Annual Summary of Hospital Departments (Part 1)

20XX is a critical year for the grade review of our hospital. It is also an important year for the comprehensive, healthy, coordinated and rapid development of our department's work. It was also a good year for our university. This year our department has achieved gratifying results: the number of department staff has increased to 8, and a good medical echelon has been formed, which has also laid a solid talent foundation for the development of the department. At the same time, the hospital’s strong investment and support has allowed our department to reach a higher level in terms of hardware. What is even more gratifying is that our department was rated as one of the "Top Ten Famous Departments in XX County" by the XX County Health Bureau. During this year, the total annual business revenue of the general practice increased by nearly 60% compared with the same period last year; the number of admissions and discharges increased by about 70% respectively compared with the same period last year. The department achieved both economic and social benefits.

1. Increase department management and innovate new models of high-quality services

1. Carry out the "people-oriented" scientific development concept

Adhere to the "people-oriented" scientific development concept, correct the development direction of the department, firmly establish the "patient-centered" service concept and the purpose of serving the people, and strengthen department management , improve service attitude, standardize medical behavior, improve medical quality, ensure medical safety, and comprehensively carry out the "patient-centered, with the theme of improving medical service quality" Hospital Management Year (referred to as "Hospital Management Year") activities to promote the hospital Scientific, standardized and standardized management.

2. Adhering to the "people-oriented" service concept, we will do a good job in building high-quality services

Reflect the people-oriented service concept, fulfill our hospital's functional positioning of solving difficult and critically ill patients, continue to improve medical quality and medical safety, and enhance the hospital's Core competitiveness is a new topic that all employees of the hospital need to explore. This requires us to carefully organize the department staff and repeatedly study various relevant documents formulated by the hospital. Extensively carry out social service activities in the whole department and consciously accept social supervision. A three-level mechanism has been formed between the hospital and departments, and between departments and individuals, from hospital to society, from departments to hospitals, and from individuals to departments. Strengthen supervision and implementation. Strengthen doctor-patient cooperation and hold regular meetings to listen to opinions.

3． We insist on taking "exquisite technology, high-quality service, and lowest medical expenses" as the top priority of the department's work.

In the process of fulfilling the principle of "superb technology, high-quality service, and lowest cost", on the one hand, we must increase the management and discipline of doctors. On the other hand, we must also actively adjust the medical structure, take effective measures, and find ways to reduce medical expenses. One of our measures is to focus on rational drug use. The second is the cost of catching single diseases. The third is to focus on the use of disposable materials. The fourth is to speed up the turnover of hospital beds. By taking a series of strong measures, we ensured that the department successfully completed various expense indicators issued by the hospital this year. In the context of the rapid growth of the department's business, various expenses were maintained at a relatively low level, effectively reducing the burden on the public. .

4． We will ensure the implementation of the medical ethics evaluation system.

The image of the staff directly affects the image of our department and hospital. We use various forms to strengthen positive education, popularize the cultivation of medical ethics and professional ethics, and achieve a system of medical ethics and medical ethics. The improvement of medical ethics and medical style (medical ethics and medical style management system, medical ethics and medical style reward and punishment system, medical ethics and medical style construction system, medical ethics and medical style evaluation system) is combined with the personal experience of medical ethics and medical style (medical ethics and medical style self-evaluation, medical ethics and medical style experience experience).

2. Standardize medical quality management and improve medical technology

1. Pay attention to the construction of the talent team

The medical staff in the department use rotation cycles to perform diagnosis, part-time lectures in the department, and study abroad, strive to learn professional knowledge, use difficult medical records to discuss, and accumulate a lot of clinical experience in the third-level ward rounds of the department. The business level continues to improve and the talent team continues to strengthen. This laid the foundation for further development of the department.

2. Strengthen the implementation of rules and regulations

Regular weekly department meetings are held within the department to emphasize medical safety and quality, and the implementation of medical and nursing duties; monthly quality control inspections and medical error inspections are conducted, and unqualified performance is thoroughly rectified and thorough investigation.

