202 1 Model essay on the work summary of the hospital in the third quarter (1) According to the quality control plan for the third quarter of 20xx and the evaluation requirements of new-grade hospitals, the nursing department conducted special inspections on the quality of medical records, disinfection and isolation, and nursing documents. The existing problems are reported as follows:
First, the quality of medical records.
1: Long-term doctor's orders are crossed, and the homepage is often altered.
2. The home address is not filled in in detail, and there are empty items.
3. The drawing of thermometer is inaccurate (a single thermometer does not draw curves).
4. Long-term doctor's advice and temporary doctor's advice are altered and crossed out.
In the doctor's advice, the nurse failed to sign it in time.
Second, disinfection and isolation
1: There is dirt on the disposal table.
2. There are bacteria and sterile items mixed together.
3: Sharps boxes are not used according to regulations.
4. The cotton swab bag expired and was not replaced in time.
5: Disinfectant was not registered in time after configuration.
6: Strong iodine has no opening time.
Third, the nursing documents
1: The drawing of temperature list is inconsistent with the three test books.
2. Nursing handover is too simple.
3. The damage registration has been changed.
4. The handwriting is unclear and scrawled.
5: Individual thermometers have no discharge trace.
Fourth, the reason analysis
1: The number of patients in some departments is large, the workload of nurses increases, and the medical records are ignored.
2. There are many new nurses and little clinical experience. Although the overall training has been carried out, the awareness of disinfection and isolation is still insufficient.
3. Nurses' subjective learning initiative is poor, they can't consciously update their professional knowledge and stay at a low level. The handwriting is scrawled, and its comprehensive quality needs to be improved.
4. Some responsible nurses are not responsible enough and careless.
5. Individual head nurses ignore the quality management of departments.
Verb (abbreviation of verb) rectification measures
1: Strengthen the quality management of departments, urge head nurses to strengthen the management of nurses, and assign special personnel in each department to sort out nursing medical records, so as to ensure no smearing, scratches and omissions.
2. The nursing department in the training of new nurses at the same time, all departments to carry out new nurse training, enhance the consciousness of disinfection and isolation of nurses, strict aseptic operation.
3. Criticize and educate nurses with poor sense of responsibility, make rectification within a time limit, and issue a series of rectification measures, and the nursing department regularly conducts spot checks on nurses in departments.
In addition, the nursing operation of nurses has made great progress in this quarter, which is worthy of praise! However, in the nursing adverse events, some head nurses made mistakes in understanding and misreported nursing defects as nursing adverse events. And report it together with the workload statistics at the end of the month, which is a wrong behavior. We should report nursing adverse events in time. I hope the head nurses in all departments can correct it in time. The focus of nursing inspection in the next quarter is quality nursing, medical record quality and environmental sanitation. I hope that all departments will do a good job in overall nursing at ordinary times and meet the nursing inspection in the next quarter with a correct working attitude!
202 1 summary of hospital work in the third quarter (2) 1. Hold training courses on surgical suture technology and suture material selection.
On the afternoon of July 1 1, xx Company held a training course on surgical suture technology and suture material selection in the stepped classroom of our hospital. Two experts, xx, director of hepatobiliary surgery and xx, deputy director of orthopedics, explained the key contents of suture technology and material selection for more than 40 medical staff in our hospital.
This training helps our surgical clinicians to improve their professional knowledge and skills, strengthen the quality of surgical suture, reduce the infection rate of incision and shorten the recovery time of incision, thus meeting the needs of the masses.
Second, hold a special event in xx Town to practice core values and cultivate the whole people to preach in action.
On the afternoon of July 1 1, it was hosted by the Propaganda Department of the CPC Central Committee and the Office of the Spiritual Document Construction Committee of xx City, with the assistance of the Propaganda Office of xx Town? One hundred lectures in Xx Town, xx City, "Practicing Core Values by All People and Self-cultivation in Action"? Held in the small conference room on the fifth floor of xx Hospital.
