Traditional Culture Encyclopedia - Photography major - Wuqiang county hospital
Wuqiang county hospital
In recent years, the hospital has conscientiously implemented the spirit of Scientific Outlook on Development and health conferences at all levels, and has the courage to seize opportunities and deepen reforms. Taking "management, quality and service" as the main line, we have successively carried out the activities of "medical quality goes to Wan Li Road", "establishing an honest hospital", "three good and one satisfaction" and high-quality nursing demonstration projects with the core of improving medical quality and medical service. Improve emergency medical services, first rescue and then settlement; Implement "no holiday clinic"; Carry out "warm puncture" and implement high-quality nursing service; Developing clinical pathway to improve bed turnover rate; Carry out the activity of "voluntary service into the hospital", go to the countryside for free clinic and send doctors to your door; Standardize the behavior of diagnosis and treatment services, and promote rational examination, rational drug use and rational treatment; Standardize the doctor-patient communication process and improve the doctor-patient communication system; Measures such as strengthening the construction of medical ethics and providing "high-quality, efficient, convenient and appropriate" services for the masses have been well received by patients and society. In recent years, the hospital has received more than 20 letters of thanks from patients with 16 banner, and won the honorary titles of "advanced collective" in health work in 2008 and 2009, "AA-level labor harmonious unit" in Hengshui, "star unit of workers' congress" in Hengshui and "honesty demonstration unit" in Hengshui.
Grasping management, strengthening quality, improving service and building people's satisfaction hospital
-Wuqiang County Hospital
Wuqiang County Hospital is the only second-class comprehensive hospital in the county that integrates medical treatment, scientific research, teaching, rehabilitation, first aid and preventive health care. There are 3 15 cadres and workers, 220 beds, 6 clinical and medical departments/kloc-0, and 65,438+sets of MRI, CT, DR, color Doppler ultrasound and electronic gastroscope.
In recent years, under the correct leadership of the county party committee, the county government and the municipal and county health bureaus, the hospital has conscientiously implemented the spirit of the Scientific Outlook on Development and health conferences at all levels, courageously seized the opportunity and deepened the reform, and successively carried out the activities of "medical quality trip", "establishing an honest hospital", "three good and one satisfied" and the demonstration project of quality nursing for the masses. In recent years, the hospital has successively won the honorary titles of "advanced collective" in health work in 2008, "advanced collective" in Olympic security work in 2009, "advanced collective" in maintaining social stability, "AA-level labor harmonious unit" in Hengshui, "star unit in workers' congress" in Hengshui and "integrity demonstration unit" in Hengshui.
No.50 Xinjian Road, Wuqiang County, Hebei Province
First, strengthen the construction of leading bodies and lay a good foundation for the overall development of hospitals.
The hospital strives to strengthen the ideological and work style construction of the leading group, constantly enhance the sense of responsibility and mission of leading cadres, and strive to create a new situation in the reform and development of the hospital, so that the leading group of the hospital will become a strong group with firm politics, unity and coordination, honesty and pragmatism, and high efficiency.
(1) Pay close attention to the study of political theory and improve the political and ideological level of leading members. In carrying out the activity of "striving for Excellence", the members of the leading group of the institute earnestly studied the party's line, principles and policies, and took the lead in stressing learning, politics and righteousness; In the work, hospital leaders take the lead in setting an example, driving the workpieces in their respective charge to compete for Excellence, which has effectively promoted the development of various work in the hospital.
(2) Adhere to democratic centralism and correctly handle major hospital issues. Democratic centralism is the working principle of hospital leadership. All major issues will be decided by the collective discussion of the leading bodies of the Party and government, and they will never be "centralized", especially those involving "three majors and one big one", which should be made public at regular meetings of middle-level cadres and workers' congresses in time. After the draft of the planning and design of the new comprehensive building of the hospital came out, the sample drawings were distributed to various departments to solicit the opinions of medical staff and make adjustments according to the suggestions. Purchase of large medical equipment, such as nuclear magnetic resonance, DR, etc. , has been invited by the public or purchased by the government, and announced in time in the hospital; After the establishment of the workers' congress last year, major issues such as performance salary distribution scheme, full post employment scheme, 20 1 1 annual hospital construction and medical equipment purchase scheme were passed respectively.
