Summary of Hospital Safety Production Management 1 Under the leadership and guidance of the Municipal Health Bureau, our hospital's safety production work closely revolves around the task of the hospital's safety production work center, actively implements the 16-character policy of "prevention first, ensuring safety, comprehensive management and ensuring safety", and conscientiously does a good job in the hospital's internal safety production, public security and fire safety.
The safety production work of our hospital in the first half of 20xx is summarized as follows:
1, earnestly implement the leadership safety responsibility system, and implement the "one post and two responsibilities" in the safety production leading group with the main person in charge of the unit as the team leader and the heads of major departments as members, with equal emphasis on * * *.
2. Conscientiously implement the post responsibility system, held a special meeting on safety in production for department directors and head nurses, and relearned the Law on Safety in Production, the Law on Fire Safety in People's Republic of China (PRC) and the Regulations on Supervision and Administration of Safety in Production in Shandong Province. Signed a letter of responsibility for safety production with the director and head nurse, defined the responsibilities and obligations, and assumed the responsibility of ensuring the safety of undergraduate departments, thus ensuring the safety of hospitals.
3. Conscientiously implement the responsibility system for hidden dangers rectification, formulate and issue the standards and contents of hospital safety production inspection, and organize personnel in our hospital to carefully inspect the safety production of the whole hospital. This time, according to the safety production inspection standards and the monthly medical quality inspection standards implemented by our hospital, we conducted a comprehensive inspection of safety production and medical safety, and carefully investigated and cleared all kinds of hidden dangers. For the problems found, the department is required to rectify within a time limit, and the hospital will review them after rectification to ensure foolproof. Put an end to medical disputes and ensure medical safety. At the beginning of the year, our hospital formulated and implemented a medical quality inspection activity plan, conducted a medical quality inspection on each department once a month, and urged each department to implement relevant regulations and standards on medical quality and medical safety; Find out the problems and weak links in the work; Summarize and popularize the good practices and experiences in the management and medical safety work of various departments. Through medical quality inspection, medical quality management in our hospital has reached a new level, medical safety has been more effectively guaranteed, and the relationship between doctors and patients has been greatly improved.
4, earnestly implement the responsibility system for emergency rescue measures, to protect the life safety of patients and the property safety of hospitals. According to the relevant requirements, the hospital has formulated an emergency rescue plan for accident handling, divided the scope of safety responsibility, defined the person responsible for safety, and determined the list of key types of workers such as power distribution room, central oxygen supply station, chemicals and highly toxic drugs. , the implementation of personnel management, responsibility to people.
5. Conscientiously implement the duty responsibility system, strengthen the responsibility of hospital administrative personnel on duty, and stipulate that electricians, oxygen stations, boiler rooms and other related departments must be on duty 24 hours a day, and must not leave their posts without leave to deal with emergencies at any time. The staff of hospital committees, directors of major departments and head nurses should also be turned on 24 hours to ensure that they are on call.
Summary of Hospital Safety Production Management 2 Through the past year's work, under the correct leadership of the county government and the Food and Drug Administration, our hospital's safety production work has always adhered to the safety production policy of "safety first, prevention first", starting with raising awareness, strengthening leadership, perfecting system and strengthening management, carrying out in-depth safety inspection, actively eliminating hidden dangers of accidents, and achieving zero casualty index through the joint efforts of all employees in the hospital; There were no poisoning accidents and major traffic accidents. The specific practices of our hospital in safety work are as follows:
First, raise awareness, strengthen leadership, and implement the responsibility system for production safety at all levels.
Safety responsibility is more important than Mount Tai. Safety in production and maintenance of workers' lives and national property safety; It is related to the economic rise and fall of our hospital. Since the beginning of this year, the leaders of our hospital have attached great importance to safety work and always listed it as the "number one" project and put it on the important agenda. The main leaders personally grasp, in charge of the specific leadership, and all positions and professions work together to form a * * * management situation. Starting with strengthening study and raising awareness, comprehensively improve employees' awareness of the importance of safety production; Timely convey the spirit of the provincial bureau's instructions on safety in production, and often educate everyone with the cases of safety accidents in this system, especially learning the "Safety Law" and related laws and regulations. Through the study, the staff of the whole hospital realized that safety in production is an important and meticulous work, and accidents may occur with a little carelessness, thus further strengthening the self-protection ability of the staff.
