Work plan for health care doctors 1 I. Medical aspects
In order to further strengthen the management of medical quality and attach importance to the quality training and professional ethics education of medical staff, a medical quality supervision group was established, which is divided into internal medicine system, surgical system, outpatient service and medical technology, and is responsible for standardizing and supervising any work related to medical quality in the clinical, outpatient service and medical technology departments of the hospital.
Second, the clinical departments
Focus on the quality of medical records (including inpatient medical records and archived medical records), the rational use of antibiotics, and the prevention of medical errors and accidents. And organize medical quality supervision team to discuss and formulate inspection and assessment rules and reward and punishment system.
1, quality of medical records: In strict accordance with the Code for Writing Medical Records in xx Province (revised in 20xx), further standard requirements are put forward for the writing of inpatient medical records, course records and related materials.
(1) Organize a steering group to check the quality of current medical records irregularly every month and compare them.
(2) Spot check and compare the quality of archived medical records every 3 months.
2. Rational use of antibiotics: According to the Administrative Measures for Rational Use of Antibiotics (Trial) compiled by xx Hospital in xx, xx, supervise whether clinicians use antibiotics rationally. Refer to Section III "Evaluation of Rational Use of Antibacterials" in this book.
① Indications and contraindications for use.
② The principle of preventive application of antibiotics.
3, prevent medical errors, accidents and disputes:
① Many loopholes and hidden dangers in computer printing medical records are found in previous medical records. In order to truly and timely record the patient's condition changes, it is stipulated that the admission record, the first course record and the operation record can be printed by computer, and the course record must be written in pen.
(2) Emphasis should be placed on the examination and registration of death cases, the discussion and registration of important and difficult cases, the rescue registration of critically ill patients and the true and accurate records of doctors' logs.
Third, the outpatient department.
1, further improve the outpatient function of each department, and do a good job in pre-inspection and triage of infectious diseases.
2. Set up and arrange an expert column in the outpatient department, and announce the professional expertise and visiting time of experts, so as to facilitate patients to see a doctor.
3. Organize quality inspectors to discuss and formulate inspection and assessment rules and reward and punishment system. Regularly (1-3 months), organize the inspector group to inspect and evaluate the outpatient medical records and prescriptions according to the writing standard of medical records in xx province (revised in xx) and the management measures for rational use of antibacterial drugs (for Trial Implementation). Prose house
Fourth, the medical technical assistance department
Organize the medical quality supervision team to discuss and formulate the contents and methods of inspection and assessment and the formulation of rewards and punishments.
Specific to be determined.
Verb (abbreviation of verb) scientific research work
1, organize 1-2 scientific research projects in a planned and targeted manner, and strive to create conditions for this.
2. Contact the superior hospital to develop high-tech projects.
3. In combination with the actual situation of our hospital, we are constantly looking for new growth majors and projects, such as specialties that have not yet been opened in various disciplines, the setting of hyperbaric oxygen chambers, and physical examination centers.
Teaching of intransitive verbs
In order to cooperate with personnel management in our hospital, medical quality and technical files of individuals and departments are established, which provides a strong basis for post competition, separation of evaluation and employment, professional title evaluation and advanced selection in the future. To achieve quantitative management, we are responsible for the facts in accordance with the document "Regulations on Continuing Medical Education (Trial)". DocumentNo. [xx] of Ministry of Health and Ministry of Personnel and Detailed Rules for the Implementation of Credit Management of Continuing Medical Education in xx Province [xx] Ministry of Health and Ministry of Personnel.
Work plan of health care doctor II. 1. Further strengthen management awareness
The specific measures are to further reduce the proportion of drug costs, expand the scope of services, and benefit from services, new technologies and medical care. Surgery is an important clinical department and a high-risk battlefield. We earnestly hope that under the care, support and guidance of hospital leaders and brother departments, surgery can move into a new building next year and work on the next floor.
Two, strengthen cooperation with the traffic police, public security and insurance departments.
When the staff of relevant departments come to our department for investigation and coordination, they should be enthusiastic, patient and considerate. Strengthen the internal management of departments and communicate with patients' families in time. For traffic trauma patients, communicate with the police and medical liaison team members in our hospital in time, actively look for the families of patients with "three noes" and do their best to prevent patients from leaving the hospital without authorization and causing arrears.
