Article 1 The year of 20xx is a key year for medical work in our hospital. In order to do a good job, the work plan for the past year is now reported as follows, and I hope the leaders and brother departments will supervise it.

The first is to standardize business rounds and improve the effect of rounds.

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 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.

Third, 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.

Fourth, 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.

V. Complete daily work and quality control.

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.

At the beginning of the year, I am willing to work hard to achieve higher goals. Nursing work is trivial and repetitive, and nursing quality control runs through every day. I am willing to use every day's hard work for the smooth development of the department's work, improve the standardization and practicality of management with every day's efforts, and strive for the happy work of every nursing staff in the department with every day's efforts.

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First, get a clear understanding of the situation, unify our thinking, strengthen our confidence, and strive to complete all the work.

The new year should have a new atmosphere, and our hospital should have new characteristics. Facing the present situation of our hospital, we are required to have higher and stricter requirements in management, service and pursuit of quality. The department held a general practitioner's meeting, carefully understood the situation, unified thinking, established the image of the department, established the brand of the new hospital, started from itself, set high standards and strict requirements, and established the concept of prospering the hospital. Although our department is facing the difficulty of low visibility at present, the strong support of the hospital and the superb technology and quality service of medical staff have won the recognition of patients, enhanced cohesion, strengthened confidence and worked hard to complete various tasks. We firmly believe that with the strong support of leaders at all levels, the correct leadership of hospitals at two levels, and the joint efforts of all the staff of our department, Qi Xin, Minsheng Branch will be refined and strong. Let the people really feel at ease and satisfied.

Second, change the service concept and strengthen the service consciousness.

1. Humanized management: The new hospital management can't stay in the original management mode and level. First, we should change our ideas, constantly learn management experience, improve our own management level, oppose centralized management, advocate people-oriented management, carry out humanized service and humanized management, and apply different service methods according to different levels of patients. Strengthen communication among comrades, between doctors and patients, and between nurses and doctors. Comrades at all levels dare to grasp and manage, but don't be good people. The department promotes righteousness and makes the department a United, hard-working and positive team. 2. Improve service measures ① Warm reception of newly admitted patients ② Education and careful ③ Timely handling of new patients, striving for correct handling of critically ill patients within 30 minutes ④ Immediate handling, communication in place ⑤ Competent doctors and nurses are responsible for escorting critically ill patients for examination ⑤ Medical staff must keep the ward clean, bright and comfortable ⑤ Completely change their concepts, turn services into hotels, and completely put an end to the phenomenon of cold, hard and unresponsive hygiene; ⑧ Send him out of the ward when he leaves the hospital, and explain the matters needing attention repeatedly when he leaves the hospital.

Third, improve various rules and regulations and establish various management organizations.

According to the requirements of hospital management year activities and hospital arrangements, familiar with the core system, the hospital blue book should be equipped with 1 copy. The department has set up medical quality management team, medical safety team, medical record management team and hospital infection control team. The director is fully responsible, and the head nurse actively cooperates. Everyone does his duty and does his job well.

Fourth, the quality of medical care.

Hospital quality is the most important thing, and it is the foundation of establishing a hospital. It is the lifeline of hospital survival, focusing on connotation construction. 1, from the basic quality, cultivate good quality, beautiful medical ethics, put an end to pampering, poor psychological quality, spleen-loving, weak sense of responsibility, and key supervision by departments.

2. Grasp the quality of grass-roots units, cultivate the comprehensive ability of doctors, and improve the interdisciplinary diagnosis and treatment ability of general practitioners.

3, master the writing of medical documents, starting from the medical record, the medical record writing manual of the health department shall prevail, so as to know fairly well about the patients in charge, and write and sign in time after rounds. 4. Pay special attention to the rescue of critical patients and the diagnosis and treatment of difficult patients. The rescue of critically ill patients and the diagnosis and treatment of difficult patients are generally discussed once a week. The patients with unclear diagnosis 1 day were discussed in internal medicine, and those with unclear diagnosis were discussed in hospital for 3 days. 5, strengthen quality management, the first doctor responsibility system, clear division of responsibilities, both division of labor and cooperation, adhere to the system of three rounds a day, know fairly well about the daily critically ill patients, look over the newly admitted patients one by one, eliminate potential hidden dangers, strictly implement various operating systems and consultation systems, strengthen communication with patients, sign and write every informed consent form and special examination and treatment agreement, and be responsible to the higher authorities and lower levels themselves.

Fifth, pay attention to medical safety and don't relax.

