A period of work ended before you knew it. Looking back on this work, you must have gained a lot. Should I write a work summary record? How to write a work summary to give full play to its role? The following are the summary essays (7 commonly used) of hospital quality control work I collected. Welcome to read the collection.
1 20xx Summary of Hospital Quality Control Work With the strong cooperation of comrades from all departments in the hospital, we study hard, work actively, manage boldly, be brave in innovation, be serious and responsible, lead comrades in general practice to blaze new trails, and strive to complete all tasks assigned by the hospital. According to the requirements of the health administrative department and hospital quality management, the quality control department earnestly performs its post responsibilities, with strict system and high standards, strict requirements for regular and irregular inspections, and comprehensive comments on medical records and prescriptions. Do a good job and record, analyze and comment on the existing problems, communicate with the director and person in charge in time, make rectification, and report the evaluation results to the competent dean regularly.
I. Job responsibilities
1, quality control department under the leadership of the dean, in charge of hospital medical quality monitoring; According to the overall development of the hospital, our department strictly controls the medical records and prescriptions of the whole hospital, and summarizes and evaluates the prescription comments. And put forward the key objectives of quarterly and intra-quarterly quality control, summarize the medical quality management, put forward rectification suggestions and promote continuous improvement.
2. Formulate rules and regulations, plans, standards and main measures for hospital medical management, and be responsible for organizing and coordinating the implementation, supervision, inspection, analysis and evaluation of hospital quality management.
3, quality control department under the leadership of the director, the specific organization and implementation of the floor clinical medical and nursing quality management. Be responsible for drawing up the implementation plan of medical quality management in the whole hospital, supervise and inspect it regularly, and summarize and report on time. Deeply understand the medical quality of each department, urge each department to conduct self-examination against medical quality standards, and make compliance plans. Responsible for organizing the quality inspection of prescription, medical record writing, clinical medication, preventive medication, outpatient and emergency department, analyzing and summarizing regularly and reporting to the dean in time. Complete other related work assigned by hospital leaders. Undergraduate staff carefully check the first page of medical records, antibacterial drugs approval form, surgical nursing records, doctor's advice records, surgical laboratory sheets, etc. , to ensure the quality, found that the problem is corrected in time. Go deep into clinics and departments, and urge the doctors in charge of each department to write carefully. In order to strengthen medical quality control and medical quality and safety management. Efforts have been intensified in medical record writing, third-level physician rounds, operation approval, operation grading management, antibacterial drug approval and grading management, prescription writing, difficult case discussion, doctor-patient communication and so on.
Second, collective efforts.
1. Hospital: In order to further strengthen the guidance of rational drug use in hospitals, supervise and standardize the drug use behavior of clinicians, reduce and avoid the occurrence of adverse drug reactions, reduce or alleviate the occurrence of bacterial drug resistance, ensure the safety, effectiveness and economy of clinical drug use, improve medical quality and minimize drug costs, the following measures are formulated:
(1) Strictly implement the management principle of classified use of antibacterial drugs, classify the restricted varieties in our hospital into three categories: unrestricted use, restricted use and special use, and fill in the application and approval form for antibacterial drugs.
(2) set up a leading group for special rectification of antibacterial drugs and its members to evaluate the use of antibacterial drugs. Quality control personnel will summarize and evaluate daily according to their own daily comments, which will be included in the comprehensive quality evaluation of hospital performance, and will be rewarded and punished.
(3) Daily statistics of the top ten doctors who prescribe antibacterial drugs in the microcomputer database, analyze the use of antibacterial drugs, and report to the competent dean and the medical department for scientific treatment.
(four) to take scientific treatment for the top ten doctors who prescribe antibacterial drugs.
(5) Strengthen the knowledge training of rational use of antibacterial drugs, such as drug information announcement, introduction of new drugs, pre-job training, standardized writing training in the kitchen, and distribution of typical medical records. The Medical Department organizes education and training, conducts self-defined content and assessment every time, guides clinical rational use of antibacterial drugs, and improves the comprehensive quality of rational use of antibacterial drugs by all kinds of hospital personnel.