Three, pediatrics to carry out pediatric first aid training
In order to improve the first aid level of pediatric medical staff, enhance the technical ability of pediatric first aid operation, be familiar with and strictly implement the operation process and cognitive judgment of pediatric first aid, and standardize medical behavior, the director of pediatrics called all medical staff in the department to carry out pediatric first aid training and conduct simulated operation on the spot. The training content includes explaining children's cardiopulmonary resuscitation (CPR) and children's tracheal foreign bodies, and carrying out practical operations in strict accordance with the process regulations. Through this training, medical staff are familiar with and master the process and correct technology, improve their cooperation and achieve the training purpose.
Four, our hospital sent a medical team to participate in the emergency rescue drill of road transport of dangerous chemicals in xx town.
In order to ensure the safety of people's lives and property, ensure safety and stability, and promote all units to work together in accordance with their duties, our hospital dispatched professional medical emergency rescue teams to participate in the emergency rescue drill of road transport of dangerous chemicals in xx town at the request of xx Emergency Office, Safety Committee Office, Fire Brigade, Traffic Police Brigade and other organizers, and cooperated with relevant units to complete the emergency rescue task well according to the requirements of the drill plan.
5. Dengue fever training will be held in August 20XX.
According to the requirements and unified deployment of the disease prevention and control departments at higher levels, the epidemic situation of dengue fever has continued to be high this year, and the situation of prevention and control of dengue infectious diseases is grim. There is a local outbreak of dengue fever in the surrounding area of our city, and there are 2 imported medical records and 1 local infection cases in our city. The leaders in charge of our hospital attached great importance to it, and asked the Medical Department to organize all medical staff to carry out dengue fever training again, fully understand the means of dengue fever prevention and control, and ask them not to be paralyzed in their thinking and slack in their work, and to implement the responsibility of prevention and control from person to person.
Sixth, xx Hospital held a lecture on first-aid technical knowledge for 20XX years.
In order to improve nurses' first aid ability, self-help and mutual rescue ability, and enhance emergency response ability, especially to improve the success rate of first aid for critically ill children, our hospital held a 20XX first aid technical knowledge lecture, with more than 100 participants.
This training mainly includes six first-aid skills: cardiopulmonary resuscitation, cricothyroid puncture, infradiaphragmatic abdominal impact, defibrillation, gastric lavage and hemostasis. The lecture was given by xx, head nurse of outpatient and emergency department. Explain the basic theoretical knowledge in groups according to each basic link, and explain it step by step and decomposed from easy to understand, and then demonstrate the operation in person, so that the personnel present can basically master the essentials and basic operation flow of rescue. Through short-term training, we have improved our understanding of first aid technology and broadened our knowledge. I hope that I can skillfully use the common sense of first aid learned in clinic in the future and do a good job for the general public.
Seven, xx hospital should strengthen the quality and behavior of nurses.
In order to further implement the hospital leaders' instructions, strengthen service awareness, improve service attitude, improve the overall quality and service quality of the nursing team, and cultivate and bring up a nursing team with excellent quality, standardized service and exquisite business, the nursing department trained the nursing staff on the fifth floor of our hospital at 4 pm on128.
This training was given by Zhang Lan, Director of Nursing Department, with 105 participants. This training content starts from three aspects: nurses' professional etiquette, nurses' behavior norms and overall nursing service norms, and guides nurses how to establish warm service, smiling service and family service, and improve service attitude and quality.
202 1 Model essay on hospital work summary in the third quarter (3) I. Work summary
1. In the third quarter, our hospital successfully passed the acceptance of secondary hospitals. In view of the problems pointed out by experts during the acceptance period, the nursing department actively organized discussions and sought corrective measures to continuously improve the quality of nursing work in our hospital, further improve the level of nursing technology in our hospital and better serve the clinical inpatients.