Strengthening leadership and improving organization are the basis of safety production management. Since the reform in 20xx, our hospital has set up a safety production leading group with the president as the leader, the leaders in charge as the deputy leader, and the heads of the security department and related departments as members, and set up a full-time (part-time) safety officer, forming a horizontal and vertical safety production management system, so that safety management can not be separated from the organization.
In order to further implement the responsibility system for production safety and take responsibility at different levels, in the first quarter safety meeting at the beginning of the year, the dean and the heads of various departments signed the responsibility book for production safety objectives respectively, which made the responsibility clear and clear, and achieved good results.
Second, formulate safety rules and regulations to standardize and standardize safety work.
As the saying goes, "Without rules, there would be no Fiona Fang". In order to ensure the safety in production in our hospital, since the end of last year, our hospital has formulated a series of rules and regulations such as Provincial xx Safety Production Responsibility System, Provincial xx Fire Safety Responsibility System, Provincial xx Safety Production Management System and xx Fire Management System according to the relevant provisions of the Provincial Bureau and the actual characteristics of our safety work. It is printed and bound and distributed to all departments and teams. The establishment of rules and regulations ensures that the safety work in our hospital has rules to follow, and makes all employees' daily work orderly and standardized.
In order to ensure the implementation of various safety production rules and regulations, the relevant departments and responsible persons of the hospital insist on regular inspections, and the hospital safety leading group holds regular safety production meetings, and the violations found in each safety production inspection shall be investigated for responsibility in accordance with the relevant provisions of safety production rules and regulations. Using the system to manage people not only educates everyone, but also effectively promotes employees' consciousness of obeying rules and disciplines, ensuring the daily safety production in our hospital.
Third, strengthen publicity and training to enhance safety awareness.
Improving the safety quality of employees in our hospital is the basis of doing a good job in safety production in our hospital. Since the beginning of this year, our hospital has made full use of regular safety production meetings, broadcasts, billboards, safety knowledge contests and other forms to educate employees, organized employees to learn the People's Republic of China (PRC) Safety Law, the Safety Production Law and related laws and regulations, learned the relevant safety production regulations of the provincial bureau and the rules and regulations of our hospital, and organized employees to take safety production awareness tests. They can only be employed after passing the exam, which is a safety requirement for their familiar positions.
In order to do a good job in safety production in our hospital, this year, our hospital has carried out a series of activities such as "Safety Production Week", "Safety Production Month" and "Ankang Huai" knowledge contest. All the special operators in our hospital are trained outside as required and hold certificates, which effectively improves the safety production skills of special operators and lays a solid foundation for the realization of our production.
Four, strengthen supervision and inspection, pay attention to the rectification of hidden dangers.
As the saying goes, "sharpening a knife doesn't mistake a woodcutter", we would rather spend more time checking safety and eliminating hidden dangers than working illegally. In the daily work of the housekeeping department, rehabilitation department, boiler room and other departments in our hospital, everyone felt the necessity and importance of safety inspection, and they were careless, fluky and perfunctory, and had no idea at all. The problem can only be found through inspection. Before and after going to work every day, part-time security officers in housekeeping department, boiler room, vehicles and rehabilitation department insist on safety inspection on the site. At the same time, our hospital also took the initiative to accept the inspection of local safety supervision and management departments at all levels. No matter the hidden dangers of internal investigation or external investigation, they should be rectified in accordance with the principle of "three determinations" and strive to create a good safety production environment.
In a word, although we have made some achievements in safety production this year, there is still a certain gap with the requirements of the provincial bureau. We will conscientiously sum up and make use of this year's experience, so that the safety work in the coming year will reach a new level.
Summary of hospital safety production management in the first half of 3 xx, under the correct leadership of the superior health administrative department, our hospital continued to carry out the activities of "striving for Excellence" and "three good and one satisfaction", earnestly implemented the plan of "medical quality traveling thousands of miles", persisted in striving to improve medical quality, ensure medical safety, improve service attitude, put an end to unreasonable charges and strengthen the construction of industry style. Through the concerted efforts and hard work of Qi Xin, a cadre and worker of the whole hospital, the development goals and tasks set at the beginning of the year have been successfully completed. The work is summarized as follows:
First, continue to carry out in-depth study of "striving for Excellence" and "three good and one satisfaction" activities, strengthen ideological education, improve comprehensive quality, and ensure the effectiveness of work.