2. Departments: Under the strong control of the hospital, the use of antibacterial drugs has also been controlled in various departments, especially the dosage of cefmenoxime and cefoxitin sodium. At present, doctors in various departments basically use drugs according to indications, and they can do it step by step if necessary. But occasionally, some doctors still use high-grade antibiotics. We hope that doctors will proceed from the fundamental interests of the masses and the physical condition of the people.
3. Quality control department: The quality control department mainly conducts inspection and quality control from the following aspects.
(1) Whether antibacterial drugs are used.
(2) The selection time of preventive drugs.
(3) Selection of antimicrobial agents.
(4) dosage, cycle, route and frequency of antibacterial drugs.
(5) Classification management of antibacterial drugs.
(6) Whether the course record of replacing antibacterial drugs is consistent with the doctor's advice.
(7) Rationality of combined medication and comments on typical medical records. Send feedback notice, and take the method of combining intervention and feedback to detect in advance.
Review the prescription or doctor's advice of antibacterial drugs, and directly intervene in the doctor's prescription or medical record for rectification. This year, the hospital inspected 4,585 prescriptions, including 3,986 qualified prescriptions and 554 unqualified prescriptions, with a reasonable rate of 87% (95% below the standard), an intensity of use of antibacterial drugs of 45 (40 within the prescribed range), an antibacterial drug ratio of 13% in outpatient department and an antibacterial drug utilization rate of 54.5% in inpatient department.
With the joint efforts of the hospital's medical staff, our medical quality has been greatly improved, and our department will continue to work hard to contribute to the improvement of hospital medical quality.
Summary of hospital quality control 2 Quality control department actively carries out medical quality control under the leadership of dean, director and medical quality management committee. Taking medical work as the core, formulate medical quality management measures, establish medical quality monitoring index system and evaluation method, organize medical quality inspection and assessment, evaluate the completion of medical indicators, and put forward improvement measures. The specific work is summarized as follows:
First, formulate medical quality evaluation methods.
In order to fully implement the medical core system and ensure the medical quality, our department has formulated and issued the "Medical Quality Assessment Methods and Implementation Rules (Trial)", and the results of various medical quality inspections are linked to the comprehensive target assessment.
Second, the monitoring of basic quality.
Improve the quality awareness of medical staff through in-hospital lectures and pre-job training. Last year, the quality control department conducted 8 hours of pre-job training and 3 abbot lectures, which led the medical staff to learn the new diagnostic standards issued by the Ministry of Health and standardized the writing of medical records.
Third, link quality monitoring.
1, regularly carry out medical quality inspection.
Check outpatient prescriptions, surgical records, application forms and report forms regularly every month. A total of 6059 outpatient prescriptions were examined throughout the year, with a qualified rate of 96%; A total of 562 medical records were examined throughout the year, and no class C medical records were found; Check the defective outpatient medical records 155, and the qualified rate is over 97%; There were 689 applications for defect inspection, and the qualified rate was 96%.
2. Carry out clinical pathway management.
By formulating the clinical pathway of single disease, standardizing the diagnosis and treatment process, regularly checking the registration of clinical pathway, and organizing personnel to review the medical records of clinical pathway. Last year, clinical pathway management of 10 diseases was carried out, and there were cases. The average enrollment rate and completion rate of the whole hospital meet the requirements, but some diseases are treated with fewer cases.
3, to carry out the "antibacterial drug remediation work"
Cooperate with other functional departments, combined with clinical pathway management, smoothly promote the special rectification of antibacterial drugs, and achieve good results.
4, check the implementation of relevant rules and regulations
Check the software registration books of all subjects from time to time. If the software is not registered or written according to the requirements or specifications, the quality control score of the department shall be deducted according to the regulations.
Fourthly, monitoring the terminal quality.
Cooperate with the medical department to monitor all medical quality indicators and the quality of archived medical records in the hospital.
Five, regularly inform the medical quality inspection.
Through the weekly meeting of the hospital, the quality inspection of each link is announced regularly, the existing problems are notified, and reasonable suggestions are put forward for each department to continuously promote the improvement of medical quality.
Problems in intransitive verbs
1. Clinical work is still managed by hand, which is inefficient, and the department's diagnosis and treatment plan is often inconsistent with the form.
