First, the basic situation of the hospital
Neiqiu County Hospital of Traditional Chinese Medicine was founded in February 1984, and 1994 was rated as a second-class first-class Chinese medicine hospital. With the care and support of the county party committee and government, the hospital has been relocated twice and three times, and its scale has gradually expanded and its functions have become more reasonable. At present, it covers an area of 50 mu, with a construction area of nearly XX square meters. * * * Cadres and workers 149, health technicians account for 90%, Chinese medicine doctors account for 66.7%, pharmacists account for 8 1.8%, and college-level leading bodies account for 66.7%. At present, the hospital has 50 people with intermediate or above titles (including the title of deputy chief physician 13), and has hired experts and professors for consultation all the year round, and established cooperative hospital relations with the Second Provincial Hospital and the Municipal People's Hospital. Business and technical backbones are trained in hospitals above the provincial level.
The hospital has 150 beds and 13 clinical departments, including internal medicine, surgery, gynecology, pediatrics, emergency treatment, dermatology, ophthalmology, otorhinolaryngology, oral cavity, anesthesia, acupuncture and physiotherapy, rehabilitation, orthopedics and anorectum. Stroke specialist, dermatology specialist, pain specialist and anorectal specialist were identified by Xingtai Health Bureau as municipal key specialties of traditional Chinese medicine. There are specialist clinics for hypertension, diabetes, sleep disorders, spleen and stomach diseases, asthma and infertility. There are 6 wards including heart disease, encephalopathy, surgery, trauma, obstetrics and gynecology, pediatrics, etc. And more than 30 medical and technical departments, such as laboratory, pathology, ultrasound, cardiology, electroencephalography, gastrointestinal endoscopy, hyperbaric oxygen chamber, radiotherapy, ct, radiology, disinfection and supply of Chinese and western pharmacies.
The hospital has full-body spiral ct machine, cobalt 60 radiotherapy machine, color B-ultrasound diagnostic instrument, pulmonary function tester, color transcranial Doppler, ECG workstation, electronic gastroscope, electronic enteroscope, 500 mA high-frequency remote control gastrointestinal X-ray machine, C-arm X-ray machine, extracorporeal shock wave lithotriptor, hyperbaric oxygen chamber, automatic five-stage blood analyzer, automatic biochemical analyzer, blood coagulation instrument, hemorheology instrument, hemoperfusion machine, allergic reaction tester and chemiluminescence.
The hospital is the first second-class first-class hospital in the city's Chinese medicine system. It was identified by the superior as the clinical teaching hospital of Hebei Medical University, Hebei Engineering University and Xingtai Medical College. It has been rated as a civilized unit in cities and counties for many years and awarded by the provincial spiritual civilization construction Committee? Three-star civilized service window unit? ; Awarded by the provincial health department? Deepen the reform and serve the top 100 quality hospitals in Hebei Province? 、? Hebei Provincial Model Hospital of Traditional Chinese Medicine. ; Advanced unit of medical ethics construction in Hebei province; Issued by the Chinese Medical Association? A reassuring national demonstration hospital? .
Second, the main results
Through the activity of "Management Year of Chinese Medicine Hospital", the staff's understanding of the work of "Management Year of Chinese Medicine" has been improved, the characteristics of Chinese medicine have achieved remarkable results, the training of talents has been strengthened, and the construction of specialties has been highlighted, which has basically reached the requirements of "Management Year of Chinese Medicine" and promoted the comprehensive and scientific development of Chinese medicine hospitals.
(1) The characteristics and advantages of traditional Chinese medicine are further revealed.
According to the actual situation of the hospital, the medium-and long-term development plan focusing on traditional Chinese medicine has been formulated, and the development goals have been defined. At the same time, seven practical measures to give full play to the characteristics and advantages of traditional Chinese medicine have been formulated and implemented item by item. As an important indicator in the assessment objectives of departments, the assessment results are reflected in the comprehensive distribution plan of departments. At present, anorectal, pain, skin, acupuncture and other specialties in the hospital are listed as key specialties of traditional Chinese medicine by provinces and cities respectively.
Hospitals actively carry out counterpart support. According to the arrangement of the county health bureau, we have provided counterpart support to two county health centers in Jin Dian and five countries, which have been included in the president's target responsibility system and annual work plan. We sent two business backbones to guide the traditional Chinese medicine business for many years in two rural health centers and clinics, and promoted appropriate technologies of traditional Chinese medicine, such as massage and pedicure, so as to enhance people's understanding and knowledge of traditional Chinese medicine and reward grassroots personnel.