3． Pay close attention to the management and monitoring of the "three links"

⑴ When admitted to the hospital: conduct a detailed and comprehensive physical examination, inquire about the medical history in detail, and strictly use medications in the department;

⑵ When admitted to the hospital: closely observe the condition, Safe and careful care, civilized and high-quality services;

⑶ When leaving the hospital: explain the precautions, review time standards, and send them off in a warm and friendly manner.

4． Strengthen safety management

Develop practical and effective safety management measures. Safety is an important part of ensuring the development of department business. Therefore, every employee must establish a strong sense of safety and a strong sense of responsibility and professionalism.

1) Conduct safety education regularly to make it institutionalized and regular.

2) Regularly inspect and evaluate medical records.

3) Regularly inspect and evaluate safety hazards:

①. The authenticity of medical history collection, the comprehensiveness of physical examination, the timeliness of auxiliary examinations, and the comprehensiveness of diagnosis and treatment , the timeliness of writing medical records.

②. Regularly inspect and replace the facilities in the ward, the placement of patient belongings, and beds.

③. Closely observe surgical patients before and after surgery. and handle accordingly.

(4) Earnestly perform the job responsibilities of medical staff.

⑸. Set up a medical defect, dispute, error and accident supervision group within the department. The department will handle the matter, make corrections and report it to the hospital.

⑹. Improve the department ward rounding system

⑺. Discuss the "various assessment systems (including the secondary salary assessment system)" implemented by the hospital and discuss them with the general staff. Employees who put forward reasonable suggestions and those who create great value for the department are rewarded.

5． Strengthening the management of hospital infections

As the saying goes: "Management brings benefits." This year, our department has a good momentum of treating inpatients, and various medical indicators have been achieved relatively satisfactorily. This is inseparable from the vigorous publicity of the Rural Medical Care Department and our hospital's designation as a designated hospital for Rural Medical Care. The annual bed utilization rate of our department is 90%, the average length of stay for discharged patients is 7.5 days, the cure and improvement rate is 98.6%, the diagnosis rate within three days of admission is 99.4%, and the admission and discharge diagnosis compliance rate is 98.4%, all of which have completed or exceeded the indicators issued by the hospital.

3. Strengthen discipline construction and promote rapid business development

Continue to "highlight endoscopic sinus surgery and cataract phacoemulsification as features, give full play to our advantages, focus on the construction of specialized diseases, and aim to improve comprehensive service functions "business development ideas.

⑴Continue to accelerate the pace of construction of key specialties. Talents with development prospects, professional characteristics and advantages will be sent out for further study.

⑵ Advocate the participation and cooperation of multiple departments (outside the hospital), adopt collaborative research and complementary advantages, and promote the development of related disciplines.

⑶All members of the office work together to provide intelligent guarantee for the development of specialist business.

(4) Increase investment in departments and strive to create key departments in Shaanxi Fei University.

IV. Disadvantages

The "people-oriented" service concept has not yet been truly formed. The department's administrative management level and department management concepts still need to be improved. The influence of the specialty also needs to be improved. The department's infrastructure needs to be further strengthened. The department's medical care The image of technology is still not widely recognized and so on.

In short, looking back on the work of the past year, achievements are still the mainstream. We will continue to carry forward good practices and learn from shortcomings. We are confident that we will do better. Annual Summary of Hospital Departments (Part 2)

1. Strengthen production safety education

First, the center uses LEDs and TVs to publicize and educate employees and patients on fire safety knowledge; secondly, Each department uses the morning meeting time to lead employees to learn safety production knowledge, strengthen safety production education, fully understand the importance of safety production, and firmly establish safety production awareness; thirdly, in daily work, every medical staff must Pay close attention to the safety production work around you, be careful not to be careless in small matters, resolutely overcome the lax and paralyzing thoughts, and always put safety production work at the top of your work.