Further strengthen cooperation with the marketing department of our hospital to improve social influence. Negotiate with hospital leaders, appropriately reduce the cost of social patients during hospitalization, strive to expand the source of patients, and improve the influence of surgery in the whole society.
Third, further improve the service process.
After a new patient is admitted to the hospital, the department will inform the patient or his family members of the names and contact numbers of the doctor in charge, the nurse in charge, the director of the department and the head nurse in the form of business cards for communication.
Strengthen humanistic care, ensure medical safety and improve patient satisfaction. Doctors and nurses are required to sit in offices less, go into wards more, and ask opinions and demands of patients and their families more, so as to nip possible disputes in the bud. Internally, we propose to have the risk awareness of "being ready to go to court with every patient at any time", implement the medical safety awareness from beginning to end, and implement the medical rules and regulations in every link.
Fourth, strengthen the learning atmosphere and improve the professional level.
The professional quality and service consciousness of the staff in this department need to be further strengthened. There is no end to learning and no end to service. The key is to work hard with your heart and true feelings, and do everything under your feet and every link of everything. Encourage every employee to continue their studies. If the hospital and department conditions permit, it is suggested to send people with good basic quality to the higher hospital for further study in a planned and step-by-step manner.
Fifth, pay attention to professionalism and improve efficiency.
There are many critically ill patients in our department, and there is no rhythm in our work. We often work overtime. The staff in our department often have to do the work of two people by themselves. They never rest on holidays and usually work overtime countless times. But we understand the difficulties of hospital leaders and have never told them that they are tired or want to be paid. In order to develop the department well and improve the enthusiasm of employees, I hope the leaders of the hospital will give support and encouragement from the staffing and distribution system.
Sixth, strengthen academic research and enhance the image of the hospital.
In a word, the surgery in our hospital is still in the growth stage. The diligent, honest, active and fearless hospital leaders set an example for us to learn and provided us with a good development environment. We must live up to the expectations of the leaders, devote ourselves to the work with great enthusiasm and confidence, and make contributions to the development of the hospital within our capacity!
Work plan 3 of health care doctors (1) establishes residents' health records.
1, according to the requirements of the county bureau and the health center, establish a unified and standardized health record for the residents in the area; Responsible for filling in the personal basic information of health filing, completing the paper file 100% and the electronic file above 85%, and assisting the health examination of township hospitals.
2. Regularly and timely supplement, improve and update the health information of the documented population, and follow up the key population not less than 4 times a year, and the contents of each follow-up record should be detailed.
(2) Health education
1. When providing medical and health services such as outpatient service, visit and follow-up, it is necessary to combine the main health problems of the local area and the main health problems of the clients, including occupational hazards, and carry out targeted and personalized health knowledge and health skills education for key groups.
2. Do a good job in the health education bulletin board, update the contents of the health education bulletin board at least once a month 1 time, and keep the data.
3. Assist township hospitals to do health consultation activities;
4. Hold at least 1 health knowledge lectures every 3 months.
(3) Vaccination
1, do a good job of school-age children statistics and related work;
2. Inform the child's guardian by appointment, notice, telephone and other appropriate means, and inform the type, time and related requirements of vaccination; Inoculate the inoculation object in time, so as not to miss one.
3, served vaccination notice and vaccination information statistics;
4, do a good job in monitoring the abnormal reaction of vaccination, timely collect and summarize the relevant data of vaccination, and report to the township hospitals.
(4) Prevention and control of infectious diseases
1, to assist the higher authorities in monitoring the epidemic situation;
2, in accordance with the provisions of the law on the prevention and control of infectious diseases, responsible for the area of infectious disease information reporting, and ensure data security;
3, to assist the higher authorities to carry out the investigation and handling of infectious diseases;
4, to assist the higher professional prevention and control institutions to do a good job of publicity and guidance services for tuberculosis and AIDS patients and the treatment and management of non-hospitalized patients.
(5) Health management of children aged 0-6.
1, carefully find out the background of children aged 0-6 and establish a good management file;
2, notify the school-age children in the area to receive health management on time.
