs are insufficient; The recent implementation of drug management is not in place; The proportion of unqualified prescriptions is high, and the hierarchical management of antibacterial drugs is not in place; The supervision, management and evaluation of clinical rational use of antibacterial drugs have not been carried out.
3. Suggestions for improvement: improve the infrastructure construction of drug storage; It is suggested that prescription management should be standardized according to the Prescription Management Measures. Strictly implement the hierarchical management of antibacterial drugs, and suggest to carry out monitoring and evaluation of antibacterial drugs in the near future and strengthen drug management. Fan Wen "Evaluation Feedback of a General Hospital in a Health Center".
Six, patient safety goals:
1, highlights: sound management systems, standardized data and orderly filing.
2. Disadvantages: the management system has not been fully implemented, and some medical staff are not familiar with the perioperative management workflow.
3. Rectification suggestion: Department staff should strengthen the study of patient safety target management, and all kinds of systems should be put in place to make everyone familiar with them.
Seven, medical quality system and management:
1, Highlights: The hospital's quality management organization is complete, the personnel composition of each management committee is reasonable, the post responsibilities are clear, the medical quality is regularly assessed, there are inspection, analysis, corrective measures and summaries, the information is complete, and the files are clean and tidy.
2. Disadvantages: the continuous data of _ _ years is not perfect, and there is no new technology application document.
3. Suggestions for rectification: All hospital management committees should continue to carry out their work seriously, rectify in time when problems are found, make records and standardize the filing, and make relevant files if new technologies are developed.
Eight, nursing management part:
1. Highlights: The staffing is relatively reasonable.
2. Disadvantages: unclear thinking, irregular information and messy filing; There is no record of three-basic training and assessment for nursing staff; No nursing quality evaluation and evaluation records; The implementation of graded nursing is not in place; No inspection, feedback and statistical records of nursing quality of critically ill patients; Rescue drugs, articles, instruments and equipment are not complete, not on standby, and there is no regular inspection record.
3. Suggestions for rectification: Be familiar with the standards and rules of hospital rating; Perfecting nursing management organization; Regularly assess and evaluate the quality of nursing; Strengthen the implementation of various management measures; Strengthen the "three basics" training and assessment of nursing staff, and rescue medicines, articles, instruments and equipment management equipment.
Nine, patient service part:
1, Highlights: The hospital process is clear, health promotion is well carried out, patients can obtain relevant diagnosis and treatment information at any time, the patient's medical environment is clean and comfortable, all kinds of warnings and warm reminders are standardized, and medical ethics evaluation, patient complaints and dispute handling are meticulous and solid.
2. Disadvantages: There is no patient's condition evaluation in the medical record; Informed consent is not in place; There is no special person responsible for the operation and maintenance of pressure vessels, and the operators have no relevant qualifications; There is no curtain partition between the ward and the hospital bed, which can not protect the privacy of patients well.
3. Suggestions for rectification: complete the assessment of inpatients' condition in time according to the regulations, earnestly implement the informed consent notification system, and do a good job in protecting patients' privacy.
X. Financial management:
1, highlight: none
2. Disadvantages: the accounting personnel work part-time and are unqualified; No cost accounting, no cost-benefit analysis; The work plan at the beginning of the year does not conform to the actual situation of the hospital, the budget at the beginning of the year is not detailed, and the financial analysis is lacking at the end of the year; There is no hierarchical responsibility system for the decision-making and implementation authority of major economic issues, there is no tracking record for the decision-making and implementation of major economic issues, and the collective discussion of major economic issues lacks the signatures of participants; There is no internal hospital price management system, although there are part-time medical price management personnel, but the post responsibilities of medical price management personnel have not been established; Lack of bidding information for drugs and consumables; The price bulletin board is hung too high and the font is too small to read clearly.
As a doctor in a grass-roots township health center, I need to perform my duties as follows: try my best to eliminate human diseases, help improve health, safeguard the sanctity and honor of medical skills, and heal the wounded and rescue the dying. Township medical and health work is a health institution that focuses on prevention and combines prevention with treatment. It is the hub of rural three-level health service network and an important service carrier of new rural cooperative medical care. In this year's work, I constantly improve my ideological and political quality and comprehensive quality. Now I will learn from my personal work this year:
First, study hard and constantly improve the level of political theory and professional quality.