(2) The staffing tends to be reasonable, and the team building has been strengthened.
In strict accordance with the requirements of the Notice on Giving Full Play to the Characteristics and Advantages of Traditional Chinese Medicine and Strengthening the Staffing of Traditional Chinese Medicine Hospitals, efforts should be made to make the staffing of leading bodies, functional departments and key specialists meet the proportional requirements, so that people who know Chinese medicine and fine business can take up corresponding posts and play their due roles.
In order to improve the overall quality of the hospital, we have formulated a plan for the construction of Chinese medicine personnel, made every effort to optimize the structure of Chinese medicine personnel, encouraged Chinese medicine personnel to go out and come in, and participated in all kinds of Chinese medicine training at all levels. At the same time, we have carried out good Chinese medicine knowledge and skills training and on-the-job training, so that Chinese medicine personnel can master more and better Chinese medicine technology.
(3) Further standardize the construction of clinical departments.
We have standardized and revised the clinical departments in our hospital in strict accordance with the notification requirements of state administration of traditional chinese medicine on standardizing the names of departments. The regional settings and equipment of outpatient department, ward and emergency department of the hospital meet the requirements, and the characteristic services of traditional Chinese medicine are carried out according to the relevant requirements, and case discussions are carried out in various departments to improve the diagnosis and treatment level of critical and difficult diseases of traditional Chinese medicine.
Formulate and implement TCM diagnosis and treatment plans for common and dominant diseases of TCM, strictly implement the writing norms of TCM medical records, and take the lead in implementing TCM electronic medical records in county-level TCM hospitals in Xingtai City.
(4) The construction of key institutions has been significantly strengthened.
The hospital has formulated and implemented development plans for specialties such as stroke, pain, skin and anorectal diseases. The advantages of the four specialties of traditional Chinese medicine are obvious, and the number of outpatient clinics accounts for more than 80% of the hospital. Various specialties have formulated corresponding TCM diagnosis and treatment plans, regularly evaluated and analyzed clinical departments, and constantly improved the level of specialties.
(5) The management of traditional Chinese medicine pharmacies is gradually standardized.
The establishment of Chinese pharmacy has reached the basic standard of hospital pharmacy, expanded the area of Chinese pharmacy, realized the separation of warehouses, and the staff of Chinese pharmacy and decocting room have reached professional and technical qualifications. The procurement system and procurement channels of traditional Chinese medicine comply with relevant regulations.
(6) The quality of TCM nursing has been improved.
In order to improve the quality of TCM nursing, a TCM training plan for nursing staff was formulated, and TCM nursing techniques and operations were actively carried out in the whole hospital. Specialized nursing can provide health guidance with Chinese medicine characteristics and improve the quality of Chinese medicine nursing in the whole hospital.
(seven) to further strengthen the construction of Chinese medicine culture.
Our hospital is a project unit established by Hebei Provincial Bureau of Traditional Chinese Medicine to promote Chinese medicine culture. We have implemented the relevant requirements of Guiding Opinions on Strengthening the Construction of Chinese Medicine Culture in Chinese Medicine Teams and Measures for the Construction of Chinese Medicine Culture in Chinese Medicine Hospitals, and formulated the Staff Manual, which has made the construction of Chinese medicine culture deeply rooted in the hearts of the people. Take a variety of measures, such as exhibition boards, hospital newspapers, TV topics, health knowledge series manuals, etc. Vigorously promote the culture of Chinese medicine.
(8) Chinese medicine health care services have been continuously improved.
The hospital has worked out a work plan for the development of TCM preventive health care services, and has set up and built it reasonably. Nip in the bud? Service, and strive to provide appropriate technical services of traditional Chinese medicine for the people within the jurisdiction.
Third, the main measures
(a) Raising awareness and strengthening leadership
Should we seriously implement it? Hospital management year? Activities: 1. Establish the president as the team leader, the vice president as the deputy team leader, and the directors of various functional departments as members? Hospital management year? The activity leading group is responsible for the coordination and supervision of the activities of the hospital management year. The second is to hold a special meeting of hospital leaders, unify their thinking, divide their work, achieve clear goals, and put the hospital management year activities on the important agenda of hospital work. The third is to hold a staff meeting of the whole hospital to mobilize the work and let everyone know the purpose and significance of the hospital management year.