2. The whole hospital carried out in-depth safety production inspections

The safety production team, headed by Center Director Bi Xiaonan, conducted a wide range of safety production inspections in the hospital. On the basis of carefully learning the profound lessons from safety accidents and particularly major fires, we draw inferences from one example and carefully examine the loopholes and hidden dangers in the hospital's production safety work, focusing on outpatient clinics, wards, evacuation passages, fire protection facilities, power distribution rooms, monitoring rooms, toxicology rooms, etc. Comprehensive, in-depth, thorough and meticulous safety inspections were conducted on narcotic drugs, UPS, vehicle safety, flood control materials, medical safety, etc., and supervision was strengthened on the hidden dangers detected, and rectifications were implemented within a time limit. Identify people, responsibilities, and measures for key locations and positions, and insist on hospital-wide safety work inspections to make hospital safety work inspections regular, institutionalized, and normalized. Problems discovered can be rectified immediately and personnel will be sent to rectify them immediately. If problems cannot be rectified on the spot, professionals will be arranged to deal with them immediately.

3. Strictly implement the safety production responsibility system

Each department is required to conscientiously implement the contents of the signed safety production responsibility letter, and the responsibility is implemented by the department. The department director is the person in charge of the department and is responsible for the safety of the department's daily work. If any problem occurs, the department will be held accountable and the responsibility will be assigned to everyone. Strictly implement the status of night shift duty and ensure that all department night duty personnel are on duty, especially the night shift general duty. Inspections must be intensified at night to ensure that the general duty personnel patrol inside and outside the hospital at night, and at the same time ensure the normal operation of monitoring 24 hours a day. The dean in charge and the general office continuously improve the safety emergency plan and deal with problems at any time when they are discovered. For severe natural disasters, we must prevent, prepare and respond as soon as we are notified. If a major accident occurs, report it to the superior leader in a timely manner without concealing it, activate the emergency plan in a timely manner, and organize personnel to handle it properly.

4. Those who cause major accidents during production safety will be dealt with seriously by the hospital.

For individuals, the bonus for the year will be deducted and no priority will be given. Departments where safety production accidents occur will have 30% of the department's bonus for that month deducted and will not be evaluated for excellence at the end of the year.

Through the inspection, the management of production safety work such as the four preventions and safety of our center has been strengthened. The safety awareness and self-protection ability of employees have been significantly enhanced, and they can take the initiative to regard production safety as an important concept of service. At the same time, the work of emergency safety prevention and control has been strengthened. , eliminate hidden dangers and prevent safety accidents. It ensures that the hospital's production safety work is in good condition, and actively implements various safety tasks in the hospital to provide patients with safer and better services. Annual summary of hospital departments (Part 3)

Over the past year, outpatient nursing has carefully followed the nursing work plan of the nursing department and department under the correct leadership of the hospital’s party and government leadership, the nursing department, and the business guidance of the department director. To carry out nursing work, the nursing work in 20XX is now summarized as follows

1. Workload completion status

In the past year, *** completed more than 26,000 triage visits and assisted outpatient surgeons 78 minor operations were performed, 102 surgical dressing changes were performed, blood gas analysis was conducted, and 8,700 physical examinations were performed.

2. Strengthen nursing quality monitoring to continuously improve the quality of outpatient nursing care.

1. Implement the job responsibility system: At the beginning of the year, based on the specific conditions of the outpatient clinic, the job responsibilities and work standards of each shift were re-formulated for outpatient nursing staff, so that the nursing staff can do their jobs strictly according to the specifications and strictly implement the first question First welcome the responsibility system. At the same time, we actively responded to the city's sanitation work and strictly implemented the pre-inspection and sub-inspection work procedures. Strictly prevent errors and accidents from happening.

2. Carefully organize nursing staff to learn the hospital's new "Nursing Quality Inspection and Scoring Standards" so that each nurse understands and masters the scoring standards, enhances nurses' awareness of active participation in quality management, and conducts monthly nursing quality inspections Control comments, collected and compiled by Medical Education Network. In view of the characteristics of outpatient departments that are widely distributed and the quality of nursing care is difficult to monitor, department self-examinations are conducted 4 to 8 times every month from time to time. If problems are found, they are pointed out in a timely manner and corrected within a time limit to improve the quality of care within the department. Get continuous improvement.

3. Strengthen the management of first-aid items: a dedicated person will conduct a comprehensive inspection once a week, and the head nurse will check weekly and conduct spot checks at any time to ensure that first-aid items are always in emergency status and the integrity rate of first-aid items is 100%.

