Department nursing quality control work plan 1 Strengthen nursing quality management, ensure patients' life safety, and maintain continuous improvement of nursing quality: According to the 20** year work plan and objectives of the hospital and nursing department, the 20** year internal medicine nursing quality control work plan is formulated as follows:
First, the quality control principle of nursing quality:
Head nurses-department nursing quality controllers-all nurses participate in quality management monitoring, implement continuous improvement of nursing quality, and comprehensively implement quality control work.
Second, set up a quality control team:
Team leader:
Team members:
Three, quality control inspection division of labor:
1, quality management and assessment of basic nursing and super nursing.
2, first-aid drugs and equipment, nursing documents writing quality control, three basics and three strict training and assessment.
3, the implementation of nursing rules and regulations, hospital quality control, cleaners, care workers management.
4, patient opinion survey, discharge follow-up, commonly used drugs and substances management.
Four, nursing quality management implementation plan:
(A) to further improve the nursing quality standards and workflow.
1, combined with clinical practice, constantly improve the quality control system, and further improve the assessment content and scoring standard of nursing quality, such as ward management, basic nursing, specialist and first-class nursing, disinfection and isolation, nursing document writing, first-aid articles management, nursing safety management, etc. , evaluate and analyze the quality of nursing every month, and formulate corresponding corrective measures.
2, the head nurse, department head of nursing quality supervision at any time to correct the problems existing in the nursing work, will highlight the problem in the morning meeting notice, let the nurse know the existing problems and solutions.
3. Check all kinds of articles and medicines and ambulances regularly every month, and find out expired articles and medicines in time. Ensure medical safety.
(2) Establish an effective nursing quality management system, and set up a group of experienced nurses to participate in nursing quality control to ensure the quality of nursing work.
1, implement the quality control network of head nurses and department quality controllers, gradually implement everyone's participation in quality management, and achieve the goal of total quality control.
2, play the role of nursing quality monitoring group, pay attention to link quality control and key problems of the rectification effect tracking. The principle of combining normal inspection with monthly inspection and giving priority to comprehensive inspection.
4. Strengthen the implementation, supervision and inspection, and pay attention to the quality supervision of nurses' operation process. Pay special attention to quality control management, make everyone participate, * * ensure quality, give full play to the role of nursing quality control personnel, all staff participate in nursing management, and have inspection records, analysis, evaluation and improvement measures.
5. Improve the nursing quality control management system and responsibilities, discuss and analyze the difficult problems existing in nursing, and put forward effective rectification measures.
6, strengthen the management of nursing defects, nursing disputes, adhere to strict supervision of the quality of work in all aspects, find potential safety hazards, and take timely measures to eliminate nursing errors and accidents in the bud.
7, strengthen the training of medical and nursing laws and regulations, in order to improve the legal awareness of nursing staff, nursing according to law, and protect the legitimate rights and interests of patients and nurses.
8, strengthen the normal operation and assessment of nursing staff. Find the problems in operation and correct them in time.
9. Nurses in each class should check the doctor's advice of each class, and the head nurse should check it every week to ensure the correct implementation of the doctor's advice.
10, check the writing of nursing documents every day, and the discharge medical records will be reviewed by the main nurses, and finally submitted to the medical record room by the head nurse.
1 1. Establish nursing safety management, conduct nursing safety knowledge training every month, and explain the nursing problems inside and outside the hospital, so as to strengthen the safety awareness of nursing staff, improve the safety early warning work, find the hidden dangers of nursing safety in time, focus on finding safety problems every week, analyze and propose improvement measures.
Department nursing quality control work plan 2- 1. Strengthen detail management and cultivate good work habits.
Details determine quality. Obstetrics and gynecology are random, and their usual work habits are poor. As a head nurse, she is busy with daily affairs and neglects management. In 20xx, she will focus on the daily quality control work, start from small things, control quality control throughout her daily work, and control one or two items every week to form a standard, so that department personnel can gradually form good habits of quality control, reduce lazy psychology and coping psychology, and really start from facilitating work and management. In addition, we should give full play to the role of quality control staff and responsible nurses, give them some daily quality control work, raise everyone's awareness of participation, mobilize general practitioners to participate in management, effectively improve self-management awareness and improve the efficiency of department management.
Change the situation of ward rounds in previous years, the bed nurse is responsible for selecting medical records, really selecting difficult medical records in departments, writing nursing plans, and the responsible nurse is responsible for discussing difficult nursing problems of diseases, brainstorming, proposing solutions to problems, improving professional level and solving nursing problems. At the same time, the discussion process is also a learning process, learning the knowledge of specialized diseases and standardizing the nursing routine of specialized diseases. Every time a specialized disease is standardized, the nursing routine of this disease will be applied to daily work, and the standardization of nursing work will be gradually improved.