In practical work, taking "practice" as the only criterion to test the theory, little by little in my work makes me more and more deeply realize the necessity of updating my knowledge in today's cruel social competition. Reality drives me. Only by seizing all available time and studying hard can we adapt to the increasingly fierce competition and be competent for our own work, otherwise, we will eventually be eliminated by reality. Try to learn all kinds of scientific theoretical knowledge, laws and regulations and the party's policies, understand the spirit of major meetings at higher levels, and always keep in line with the party and organizations politically and ideologically to ensure that they do not deviate from the correct track in practical work. At the same time, constantly sum up experience and lessons in practice, combined with their own work. I seriously study the relevant national medical and health policies, medical and health theories and skills, and constantly arm my mind. According to the actual situation in the work, I try to use theory to guide practice and solve the problems encountered in the work based on objective facts. I hope that when I look back on my work in the future, I won't regret it because of mediocrity, and I won't be ashamed of wasting time.
Second, do your duty and work hard.
When we entered the sacred medical college, I solemnly swore: "I volunteer to devote myself to medicine, love the motherland, be loyal to the people, abide by medical ethics, respect teachers, study hard, be tireless, strive for perfection and develop in an all-round way." I am determined to do my best to eliminate human diseases, help improve health, safeguard the sanctity and honor of medical skills, save lives, and work tirelessly and persistently. Strive for the development of medical and health undertakings in the motherland and the physical and mental health of mankind. "Today, I continue to work hard.
Grass-roots medical work has also used my profound understanding. As a grass-roots medical worker, I shoulder heavy responsibilities and due responsibilities. In accordance with the division of labor, straighten the position, do not offside, do not leave the office, strictly abide by their duties, and complete their own work. Only by finding one's own position, clarifying one's responsibilities, uniting with comrades, being sincere with others, being down-to-earth, being loyal to one's duties, working diligently step by step and conscientiously, can one do one's job well and do one's job well as that of a writer of primary medical newspapers. In the outpatient and inpatient diagnosis and treatment work, I always shoulder the health of 465,438+049 households, 65,438+07000 people and foreign population in Hu Chao. 365 days, followed up every day. Even on holidays and rest days, you always have to see a doctor. At any time, do not delay the treatment of patients, do not shirk patients, and make a reasonable diagnosis and treatment. Treat people equally, don't cheat the poor and love the rich, care, be considerate and sympathize with every patient who sees a doctor. Do reasonable examination, reasonable treatment and reasonable fees. In the diagnosis and treatment of the new rural cooperative medical system, outpatient and inpatient diagnosis and treatment are carried out in strict accordance with the rules of the new rural cooperative medical system, and relevant policy propaganda and health education for residents are carried out. Since the new rural cooperative medical system was launched in my hometown in, I have carefully studied the new rural cooperative medical system and the spirit of the new rural cooperative medical system, organized village doctors and staff of our hospital to carry out training and study, distributed publicity materials by using the time when I usually went to the market, went to the clinic to supervise and inspect, and went to the village to experience diagnosis and treatment, and carried out health education for residents by telephone, on-site consultation, and distributing materials. , safe production and stable management, new rural medical management.
Creating a safe and comfortable working environment is the premise of normal daily work. Through the staff's meeting training, I have obviously improved the safety awareness of our staff. By organizing the investigation of hidden dangers in production safety, the accident rate in our hospital is zero throughout the year, which ensures the development of our daily work. Pay attention to collecting, summarizing and reporting the opinions and materials on the management of the new rural cooperative medical system in time in daily work, so that hospital leaders can make better decisions and assist our hospital and hometown to do a good job in the management of the new rural cooperative medical system and rural integration.
The above is my experience in this year's work.
The summary of the hospital's annual work was selected in the article for 20 years. Focusing on the objectives and requirements of the group company, the hospital seized the opportunity to seek development, continued to carry out the activity of "improving medical quality all the way", created "three good and one satisfied" and "safe hospital", firmly established the service concept of patient-centered, built a harmonious doctor-patient relationship, and vigorously raised funds to introduce CT, CR, gynecological PK knife, gastroscope, colonoscopy and steam. The radiology department, gastrointestinal endoscopy room, laboratory, delivery room, supply room, operating room of the main building, emergency department and the third and fourth floors were renovated, and maternity insurance and "four exemptions and one rescue" projects were opened. At the same time, it was awarded the honor of "National Demonstration Base of Caring Care", "Yinchuan Smoke-free Hospital" and "Four Capabilities" Construction Standard Unit.
