1 XX summary of the work of the medical department in the first half of the year. Under the guidance of the work plan at the beginning of the year, the medical department carried out the work item by item, and all the work has achieved phased results. Now, summarize the work in the first half of the year:
First, medical quality management
1, the medical department shall inspect the medical core system, the quality of medical documents and related specifications every quarter, and feed back the problems found to the department in time, and find and solve the problems in time, which shall be carried out by the department director and recorded.
2. Quality management of medical documents
(1) Conduct spot checks on archive ratio management every quarter, issue feedback sheets to responsible doctors for problematic medical records, rectify them in time, and the audit is in good condition, and all doctors can seriously correct them.
(2) Every quarter to the department, check the current medical records, on-site rectification.
(3) As of the first half of the year, the Medical Department * * * randomly selected 24 medical records and found no Class C medical records.
3. During the supervision of each department, it was found that all kinds of records were not timely, especially the handover records were too simple, and rectification notices were issued for the problems found, and the review was in good condition.
Second, do a good job in continuing medical education.
1, in order to absorb advanced technology and improve technical level. In the first half of the year, * * * sent two medical staff to advanced units in provinces and cities for further study, which brought new theories, technologies and methods to our hospital.
2. In the first half of the year, * * * conducted six medical "three basics" studies and two "clinical practice" theoretical studies. Conduct a "three basics" theoretical examination every quarter, and conduct a clinical skills operation examination every quarter, and punish unqualified personnel.
Fourth, prevent medical accidents and ensure medical safety.
From June, 65438 to XX 10, our hospital * * * organized five times to study relevant medical laws, regulations and rules. Strictly implement the medical technical operation standard, carry out medical activities according to the scope of practice, and deal with the behavior that damages the image of the hospital strictly and severely.
In the first half of XX, with the support of hospital leaders, our department carried out the plan at the beginning of the year step by step, and all the work achieved good results. In the second half of the year, we will make persistent efforts to make up for and improve the shortcomings in our work, strive for greater achievements, and contribute to the construction of a harmonious hospital.
Work Summary of Medical Department 2 Under the direct leadership of hospital leaders, with the concept of "quality first, patients first", we pay close attention to the standardization of medical system, thoroughly study and implement the Law of People's Republic of China (PRC) on Medical Practitioners, the Regulations on the Management of Medical Institutions, the Regulations on the Handling of Medical Accidents, and the Basic Specification for Medical Record Writing, and take practical and effective measures to increase medical security in combination with the actual situation of our hospital. Pay attention to the quality training and professional ethics education of medical staff, further emancipate the mind, update ideas, improve service efficiency, effectively promote medical treatment, teaching and scientific research, and make contributions to the reform and development of hospitals.
First, medical quality and medical safety.
The quality of medical care is the fundamental problem for the survival and development of hospitals. Paying close attention to medical quality management and improving the quality of medical services in an all-round way is the primary task of the medical department. The improvement of medical quality and medical safety has achieved remarkable results.
(1) Basic medical quality: According to the requirements of hospital quality management, the three-level medical quality control system was improved, the Medical Quality Control Scheme was formulated, and the Medical Quality Inspection and Assessment Standard was revised, which helped and urged all departments to establish eight books on medical quality control. Supervise and inspect the implementation of medical core rules and regulations such as medical record writing system, request report system, check system, three-level doctor rounds system, consultation system, case discussion system, operation grading system, and responsibility system of first-visit departments. According to the principle of combining education with criticism, the quality of basic medical care and link medical care was strictly controlled by combining regular supervision and spot check with centralized inspection, and the medical quality in our hospital was obviously improved.
(2) Quality of medical record writing: In strict accordance with the requirements of the Basic Specification for Medical Record Writing, we put forward further standard requirements for the writing of inpatient medical records, course records and related materials, carefully organized study, and conducted 1-2 quality supervision and inspection every month, with clear rewards and punishments, rewarding the excellent and punishing the poor, which greatly improved the consciousness and quality of medical record writing of clinicians. The number of inpatients in 20xx is 2670, which is 0.03% lower than that in 2004. 2,670 medical records were filed, 2,553 were Grade A medical records, and the rate of Grade A medical records was 95.6%. There are 2670 qualified medical records, and the qualified rate is 100%. Each department can turn over the medical records in time, and can write the current medical records in strict accordance with the Basic Rules for Medical Records Writing. Outpatient infusion observation medical records can basically be completed as required. The quality of prescription has also been improved to varying degrees. Prescriptions were randomly selected for five days every month, and the average pass rate of1-1was 86.2%. The basic registration of outpatient and inpatient departments can also be carried out as required, which basically meets the requirements of quality standards.