(3) unite and cooperate to play the core role of the leading group. The leading group of the institute attaches great importance to the unity of the whole team, insists on collective leadership, division of labor and cooperation, democratic centralism, unity, style, efficiency and dedication. Unity of thought and action within the team, daring to manage and grasp, promoted emotional communication between leaders and employees, departments and employees, and promoted unity and cooperation between cadres and masses. The whole hospital presents a good atmosphere of striving for progress and pioneering, which has made great progress in hospital work.
Two, solidly carry out the "three good and one satisfaction" activities, and strive to be a hospital that the people are satisfied with.
Since the Ministry of Health asked the national health system to carry out "three good and one satisfaction" activities, hospital leaders have attached great importance to it. After many in-depth social and departmental investigations, they took effective measures to effectively improve medical services and improve medical quality, timely solve practical difficulties in the process of seeking medical treatment, and truly satisfy the masses.
(1) Improve outpatient and emergency services
1, standardize the window service and optimize the service process. First, the hospital organizes outpatient staff to seriously study and strictly implement the "Ten Window Specifications for Medical Institutions at All Levels" (including medical guidance, outpatient service, hospitalization fee collection office, imaging, inspection, functional inspection, injection and infusion room, emergency room, canteen and security); The waiting time for medical treatment, payment and medicine collection shall not exceed 15 minutes, and the reporting time of radiation, MRI and CT shall not exceed 20 minutes. The second is to strengthen the first consultation and service management of hospital staff, especially the guiding doctors and outpatient staff, strengthen the knowledge training on their service awareness, language art, communication skills and emergency handling ability, and maintain the order of outpatient medical treatment. The third is to improve the hospital logo and guide board. In the outpatient hall, corridor and corridor, the hospital has made the hospital department distribution map, department guide board and department prompt board respectively, which greatly facilitates patients to seek medical treatment.
2, improve the emergency medical service, first rescue and then settlement. The hospital strengthened the standardization and standardization construction of emergency department, and further improved and unblocked the green channel. The critically ill patients should be rescued first and then placed, and treated in time. The hospital for critically ill patients without family members and accompanying personnel should arrange special personnel to be responsible for the whole process of accompanying medical treatment to ensure the safety of patients.
3, the implementation of "no holiday clinic" service. According to the actual needs of patients, the hospital has launched a "holiday-free clinic" on the second floor clinic, and arranged doctors on duty reasonably throughout the year to ensure that doctors are on duty every day in the clinic regardless of holidays, which greatly facilitates patients' medical treatment.
4. Establish a "return visit" mechanism for patients. Various functional departments of the hospital have strengthened the inspection of the standardized writing of outpatient prescriptions, application forms and report forms. The Medical Department randomly selects 20 patients every month to pay a return visit, solicit opinions and suggestions from patients, and consciously accept the supervision of clients and all sectors of society.
(2) improve hospitalization service
1, improve the service concept. Change the passive service situation of waiting for infusion, dressing change and surgery in the past, change passivity into initiative, and put the service concept of "all for patients" into practice, instead of staying in words. For this reason, the hospital stipulates that if the person on duty is found waiting for someone, call someone immediately and apologize to the patient on the spot; Found informed criticism, who was called twice by others; After waiting for the post for three times, the quality control department of the hospital visited the ward irregularly every week. Once found, immediately follow the system.