2. Improve the quality of nursing service in our hospital, and comprehensively improve the nursing quality of critically ill patients.
1) In the third quarter, the quality nursing work in our hospital was improved. In the survey of inpatients' satisfaction, the inpatients gave full affirmation and satisfaction to the nursing service in our hospital. In the quality control group inspection of nursing department, the feedback satisfaction reached 98%, the graded nursing reached 95%, and the critical nursing reached 90%.
2) In the third quarter, the nursing department sent six ICU nurses to go out for further study, and organized students to exchange and study with clinical nurses, so as to further strengthen the nursing knowledge of nurses in our hospital, improve the nursing quality of our hospital and enhance the technical level of critical care services in our hospital.
3) In August and September, the nursing department carried out nursing rounds and case tracking in obstetrics and gynecology and gastroenterology respectively, so as to improve the quality of specialized disease care and better serve clinical inpatients.
In March and August, the nursing department arranged 8 nursing staff to participate in the training of nursing management knowledge of Suqian Nursing Association to increase the nursing management knowledge of head nurses in our hospital. Arrange the head nurse to teach nursing management knowledge. Most head nurses and N3-N4 nurses in our hospital participated in the study of nursing management knowledge, learned new nursing management knowledge, and improved the level of nursing management in our hospital. However, some head nurses have loopholes in department managers.
4. Pay attention to the cultivation of nursing staff's thinking ability, practical ability and humanistic quality, strengthen bedside rounds, and use the method of case tracking to promote the in-depth and lasting development of critical care.
5. The "100-day nursing safety" activity was successfully concluded. In this activity, two first prizes were awarded, 500 yuan for neurology and cardiology, 1 300 yuan for thoracic surgery, 1 200 yuan for emergency treatment, and each poor department was fined 100 yuan. Now the amount of rewards and punishments has been implemented. Further promote the implementation of the core system of nursing safety in our hospital, strengthen the enthusiasm of nursing staff in our hospital and deepen the awareness of nursing safety. However, there are still many adverse events in this activity, and the implementation of some core nursing systems is still insufficient.
6. Three-basic operation and three-basic theory assessment are carried out in an orderly manner as planned, and the assessment results are archived, and those who fail the make-up exam are archived, but there are shortcomings in implementation. In the third quarter of the second half of the year, the assessment of nursing core system and emergency plan was completed, and the assessment results were archived. The qualified rate was 100%.
7. Maintain the normal nursing work order, carry out nursing quality control management in an orderly manner, and ensure the safety of clinical inpatients.
Second, the follow-up analysis
The plan made by the nursing department in the third quarter was basically completed, and the implementation rate of the plan was over 90%. The scheme is reasonable, effective and operable. The following problems are analyzed through quality tracking:
1. The nursing department actively organized discussions on the problems raised by experts in the evaluation process, and rectified the existing problems to further improve the nursing work in our hospital.
2. Shortcomings and analysis in nursing management: Some head nurses protect themselves in department management, and can't treat department nurses equally, which leads to defects in department management, and department nurses can't be friendly and United, which is not conducive to the development of department nursing work. In view of this phenomenon, the nursing department fined the head nurse for two months' management performance, and asked the head nurses in the department to treat them equally in management and do a good job in department unity.
3. Some of the three basic theories have not been implemented as planned. The reasons are as follows: the whole hospital conducts graded training and assessment based on the three basic theories, but the reference rate is lower than the plan due to the lack of pre-hospital first aid, nurse's personal leave and maternity leave, and the planned participation rate and reference rate are not reached. Therefore, the nursing department conducts reasonable training and assessment for nurses such as pre-hospital first aid and maternity leave, reaching the reference rate of 100%.
4. In the activity of "Nursing 100 Days Safe and Accident-free", it was found that the enthusiasm of clinical nurses has improved, but there are still problems in the implementation rate of core nursing system, especially the handover system of core nursing system, the management system of rescue drugs and articles, and the management system of critically ill patients. Head nurses in departments are required to strengthen management, eliminate potential safety hazards, have clear rewards and punishments in management, and closely link the work of nurses in departments with personal performance.
