As the first responsible person of medical quality management, the hospital president should earnestly perform the duties of medical service quality management. The following is my summary of the personal work of the hospital president, hoping to help everyone!
Summary of personal work of hospital president 1 20xx is a year of deepening reform, accelerating development and improving efficiency in our hospital, a crucial year of establishing a brand-new management concept, improving hospital grade and competitiveness, and a year of implementing hospital management with the theme of "taking patients as the center and improving medical quality", which is a year of facing new challenges and better opportunities in our hospital. With the strong support of the county government and the county health bureau, all the medical staff in the hospital worked hard in this year and achieved remarkable results in all aspects of the hospital's work. The work from 20xx 1 to 10 is summarized as follows:
I. Completion of indicators from 1 to 10.
20xx 1- 10 month, realized business income of 4.053 million yuan, up19.3% year-on-year; The number of outpatient visits in the whole year was 33,554, up11.4% year-on-year; Inpatients 1463, up 0.5% year-on-year.
Second, strengthen the ideological and political construction of workers.
Carry out ideological and political education and professional ethics education in combination with reality. First, open and innovative discussion activities are carried out in the whole hospital. Focusing on the theme of "it is difficult and expensive to see a doctor" reflected by the masses, aiming at the development status of our hospital, we aim at emancipating our minds and accelerating the development of health undertakings, focusing on self-study, self-examination and self-improvement, and strive to improve the doctor-patient relationship and build a harmonious society through big discussion activities.
Second, continue to carry out in-depth education on the socialist concept of honor and disgrace. Through solid and effective publicity and education, the Party branch of the hospital has enabled party member, cadres and the masses to consciously cultivate the good moral character of "loving the motherland, serving the people, advocating science, working hard, uniting and helping each other, being honest and trustworthy, obeying the law and working hard", and making the socialist concept of honor and disgrace a guide to open and innovative actions. At the same time, take the education of socialist concept of honor and disgrace as a long-term mechanism to maintain the advanced nature of party member, guide party member to adhere to the party's purpose, strengthen the party's concept, and further improve the ideological and moral quality. The third is to link the hospital management year, the control of commercial bribery, the construction of spiritual civilization and the construction of professional ethics, promote the connotation construction of hospitals and build a harmonious society. The fourth is to successfully complete the general election of the party branch.
Three, actively promote the implementation of the new rural cooperative medical system.
According to the spirit of the Notice of the Health Department of the Autonomous Region on Further Strengthening the Management of Designated Medical Institutions of the New Rural Cooperative Medical System (Gui Wei Nong [20xx] No.30), our hospital actively responded to the spirit of superiors and promoted the implementation of the new rural cooperative medical system. In order to strengthen the supervision and management of the new rural cooperative medical system in our hospital, a leading group for the supervision and management of the new rural cooperative medical system in mashan county Hospital of Traditional Chinese Medicine was established. The leading group has an office located in the medical department, which is responsible for the supervision and management of the new rural cooperative medical system in the hospital.
Fourth, pay close attention to medical quality and medical safety, and constantly promote the development of various work in hospitals.
In 20xx, we continued to take the opportunity of Hospital Management Year to strengthen medical quality management, pay close attention to system implementation, strengthen training, ensure medical safety and improve medical quality.
(1) Strengthening the management of basic medical care.
1. Improve the system and practice medicine according to law. Medical behavior was standardized with emphasis on medical record writing norms, three-level rounds, medical safety, clinical blood use, nosocomial infection, antibiotic use, handover quality, consultation inside and outside the hospital, and case discussion.
2, combined with the requirements of hospital management year and the actual situation of medical work in our hospital, constantly improve the rules and regulations of medical work, standardize medical behavior, and improve medical quality. Strengthen medical safety training, educate everyone to learn, understand, use and abide by the law, protect the legitimate rights and interests of both doctors and patients according to law, and lay the foundation for medical safety in the whole hospital.
3. Strengthen the implementation of the medical management system, comprehensively improve the medical service level of our hospital, and under the guidance of the Dean, insist on attending department rounds every Tuesday and Wednesday, go deep into the department, and conduct on-site inspection and guidance on business study, medical record writing and difficult rescue cases, so that many problems that are easy to ignore in clinic can be solved smoothly. Regular medical safety meetings in clinical departments are held to discuss the mistakes and hidden dangers of medical safety in various departments and how to prevent them, which provides a reliable guarantee for clinical medical safety.