2. Carry out "warm puncture" and implement high-quality nursing service. This year, for the first time, the hospital launched "quality nursing" service in surgery and gynecology, and took the initiative to take humanized nursing services with many nursing contents, such as admission nursing, morning nursing, night nursing, diet nursing, excretion nursing, lying nursing and comfort nursing, to meet the various nursing needs of patients. And carry out "warm puncture" service in the whole hospital, requiring nurses to smile; Transfusion puncture requires a success, and if it is unsuccessful, apologize to the patient; After the puncture is completed, help the patient take a comfortable position and restore the patient's sleeves and bedding. The "warm puncture" service puts forward higher requirements for nurses on duty, which urges nurses to practice puncture skills hard in their spare time, improves the nursing quality of hospitals and improves the relationship between doctors and patients.
3. Develop clinical pathway to improve the bed turnover rate. In July, the hospital carried out the clinical pathway management of five common diseases, which realized the proceduralization and standardization of medical care activities, reduced the medical expenses of patients, shortened the hospitalization days of patients and improved the bed turnover rate.
4, in-depth development of "volunteer service into the hospital" activities. Under the leadership of the Youth League Committee of our college, a volunteer service team was established. Every Tuesday and Friday, various forms of voluntary services such as warm navigation, companion consultation and health knowledge propaganda are carried out to educate and guide patients to develop a healthy lifestyle.
(3) improve the medical service model
1, internal introduction and external communication, "Climbing the wall by stairs". The hospital has long hired well-known hospital experts to sit in the hospital, and maintained long-term technical cooperation with Harbin Hospital, Provincial Hospital, Second Provincial Hospital, Third Provincial Hospital and Beijing Tongren Hospital, so that patients in the county can enjoy the medical services of provincial and municipal hospitals without leaving the county. This year, the hospital hired Chen Xinjuan, the former president of Taocheng Maternal and Child Health Hospital, as the vice president of the hospital, focusing on obstetrics and gynecology, which promoted the rapid improvement of the quality of obstetrics and gynecology. Taking advantage of the opportunity of counterpart support from Harbin Hospital, the hospital invited five departments with weak medical skills in Harbin Hospital to "pass, help and bring" once every six months, which quickly improved the medical technical level of each department. With their cooperation, the hospital has carried out many complicated internal, external, gynecological and ophthalmic operations, which have been well received by patients.
2, go to the countryside for a free clinic and send it to the hospital. In order to better solve the problem of rural people's difficulty in seeing a doctor, the hospital launched a free clinic in rural areas with the theme of "send warm, giving love". The hospital transferred 38 key clinical and medical departments, divided them into 6 groups to form a roving clinic team, led by a vice president, carrying instruments such as B-ultrasound and electrocardiograph, and went deep into the countryside to carry out free clinic activities, so that people could enjoy all-round intimate services without leaving the village. Since the Spring Festival, the free clinic team has visited 12 villages, consulted more than 960 people, answered more than 620 people and distributed more than 1000 publicity materials. The development of free clinic activities has enabled the masses to get high-quality medical services and enjoy tangible benefits, realizing early prevention, early treatment and early health.
3. Carry out telemedicine services. Hospitals make full use of internet technology, develop various forms of telemedicine services, expand the coverage of high-quality medical resources, and effectively solve difficult problems for the masses. PACSS system used by hospital imaging center keeps in touch with many famous hospitals through network. In case of X-ray, CT film, nuclear magnetic resonance and other difficult or unclear diagnosis, we can discuss and consult with superior experts through the network site to make a clear diagnosis. This not only saves the trouble of patients going to and from big hospitals, but also saves medical expenses, which is very popular among patients.
4. Pay attention to health education and rehabilitation. In order to improve the self-care ability of the whole people and improve the quality of education, the hospital has done a lot of publicity work. First, this year, the hospital and the county radio and television station jointly produced a 1 1 health knowledge lecture, which described the prevention and treatment knowledge of common diseases and frequently-occurring diseases and the nursing and rehabilitation guidance of various diseases, and it was broadcast on the county radio and television station for many years, which improved the health education level of the broad masses of the people. Second, there are health education publicity columns in the corridors of all departments, detailing the prevention and treatment of common diseases in all departments and replacing them regularly. Three, nurses in various departments should do a good job in admission education, and carry out targeted health education on the ward activities of inpatients and the discrepancy before and after the operation, and make records.