(vi) Maternal health care
1, assist in the management of pregnant women registration in this area, and establish a maternal health care manual on time;
2. Inform pregnant women in the area to receive health management on time.
(7) Health care for the elderly
1. Grasp the number of elderly people over 65 years old and related information in the jurisdiction, establish health guidance and implement dynamic management;
2. Under the guidance of the health center, provide 1 health management service for the elderly over 65 years old every year, and fill in and update the physical examination form according to the residents' health records.
(viii) Management of chronic diseases
1, measuring blood pressure for the first time for the resident population aged 35 and above in the jurisdiction; Do a good job in the registration of patients with hypertension, and the registration content should be complete, clear and accurate; For patients with essential hypertension, regular follow-up monitoring, behavioral intervention and treatment guidance should be no less than 1 time every quarter (no less than 4 times a year), and relevant information should be recorded and filed in time;
2. For patients with type 2 diabetes, regular follow-up monitoring, behavioral intervention and treatment guidance should be no less than 1 time (no less than 4 times a year), and relevant information should be recorded and filed in time.
(9) Management of severe mental illness
Establish health records for patients with severe mental illness, and follow up every two months 1 time (no less than 6 times a year).
(ten) actively participate in various forms of rural doctor training organized by the higher authorities.
Assist the hospital to actively cooperate with the completion of public health projects, better improve their professional and technical level, and lay a good foundation for independent work in the future.
(eleven) do a good job in the diagnosis and treatment of diseases within the jurisdiction.
Warm service, scientific rigor, do a good job in the diagnosis and treatment of patients in the jurisdiction. Strictly implement zero price difference, and do a good job in outpatient registration and computer registration. On call, rain or shine, do a good job in diagnosis and treatment to protect people's health.
Work plan of health care doctor. 1. Effectively solve the problem of expensive medical treatment.
It is the responsibility and obligation of every doctor to reduce medical expenses, reduce the economic burden of patients and use drugs rationally. By strengthening the management of departments, the proportion of drugs has dropped significantly, which has a great influence in our hospital, making patients get real benefits and reducing their economic burden. Compared with last year, the proportion of drugs continued to decline, reaching 38%, lower than the proportion of hospitals of 40%. Strictly implement the "one-day settlement" system and increase the transparency of medical expenses.
Two, strengthen the patient-centered, quality-centered service concept.
To do this, we must work hard to improve the level of medical technology and service attitude, work sincerely and earnestly, exchange ideas carefully and patiently, make friends with patients, and make positive publicity for us with patients' mouths. The patient information feedback system is adopted to communicate with discharged patients in time, so that the number of patients coming here to see a doctor is gradually increasing. In the current increasingly fierce competition in the medical market, it is necessary to strengthen situational education for department members, enhance employees' awareness of crisis, competition and responsibility, and establish a new concept of facing the society, patients, actively looking for markets and patients. Put all the patient-centered ideas through the whole process of all the work in the department. Stimulate the positive spirit of department members and enhance the cohesion of the department. Cultivate the spirit of departments and establish the overall image of medical workers, that is, the image of angels in white with first-class service, exquisite technology, dedication and civilized service.
Three, rational drug use, reasonable fees, and effectively reduce the economic burden of patients.
Rational drug use is not only manifested in symptomatic drug use, but also in rational drug use. We should not only strengthen the study of all kinds of knowledge about drugs, especially the study of side effects, but also communicate with pharmaceutical experts frequently to truly use drugs rationally. Under the premise of not affecting the treatment effect of patients, it is also the direction of our surgical efforts to provide medical services with the least cost. Strictly implement the one-day settlement system, patiently and meticulously explain the problems raised by patients, so that patients can clearly see the doctor and clearly spend money.
Fourth, open the surgical website of xx Hospital in xx City.
In order to increase the transparency of the department, our department should establish the surgical website of xx Hospital in xx City at its own expense, and publicize it widely, so that patients can understand the department and their own diseases before coming to the hospital, and achieve certain results.
Work plan of health care doctor. Strictly control the physical examination and regular health examination of freshmen entering the park this semester.
New children entering the park, each child must have a physical examination form and vaccination card, and can only enter the park after passing the physical examination; Do a good job in vaccination and missed seed registration, do a good job in the annual physical examination of children entering the park, and establish management files for frail children.