4. Strengthen business training, pay close attention to "three basics and three strictness" training and three-level rounds training, and strive to improve the business level, so as to further improve the medical technology level of our hospital and enhance its popularity.
5. Strictly control the medical quality of the whole hospital, and all departments strictly follow the routine operation technology, and the cure rate of patients in hospital is 98%; The writing rate of outpatient medical records was100%; The coincidence rate of admission diagnosis was 98%; The average hospitalization time before operation was 2 days; The coincidence rate of diagnosis before and after operation was 96%. The coincidence rate of pathological diagnosis was100%; The rescue success rate of critically ill patients is 70%; The maternal mortality rate is 0; The incidence of medical accidents and medical disputes is 0; This year, the rate of first-class medical records and the qualified rate of outpatient prescriptions are higher than last year.
6. Effectively implement the responsibility system for the first-visit doctors, and there is no prevarication for patients, especially when rescuing patients. The medical staff in the hospital work together and perform their duties, so that every patient can get the best treatment, and there is no hospital dispute because the patient is not in place.
(B) to strengthen nursing management
Follow the principle of "patient-centered", formulate and improve the nursing system, nursing quality control scheme, technical specification and nursing quality evaluation standard. Adopt the methods of target management and index assessment, and organize inspection, evaluation, summary, feedback and rectification in a planned way. Establish a second-level quality control organization, form a management system that the nursing department pays full attention to and the head nurse pays special attention to, give full play to the monitoring role of quality control personnel at all levels, mobilize the subjective initiative of all nursing staff to the maximum extent, enhance their sense of participation and self-control, check at all levels, and correct problems in time when found. In addition to self-examination and self-correction, the nursing department also focuses on spot-checking the writing quality of basic nursing and nursing documents every month, organizing a cross-check of nursing quality once a month, summarizing feedback in time, and making rectification while checking. Strengthen nursing quality and safety management, establish and improve nursing quality and safety management plan and emergency handling procedures, improve management system and accident prevention measures, pay attention to nurses' careful cultivation, carry out quality education for nurses, attach importance to medical quality and safety, consciously abide by operating procedures and check system, and nip in the bud. Over the past year, there have been no major nursing mistakes and disputes, zero accidents and zero bedsores in the hospital. The qualified rate of first-class nursing reached 95%, the qualified rate of basic nursing reached 96%, and the qualified rate of writing nursing documents reached 98%.
(3) Strengthen drug management
Strengthen the management of drug use, conscientiously implement the "Prescription Management Measures", formulate the hospital basic drug list and drug prescription set, and issue commonly used drugs as required.
(4) Strengthen the management of outpatient and emergency departments.
Adjust the staffing of emergency department, strengthen the capacity building of emergency department, improve the success rate of emergency rescue, standardize the writing and medication process of outpatient medical records, improve emergency plans, and strengthen the construction of green channels. Establish a service network contact point.
(5) Strengthen the prevention of health care and hospital infection.
Strengthen the prevention and treatment of tuberculosis and AIDS, disinfection and isolation, personal protection, intestinal infectious diseases and medical waste management, strengthen hospital infection monitoring and treatment, and do a good job in direct reporting of infectious diseases through the network. The annual hospital infection rate was 65438 0.3%, and the missing rate was 0.
(6) Efforts to introduce and train talents continued to increase.
Hospitals firmly grasp the three links of training, attracting and making good use of talents, and actively accelerate the introduction and training of high-level talents and practical talents through various channels. This year, the hospital introduced a number of medical graduates from institutions of higher learning. At the same time, it sent Lu Yongni, Gu,,, Wei Qiongpin, Pan Yanping, Du, and Huang to the superior hospital for further study, visit and study, and sent clinicians to participate in various academic activities many times, which introduced new technologies, methods and experiences to the hospital and laid the foundation for discipline construction and development. Experts and professors from inside and outside the region have been invited to our hospital for consultation guidance and surgical teaching for more than ten times, which further strengthened the talent training, effectively improved the overall comprehensive business level of the hospital and provided technical support for the further development of the hospital.
Five, adhere to the hospital integrity, protect the interests of patients.