(4) Improve medical quality and safety.
1, conscientiously implement the 14 core systems to improve the quality of medical care. The implementation of medical system is the guarantee of improving medical quality and ensuring medical safety. On the basis of perfecting the system, the hospital focuses on the implementation of the system, especially the core systems such as the first consultation responsibility system, the third-level doctor's rounds system, the consultation system, the death case discussion system and the medical record writing standard, so as to promote the steady improvement of the hospital's medical quality. In order to strengthen the supervision and inspection of hospital quality, the quality control department has conducted 1-2 times a day in accordance with the Detailed Rules for Hospital Quality Evaluation since the beginning of the year, and put forward rectification opinions on existing problems, which are summarized weekly and distributed to all departments in the form of Quality Control Bulletin. The quality control department holds a quality control analysis seminar once a month to discuss and analyze the causes of quality problems and corrective measures, so as to promote all departments to complete all the work in a planned, step-by-step and organized manner.
2, strictly regulate the behavior of diagnosis and treatment services, and promote reasonable inspection, rational drug use and reasonable treatment. Further implement the 14 core system and the "three rationality" norms, adhere to the prevention of diseases, focus on the implementation of guiding principles and norms for the rational use of antibiotics, and strengthen the clinical use of antibiotics, especially third-line antibiotics. The utilization rate of prophylactic antibiotics, combined antibiotics and third-line antibiotics in primary surgery remained at a low level in the city. Continue to carry out the "three basics" sampling test of medical personnel. Conscientiously implement the clinical pathway, clinical technical operating standards, clinical treatment guidelines, regulations on pharmaceutical affairs management in medical institutions, prescription management methods, guiding principles for clinical application of antibacterial drugs and other rules and regulations and norms. Vigorously promote the clinical pathway and single disease payment, and promote the scientific, standardized, professional and refined development of medical quality management.
3. Standardize the doctor-patient communication process and improve the doctor-patient communication system. Standardize the communication between doctors and patients, and respect patients' right to know, agree and choose. Establish a doctor-patient communication responsibility system, and the hospitalized patients are mainly responsible for communication by responsible doctors and nurses; Before and after the operation, the surgeon personally communicated; The attending doctor is responsible for the communication between outpatients and patients under observation. When the condition changes, the attending physician is responsible for immediate communication. Through the implementation of the doctor-patient communication system, the occurrence of medical disputes is reduced and the doctor-patient relationship is harmonious.
4. Standardize complaint management. The hospital set up a "doctor-patient office" to be responsible for complaint management. All departments strictly implement the first complaint responsibility system, the complaint reporting system, the accountability system and the filing system, standardize the complaint procedure, effectively avoid the intensification of doctor-patient conflicts and harmonize the doctor-patient relationship.
5. Strengthen the management of clinical application of medical technology and large equipment to ensure medical quality and safety and the rights and interests of patients. Effectively strengthen the management of clinical application of medical technology, and establish a strict medical technology access and management system in accordance with the requirements of the Measures for the Administration of Clinical Application of Medical Technology.
(5) Strengthen the construction of medical ethics.
1, open service information. All services and charges are disclosed by the hospital through electronic LCD screen, bulletin board, charge list and other forms, which is convenient for the public to inquire.
2. The inspection results shall be recognized by peers. The hospital implements the system of mutual recognition of inspection results. When patients are treated in different hospitals or transferred from municipal hospitals to other hospitals, it will reduce unnecessary repeated examination costs and greatly reduce the burden on patients.