The director of the department is the head of the department's safety, responsible for the dean above and the comrades below. He conscientiously implemented the medical system, diagnosis and treatment norms, informed consent and other procedures. Valuable drugs, toxic drugs and property shall be kept by special personnel. In particular, it is necessary to strengthen the communication between doctors and patients, and conduct medical safety self-examination once a month to eliminate unsafe factors in the bud and prevent medical accidents. Reduce and avoid common mistakes and misdiagnosis disputes.

Sixth, speed up personnel training.

With the progress and development of society, diseases are constantly changing and knowledge is updated quickly. Our department has a lot of cutting-edge knowledge. However, because we are at the grassroots level, there are too few opportunities to go out to study and update our knowledge slowly. The backbone of the department goes out for short-term study or training 1-2 times a year to get to know the cutting-edge knowledge, develop new business, do a good job in the topic and keep up with the cutting-edge pace. Doctors at all levels need to strengthen their own learning, pay close attention to the three basics training, and standardize medical behavior. Key doctors are selected for further study. To improve their professional ability, we plan to send doctors and nurses to study diabetes and dialysis this year, and strive to make endocrinology and dialysis departments into first-class departments in yongcheng city.

In a word, under the care of hospital leaders, we will unite as one and work hard to establish quality hospitals and departments in yongcheng city as soon as possible.

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In 20xx, the work of our hospital was relatively smooth, and all the work was successfully completed. Therefore, in the future work, we should continue to do all this well, taking the work of 20xx as an example, and we must do the work well. In the next year, we will do it, which is the result of our persistent efforts. I believe we can do it well!

With the strong support of hospital leaders, the medical department has made great progress in medical quality, service quality and medical safety. The Medical Department will, as always, under the leadership of the Hospital Committee, take Scientific Outlook on Development as the leader of the overall development of medical work, as always, enhance the ability of independent innovation, continue to carry out the practice of hospital management year and two good and one satisfactory activities, and constantly push forward all the work of the Medical Department.

First, prevent medical accidents and ensure medical safety.

Earnestly do a good job in medical quality evaluation, strictly abide by the management norms, working systems and revised evaluation rules formulated by the hospital, carry out management work, strictly implement medical preventive measures and medical accident handling plans, implement the accountability system for medical defects, and carry out medical activities in strict accordance with the standards of medical operation procedures. Organize hospital staff to learn relevant medical laws and regulations. Strengthen the quality management of key links and departments, and expand the focus of medical quality management from the final quality evaluation of medical care to the quality inspection and supervision of every link in the whole medical process. The key points include: (1) emphasizing that the written specifications of admission notice, power of attorney and all kinds of informed consent forms for diagnosis and treatment are complete. (2) Truly and accurately do a good job in discussing death cases, critical cases, rescuing critical patients, discussing all kinds of records, and handing over doctors; (3) Organize departments to strengthen the study and evaluation of diagnosis and treatment norms and related laws and regulations. (4) further change the work style, strengthen the service consciousness, make more explanations, more comforts, more understanding, more warmth and more help, so as to improve the service quality of the hospital; (5) Strengthen the inspection of diagnosis and treatment plan and medication safety.

Second, medical quality management

1, strengthen the department's own construction

According to the shortcomings of the city's work inspection in 2008, we will continue to strengthen our own quality and system construction in 20xx, mainly including: perfecting and updating the activities and meeting records of various commissions and bureaus; Strengthen the management of departmental archives; Change work style, strengthen service consciousness, gradually change from experience management to scientific management, from people-oriented management to system management, enhance independent innovation ability and keep pace with the times.

2, to participate in the hospital quality control management committee rounds, every Thursday morning to a certain department rounds regularly, and all clinical departments in the hospital take turns to circulate. The contents of rounds include: handover of doctors, including the actual handover of departments and written records; Third-level department rounds, focusing on supervising and standardizing the implementation of department teaching rounds and director rounds; Writing quality of inpatient medical records; Implement the five-discussion system of departments, including the discussion of critical cases, difficult cases and deaths, and learn more about their records and implementation; Listen to the director's opinions on medical operation, quality management, scientific research and teaching, and put forward reasonable suggestions for improvement.

3, medical record quality management

(1) link quality Check the medical records of 4-6 links in clinical departments every Monday and Tuesday, and monitor the three-level rounds, five-level discussions, consultations (in-hospital consultations, in-hospital consultations, and out-of-hospital consultations) and doctor's orders in medical records in strict accordance with Shandong medical document writing standards; In addition, strictly regulate doctors' succession, spot check the monthly quality education analysis of departments, help departments find problems, put forward improvement plans, and supervise the study records of three basics and three strictness and political study records.