(3) Medical quality of medical technology departments: strengthen technical training of medical technicians and improve service quality, attach importance to monitoring the coincidence rate and accuracy of test results, and constantly add new items to meet clinical needs. Among them, the laboratory has newly developed the detection items of hepatitis A antibody, hepatitis C antibody and treponema pallidum this year, which meets the needs of clinical blood transfusion safety. Pay attention to communication with front-line clinical departments, actively participate in interstitial evaluation and indoor quality evaluation activities, achieve excellent results, and successfully pass the inspection and acceptance of provincial clinical inspection center. The radiology department standardized the system of reading films in the morning meeting and the system of blocking and correcting errors, which effectively prevented the occurrence of medical disputes.
(4) Outpatient medical quality: After the hospital breaks down the economic indicators, the sense of responsibility, risk awareness and competition awareness of outpatient doctors are obviously improved, and they can strictly abide by the responsibility system of first consultation and first consultation, and carefully register and write outpatient prescriptions. The results of prescription quality inspection for five consecutive months show that the qualified rate of outpatient prescription writing has reached 86.2%, and the number of outpatient visits and economic income have also increased significantly.
(5) Medical safety work: From May to July this year, several medical disputes occurred in our hospital, and the medical department coordinated and resolved them in time to minimize hospital losses. Subsequently, in view of the continuous occurrence of many medical disputes in this hospital, the Medical Department carefully analyzed the situation, formulated a plan for the prevention and treatment of medical accidents, and strengthened the training of medical staff's professional ethics and professional technical ability, especially the study of the Regulations on the Handling of Medical Accidents. In July and August, a series of emergency training was held to strengthen the professional skills training of medical staff. 10 also held the prevention and treatment of medical accidents. Combined with typical cases around or in our hospital, this paper analyzes how to educate medical staff to effectively prevent medical disputes and protect the legitimate rights and interests of patients, medical institutions and their medical staff. 1 1 At the end of the month, the medical staff of the whole hospital were also organized to study the medical professional laws and regulations such as the Law on Medical Practitioners, the Regulations on the Management of Medical Institutions, the Measures for the Management of Nurses, and the Regulations on the Handling of Medical Accidents, which set off a hot lake of learning, understanding and abiding by the law in the whole hospital. Through our efforts, the frequent occurrence of medical disputes has been effectively curbed.
Second, science and education work.
(1) Continuing medical education:
1. Incorporate continuing education into the work plan of our hospital and attach importance to the training and education of staff inside and outside the hospital. This year, our hospital sent 5 people to tertiary hospitals inside and outside the province for further study, and sent nearly 20 people to various short-term classes. Several doctors who returned to the hospital after further study were able to quickly apply the new knowledge and technology they had learned to the clinic and actively carry out their work, which played a great role in improving the level of medical technology in our hospital.
2. This year, nearly 10 people in our college participated in various adult college entrance examinations and education for academic transformation.
3. Actively write papers, publish 6 papers throughout the year, and exchange more than 10 papers in the Municipal Medical Association.
4. Two academic training courses were held and achieved complete success. A training course on the basic theory of traditional Chinese medicine was held, and more than 60 Chinese medicine doctors from all towns and villages in the county participated in the training; 165438+1in late October, our hospital also hosted the 20xx annual meeting and academic exchange meeting of Shiyan Rehabilitation Medical Association, a municipal continuing medical education project, and more than 90 people attended the meeting.
(B) Three basics training and teaching work
This year, the Medical Department and the Nursing Department jointly held more than ten academic lectures, carried out a series of first-aid knowledge training and first-aid skill examination, and then conducted a closed-book examination on first-aid knowledge, which was a complete success, and greatly improved the theoretical knowledge and skills of most young medical staff. The nursing department also carried out large-scale nursing operation training in a timely manner, which enabled the majority of nursing workers to master skilled operation skills. In addition, our hospital has strengthened the management of senior interns, and further carried out discipline education and requirements for interns, so that senior interns and nurses feel that they can really learn their own places during their internship in our hospital. This year * * * received 25 advanced students from township hospitals and hospitals in other counties, and 58 interns from Shiyan Medical and Health School.
(3) Scientific research work: This year, our hospital declared three scientific research projects, among which the project of acupuncture plus liquid tension therapy for cervical spondylosis of vertebral artery type has passed the provincial appraisal, and the two scientific research projects of carotid artery injection of drugs for invigorating qi and promoting blood circulation for treating cerebral infarction and blood stasis capsule for treating thrombotic diseases have also been formally established, which has created a precedent for scientific research work in our hospital.