2. There was no regular meeting of quality control staff to listen to the opinions of the medical quality control department in time.
3. The implementation of electronic medical records is short, and relevant inspection methods have not yet been formulated.
Summary of Hospital Quality Control 3 In order to strengthen nursing quality management, ensure medical safety, and improve the satisfaction of society and patients with nursing services, our hospital set up a nursing quality control committee in 20xx to conduct unified standard, regular or irregular inspection and supervision on the nursing quality of all departments in the hospital and solve the problems existing in the nursing management process. The work of 20xx in the first half of the year is summarized as follows:
1, improve the nursing quality management organization, implement the secondary quality control of hospitals and departments, organize the activities of various quality control organizations on a regular basis, and organize a quality control analysis summary meeting once a month to strengthen the nursing quality management and promote the continuous improvement of nursing quality.
2, system management, to further improve the nursing system, nursing staff responsibilities, nursing quality standards, etc. And organize the implementation, focusing on the implementation.
3, nursing managers at all levels and quality control organizations earnestly perform their duties, pays special attention to the nursing quality control work of the departments under their jurisdiction.
4. The secondary quality control organization of the department carries out activities regularly, and the nursing department organizes the hospital quality control team to check the nursing quality of the whole hospital once a month, and gives feedback on the quality control situation, analyzes the causes of existing problems, puts forward rectification measures and evaluates the rectification effect.
5. The quality control organization conducts self-examination and self-assessment once a month, and the head nurse randomly checks at ordinary times, analyzes the causes of existing problems, puts forward rectification measures, evaluates the rectification effect, and achieves the quality management effect.
6, weak link management, critically ill patients, adhere to the nurse night rounds system, check, guide and assist night nurses, check and supervise the implementation of nursing measures for critically ill patients.
7, strengthen the quality consciousness of nursing staff, improve the self-quality control consciousness of nursing staff, strictly implement the rules and regulations of nursing work and the operating rules of nursing technology, attach importance to medical and nursing safety ideologically, and strictly implement the check system. Adverse events and potential safety hazards in nursing work need to be actively reported by departments, which organize nursing adverse event analysis meetings every month; Find out the unsafe factors in the work, put forward rectification measures and eliminate potential safety hazards. No major nursing safety accidents occurred in the first half of this year.
8, standardize the management of the ward, check the ward of the clinical department at any time, and immediately ask for rectification if it is messy, and further standardize it.
9. Writing nursing documents should be accurate, objective and continuous. Nursing documents are legal documents, which are the objective basis of medical disputes in the general agreement. In the process of writing, we should be considerate, objectively, truly, accurately, timely and completely reflect the changes of patients' condition, and constantly strengthen the significance of standardized writing of nursing documents, so that every nurse can strengthen supervision and inspection while correcting her writing attitude, requiring head nurses and quality control personnel in departments to check regularly and irregularly, and the nursing department to check irregularly every month to correct existing problems in time.
10, hospital feeling, according to the hospital infection management standards, quality control personnel monitor hospital feeling part-time, nurses in all departments can basically perform their duties seriously, although there are some defects, the overall hospital feeling index meets the quality standards.
1 1, but there are still some shortcomings in the work:
(1) Basic nursing is not in place, and the education and disposal of newly admitted patients are not timely and in place;
(2) Ward management needs to be improved, patients carry too many items, and the items are placed in confusion;
③ The consciousness of actively serving patients is not strong, the explanation is impatient, and there are complaints about nurses' poor service attitude in the satisfaction survey;
(4) The learning atmosphere is not strong enough, and each department does not organize business learning within the department;
⑤ There are some defects in the writing of nursing documents, such as omission, omission, lack of continuity in content and low quality of connotation.
⑥ All nursing staff have a poor spirit of "being cautious and independent". When the head nurse is absent or on duty, all nursing rules and regulations and operating procedures are not strictly implemented.
Our nursing work is long and arduous, and we will face various challenges every day. Let's join hands to overcome the difficulties, foster strengths and avoid weaknesses, and create greater glories for the better development of the hospital.