1. Unite and lead party member cadres and workers in the hospital to carry out in-depth learning activities of "striving for Excellence" and "three good and one satisfaction", carefully organize and arrange, carefully organize learning, solicit opinions extensively, carefully write experience reports, persist in learning while changing, and strive to organize and study strictly, find out the problems fully, analyze the causes in place, take effective corrective measures and achieve obvious results, and strive to complete all requirements of in-depth learning activities.
2. Conscientiously implement the Implementation Plan for Democratic Appraisal of Medical Institutions in Gansu Health System, set up a leading group for democratic appraisal of medical institutions headed by the president in time, set up an office and formulated an implementation plan. Consciously practice medicine in good faith, adhere to good faith service and practice in strict accordance with the law.
3. Seriously carry out medical ethics education, guide the medical staff in the hospital, strive to carry forward the humanitarian spirit, and vigorously carry forward the spirit of "patient first, service first, Excellence and quality first". The concept of "people-oriented" is truly embodied in the process of medical service, so as to respect, care, facilitate and serve patients.
4, within the scope of the hospital to carry out in-depth medical order rectification as the main line, throughout the overall work of the hospital, to carry out self-examination and self-correction, to investigate and deal with existing problems, rectification within a time limit, due to personal problems in accordance with the relevant provisions of punishment. At the same time, a suggestion box was set up, and the telephone number was publicly reported, which strengthened the supervision in the hospital and carried out the evaluation of professional ethics in a solid and effective manner.
5. Strengthen the construction of hospital culture and enhance the staff's awareness of loving the hospital. Organized and participated in the Spring Festival social fire performance held in the county; Participating in the speech contest organized by the county youth league Committee, holding publicity activities, technical competitions, free clinic activities, performances, staff gala and other activities on holidays and anniversaries, has formed a peaceful and energetic good situation.
Second, strengthen quality management to ensure medical safety.
1, standardize the medical behavior of medical staff and practice in strict accordance with the law.
Organize medical staff to seriously study health laws and regulations and hospital rules and regulations. In view of the problems existing in the work, combined with the specific requirements of the "medical quality travel thousands of miles" activity and the actual situation of our hospital, we carried out self-examination and self-correction, and formulated feasible rectification measures to carry out rectification, which promoted the institutionalization, standardization and scientificity of hospital management.
2, strictly implement the first diagnosis is responsible for, three doctors rounds, difficult case discussion, critically ill patients rescue, preoperative discussion, death case discussion, succession and other core systems to carry out the work.
Establish a surgical grading management system, formulate specific implementation rules and management methods, formulate a surgical grading catalogue, and strictly review the doctor's surgical authority. Seriously implement the basic norms of medical record writing and improve the quality of medical records. Strengthen the "three basics and three strictness" training, organize medical staff's business study in a planned and purposeful way, transfer new knowledge and train business skills. Through theoretical knowledge study and examination, professional technical training and competition, a good atmosphere of emphasizing learning, safety, quality, technology, service and effectiveness has been created in the whole hospital. Adhere to the medical quality and medical accident analysis meeting, analyze the causes of medical accidents, improve the system, improve management and improve the technical level. Organize and study some experience summary in the whole hospital to ensure medical quality and safety.
3. Strengthen hospital infection control.
Continue to strengthen the management of infectious diseases prevention and control, and report new infectious diseases in a timely manner according to the requirements of rules and regulations such as emergency plans for infectious diseases, hospital infection control plans, medical wastes and waste treatment norms. Actively prevent hospital infection, establish aseptic concept, formulate hand washing system, and wash hands strictly according to requirements to reduce the occurrence of hospital infection. Formulate the workflow of disposal of disposable articles, determine the head nurse of each department as the first responsible person, clarify the responsibilities, implement the system of double signing of recycling and incineration of disposable medical articles, and the leading group of hospital infection will conduct spot checks regularly or irregularly to prevent the outflow of medical wastes and medical wastes. Actively carry out hospital infection control knowledge training, and organize various training courses by combining decentralization with centralization and combining theory with practice to improve hospital staff's understanding of hospital infection control.