Second, strengthen business study and improve the overall professional level.
Strengthen the study of specialist professional knowledge, systematically study obstetrics and gynecology, perinatal knowledge, neonatal resuscitation, obstetric emergency care and emergency procedures, with the participation of general practitioners, and everyone takes turns to prepare lessons once a month. And carry out emergency rescue drills in obstetrics, so that everyone can pass the exam and improve the emergency ability and specialized nursing level.
Third, design and use special health education manuals to strengthen health education.
Design specialist health education manuals, which are divided into neonatal health care manuals, puerperal health care manuals and gynecological health care manuals, express health care knowledge in concise and bright language forms, and design fresh pages to attract patients to truly understand knowledge. At the same time, standardize the contents of health education in departments, make health education manuals for nursing staff, form an integrated health education content, which is backed up by departments and mastered by everyone, thus effectively improving the level of health education.
Fourth, apply for nursing research projects and carry out scientific research work.
Applied nursing research project: observation and study on the effect of Chinese medicine application on promoting lactation. Carry out comprehensive observation and research on the effect, conduct statistical analysis, write research papers and submit application materials within one year. General practitioners are required to participate in scientific research projects, learn scientific research knowledge, and improve the overall quality and professional level of all kinds of personnel.
Five, strengthen the management of delivery room, complete the daily work and quality control work.
Delivery room management is a weak link in department management. Delivery room handover and inspection are not systematically implemented. In 20xx, the management of delivery room was refined, and a person in charge was appointed for each job. The team leader is always responsible for overall quality control and comprehensively improving delivery room management. At the same time, strengthen the control and monitoring of hospital infection, and complete the control and management of various nursing quality.
Department of nursing quality control work plan 3 the service of nursing work is ultimately reflected in ensuring the safety of patients. According to the requirements of "quality, safety, service and cost" in hospital quality management year, quality management must run through the whole nursing work. Therefore, it is necessary to make a nursing quality control plan closely around the main line of quality and according to the work plan of the hospital and nursing department to ensure the continuous improvement of quality.
First, the control principle of nursing quality
Implement three-level quality management monitoring of nursing department-head nurse-all nurses under the leadership of the dean, implement continuous improvement of nursing quality, fully implement quality control forward, strengthen special quality control, implement dispute defect management and implement safety early warning management.
Second, the nursing quality management implementation plan
(a), to further improve the nursing quality standards and workflow.
1, combined with clinical practice, constantly improve the quality control system, and further improve the assessment content and scoring standard of nursing quality, such as ward management, basic nursing, intensive care, disinfection and isolation, and nursing document writing. , formulate key monitoring contents every month, and track existing problems.
2, the head nurse, department head of nursing quality supervision at any time to correct the problems existing in the nursing work, will highlight the problem in the morning meeting notice, let the nurse know the existing problems and solutions.
3. Check all kinds of articles, medicines and ambulances regularly every month, and find out expired medicines and articles in time to ensure medical safety.
(2) Establish an effective nursing management system and cultivate a good nursing quality management team.
1, continue to implement the three-level quality control network of nursing department-head nurse-department quality controller, gradually implement everyone's participation in quality management, and implement the quality control goal of all staff.
2, play the role of nursing quality monitoring group, pay attention to link quality control and key problems of the rectification effect tracking. The principle of combining normal inspection with monthly inspection and giving priority to comprehensive inspection. Focus on it once a week, conduct a comprehensive examination once a month, and give feedback to the nursing department in time.
3, strengthen the implementation, supervision and inspection, pay attention to the supervision of the quality of nurses' operation process, pay special attention to quality control management, ensure everyone's participation, * * * ensure quality, give full play to the role of nursing quality control staff, all staff participate in nursing management, and have inspection records, analysis, evaluation and improvement measures.
4, improve the nursing quality control management system, clear responsibilities, hold a meeting every quarter, discuss and analyze nursing problems, and put forward effective corrective measures.
5, strengthen the management of nursing defects, nursing disputes, adhere to strict supervision of the quality of each link, find safety hazards, and take timely measures to eliminate nursing errors and accidents in the bud.
6. Strengthen the training of medical and nursing laws and regulations, so as to improve the legal awareness of nursing staff, care according to law, and protect the legitimate rights and interests of patients and nurses.
7, strengthen the normal operation and assessment of nursing staff. Find problems in operation in time and correct them in time.