The hospital regards "patient-centered, quality-centered, developing the advantages of traditional Chinese medicine and providing honest and high-quality services" as an important part of the hospital's core competitiveness. The hospital carries out ideological and political education and professional ethics education in combination with reality. First, the education of saving lives and serving the people wholeheartedly has been carried out among cadres and medical personnel in party member, and they have established a correct world outlook, outlook on life and values, and consciously resisted money worship; Second, according to the characteristics of the hospital, carry out extensive professional ethics education, focusing on strengthening people-oriented professional responsibility, professional ethics and professional discipline education; The third is to carry out the concept education of "everything is for the patient, everything is for the convenience of the patient, and everything is for the service of the patient" to further strengthen the love, care, patience, carefulness and responsibility of medical staff for the patient; Fourth, conduct discipline and legal education in combination with professional ethics evaluation and legal education activities, and organize party member cadres and medical personnel to seriously study the Ten Banns for party member cadres, the Ten Banns for Medical Personnel, the Law on Medical Practitioners, the Law on Prevention and Control of Infectious Diseases, the Law on Blood Donation, the Regulations on Handling Medical Accidents, and the professional ethics of medical personnel, and consciously learn, know, understand and abide by the law.
Six, steadily promote the basic modernization of hospitals.
(1) Promote the modernization of hospital buildings. Redesign the obstetric process engineering of obstetrics and gynecology.
(2) Promote the modernization of hospital equipment. The addition of advanced medical equipment in the department ensures the normal operation of diagnosis and treatment, improves the level and quality of diagnosis and treatment, meets the needs of clinical frontline, and opens up a broad space for the development of the hospital.
(3) Promoting the modernization of hospital management. Improve the public bidding system for medical equipment, and standardize the process management such as procurement procedures and methods; Improve the financial management system, promote the benign operation of the hospital economy, run the hospital diligently, save expenses, revitalize funds, and strive to achieve institutionalized and standardized management.
Seven, change the style of cadres, strengthen the administrative efficiency of organs.
Since the construction of work style and efficiency, performance of office, a hospital's work style, has carefully summed up the experience from the problems existing in the hospital and the achievements made in rectification, and gradually improved the relevant rules and regulations, ensuring that the requirements of changing the work style of cadres and strengthening the administrative efficiency of organs can be implemented for a long time. According to the requirements of performance of office and Xianfeng, we have established the post responsibility system, the service commitment system, the first inquiry responsibility system, the time-limited completion system and the accountability system. The whole system involves all aspects of the daily work of cadres and workers. Manage people's affairs with the system, prevent human errors and deviations, strengthen supervision and restriction, and effectively promote the change of office style and improve work efficiency. At the same time, gratifying achievements have been made.
(A) service awareness has been significantly enhanced. Cadres and workers can stand on their posts, adhere to high standards and strict requirements in their work, do their jobs wholeheartedly, and their style of work has obviously improved.
(2) Self-improvement has been strengthened. Since the activities of changing the style of cadres and strengthening the construction of administrative efficiency of organs have been carried out, on the basis of various established systems, the performance appraisal methods have been further improved, and the work performance has been effectively combined with the personal annual assessment to fully mobilize the enthusiasm and initiative of employees. In the aspect of clean politics, supervision and restriction, the hospital wind office relies on the branch to strengthen the political and ideological education of cadres and workers, especially leading cadres. At present, the hospital is treating every work with a brand-new look, and all the work has embarked on a standardized and institutionalized operation track.
Eight, financial management, logistics support, comprehensive public security, pollution control has been continuously strengthened.
Financial personnel strictly abide by the financial system, strictly guard against disorderly expenditure, put an end to waste, and make various statements in time. This year, the finance department of our hospital passed the inspection of the county financial audit team and found no violations. Logistics support is an important part of hospital work. Logistics personnel actively serve outpatients and patients, send warmth to patients, do a good job in cleaning wards and hospitals, ensure material supply and protect state property. No property loss or waste was found this year, and the emergency vehicles are running normally, which can meet the needs of clinical first aid.
Comprehensive management of public security is the work of the whole society, and hospitals are a member of society. Of course, management should also be strengthened. Therefore, the leading group of our hospital has always attached importance to the comprehensive management of social security in the hospital, and appointed a vice president to take charge of this work as the leader of the leading group for comprehensive management of social security, to ensure that the comprehensive management of social security is always unremitting and to implement the responsibility form for comprehensive management of social security at all levels.
Nine, the successful completion of the party building tasks assigned by superiors.
While completing all the business work, our hospital strives to complete all the tasks assigned by the county party Committee, county government and various competent departments.
(a) actively participate in the "urban and rural clean project" activities in mashan county, conscientiously do a good job in the clean area of our hospital, provide patients with a comfortable medical environment, and promote the construction of a harmonious society.
(2) Organize party member of the whole hospital to watch TV programs in memory of Qiu Jiri and other comrades on time, and at the same time ask party member to write a review after watching it (and ask party member to take notes).