4, the implementation of prescription review system, the implementation of dynamic monitoring and abnormal early warning of prescriptions, timely intervention in irrational drug use.
Conscientiously implement the classification management system of antibacterial drugs, clarify the prescription authority of doctors at all levels to use antibacterial drugs, severely deal with medical personnel who use antibacterial drugs unreasonably, and promote clinical safe, effective and rational drug use.
5, strengthen the management of the medical department, improve the quality of work.
Strictly implement the relevant regulations and systems, provide reliable basis for clinical diagnosis, and serve the clinic on the principle of safety, accuracy, rapidity and responsibility. Adhere to strict management, standardized operation, accurate test results and timely reporting time to meet the needs of clinical work. In addition, our hospital has also established a cooperative relationship with Gansu Tongxiang Inspection Center, and expanded the inspection items, so that many patients can get the inspection results of provincial inspection departments without leaving the county seat, which is convenient for patients and saves medical expenses. In order to reduce the burden of medical treatment for the masses and simplify the process of medical treatment for patients, our hospital provides large-scale equipment inspection (CT, DR, gastroscope, etc. ) For patients in other medical institutions in the county, we actively carried out mutual recognition of medical examination and imaging examination results, realizing the sharing of medical resources.
6. Strengthen blood management to ensure the safety of clinical blood use.
Set up a blood transfusion management committee, formulate a management system for clinical blood use, clarify responsibilities, do a good job in standardized management and technical guidance for clinical blood use, organize various departments to learn blood use management methods, strengthen blood use management, improve the safety of clinical blood use, and prevent blood-borne infections. All the blood used in the hospital was taken from the blood station in the center of Longnan, which put an end to the act of collecting blood without permission. A special person shall be responsible for the registration of blood in and out of the warehouse. Blood for clinical use must be collected by medical personnel and used for the same investigation. Blood shall not be directly handed over to the family members of patients. After using blood, the waste blood bag should be safely packed by the medical staff of the department and destroyed in the blood bank.
7, actively carry out network remote consultation.
In the first half of the year, 72 patients were consulted online, so that difficult patients could get timely and effective diagnosis and treatment without leaving the county seat, which greatly facilitated the people to seek medical treatment and reduced the medical expenses of patients, benefiting the majority of patients.
8. Complete the task of continuing education.
In the first half of this year, a total of 10 people were sent to study abroad, of which 10 people studied for more than three months. Implement the internship management system and accept interns 12 (9 medical and 3 nursing) in the first half of the year; Training doctors in township hospitals * * * Health knowledge training * * 3 1 person-time.
9. Seriously carry out the work of "four queues" and "eight queues".
According to the requirements of the "eight queues" of the county health bureau, our hospital initially formulated the corresponding management system, timely reported relevant information, increased the proportion of TCM income to the total income, and reduced the proportion of outpatient infusion visits to the total outpatient visits; The average hospitalization expense is controlled at about 2769 yuan, the average hospitalization expense ratio is controlled within 33%, the positive rate of CT examination of large equipment is improved to about 64%, and the patient satisfaction rate of medical quality questionnaire is improved to over 90%. At the same time, our hospital implemented eight queues for medical staff, and publicized the queuing results in the hospital and included them in the monthly assessment, which effectively standardized the medical behavior of medical staff.
10, strengthen the pilot work of clinical pathway management.
In order to do a good job in clinical pathway management, we have strengthened our work measures, organized and coordinated relevant personnel to visit and study in hospitals in the province for many times, formulated a hospital-wide promotion plan, and urged all departments to work out their own clinical pathways. Up to now, our hospital has worked out the clinical pathways of seven diseases in seven clinical departments and put them into practice. In the next step, we will continue to expand the scope, intensify our work, and strive to actively promote clinical pathway management in various departments and professions so that more patients can benefit from it.
1 1. Further develop quality nursing services.
In March of 20xx, the whole hospital held a mobilization meeting to promote the "quality nursing service demonstration ward", so that each nurse could make clear the purpose, significance, work essence and measures to be taken. In order to further unify our thinking, change the concept of nursing service, create a high-quality service atmosphere and improve service quality, our hospital organized nurses from all over the hospital to conduct rotation training in Tianshui First People's Hospital. Up to now, there are "quality nursing service demonstration wards" 18 beds 100, and the patient satisfaction rate is over 90%.