5, nursing quality control committee actively check the existing problems and feedback in time, discuss and formulate corrective measures to continuously improve the quality of nursing.
202 1 model essay on hospital work summary in the third quarter (4) 1. Improve and refine various nursing work systems.
1. According to the evaluation standards of graded hospitals and high-quality nursing services, combined with the new standards of graded nursing industry, seven related systems were supplemented or revised, which further improved the nursing work system in our hospital.
2. Formulate the standards and related forms of perioperative patients and health education, and evaluate the clinical departments of the whole hospital. In view of the problems existing in the evaluation, after discussion and analysis, the rectification measures were formulated, which improved the nursing level of the hospital.
3. According to the nurse qualification examination and approval system, the relevant forms have been formulated, and the nurses in the whole hospital have been examined and approved at different levels, thus achieving the management of nurses at different levels.
The second is to improve nursing quality control and ensure nursing quality.
Go to the department regularly for a nursing quality control check every month, communicate with the head nurse at the scene of the problem, and order him to make rectification within a time limit. Hold three regular meetings of head nurses, discuss and analyze the causes of problems, and formulate specific improvement measures to improve nursing work in many aspects.
Three, the implementation of business learning, nursing rounds and nursing grading assessment.
Completed two professional studies and a nursing ward round, which enriched the professional knowledge of nurses and popularized new nursing concepts. We have also made theoretical and operational assessment on nurses of N0-N3 grade, and completed the half-year assessment of head nurses in the whole hospital, thus improving the comprehensive quality of nurses.
Four, the distribution of patient satisfaction questionnaire, solicit opinions and suggestions.
The nursing job satisfaction questionnaire was distributed to inpatients in the whole hospital. After summing up, the patient satisfaction was 96.27%. Feedback the problems reflected by patients to the department and put forward suggestions for improvement. This survey shows that the nursing work has been affirmed by most patients, and the shortcomings need to be further rectified to improve patient satisfaction.
202 1 Summary of Hospital Work in the Third Quarter Fan Wen (V) Since the third quarter, under the correct leadership of hospital leaders, the Pharmacy Department has completed all the work in the third quarter of this year and achieved certain results, as follows:
Timely and reasonably meet the needs of clinical medication to fulfill the basic duties of the pharmaceutical department; Further carry out the work of sending medicine to the ward to better serve the clinic, reduce the burden of taking medicine for clinical nurses, and strive to achieve good service, good quality and clinical satisfaction; Carefully review every prescription sent to the pharmacy to ensure that the qualified rate of outpatient prescriptions in our hospital reaches 100%, so as to promote rational drug use in outpatient clinics.
Comprehensively supervise the use of national essential drugs and provincial essential drugs in our hospital, call up relevant figures from the hospital pharmacy system every month for calculation and analysis, and report them to the relevant departments of our city for review.
According to the Measures for the Administration of Antibacterials (Order No.84) and other related policies, the clinical application management of antibacterial drugs in our hospital is further strengthened: the utilization rate, intensity and proportion of antibacterial drugs in our hospital are statistically analyzed every month and reported to relevant departments, and the abnormal use is investigated and supervised; Spot-check, comment and summarize the cases of antibacterial drugs, summarize the main problems existing in the doctor's advice, report them to the medical department, and reward and punish the relevant personnel to promote the comprehensive and in-depth development of clinical application of antibacterial drugs in our hospital; The number of discharged cases per month is reported to the National Antimicrobial Monitoring Network, and related cases are reported according to the selection results of the National Antimicrobial Monitoring Network.
The above is a brief review and summary of the work in the third quarter. Through the summary, we can understand the work progress, achievements and existing problems in the previous stage, so as to guide and improve the work in the fourth quarter accordingly.