Summary of hospital quality control work 4 This year, hospital leaders attached great importance to it and set up a medical quality control office. During this year, the quality control room focused on the work of "establishing a second-class first-class hospital", strengthened the management of hospital medical quality, improved medical quality and ensured medical safety. This year's work is summarized as follows:
1, in order to improve the hospital rules and regulations, assist the standard office to revise the Hospital System and Responsibilities (20xx version) and compile the Hospital Creation Manual.
2. Visit and study the quality control rooms of other superior hospitals, revise the hospital medical quality evaluation scheme (provisional) on the basis of the original evaluation scheme according to the relevant standards for establishing a second-class first-class hospital and the actual situation of the hospital, collect the evaluations of various functional departments according to the detailed rules of the evaluation scheme, report the evaluation summary to the hospital department management evaluation office, and summarize the medical quality evaluation report to the whole hospital.
3, according to the Ministry of health "basic norms of medical record writing" and "Sichuan province hospitalization and calendar quality evaluation standard (20xx years)", the quality of medical records is randomly selected every month, and each department randomly selects 5 copies. When problems are found, feedback them to relevant departments in time to urge rectification, and analyze and summarize the inspection results.
4, under the guidance of business dean, often go deep into the department to check the medical staff's implementation of medical and health laws, regulations, rules and regulations, perform their duties and abide by operating procedures, especially the implementation of legal practice, medical quality and safety, and the core system, and put forward reasonable suggestions for departments and medical staff to promote the continuous improvement of medical and nursing quality.
5. In July this year, according to the hospital document "Notice on Further Standardizing Prescription Comment" and the Prescription Comment System (20xx) and the Detailed Rules for the Implementation of the Prescription Comment System in xxxxxx Hospital formulated by our hospital, in August, according to the Special Remediation Plan for Clinical Application of Antibacterials and related documents, we completed the doctor's advice comment and the special comment on antibacterial drugs in the ward together with relevant departments.
Summary of Hospital Quality Control Work In the past 5-20xx years, the anesthesiology department of our hospital has always adhered to the guiding ideology of "taking medical quality as the cornerstone, taking patients as the center, and taking personnel training and discipline construction as the driving force for development", and with the joint efforts of all staff in the department, it has successfully completed the clinical work tasks in the past 20xx years. The related work report is as follows:
First, adhere to the ideological and political study of department personnel and improve professional ethics; Enhance the sense of responsibility and mission.
Two, adhere to the prevention and control of hospital infection, conscientiously do a good job of cleaning, disinfection and preservation of all kinds of anesthesia equipment. Disposable consumables such as anesthesia breathing circuit, mask, endotracheal tube and anesthesia puncture kit should be used and destroyed by one person at a time. Prevent cross-infection in hospital.
Third, adhere to the business study of department staff, regularly send staff to the superior hospital to learn and communicate, constantly improve their business ability, invite the superior hospital to our hospital to guide business work, implement the adverse event reporting system, carefully summarize, analyze and improve each adverse event case, and learn from it.
Fourth, adhere to the system of preoperative visit, preoperative evaluation and postoperative follow-up for patients undergoing elective surgery. Discuss critically ill, difficult and elderly patients before anesthesia to fully ensure the safety and effect of anesthesia; Follow-up of anesthesia and analgesia effect should be strictly carried out after operation, so as to find problems and deal with them in time.
Six, adhere to the mechanism of continuous improvement of medical quality, strict implementation of surgical risk assessment and surgical safety verification system, to prevent medical accidents.
Seven, strengthen the management of medical records, improve the quality of medical records, standardize the writing of various records, and follow up the records every week.
Eight, set up a quality control team, according to the deployment of the medical department to carry out special anesthesia quality control, improve medical quality and reduce risks.
In the new year, with the help and guidance of XX Anesthesia Quality Control Center, our hospital will continuously improve the quality of anesthesia and enhance its business ability, so that the anesthesia work in the Second Hospital of XX will reach a new level!
Overview of hospital quality control 6 Medical quality management is the core of hospital management, and improving medical quality is the fundamental purpose of the management department. Medical quality is the lifeline of the hospital. The level and quality of medical care are directly related to the survival and development of hospitals. Since 20xx, it has been our top priority to reduce medical quality defects, timely investigate, eliminate medical safety hazards and put an end to medical accidents.