At the same time, it is also widely publicized through newspapers, windows and other forms, and strives to create a good public opinion atmosphere. The fourth is to use the weekly meeting of the hospital to arrange and report the relevant standard tasks of relevant departments from time to time. Fifth, pass? Quality inspection day? , leading group members in-depth departments, on-site supervision and inspection of the implementation of rectification activities, and report through the hospital weekly meeting. In the year of hospital management, we carefully check the deficiencies, find out the problems, and constantly improve and perfect according to the standards in order to achieve tangible results.
(B) efforts to strengthen the construction of traditional Chinese medicine characteristics
The key and core content of the hospital management year activity is: the construction of characteristic advantages of traditional Chinese medicine. In recent years, we first unified the thoughts of hospital leaders to reflect the development direction of traditional Chinese medicine, corrected the ideological understanding of leaders, formulated specific measures and regulations, and strengthened the connotation construction of traditional Chinese medicine. First, seriously implement the writing norms of Chinese medical records, focusing on strengthening.
Using TCM clinical syndrome differentiation and TCM nursing technology to improve the quality of medical record writing and strengthen quality control through regular inspection; Second, all clinical departments are required to choose at least one specialty (special disease) project of traditional Chinese medicine for exploration and development (such as 1 department? Spleen and stomach diseases, internal medicine 2? Stroke, surgery 1? Anorectal diseases, surgery 2? Lumbago and leg pain, obstetrics and gynecology? Infertility, pediatrics? Asthma) is cultivated with curative effect and characteristics, and the scale of its specialty (special disease) is expanded; Third, give key support to key specialties or departments with development prospects. Hospitals give priority to equipment purchase and personnel training, reward or reuse academic leaders, and promote the development of departments. Fourth, organize technical backbones of corresponding departments to visit and inspect from time to time (successively to Weifang, Pingdingshan, Xi 'an, Liuzhou, Rongcheng and other places) to learn the experience of specialized disease construction; Fifth, the use of Chinese herbal pieces will be included in the monthly comprehensive quality assessment of the hospital, and the bonus of the department will be deducted for those who fail to meet the standards, and linked to the bonus of the department director by 20%; Sixth, western medicine is encouraged to learn Chinese medicine, and Chinese medicine drives western medicine so that clinical medical personnel can master the basic knowledge of Chinese medicine.
At the same time, seminars on special topics (special diseases) are held from time to time to exchange and learn from each other and promote each other; Seventh, in the staffing of the head of the clinical department, in principle, it must be a person with the title of traditional Chinese medicine or integrated traditional Chinese and western medicine. In principle, western medicine personnel can only be promoted and appointed if they have obtained a professional degree in Chinese medicine or integrated traditional Chinese and western medicine through Chinese medicine study; Eighth, actively carry out Chinese medicine service projects, prepare Chinese medicine sachets to prevent allergic diseases and hand, foot and mouth disease, carry out Chinese medicine facial mask skin beauty care, carry out foot massage service at night, and introduce non-decocted Chinese medicine for patients to take. Through the management of annual activities, strengthening reward and punishment measures, special diseases and characteristic construction of traditional Chinese medicine, new development has been made. Stroke and anorectal diseases are key specialties at the municipal level.
(3) Pay close attention to medical quality and ensure medical safety.
Medical quality is the lifeline of hospital work. Starting with strengthening the system construction, the hospital work system and responsibilities were revised, compiled into a book, and printed and distributed to all departments for study and implementation, and the core system of 14 was put on the wall. At the same time, strengthen the construction of two-level quality control system in the hospital, adhere to the Friday quality inspection day activities led by hospital leaders, and make weekly inspection, monthly evaluation and monthly quality inspection information notification, strictly reward and punish, and put an end to medical disputes. In addition, we should seriously practice according to law, strictly hold certificates, do a good job in new project access management, standardize the names of departments, key parts and key positions according to the requirements of superiors, strengthen the management of production safety, and prevent all kinds of accidents.
Strictly implement the laws, regulations, rules and regulations of hospital health management, as well as the norms and routines of diagnosis and treatment and nursing, and organize the medical staff in the hospital to learn the health professional laws and regulations such as the Law on Medical Practitioners, the Law on Nurse Management, the Regulations on the Management of Medical Institutions, and the Regulations on the Handling of Medical Accidents, so that the majority of medical staff can be familiar with various health professional laws and regulations, so as to enforce the law according to law and regulate their behavior.
At the same time, various rules and regulations of the hospital and the post responsibility system have been improved and implemented, especially the core systems of medical quality and medical safety, such as the first consultation responsibility system, the three-level physician rounds system, the difficult case discussion system, the consultation system, the critically ill patient rescue system, the preoperative discussion system, the death case discussion system, the check system, the basic norms and management system of medical record writing, the handover system and the technical access system, and the medical accident prevention and treatment plan has been formulated. We have established emergency teams for disaster relief and disease prevention in public health emergencies, medical disputes, major medical negligence and medical accident handling systems, and established and improved various nursing work systems and graded nursing systems.