(2) Final medical records: Every month, randomly select 10 medical records discharged from various departments in the medical record room, assess the final medical records every six months, and strictly implement the rewards and punishments for the quality assessment of medical documents in Lingxian People's Hospital.

4. Supervision of key departments

(1) In order to monitor the quality of icu, icu was randomly selected every week. The key points are: strictly standardize the medical record writing of critically ill patients and the handover records of medical staff; The actual ward round of the department; The implementation of the reporting system for critically ill patients; Actually watch the proficiency and standardization of medical staff in various technical operations of critically ill patients;

(2) Monitor the anesthesiology department and check it regularly every month. The main contents include: the actual situation of preoperative anesthesia visit; Improve the signing of various anesthesia agreements; Strictly check the implementation of the narcotic drug management system.

Monitoring of key departments, the medical department will strictly check the records, check them correctly, summarize, compare and evaluate the poor contents every time, and discuss the corresponding improvement measures to eliminate potential safety hazards while improving the quality of departments.

Third, continuing medical education.

1. Strengthen the training of new recruits. In view of the shortcomings of the new recruits in the past year, such as irregular medical record writing, weak legal knowledge and incorrect working ideas, the Medical Department will further strengthen the training of new recruits in 2009. The training is mainly divided into three parts: medical record writing, practicing physician law and how to be a good clinician. It will be conducted in stages in the form of lectures. The medical department monitors and checks the trainer's learning records throughout the process, and conducts on-site questions and written examinations after the stage of learning.

2, strengthen the scientific research work of each department, after the completion of daily work, should be planned, targeted organization 1-2 scientific research projects, attending physician or above doctors to write and publish no less than two scientific research papers. While urging scientific research, medical departments should make every effort to create favorable conditions for their departments.

3. Strictly manage off-campus study and interns. While receiving interns from Dezhou Health School, Modern Medical College, Xinglin Medical College, Tai 'an Medical College and other institutions and interns from township hospitals, we will further strengthen organizational discipline management and pay attention to the training of their basic knowledge, basic theory and basic skills.

4. Strengthen the professional training of professional and technical personnel According to the situation of our hospital, under the principle of on-demand training and hospital economic conditions, send medical personnel to study in higher-level hospitals, absorb advanced technology, and improve technical level. Professional and technical personnel with intermediate titles should closely combine their own majors, encourage self-study and full-time study, consciously and strictly supplement, increase new theories, technologies and methods of their professional skills, and master the knowledge of interdisciplinary and related disciplines. Professional and technical personnel with junior titles should combine their posts, train their professional technical knowledge and skills, master professional technology skillfully, participate in scientific research, and solve complicated and difficult diseases, strive to improve the professional quality of professional teams on the principle of inviting in, sending out and learning by themselves, and invite superior experts to our hospital for professional technical guidance with the approval and support of the hospital Committee, so as to continuously improve their professional level in the form of rounds, operations and lectures. And support each topic to invite experts to guide the development of new topics.

5. Continue to strengthen business learning management. Strictly study the business of each department every Monday and week. The medical department randomly checks the actual learning situation of each department and asks questions on the spot in combination with the learning records. In addition, special lectures for young doctors are arranged every Thursday, which are taught by the directors of various departments in turn, and the medical department participates in the whole process and makes records, and conducts on-site assessment from time to time.

6. Emphasize the importance of academic lecture activities inside and outside the hospital, arrange relevant work for professors in higher hospitals, and ensure that relevant professionals can attend.

7. Organize the theoretical assessment of "three basics and three strictness" once every six months, formally carry out the practical skill assessment in our hospital in September, and carry out the training of "three basics and three strictness" once every quarter, as follows: In the first quarter, all middle and junior doctors were trained in the application of cardiopulmonary resuscitation, ventilator and defibrillation; In the second quarter, the training of common clinical techniques such as catheterization, various punctures, intubation and the first theoretical examination was carried out; In the third quarter, carry out all-staff knowledge training on narcotic drugs and antibacterial drugs; In the fourth quarter, the second theoretical assessment and practical skills assessment were conducted, and special training was conducted for weaknesses. The hospital needs to be reformed in 20xx. As long as there are unreasonable places, we must reform. This is something we should be optimistic about. In the future, I will gradually adapt to my current job and only move in a new direction. This is what we have always wanted to do. Do a good job, do a good job!