The specific quality control work in 20xx has achieved the following points:
1, set up a departmental quality management organization and a quality control team. It consists of department directors, head nurses, quality control doctors and nurses. Responsible for the implementation of health laws, regulations, health care and other rules and regulations and technical operating procedures. Implement comprehensive management of medical treatment, nursing, teaching and medical record quality in the department. Check the registration and evaluation reports one by one regularly every week. Responsible for formulating and revising the reward and punishment measures for medical technology quality management and implementing the reward and punishment system. Responsible for formulating and revising the prevention and treatment plan of medical accidents, and investigating and handling medical defects, errors and disputes.
2, the department set up a medical quality control team, the undergraduate course room of medical and nursing quality guidance and supervision and inspection at any time. Establish and improve the quality supervision and assessment system of the medical quality control team in the department. Responsible for the quality management of general practice. Check the registration and evaluation reports one by one regularly every week. Strengthen medical quality management, adhere to the combination of routine inspection and monthly, quarterly and annual quality control, strictly control the quality of links and ensure the final quality. "Grasp three basics" and "promote three strictness".
3. Improve various rules and regulations. Strictly implement the rules and regulations centered on the post responsibility system, earnestly perform the post responsibilities of all kinds of personnel at all levels, and strictly implement the routine operating procedures of various diagnosis and treatment nursing technologies. Focus on supervision and inspection of the implementation of the core system.
4, improve the infection management system and infectious disease management, strict implementation of disinfection and isolation system and aseptic operation procedures.
5. Strengthen total quality management and education, and enhance legal awareness and quality awareness. The practice qualification access system shall be implemented, and the practice shall be carried out in strict accordance with the scope stipulated in the Physician Law. The pre-job education of new employees must be based on learning medical and health laws and regulations, departmental rules and regulations, diagnosis and treatment norms, routines and medical quality management. Hold quality management education for all staff from time to time, and incorporate it into the assessment content of professional and technical personnel. Individuals who violate medical and health laws and regulations, rules and regulations, and technical operation procedures are given individual intensive education. The medical quality control team should regularly organize undergraduate students to study health laws and regulations, operating procedures and relevant hospital regulations.
6. The medical quality control team of the department regularly conducts intensive training on "three basics" and "three strictness" for all kinds of medical personnel, so that everyone can participate and pass the examination, and the functions of "three basics" and "three strictness" are always implemented in various medical business activities and quality management. All medical staff master the operation of unarmed cardiopulmonary resuscitation technology and the use of common first aid facilities and equipment.
7, establish a complete medical quality management monitoring system, the responsibility to the people. Medical quality management organizations at all levels regularly check and assess, and put forward suggestions and measures to improve the grading management and assessment of medical care. To check out the problems, timely registration and put forward rectification opinions, truly clear rewards and punishments, clear responsibilities, and implementation to people.
Summary of hospital quality management 7-20xx years will soon pass. Under the correct leadership of the dean in charge and the guidance of the department director, and with the active cooperation of all departments in the hospital, the quality controller of medical education actively carried out various tasks and achieved good results. This year's work is summarized as follows:
First, strengthen business training and learning, and improve the service quality and communication ability of medical staff. In 20xx, he assisted the director to hold a medical dispute debate contest and a medical dispute legal knowledge training meeting. Through these trainings, the medical staff's medical legal awareness and doctor-patient communication ability have been improved.
Second, cooperate with medical quality control experts to complete the monthly medical quality control work. Including daily computer monitoring and running medical records, on-site spot check of medical records running in bed, on-site spot check of medical records running in bed, rational drug use, inspection of archived medical records, inspection of emergency medical records, prescription quality, and ledger inspection of various departments, etc. , and summarize all the results in time. Then the relevant defects will be fed back to the responsible person in the form of hospital-wide quality control notification, so that the responsible person can rectify in time, punish the doctors with serious defects, and reward the doctors with outstanding performance. Achieve the purpose of monitoring medical quality from time to time and preventing medical errors.