Four, actively do a good job in Chinese medicine.
In order to meet the needs of work, our hospital carefully organized relevant departments and personnel to study three special articles, namely, Basic Standards of Chinese Medicine Pharmacy in Hospitals, Management Standards of Chinese Medicine Pieces in Hospitals and Management Standards of Chinese Medicine Decocting Rooms in Medical Institutions, and actively implemented them. Chinese medicine cabinet, stainless steel medicine rack, automatic decocting machine and other equipment were purchased. Introduce traditional Chinese medicine decoction-free granules, expand the traditional Chinese medicine decoction room, and send Chinese medicine personnel to Wuhan Traditional Chinese Medicine Hospital for further study according to the arrangement of the Provincial Administration of Traditional Chinese Medicine, participate in the training of senior appraisers of traditional Chinese medicine decoction pieces in the province, and actively do a good job in standardized management and construction.
Five, strengthen the construction of traditional Chinese medicine culture
Our county is the hometown of Bian Que, the originator of traditional Chinese medicine, and we take this as a starting point to promote Bian Que's medical ethics. According to state administration of traditional chinese medicine's "Guiding Opinions on Strengthening the Construction of Chinese Medicine Culture" and "Guidelines on the Construction of Chinese Medicine Culture in Chinese Medicine Hospitals", our hospital has formulated an implementation plan on strengthening the construction of Chinese medicine culture. Bian Que's sculpture was made successively in the center of the hospital, carved together with the shielding wall of the hospital? Is the great doctor sincere? Admire and learn. Chinese herbal medicines and other flowers and plants were planted in the garden of the hospital, fitness equipment was set up, a publicity window was set up in front of the outpatient building, and publicity boards on Chinese medicine knowledge such as Chinese medicine health care were hung in the corridors and waiting areas in the building.
Closed-circuit television was installed in some wards, and lectures on TCM health preservation were broadcast for patients to watch. In cooperation with county TV stations, five feature films reflecting the diagnosis and treatment of TCM specialties (special diseases) in our hospital were filmed. At the same time, we will run the 46th issue of Neiqiu new traditional chinese medicine well, actively publicize the culture of traditional Chinese medicine, formulate the hospital spirit such as the hospital's purpose, school-running direction, hospital training, development strategy, business service concept, and civilized service standards for employees, and collect hospital emblems and songs from inside and outside the hospital. More than 65,438+00,000 books on TCM health care were printed to further promote and spread the rich connotation of TCM culture.
Anyway, in? Hospital management year? During the activity, we did a lot of work and achieved some results. On May 7th last year, on behalf of Hebei Province, we accepted state administration of traditional chinese medicine's inspection and evaluation of our hospital's management year. However, there are still some shortcomings and problems from the requirements and standards of superiors. For example, the scale of our specialized disease construction is not large; The treatment rate of traditional Chinese medicine needs to be further improved.
We will make use of the inspection, evaluation and guidance of the leaders and experts of the Provincial Administration of Traditional Chinese Medicine on XX Chinese Medicine Management Year, further improve and perfect the problems and deficiencies existing in the work, do a good job in the management year of Chinese medicine hospitals, give full play to the characteristics and advantages of Chinese medicine, comprehensively improve the management level and medical level of hospitals, further promote the healthy development of Chinese medicine, and make our due contribution to the revitalization of Chinese medicine!
Summary of Hospital Management Year Activity II According to the document "Implementation Plan of Hospital Management Year Activity in * * 20 1*" issued by * * Municipal Health Bureau and the spirit of relevant documents of Ministry of Health, Provincial Health Department and * * Municipal Health Bureau, our station conducted an in-depth study on "Hospital Management Year Activity". Improve the quality of hospital service and build a harmonious doctor-patient relationship? The theme of hospital management year is to pay attention to the quality, safety and service in medical work. The work is summarized as follows:
First, lay a solid foundation and fully participate in the management year activities.
(1) Strengthen leadership and improve organization. I'll stand? Hospital management year? This year's activities? Theme year? Included in the annual work plan, the Municipal Health Bureau issued a document immediately after the station. Hospital management year? The activity mobilization meeting mobilized all the staff and made comprehensive arrangements for all the work. A working group with webmaster as the team leader and relevant middle-level cadres in charge was set up to refine the activities item by item and decompose them into departments and people, which enhanced the operability.