Three, actively do a good job in the new rural cooperative medical care.
The new rural cooperative medical system is a project to benefit the people and an important way to solve the problem of difficult and expensive medical treatment for the masses. Therefore, our hospital regards it as the focus of hospital work and makes unremitting efforts. Firstly, add a window to improve work efficiency and alleviate the phenomenon of patients queuing for a long time; Secondly, strictly control the pass, carefully review relevant documents, prevent illegal behaviors such as fraud and reimbursement, and regularly and irregularly check patients' certificates to ensure that the certificate-holding rate reaches over 90%. The third is to implement a monthly publicity system for reimbursement of hospitalization expenses and accept supervision by the masses.
Fourth, strengthen public health management.
1, complete the sorting of the disease spectrum in the hospital on time, leave the hospital in morbidity statistics, analyze and compare it, and report it to the hospital office in time. Publish the monthly report of public health department for comparison by clinical departments.
2. Seriously implement the first dose of hepatitis B vaccine and BCG vaccination for children born in the hospital within 24 hours. All the eligible 1279 people were vaccinated, and the vaccination rate reached 1000%. Do a good job in AFP monitoring and reporting, and no suspected AFP cases were found last year.
In the first half of this year, 252 cases of various infectious diseases were reported. Seriously manage major infectious diseases, tuberculosis and AIDS special diseases, and implement AIDS epidemic monitoring. In the first half of the year, 275/kloc-0 cases of AIDS were screened, 24 cases were reported to be HIV positive, and 53 cases were reported and referred to tuberculosis.
4. Establish an occupational health examination center and pass the qualification examination of the occupational health examination center in our hospital by provinces and cities.
5. Further strengthen the responsibility system of hospital infection management, establish disinfection management organization, formulate disinfection management system, strictly implement relevant technical operation norms and working standards, and effectively prevent and control hospital infection. Conduct business supervision on clinical departments once a month, and strengthen the supervision and management of disinfection and destruction of disposable sanitary products.
Five, actively carry out smoke-free hospital construction activities.
According to the requirements of the Ministry of Health, our hospital has set up a leading group for tobacco control, formulated an implementation plan for tobacco control, hung warning signs and banners in a prominent position in the hospital, set up supervisors in smoke-free hospitals in various departments, and required all departments to report the situation of smokers every month. All hospital staff have the obligation to persuade smoking.
Summary of hospital safety production management. According to the spirit of the relevant documents of the higher authorities, in order to ensure the hospital's safety in production, combined with the actual situation of our hospital's safety in production, the banner of safety in production was hung to train the staff of the whole hospital on safety in production. The safety production leading group and his party conducted a safety production inspection on all departments of the hospital, which basically ruled out potential safety hazards. The inspection results are summarized as follows:
1, check the general ledger data. The fire safety management system, work system, fire emergency plan and other ledger materials in our hospital are sound and perfect.
2, the hospital key area survey. Ward, emergency video monitoring equipment in good condition; Specification for electrical wiring, installation of leakage protection device for temporary electrical devices, selfless power connection, unauthorized operation, to ensure electricity safety. Investigation of hospital safety in production.
3, check the operation of fire control facilities. Fire hydrants and fire extinguishers are in place, alarm devices are operating normally, and evacuation passages are kept clear to ensure that everyone can respond quickly in case of safety accidents; 24-hour monitoring of inflammable, explosive, toxic and hazardous chemicals, anesthetics and drug storerooms in the hospital to ensure safety; Strictly check the hospital equipment, staff canteen, elevators and other key departments, find out potential safety hazards, implement various safety production systems, and ensure the safe and efficient operation of hospital medical work; Finally, check the dead angle of the hospital to eliminate hidden dangers.
Hospital is a special industry. Conduct flexible education activities for employees, patients and their families. Through the training of employees, employees will publicize patients and educate patients on the safety of electricity use, elevator use and water use. We publish blackboard newspapers and post posters on bulletin boards from time to time.
In the future, we will, as always, put safety in production in the first place, bear in mind the responsibility of safety supervision, actively cooperate with the guidance and inspection of higher authorities, and strive to eliminate all potential safety hazards to ensure the safety of lives and property of hospitals and patients. Investigation of hospital safety in production. Investigation of hospital safety in production.