Third, strengthen the application and management of antibiotics in class I incision. Supervise the writing of medical records of doctors in clinical departments, whether the use of non-surgical antibiotics is reasonable, whether the antibiotics used for surgical prevention of type I incision are reasonable, whether the antibiotics used for surgical prevention are reasonable, and whether there is a sense of hospital. Fill in the evaluation form of type I incision and the statistics of antibiotic use rate of type I incision. Through the discussion of hospital leaders, the doctors who manage class I incision reasonably and irrationally will be rewarded and punished accordingly.
Four, under the leadership of the president in charge, actively cooperate with the emergency office of the District Health Bureau to create a national health emergency comprehensive demonstration zone. Responsible for the collection, arrangement, filing and composition of emergency data in five departments of our hospital: leadership organization, command and coordination, monitoring and early warning, emergency disposal and emergency preparation; Improve our hospital health emergency related work system and emergency department 120 related system, technical operation standard flow chart, etc. , and standardize the wall; Organize, preserve and standardize the corresponding health emergency materials according to the standard of establishing the national health emergency comprehensive demonstration zone; Systematic maintenance of health emergency command and decision-making system, investment and improvement of health emergency institutions, plans and regulations, material resources, emergency vehicles, emergency training and drills, etc. Through the efforts of hospitals in the whole region, the National Health Emergency Comprehensive Demonstration Zone was finally completed and passed the acceptance of national experts.
5. Take daily work seriously, be cautious, modest and not in a hurry. The daily work of medical education is complicated and trivial, but in line with the concept of serving hospitals, clinical departments and patients, we take everything and everyone seriously with a leisurely attitude.
(1) Physical examination of special diseases: notify the outpatient doctors in advance at the end of each month and cooperate with the Medical Insurance Office to distribute relevant materials to the outpatient doctors; Arrange special disease clinics in advance, prepare common checklists, provide logistics support services for outpatient doctors and be responsible for doctor-patient services in related clinics to ensure the quality of hospital medical services and patient satisfaction.
(2) Work-related injury reimbursement: 10- 20 days a month, responsible for the work-related injury reimbursement of more than 300 employees in the construction factory, and timely solve temporary problems.
(III) Second-line emergency scheduling: Arrange the second-line emergency scheduling for next month around 25th of each month and distribute it to relevant departments to ensure the normal operation and development of medical treatment.
It should be pointed out that in the past year, although a lot of work experience and time have been invested and some achievements have been made, there are still some shortcomings, such as the unsatisfactory quality of medical records, the substandard antibacterial drugs for type I incision surgery, too many medical disputes, and the weak business training and learning atmosphere in the hospital, which are all aspects that need to be strengthened in the future.
The 20xx year plan is as follows:
First, strengthen the management of hospital medical quality. Strengthen the "three basics" training and assessment, focusing on the effectiveness of business learning in the whole hospital. Conscientiously implement "good service, good quality, good medical ethics and people's satisfaction", improve medical quality and service quality, and realize patient satisfaction.
Two, further pay close attention to the implementation of the core system such as the first diagnosis responsibility system. The key points are consultation system (including in-hospital consultation and out-of-hospital expert consultation), discussion system for difficult and critical patients and ward round system for tertiary doctors.
Third, strengthen the management of antibacterial drugs to prevent type I incision surgery. Resolutely stop unreasonable drug use such as third-line antibiotics, emphasize reasonable inspection, never let go of a potential hidden danger and avoid increasing the burden on patients.
Four, to further standardize the writing of medical documents. Refine the standard of medical record writing, and grade medical records from form to content. Class B and C medical records and medical records running on the shelf shall be punished in accordance with the Regulations on Punishment of Medical Records Quality Management of Chongqing Construction Hospital. Let doctors understand that medical documents are not only necessary for national requirements, but also an important legal basis for protecting themselves, and it is also a concrete embodiment of doctors' medical level and professional ethics.
Fifth, strengthen the communication between doctors and patients and improve the communication level of medical staff. In order to protect the right to know and protect the legitimate rights and interests of doctors from infringement, patients or their families should be accurately informed of the changes in their condition, diagnosis and treatment ideas, prognosis and risks of their condition.
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