Second, do a good job in health care.
1, do a good job in the morning check, and do "touch, look, ask and check". In-depth inspection of each class, timely handling of problems found, strengthening the management of weak children and full-day observation of sick children and making records in an orderly manner.
2, regular disinfection of medical devices and morning check card.
3, improve the health care system, cooperate with the director to do a good job of protection and management. Clarify their respective responsibilities and mobilize the enthusiasm of nurses to "serve and educate people".
4. Do a good job in measuring and evaluating children's physical development.
5. Regularly check the environmental sanitation and safety work in the park, find hidden dangers of accidents, and take timely measures to avoid them.
6, cooperate with the epidemic prevention department to do a good job of children's vaccination.
7. Make efforts to do a good job in all-round investment in infant health care software, consult modestly, actively learn from experienced sister parks, be brave in innovation, and strive to make our software reach the health care qualified park.
Third, do a good job in children's nutrition and health care
1. Manage the children's diet, make an adequate recipe every week, and pay attention to the collocation of nutrients to ensure the supply according to the quantity. Calculate and analyze the nutrition once a month, and ask the cooks to do a good job in food hygiene and tableware disinfection.
2. Formulate reasonable meal time and frequency, advocate children's meal timing and fixed-point quantification, ensure the reasonable distribution of heat energy and supply for each meal, and ensure the growth and development needs of children.
3. Provide children with drinking water opportunities at any time, and the water temperature meets the requirements.
4. Observe the meal opening time, and it is not advisable to advance or postpone it. Do a good job in pre-meal preparation and post-meal management, wash your hands when sharing meals, and distribute dried vegetables and dried points without direct contact with your hands.
5, canteen employees have a health certificate, according to the "Food Hygiene Law" cooking, food thoroughly cooked, raw and cooked separately, keep the food nutrition during operation, so that the food color, fragrance and taste are complete.
Fourth, do a good job in children's hygiene habits and disinfection.
1. Prepare clean and hygienic toilets and toilet facilities suitable for children, and wash your hands with soap after meals. Especially for children in small classes, teachers should teach children how to wash their hands in time in order to develop good hygiene habits.
2. Put the napkins that children need every day in a fixed place, which is convenient for children to take and disinfect them in time.
3, each class to strengthen the disinfection work before meals, the correct use of disinfectants.
4. Cultivate children to put their hands together after washing their hands, keep their hands clean, strengthen the cultivation of lunch habits, educate children not to be picky about food, and ensure the reasonable absorption of nutrients.
5. Organize the children's lunch, eat it in an orderly and quiet manner, and finish it within the specified time.
6. Organize children to take a walk after meals and observe the children's nap schedule.
7. Grasp the time when children watch TV, and organize children to watch TV and pay attention to sitting posture and distance.
Five, do a good job of disinfection and isolation
1, the system of one person, one cup and one towel is implemented, and each class is marked.
2, disinfection cabinet, ultraviolet lamp specialist is responsible for, regular and timely disinfection records.
3. Disinfect some toys, books and bedding that are not suitable for cleaning by using ultraviolet rays and sunlight in the air regularly.
4, strengthen the morning check, do a touch, two look, three questions, four check, for sick children to assist the teacher on duty comprehensive and careful observation, find problems in time.
5. Do a good job in epidemic prevention, strengthen the quarantine of frail children, prevent the spread of chicken pox, flu and other epidemics, and thoroughly disinfect and expose toys and articles in the class where sick children are located.
6. Change bedding and pillowcases in time (once a month) and dry them (once a week).
Sixth, do a good job in safety protection
1, strengthen children's safety awareness education, teachers in each class should be serious and responsible, formulate rules, put an end to sewing, fractures, burns, loss and other accidents, and ensure children's health and life safety.
2. Teachers on duty and picking up children should observe carefully, and suspicious people should ask and register carefully when they come to the park to pick up children.
3, adhere to the irregular lunch, nap, health and safety inspection.
4. Organize classes to measure the height and weight of children at the beginning and end of the period, measure the vision of middle and large classes, and make records and evaluations.
5. Do a good job in the management of weak and obese children.