3, the implementation of the "three reasonable" norms, adhere to the clinical medication "double ten control" system, standardize the inspection and treatment behavior, control the unreasonable increase of medical expenses.
4. Practice medicine honestly and refuse to accept red envelopes and kickbacks. Effectively strengthen the education of medical ethics, so that the majority of medical staff can establish a sense of professional honor and responsibility, cultivate good professional sentiments, and always put the interests of patients first. The hospital held a warning education meeting for the staff of the whole hospital to educate all staff to practice medicine in a civilized way, be honest and upright, and not take kickbacks or accept red envelopes; And called drug dealers and device manufacturers to hold a honesty education meeting, and signed the "Two-way Commitment Against Commercial Bribery" with them, effectively preventing the circulation of kickback drugs and inferior drugs, and ensuring that patients use drugs cheaply and safely.
5. solicit opinions extensively and improve in time. First, hold patient forums regularly to solicit opinions from patients and their families; The second is to solicit opinions and suggestions from many parties through on-site investigation of outpatients and inpatients; The third is to take to the streets regularly to carry out "listening to the voice of the people" activities, collect opinions and suggestions from all walks of life, and sort out rectification. The hospital can immediately solve and correct the opinions and suggestions sought; If it cannot be solved and corrected immediately, the relevant departments are instructed to solve and correct it as soon as possible, which has won the satisfaction and recognition of the masses to a great extent and won their understanding and support.
Third, strengthen infrastructure construction and create a satisfactory medical environment for the people.
In order to provide patients with beautiful medical environment, comfortable wards and accurate and reliable examination and diagnosis results, the hospital has increased investment in capital construction and strived to improve its capital construction level.
(1) 1. The new comprehensive building of Wuqiang County Hospital (1+1building) with an investment of 37 million yuan and a building area of17,000 square meters is under construction, and it is expected to be completed and put into use by the end of 20 12. By then, the hospital's medical environment will be more beautiful, the ward setting will be more scientific and reasonable, and patients will feel more warm and comfortable in the hospital. The second is to repaint all the walls, doors, windows and heating pipes in the corridor and ward, replace the ward glass, and renumber all the ward numbers to make the corridor and the outside look brand-new. Thirdly, the toilets in the whole hospital are sanitary and humanized, and the toilet flushing is completely converted into pedal flushing, reducing the chance of hand contact; Add special toilet seats for the elderly and the disabled; Handrails are added next to the toilet seat to facilitate people with limited mobility to squat and get up. Fourth, the ground hardening project of the parking lot on the east side of the hospital was completed, and the parking line was sprayed, so that the vehicles were parked in an orderly manner, which eased the situation that the number of patients in the hospital increased and parking was difficult.
(2) Medical Equipment In order to better improve the quality of medical diagnosis in our hospital, the hospital purchased large-scale medical equipment such as Siemens double-row spiral CT machine, Siemens color Doppler ultrasound machine, electronic gastroscope, electronic colonoscopy and remote gastrointestinal X-ray machine. Last year, the hospital invested 3.5 million yuan to purchase a magnetic resonance imaging system, and then purchased five-classified blood cell counters, medical image PASS systems, central monitors and other medical equipment. This year, the hospital invested 2.6 million yuan to buy a digital photography system (DR). At present, the hospital has more than 80 sets of medical equipment (pieces), totaling 1 10,000 yuan, which can carry out nearly 300 examinations. These medical devices provide a reliable guarantee for clinical scientific and reasonable treatment, and obviously improve the diagnosis rate.
Looking back, the hospital has made some achievements and the general public has benefited a lot. However, we are well aware that there is still a certain gap between the services provided by hospitals and the needs of the people. The road ahead is still long! Let us, under the leadership of our superiors, further unite the wisdom of the staff in the hospital, be determined to reform with high fighting spirit, work hard to innovate with full enthusiasm, and work hard with pragmatic style to build the hospital into a hospital with people's confidence and satisfactory quality service!
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