Three. Publicity and health education
1. Make use of news media such as Yunxian TV Station and Yunyang Communication to expand hospital brand promotion, and do special topics and news in Yunyang TV Station's Healthy Sight and Yunyang News respectively. 16, at Shiyan TV Station.
2. Carry out various forms of health education: each ward and clinic will issue two publicity columns. More than 20 prescriptions for health education of common diseases were printed and distributed to patients in wards and clinics free of charge, and health education guidance was carried out in combination with TV media, which was welcomed by the masses.
Fourth, free clinic activities and physical examination work.
1, organized experienced medical staff to go to poor and remote villages for free clinic for local people ***9 times, cooperated with county health bureau and Red Cross to carry out free clinic activities in Yunyang Road and Yunyang Square respectively, * * * treated patients 150 times, and distributed health education prescriptions, which was well received by the people.
2. This year, about 1 144 employees of enterprises, institutions and life insurance companies were organized for physical examination, which facilitated the physical examination needs of the broad masses of the people and was well received by the people, and achieved social and economic benefits.
Although the Medical Department has made some achievements in the work of 20xx, it still needs further efforts to make greater contributions to the medical reform and construction of our hospital in the new year.
Summary of Medical Department Work Under the leadership of President 3xxxxx, we thoroughly studied and implemented the Law on Medical Practitioners, Regulations on Management of Medical Institutions, Regulations on Handling of Medical Accidents, Code for Writing Medical Records, Prescription Management Measures and other laws and regulations, and combined with the reality of our hospital, we took practical and effective measures to strengthen medical quality management, pay attention to the quality training of medical personnel and professional ethics education, further emancipate our minds and update our concepts.
Strengthen medical quality management, improve the three-level medical quality control system according to the requirements of hospital quality management, and formulate a continuous improvement plan for medical quality. Strengthen the quality management, evaluation and supervision of clinical departments, medical technology departments and pharmaceutical departments, and put forward suggestions for improvement. Establish and improve medical quality, medical records, pharmaceutical affairs, infection, blood transfusion and other management organizations and their working systems, clarify responsibilities, organize regular activities to carry out work, and comprehensively improve the quality of medical services.
Do a good job in medical education. Implement the credit system of continuing education, organize business personnel to study Several Opinions of Health Department of Heilongjiang Province on Strengthening Continuing Medical Education, Measures for the Declaration and Identification of Continuing Medical Education Projects in Heilongjiang Province, Measures for the Granting and Management of Continuing Medical Education Credits in Heilongjiang Province and Measures for the Assessment and Management of Continuing Medical Education Credits in Heilongjiang Province, and carry out skills training such as self-study, special lectures, rounds and on-the-job training. In the first half of the year, we organized 12 business and regulation studies and arranged 1 written examination, so that the popularization rate of continuing education in the whole hospital reached over 95%. Through study, business personnel have consolidated basic knowledge, basic theory and basic skills, learned new knowledge and progress of medical technology at home and abroad, broadened their horizons and further improved their professional level.
In terms of system construction, all departments are required to study and implement it seriously. In particular, the implementation of the core systems, such as the first-visit responsibility system, the three-level doctor rounds system, the consultation system, the death case discussion system, the difficult case discussion system, the medical record writing standard and other systems, and supervise and inspect the implementation.
In terms of echelon construction and personnel training, the Medical Department actively cooperated with the leaders of the hospital and sent eight health technicians who were in their prime of life and had both ability and political integrity to the superior hospital for further study or short-term study and training.
Go to community service stations regularly, strengthen management, supervise and inspect the completion of community health files and six major tasks, improve the level of diagnosis and treatment and the management level of community health services, and make primary health care penetrate into residents' lives.
Strengthen disease control and issue birth medical certificates, death certificates and diagnosis certificates in strict accordance with regulations. The direct reporting of infectious diseases and deaths on the internet is helpful to the standardized management of hospitals.
The monitoring of hospital infection was strengthened, the implementation of the system was improved, the hospital infection was monitored, and the use of antibacterial drugs was also monitored and managed, which filled the blank of hospital infection monitoring.
In the first half of xxxx year, all the work planned at the beginning of the year and arranged by the hospital leaders were successfully completed. In the future work, we will continue to maintain a good work style, blaze new trails, work hard and serve patients wholeheartedly.