8. The nurses in each class check the doctor's advice, and the head nurse checks it weekly to ensure the correct implementation of the doctor's advice.
9. The head nurse checks the writing of nursing documents every day, and the discharged medical records are filed after the preliminary examination by the nurses in charge class-medical insurance department-head nurse audit-medical department and nursing department final audit (medical record room).
10, establish nursing safety management, conduct nursing safety knowledge training every month, and explain nursing safety problems inside and outside the hospital, so as to strengthen the safety awareness of nursing staff, improve safety early warning, find nursing safety hidden dangers in time, focus on finding safety problems every week, analyze them and put forward improvement measures.
Department nursing quality control work plan 4 I. Guiding ideology
Guided by Socialism with Chinese characteristics Theory, adhere to the concept of legal practice, scientific development and people-oriented, and serve patients wholeheartedly. Patient satisfaction is our eternal service pursuit. Based on the three basics and three strictness nursing staff training and nursing quality management, the nursing team in our hospital will be built into a nursing team with high service quality, strong professional ability, good spirit of unity and cooperation and well received by patients.
Second, the work objectives
1, work quality index:
① The qualified rate of instrument disinfection is 100%.
② The intact rate of rescue instruments is 100%.
③ Basic nursing qualification rate ≥90%
(4) Holistic nursing ≥90%
⑤ The qualified rate of nursing for critically ill patients is ≥90%.
⑥ The qualified rate of nursing technique operation is ≥95%.
⑦ The number of bedsores per year is ≤ 1%.
⑧ The qualified rate of nursing document writing is ≥95%.
Pet-name ruby nursing accident 0
Attending health management: the ward corridor is clean and tidy, the glass is bright, and the toilet has no odor.
2. Nursing service:
① Patients' satisfaction with nursing staff is ≥95%.
(2) Clothing management: Nursing staff should be appointed to manage clothes, keep them clean and undamaged, and replace them in time.
Third, the task
1, take improving service attitude and advocating active smile service as one of the important contents of nursing work, and pay close attention to it
2, continue to pay special attention to the quality of nursing work and continuous improvement, control the quality of each link, strictly implement the "three checks and eight to one attention", take detail management as one of the key contents of nursing quality management in 20xx, conscientiously implement various rules and regulations, strictly implement technical operation procedures, strengthen the safety awareness of nursing staff, put an end to nursing accidents and reduce nursing errors to a minimum.
(1) Strictly implement the system of long inspection and weekly inspection, and solve problems in time when found.
(2) Organize business study, nursing rounds and quality evaluation once a month in the department, and hold a quality analysis meeting to find out the reasons and solve them in time.
3. Strengthen the quality and basic skills training of nursing staff.
(1) Strengthen long-term skills training, so as to master 25 technical operations for a long time, and promote general comrades and key departments to organize department personnel to carry out technical operation training according to the arrangement of nursing department, so that they can master the common technical operation skills of undergraduate course room and strive to do a good job in department work. See the business study and training plan for details.
(2) Organize skills training and assessment for department heads.
4. Strengthen safety management
① Management of critically ill patients: The critically ill patients should be monitored by designated personnel, and the nursing plan should be formulated and implemented; First-level nursing patients should remember the intensive care record sheet, and critically ill patients should make nursing plans and record their illness in each shift; Secondary nursing records 2-3 times a week.
② Pressure ulcer management: For patients who have been bedridden for a long time, they should turn over and massage regularly, and take corresponding measures to prevent the occurrence of pressure ulcers.
(3) prevention of falls: for patients with mobility difficulties, assist them in various medical examinations; For those who are restless, add a bed stall to live with others and take protective measures to prevent falling.
④ Report errors once a month, organize analysis and discussion, and formulate improvement measures.
5. Strengthen disinfection and sterilization to prevent hospital infection.
Department nursing quality control work plan 5 In order to conscientiously implement the key points of hospital work in 20xx, comprehensively implement the quality management standards around "patient-centered and quality-centered", continuously strengthen the scientific and standardized management of nursing work, promote the overall improvement of nursing quality, and realize the service goal of "providing high-quality and safe nursing for patients and improving nursing work", the nursing management objectives and plans are formulated as follows according to the relevant spirit of the nursing department and the actual situation of our department.