20__, through strengthening measures, pay close attention to implementation, and promote the work of the hospital. Our patient satisfaction rate has improved, the patient complaint rate has decreased, the number of inpatients and surgical patients has increased compared with last year, the income of obstetrics and gynecology, surgery and five sense organs has increased compared with previous years, and the total income of the hospital has increased by 10% compared with last year, basically achieving all the goals and tasks set at the beginning of the year. However, we are also clearly aware that our own shortcomings, such as internal management, can not meet the needs of the development of the situation; Medical quality and service level need to be further improved. Specific performance in the following aspects:
I. Company Management:
1. There has always been a phenomenon that there are two lines between the company and the hospital administration. In our daily work, we still have the situation that company managers and hospital administrators can't communicate in time;
2. The company's managers have poor timeliness and insufficient execution when dealing with work affairs;
3. The staff of our individual companies have a weak sense of organization, fail to strictly abide by the hospital labor discipline, and still put themselves in the "Hong Kong Special Administrative Region";
4. The quality and price of drugs and articles are not strictly controlled;
5. The finance department lacks innovation in the cost control of collection, expenditure and consumables, and has not found a more rigorous and reasonable control method;
Second, the administrative management:
1, the organizational concept of administrative personnel needs to be further improved, and there is no real joint force of taking the hospital as the home and focusing on the overall situation;
2. The executive power of administrative work is insufficient, and it is difficult to implement the management system and methods from beginning to end. Personal work is always planned but not implemented.
3, individual personnel can't be strict with themselves in work discipline, and lack the consciousness of doing things according to the rules;
4. Although there are many trainings in various subjects, they are still a mere formality, and the training form is too single to reach the expected training objectives;
5. Managers lack innovation consciousness, lack of new breakthroughs in management, single end customers and potential crisis in the market.
Third, medical care management:
1. The organization of medical management is poor, the role of middle-level leaders in connecting the preceding with the following is insufficient, and the tasks and policies of many hospitals are not well uploaded and issued;
2. The training plan put forward every year is not very close to the new medical situation, new trends at home and abroad and the actual needs of hospitals, with a single form and lack of innovation;
3. In some departments, especially the window departments, some comrades did not wear warm and thoughtful clothes.
Seriously regard it as the lifeline of hospital survival and development, and humanized service is just a slogan.
4. There are still weak links in medical quality. There are still many problems in case writing, prescription medication and quality of medical technical reports in every routine examination, which need to be improved.
Four, clinical, nursing and management:
1, a few people are indifferent to their professional consciousness, lacking competitive consciousness and enterprising spirit, which is far from meeting the objective needs of medical marketization;
2. In the face of fierce market competition, many people are still thinking about waiting, relying on, and wanting. Some comrades are still "striking a bell every day", lacking business awareness, the return visit rate is declining, and the service quality is not high, which is not suitable for the development of the situation.
3. The way of consultation is too backward, and no efforts have been made to study the psychology and needs of patients, so the rate of consultation needs to be improved;
4. Individual doctors' medication and examination methods are too single, and they always follow the old methods, old prescriptions and old routines, which are not suitable for the current medical development and patient needs;
5. The communication between doctors and patients needs to be further improved, and the communication and coordination between departments are poor, resulting in the phenomenon of disjointed work, low efficiency and poor quality.