(two) extensive publicity, create an atmosphere. We have hung it in a prominent position in the hospital since the activity was launched? Improve the quality of hospital service and build a harmonious doctor-patient relationship? Doctors think about patients, and medical care satisfies the masses? Banners of content, etc. Open a column and use the edition newspaper to report the progress and effectiveness of the activity.
(3) Organize all staff to participate in the study. According to the unified arrangement of the station, the staff of the whole station were organized to study the health professional laws and regulations such as the Law on Medical Practitioners, the Measures for the Management of Nurses, the Regulations on the Management of Medical Institutions, and the Regulations on the Handling of Medical Accidents, which strengthened their understanding and required all staff to practice and regulate their behavior according to law.
The second is to provide quality service and build a harmonious doctor-patient relationship.
(1) Standardize the words and deeds of employees. Further standardize the terms of service and? Forbidden words? ; Implementing holistic nursing, the responsible nurse communicates with patients at any time and answers patients' questions in time; Establish a doctor-patient communication system, improve the informed consent form, and fully respect patients' right to health and informed consent.
(2) Implementing convenience measures. According to the needs of patients, a series of convenience measures were introduced, including providing chairs to accompany them, providing telephones for family members, and medical staff accompanying hospitalized patients for examination, which won favorable comments from patients. Strengthen and improve the patient return visit system, focus on guiding the family health care and rehabilitation of discharged patients in view of special diseases such as tuberculosis and mental illness in our station, communicate sincerely with patients, and build a bridge of trust between doctors and patients.
(3) Improve the medical environment. In addition to enjoying high-quality medical services and warm nursing services, medical environment is also the most concerned issue for patients. In the activities of hospital management year, the post responsibility system is implemented, and the outpatient ward is patrolled day and night to protect the property safety of patients; Increase investment and comprehensively improve ward facilities.
Third, strengthen management and improve medical quality in an all-round way.
For all-round progress? Hospital management year? Activities, truly implement the spirit of the document, we start from improving the management level of middle-level cadres, improve the quality of medical care by grasping quality management and perfecting the system.
(1) Improve the management system. According to functional departments? Hospital management year? The specific requirements of the activity, establish and improve the relevant systems and responsibilities, so that all the work of our station can be followed by rules, not beyond the scope of medical practice, and do not set up departments or rent departments without authorization; All staff members have unified their understanding through study, consciously abide by the rules and adhere to the practice of law.
(two) the implementation of hospital affairs. ? Clearly seeing a doctor? At the request of patients, our station will publicize and introduce outpatient doctors, specialists, drug prices, large-scale equipment inspections, etc., so that patients can clearly understand consumption. By implementing the hospitalization list system, patients can know their hospitalization expenses and medication at any time. Set up a complaint office, receive and handle patients' complaints, and issue a monthly patient satisfaction questionnaire to solicit patients' opinions.
(3) Strengthen supervision and inspection. In order to implement the activities of Hospital Management Year, investigate and deal with labor discipline, medical ethics, medical personnel and equipment, focus on spot-check key departments, and resolutely put an end to accepting red envelopes and kickbacks; Starting with grasping the quality of medical care, we will deduct points from subjects to people in strict accordance with management regulations to promote the overall improvement of medical quality. So far, there has not been a dispute between doctors and patients and other disputes.
(four) strict management and use of antibacterial drugs. According to the spirit of "20 1 year special rectification activities for clinical application of antibacterial drugs", strengthen the training of rational use of antibacterial drugs for all staff; Strictly implement the classification management system of antibacterial drugs; Organize and study the Guiding Principles of Clinical Application of Antibacterials, and let everyone know. Further promote the clinical rational use of antibacterial drugs and ensure the safety of patients.
The management year activity allows patients to come to our station to see the excellent service environment, hear the civilized and standardized service terms, enjoy high-quality medical services and get healthy bodies. Where is the harmonious doctor-patient relationship? Hospital management year? It was emphasized in the activity.
With what? Hospital management year? With the in-depth development of activities, the construction of medical ethics in our station has been significantly improved, the management has been more orderly, the medical quality has also been greatly improved, the service awareness has been enhanced, and the rectification measures have been implemented, which has effectively promoted all the work and achieved the expected results. It is necessary to create conditions according to the standards, continuously improve the quality of medical services, grasp the hot and difficult problems existing in people's medical treatment, ensure medical safety, provide high-quality humanized services, and constantly reform and improve, so that the management level and medical quality of our station will leap to a new level.
I recommend it carefully.