1, update the concept of nursing management and service, and improve the quality of nursing. Do people-oriented, pay attention to humanized service, and carry out the activity of "patient satisfaction department" in depth. Strictly implement the protective medical system, always think of the patient, and do not judge the patient's condition, surgical effect and surgical complications at will to reduce the psychological burden of the patient. Effectively change the service concept and working mode, ensure the best nursing work condition to serve patients, meet all reasonable needs of patients, create a warm and comfortable hospitalization environment for patients, and realize patients' satisfaction with nursing work ≥95%. Pay attention to strengthen communication with doctors, collect patient information, gain understanding, trust and support, continuously improve internal service quality, better cooperate with treatment, and achieve the satisfaction of clinicians with nursing work ≥98%.
2. Strengthen nursing quality and safety management to ensure that the annual accident rate is zero. Formulate strict departmental rules and regulations, organize regular discussion and analysis of errors and accidents, and put forward rectification opinions on recurring problems to prevent errors and accidents. Use morning meetings, nursing business learning and other forms to enhance nurses' service awareness, so as to achieve active service, warm reception and careful introduction. All nursing and treatment operations should greet patients, adopt encouraging language and move gently, so that patients can feel the warmth like relatives.
3, strictly abide by the "hospital infection management norms", conscientiously implement the "disinfection and isolation system". Further improve the working system of each class and strictly control the flow of personnel. Strictly implement aseptic operation technology, correct people and things that violate aseptic principle in time, and prevent hospital infection. The implementation rate of one needle and one tube per person 100%, the infection rate of aseptic incision ≤0.5%, and the qualified rate of disinfection and sterilization of conventional instruments 100%.
4. Do a good job in the management of emergency medical equipment, and ensure that the intact rate of emergency medical equipment is 100%. Check carefully when each shift is handed over, so that it is in good condition and the accounts are consistent. Strengthen the training of nursing staff in first aid knowledge, rescue procedures, rescue drugs and the use of rescue instruments, so that everyone can master and use them skillfully. After receiving the notice of emergency patients, they can quickly carry out surgical rescue in the shortest time and cooperate with the rescue work flexibly and skillfully.
5, according to the requirements of "Sichuan province medical nursing document writing standard", strengthen the management of nursing document writing, so that the writing is serious, timely and standardized, consistent with the actual nursing process, and the qualified rate of nursing document writing is ≥95%.
6, strengthen the on-the-job training of nursing staff, and constantly improve the level of business technology. The average level of three basics of nursing staff is ≥85 points; The qualified rate of nursing technology operation is ≥ 95%; Support nursing staff to participate in continuing education and training, with continuing education credits of 25 points or more per person per year. Encourage nursing staff to participate in self-study, correspondence and various classes and seminars, so that nursing staff can grasp the new trend of nursing development and the new theories and technologies related to nursing in time, continuously improve the professional level of nursing staff, and better cooperate with the operation department to develop new business and technologies. Encourage the majority of nursing staff to actively write papers, and strive for general practice to publish or exchange papers at or above the municipal level ≥ 1. According to the nursing training plan, arrange personnel to go out for further study, improve the level of specialized nursing, and thus promote the technical level of general practitioners.
7. Charge in strict accordance with the charging standards, so that all receivables are collected and no receivables are leaked. If there are any questions and disputes, check and deal with them in time. Regularly check and collect the medical and office supplies of the department to reduce waste and loss. Special person is responsible for the maintenance of medical equipment, understand the performance and usage of the equipment, and ensure the normal operation of the clinic.
8, establish a perfect nursing quality monitoring system, department quality control team to strengthen self-examination, found that the problem timely improvement; Regularly discover nursing hidden dangers, analyze and give feedback, so as to make all work procedural and standardized. By counting the total number of inpatients, satisfaction survey, whether there are mistakes, negligence and complaints, and quality control of nursing department, we can improve and promote nursing work and continuously improve the quality of nursing in our department.
9. Strengthen the management of clinical teaching and do a good job in teaching. According to the requirements of the internship program, make a teaching plan, arrange special lectures, constantly improve teaching methods according to clinical teaching experience, strengthen the cultivation and improvement of teaching ability of teaching teachers, conscientiously implement the "360 Project" and successfully complete the teaching work.
10 to prepare for the relocation of the new ward building. Seriously implement the quality management standards of nursing department, strengthen the quality control of undergraduate nursing, further standardize the nursing workflow, conduct quantitative assessment and quality analysis on time, and all quality control indicators meet the quality objectives of nursing department. Organize to learn the related knowledge of new surgical nursing, and make preparations for the relocation of ward building.
1 1. All nursing staff in our department will work closely with clinicians under the leadership of the hospital and the nursing department to ensure medical safety, improve service attitude, improve nursing quality, ensure that all quality control indicators meet the quality target requirements of the nursing department, and create good social and economic benefits.