(3) Take part in the "dream come true" love activity. In order to enable the poor students in the county to successfully complete their studies, the staff of our college actively participated in the "dream come true" love activity to help the poor students successfully complete their studies and make due contributions to the future socialist modernization.
(4) Carry out in-depth free clinic activities in rural areas, in which "pioneers connect with thousands of families and three emotions promote harmony". According to the spirit of the relevant documents of the higher authorities, in order to promote the continuous and in-depth development of the activities, our hospital set up a leading group for rural health activities, which is "vanguard connecting ten thousand families, three emotions promoting harmony". Deploy specialists in internal medicine, orthopedics, obstetrics and gynecology, ENT, traditional Chinese medicine and preventive medicine to form a health team to go to the countryside, and issue contact cards for health visits in our hospital to provide farmers with a high-quality medical environment; Distribute health education publicity materials, improve farmers' health awareness, and give medicines to some people free of charge; Publicize the implementation plan of the new rural cooperative medical system in our hospital, focusing on solving the problems of poverty caused by illness and returning to poverty due to illness, taking into account the general benefits of farmers. Help farmers, especially migrant workers, left-behind children and left-behind elderly people to master basic health knowledge, form a healthy life concept, establish a civilized and healthy lifestyle, improve farmers' health level and quality of life, and promote the construction of a new socialist countryside.
Summary of the personal work of the hospital president 2 After graduating from college, I worked in the clinical front line of the county hospital for two years and was admitted to the master's degree of medical university in XX, during which I visited the provincial hospital of traditional Chinese medicine with my tutor for two years. Since I was assigned to work in the hospital of XX Institute of Science and Technology after my master's degree in XX, I have made some achievements in scientific research, teaching, clinic and management as the president of the hospital. The summary is as follows:
First, political and ideological aspects.
Actively play the vanguard and exemplary role of party member, and introduced two comrades to join the China * * * Production Party.
Second, professional knowledge
I have rich clinical work experience and many years of teaching experience. Since I took up my present post, I have paid attention to studying the theory of higher education, studying hard and striving for perfection in medicine, especially in professional knowledge closely related to teaching. Combining with the characteristics of colleges and universities, we set up courses and lectures, summed up clinical learning and explored clinical practice teaching, which enriched clinical experience, improved teaching quality and achieved good results.
Third, teaching.
So far, I have taken the initiative to accept various teaching tasks and opened practical new courses. He undertook the teaching tasks of sports anatomy, college students' physical and mental health education and college students' medical health education, and took the course of sports injury and first aid this year. In the process of teaching, I pay attention to the study of teaching theory and teaching methods, and form my own teaching style. In teaching, I pay attention to clinical practice, guide students to think in simple terms, and strive to make boring professional knowledge easy for students to understand and accept through various forms of transformation.
Fourth, scientific research.
Insist on promoting research through teaching and teaching through research; The clinical experience is verified by experimental research, and the experimental research results are effectively applied to clinic. Up to now, he has published 8 papers, including 3 core journals and authoritative journals and 2 in English; Participated in the man-machine laboratory construction project of safety engineering college of our school; Presided over the completion of 2 scientific research projects, including provincial project 1, and obtained provincial scientific and technological achievement certificate and departmental project 1, and obtained school achievement certificate; Participated in the completion of the item bank project of school sports anatomy, and obtained the achievement certificate. When applying for scientific research projects, I attach great importance to practicality, development and application. For example, in practical work, I found that the current working mode of employee health record management is cumbersome and inefficient, and it is inconvenient to manage, consult and keep secret. For this reason, I applied for the scientific research topic of "Design and Development of Health Records Management System for University Staff", which was put into use after XX years and achieved good results.
Verb (abbreviation for verb) management
Form a set of strict and standardized management methods around hospital management, clinical management, hospital feeling and medical quality, business learning, prevention and control of infectious diseases, emergency rescue, labor discipline and so on. , leading the hospital to undertake nearly 20,000 clinical tasks every year, and organizing a series of services such as medical reimbursement, health talks, health care services and physical examinations for employees and students. Especially in the fight against "A stream", I led the medical staff in the hospital to fight day and night in the front line, and finally successfully completed the prevention and control task, ensuring the normal teaching order of the school. In addition, I paid attention to strengthening information management, opened the hospital website and the health network direct reporting system of the Institute of Science and Technology, and created the network health file management system of the staff of the Institute of Science and Technology.