6. I don't understand the medical insurance policy thoroughly, and I don't have a flexible application of outpatient service, minor illness referral and hospitalization;
Verb (abbreviation for verb) Marketing Department:
1. Planning Department: There is no innovation in hospital culture construction, advertising copy, graphic design, advertising placement arrangement, etc. And the time efficiency is poor, and the patient source statistics and satisfaction survey are not carefully done;
2. Marketing Department: The overall development of outreach referral is not enough, and there is a lack of novel marketing programs and marketing efforts for urban residents and rural cooperative patients. There are still obstacles in internal and clinical communication and cooperation, and the service quality of patients coming to the hospital needs to be further improved;
3. Network Department: Web pages, graphic design and articles are too old-fashioned and lack innovation. Search engines and bidding promotion need to further improve the cost performance, open source and reduce expenditure;
4. Consultation department: insufficient knowledge and culture accumulation, lack of innovation in consultation skills, insufficient communication and cooperation with clinic, and stagnant rate of appointment number source;
5. Customer service department and physical examination center: the quality of physical examination service of retail investors is not up to standard, the physical examination report is not really timely and accurate, the development and utilization rate of patients with positive signs of physical examination is insufficient, and the return visit and satisfaction survey need to be further improved;
Six, logistics support:
1, Water, Electricity and Heating Department: The technical strength of logistics personnel is still relatively weak, which can't keep up with the needs of hospital development, especially the maintenance and management level of special equipment needs to be cultivated and improved. The normal maintenance approval system is not standardized, the service time is inefficient, and the quality and variety of maintenance consumables are not strictly controlled; Corresponding improvement measures must be formulated, and sewage treatment, medical waste and domestic waste treatment are not timely and standardized;
2. Cleaning workers: the sanitary environment maintenance is not timely, the use and purchase of clean sanitary ware are not planned, the flower maintenance is not done according to the basic knowledge of planting, many plants are either dried or scattered, and there are still some sanitary corners in the hospital that have not been dealt with;
3. Canteen: The quality of food still needs to be improved, the quality of health maintenance and service is not in place, and there is still a phenomenon that medical staff can't eat after working overtime at noon;
4. Laundry room: the service quality needs to be improved, the quality of clothes storage and cleaning does not meet the standards, and the iron operation is not strictly in accordance with the regulations, which has potential safety hazards;
5. Supply room: in order to adapt to the development of medical and health undertakings, it is necessary to update the "disinfection, washing and sterilization" technology of articles and equipment. Our disinfection supply needs to be improved from quality control, packaging specification to service quality, and the quality monitoring of all links in the supply room needs to be strengthened;
6. Toll Collection Office: Individual toll collectors have a poor grasp of daily work skills such as drugs and dosage, and the accounting time is inefficient. They are not active, enthusiastic and quick in service. They don't know how to regularly maintain the equipment and machines used in their daily work, but only ask the financial department to manage the network.
With the rapid development of social economy, the health reform is deepening, the medical system reform is advancing in an all-round way, the medical insurance is also developing and improving, and the medical service system, security system and drug supply system are all facing great changes. Medical expenses are not only related to the vital interests of the people, but also of great significance to the survival and development of hospitals. Reasonable control of medical expenses is an important link in the survival and development of hospitals.
Only by always taking the interests of the masses as the starting point and the end result of all hospital work, taking patients as the center and striving to provide satisfactory medical and health services for the people, can the hospital get better development. Doctors blindly prescribe prescriptions regardless of the actual condition, and major examinations obviously lose the basic professional ethics of doctors. For this phenomenon, the health administrative department is determined to stop it, and hospital leaders should also take various effective measures to stop it. In the past 20 years, with the correct leadership of the hospital leaders and the assistance of other relevant departments, the Pharmacy Department has successfully completed the annual pharmacy work with high enthusiasm and serious and responsible attitude. The work of the past year is summarized as follows:
I. Work completion
1. By the end of February, hospitals had purchased 55 1642 1.20 yuan, up 32.3% year-on-year. The amount of * * * drugs in the annual drug storehouse was 5,379,566.80 yuan, up by 365,438+0.1%year-on-year. When planning drugs, we should know fairly well, try our best not to lack drugs, nor to overstock and expire, so as to reduce hospital losses; When accepting drugs, carefully check the drug name, specifications, manufacturer, quantity, product batch number, expiration date and whether the drug packaging is damaged, and store, maintain and place it according to regulations; In the process of purchasing, in strict accordance with the drug purchase plan, carefully check, the hospital leaders first approve the purchase, then fax the plan in batches, shop around, and finally select suppliers with reliable quality and low price to report to the finance department for review and purchase. The expired and damaged drugs in the whole year were 1208.00 yuan, down 0.8% compared with the same period of last year.