4. Strengthen the supervision of disinfection and isolation work: According to the hospital infection management standards, nurses can master the principles of disinfection and isolation through organizing and learning the requirements of disinfection and isolation standards. The hospital-acquired nurses in the department can conscientiously perform their duties and actively inspect and urge medical staff to strictly Comply with aseptic technical operating procedures to ensure that hospital infection control indicators meet quality standards.

3. Strengthen the management of link quality to ensure nursing safety

1. Conduct monthly inspections of potential nursing safety hazards, strengthen the control of nursing operation links, identify potential safety hazards, point them out in a timely manner, and analyze the reasons , implement corrective measures. Encourage nurses to take the initiative to report adverse nursing events, organize nurses to conduct safety education and learning once a month, focusing on patient safety management and nursing emergency plans, and enhance nurses’ nursing safety awareness

2. Strengthen the awareness of outpatient patients Observe, discover changes in the condition, report to the doctor in a timely manner, and assist the doctor in providing accurate and timely treatment, which reduces the occurrence of medical care disputes.

3. Strengthen the reasonable scheduling of holidays and weekends, and implement flexible scheduling to meet the needs of patients. The head nurse and quality controllers visit the department from time to time to conduct inspections and provide guidance to ensure nursing safety.

4. Strengthen the training and on-the-job education of nursing staff and improve the overall quality of nursing staff.

1. Conduct hierarchical nursing business learning for the nursing staff in the department once a month to further Improve the theoretical level of nursing staff.

2. Carefully organize nursing staff at different levels to participate in the "three basics" training and assessment within the department and the hospital, and strengthen the training and assessment of standardized nursing staff; 6 times of theoretical examinations, operational skills training and assessment within the department , the assessment pass rate is 100%

3. Strengthen first aid skills training and continuously improve the first aid skills and technical level and emergency response capabilities of nursing staff in the department. In the first half of the year, we strengthened the training and assessment for nursing staff to learn nursing emergency plans, cardiopulmonary resuscitation, oxygen inhalation, simple respirators and other skills, and the assessment pass rate was 100%.

4. Encourage nurses to participate in on-the-job continuing education and study. In half a year, a nurse obtained an undergraduate online education opportunity from Shandong University. Annual Summary of Hospital Departments (Part 4)

In order to improve the quality of nursing care, our department gives full play to the role of members of the quality control leading group in basic management and quality management, and combines the actual conditions of the department to achieve monthly plans and weekly plans. There are arrangements every week and priorities every day.

(1) Strict daily management. Strictly implement basic nursing quality management, the department insists on 2-3 nursing quality review inspections per week, immediately analyzes the reasons for deficiencies in the inspection, immediately implements rectifications, and immediately establishes rules and regulations. Especially for safety management in the nursing process, the head nurse is responsible for on-site quality control and follow-up to guide the nurses' work. On weekends, senior nurses are responsible for quality control to ensure that key periods and links are not disconnected or missed, and the services of the nursing staff are continuously strengthened. Awareness, quality awareness, safety awareness.

(2) Improve risk management.

On the basis of the existing work flow of the undergraduate course, we will continue to refine and improve the nursing risk plan and nursing process, such as the surgical patient handover process and the rescue process for discovering sudden changes in the patient's condition. Adequate plan design has been carried out for the detection, reporting and handling of abnormal situations to minimize the risk of nursing care, reduce conflicts between doctors and patients, and ensure stability and harmony in the whole hospital.

(3) Innovate “quality control circle” management. Effectively improve the quality of nursing services through "quality control circle" management. Our department established a guardianship circle in 20xx, with 9 nurses from the whole department participating. The circle leader and circle members discovered nursing problems from various nursing levels, solved them according to the steps of the quality control circle, and passed the nursing quality evaluation, patient satisfaction Questionnaires, opinion books, nursing error incidence rates, etc. are used to comprehensively evaluate the nursing work of the quality control circle. "As a new working model, the quality control circle is applied to clinical nursing work, which fully mobilizes the enthusiasm, initiative and creativity of nursing staff, promotes communication and collaboration between nurses, achieves zero distance between nurses and patients, and improves patient care. and family members’ satisfaction with nursing care.