For more than six years, I have organically combined teaching, scientific research, clinical practice and management, and several aspects of work have gone hand in hand, complementing each other and applying what I have learned, which has achieved good results and been recognized by the school. Since my work, I have passed the annual assessment twice, and I have been awarded the excellent party member of the school twice. I also actively participated in various cultural and sports activities of the school and won the ranking many times. I was rated as an activist in the school union.
Summary of Hospital Dean's Personal Work In 3 20XX, under the leadership of the General Party Branch of the Hospital, all cadres and workers of the Development Zone Hospital United as one, conscientiously implemented the spirit of the Party, strengthened the service concept of "patient-centered and quality-centered", established and improved the quality control system, carried out in-depth health integrity construction and humanized medical services, optimized the medical environment, improved the service quality and level, achieved better social and economic benefits, and established a good service image of the health cause in the Development Zone.
1, strengthen leadership, team unity, clear responsibilities and strong leadership.
The members of the leadership team of the hospital carry out their duties, regularly inspect and supervise the work they are in charge of, and solve problems in time when they are found. Always put spiritual civilization construction in a prominent position, strengthen the education of all employees' medical ethics and the purpose of serving the people wholeheartedly, and guide the employees to treat spiritual civilization construction activities correctly and actively participate.
2, improve the system, scientific management, quality service, civilized practice.
In particular, we pay attention to the establishment and improvement of rules and regulations, and formulated the Employee Handbook, one for each person and one for each subject, which strengthened the management of hospital employees, standardized the civilized medical behavior of employees, and further improved their own quality and overall image. The relevant regulations on strict professional discipline, clean medical practice, prohibition of accepting banquets, gifts and red envelopes from patients and their relatives, and rewards and punishments for medical ethics have been improved. To ensure the standardization of the implementation system and the effective implementation of various systems.
In terms of medical quality, we will focus on the implementation of basic systems such as three-level doctor rounds, discussion of typical difficult cases, and discussion of cases before and after surgery to ensure medical safety. Shorten the average length of stay and speed up the turnover of hospital beds. Implement a holistic and systematic nursing service system, so that patients can know their attending doctors and responsible nurses as soon as they are admitted to the hospital, strengthen psychological care and health education for patients, and let patients know their own condition and actively cooperate with treatment. A return visit system is implemented for discharged patients, that is, the attending doctor or the responsible nurse must pay a return visit to the hospital within 10 days after discharge to understand the treatment effect and patients' opinions on the hospital.
In the aspect of drug inspection, it is stipulated that all departments should carry out reasonable inspection in strict accordance with the condition, and one necessary inspection is indispensable, and one unreasonable inspection cannot be checked to ensure the inspection quality and reduce the burden on patients. Drug use should follow the principles of effectiveness, high quality and low price, first made in China, then imported, first-line, second-line and third-line, and rational drug use should effectively reduce the burden on patients. The inspection team led by the vice president of business regularly or irregularly checks the inspection and drug use of each department, and hell to pay will be punished for those who violate the regulations. If a medical representative is found to be "selling" in clinic, the sales of the drug in the hospital should be stopped in addition to dealing with the relevant responsible person. Strengthen external supervision.
First, open the charges, inspections and drug prices of hospitals, adhere to centralized bidding and procurement of drugs, reduce the cost of drugs, and truly reassure the people and spend money clearly.
The second is to issue consultation cards to outpatients and inpatients regularly, adopt various rationalization suggestions put forward by patients, and solve or answer various problems raised by patients.
The third is to extend the dean's half-day reception day to one day, so that patients or their families can discuss face-to-face with the dean every Wednesday and directly reflect various problems to the dean.
Fourth, hold regular meetings of social supervisors in order to listen to the feedback from all walks of life to the hospital in time.
Fifth, the ethics liaison group led by hospital leaders regularly visited key enterprises, foreign-funded enterprises and pillar enterprises in the region, went deep into the masses, and humbly listened to the valuable opinions of enterprise leaders and employees on the shortcomings in hospital medical services. And distributed 200 copies of the "Information Consultation Card on Medical Service Quality of Development Zone Hospitals", and took the initiative to accept supervision from all walks of life.
Sixth, we will continue to implement the social service commitment system to ensure the smooth flow of the "120" emergency channel.
In short, through the unremitting efforts of the staff of the whole hospital, the development zone hospital has achieved good results in its 20XX years of work. The hospital will take this opportunity to continue to work hard and not be arrogant. In the new year, we will always adhere to the purpose of serving the people wholeheartedly, and with a highly responsible attitude towards the party and the people, all medical service activities will reassure and satisfy the people.
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