In the past year, more than 30,000 prescriptions were issued by outpatient pharmacy. Because of everyone's good attitude and hard work, there was no medical accident in dispensing medicine throughout the year. In the whole year, outpatient pharmacy * * * distributed 365,438+067,326.60 yuan, up 65,438+06.5% year-on-year, and central pharmacy * * * distributed 2,069,356.90 yuan, up 47.80% year-on-year. Man-made drugs are moldy, deteriorated and overstocked.
3, in the work, the department comrades unite and cooperate, love their jobs, carefully and patiently explain how to use drugs, so that patients are satisfied. When we find that there are few drugs, we should write the drug receiving plan in time, replenish drugs and strengthen prescription checking, so there are few mistakes. Drugs are managed and printed by microcomputer. The pharmacy department makes statistics on expired drugs and overstocked drugs every month, prints them and informs all clinical departments.
4. After work, the comrades in the department strengthened the study of drug management, professional knowledge and hospital rules and regulations, corrected their service attitude, established a sense of ownership, loved their jobs and respected their professionalism, and there was no violation of laws and regulations in the past year. At the same time, they also actively applied to take the technical qualification examination. At present, three people have signed up for the pharmacist exam, and strive to make the pharmacy department a high-level and professional pharmacy team.
Second, the existing problems
1, lack of management experience, there are some shortcomings in the work, such as: drug backlog, expired phenomenon.
2. The communication, coordination and cooperation between clinical departments and pharmacy departments are not very good.
3. In order to generate income for the department, clinicians prescribe more expensive drugs, new special drugs and consignment drugs among similar drugs, thus making the backlog of drugs and drugs with short-term efficacy expire.
Three, 20__ year work plan
1, further strengthen drug management, adhere to the prescription check, precious drug inventory management and registration system, and strengthen drug procurement, acceptance and warehousing management.
2. Strengthen the qualification examination of suppliers and restrict the procurement of new drugs.
3. Strengthen the management of pharmacy personnel, strengthen communication, coordination and cooperation with clinical departments, and minimize the backlog of expired drugs.
20 _ _, the Health Bureau further strengthens the supervision of private medical institutions, strengthens the legal practice of private hospitals, improves the quality of medical services, enhances the sense of responsibility, service, quality and competition of private hospitals, and promotes the management level of private hospitals to a new level.
(1) The organizational structure and system construction of private hospitals are perfect. The work plan for 2020 was formulated, the work in 2020 was arranged as a whole, and a long-term development mechanism was established.
(two) to guide the county's private hospitals to adhere to the direction of serving people's health and improve the quality of medical services. Carry out diagnosis and treatment activities in accordance with the approved practice subjects, abide by the rules and regulations such as technical specifications for diagnosis and treatment, standardize medical service behavior, strengthen medical ethics education, and establish the concept of honest service according to law.
(3) Standardize the practice of private hospitals according to law. It is strictly forbidden for private medical institutions to employ (make) non-health technicians. All private hospitals should carry out medical activities in strict accordance with their practice places and medical subjects, and it is forbidden to publish illegal and false medical advertisements.
(four) the Health Bureau held a quarterly meeting of the county's private hospitals to inform the private hospitals of the phased inspection. In view of the problems found in management inspection, the hospital has formulated feasible rectification measures to ensure that the rectification is in place and establish a reasonable self-discipline mechanism.
(5) Adequate policies and strong support ensure that private hospitals enjoy the same treatment as public hospitals in terms of scientific research project establishment, professional title evaluation, continuing education, designated medical insurance and two-way referral, and treat them equally in terms of service access, supervision and management, thus ensuring the healthy development of private hospitals.
(6) The establishment of Ping An Hospital is carried out in private hospitals. Some private hospitals passed the acceptance of the Municipal Health Bureau, with a compliance rate of 50%. The shortcomings in the work of private hospitals in the first half of the year: only paying attention to hardware construction, ignoring software management, and generally having problems such as incomplete data; In particular, information on safety production, moral construction and cultural construction is incomplete or absent; In the disease control work, the outpatient log registration is not standardized, and the infectious disease reporting system has not been implemented; The learning atmosphere of medical staff is still not strong enough. Strive for rectification in future work.