Reform and Development of Yuzhong County First People’s Hospital

For a hospital to develop, hardware construction is the most critical link. Hardware mainly includes infrastructure and facility construction.

In terms of facility construction, the hospital also regards it as the top priority of all expenditures. No matter how tight the funds are, they always try their best to squeeze out funds to purchase some urgently needed modern equipment and improve the medical level. Starting in 2001, when funds were very tight, they raised 13 million yuan from various sources and purchased a spiral CT from GE Company in the United States, a DU-6 fully digital full-body color ultrasound from Italy, and a DS-300 fully automatic biochemical analysis from the United States. One instrument, one German Wolf brand laparoscope, one Oleda 200 fully automatic anesthesia machine, one Japanese Fujinon 265 electronic gastroscope, one electronic colonoscope, one Japanese Aloka black and white B-ultrasound, and a 500MA TV One fluoroscopy and one X-ray machine, one bedside mobile X-ray machine, one C-arm X-ray machine, one dental X-ray machine, three fully automatic film processing machines, and one American Respironics fully automatic ventilator Taiwan, a set of painless delivery equipment, an ECG workstation, a spectrum electrocardiogram, a transcranial Doppler, a digital electroencephalogram, an ENT endoscope, a difficult laryngoscope, and a micro-volume One element detector, one ophthalmic A/B ultrasound, one ophthalmic surgical microscope, one German Leica RM-2016 pathology microtome, one fetal umbilical blood flow detector, four newborn incubators, and newborn rescue Three machines, one semi-automatic biochemical analyzer, one coagulation analyzer, one Mindray three-class blood cell counter, two fetal heart rate monitors, three comprehensive dental treatment units, one vapor resectoscope, and universal traction bed There are more than 90 pieces of equipment worth more than 10,000 yuan, including one computerized automatic gastric lavage machine, one urine residue analyzer, and ten multi-function monitors. The putting into use of these advanced medical equipment has greatly improved the overall medical level of the hospital, enhanced the hospital's competitiveness, and basically met the medical service needs of the people in the county.

The upgrading of equipment has brought considerable economic benefits to the hospital. In the past, the maximum number of outpatient clinics per day was more than 60, but now the number has increased to more than 130. In the past, the hospital's annual revenue was several million yuan, but now it has reached more than 20 million yuan. Among county-level hospitals at the same level, Yuzhong County First People's Hospital is in a leading position, laying a solid foundation for striving to become a second-class hospital. In terms of software construction, the First People's Hospital of Yuzhong County proposed a green channel medical service activity of "all for patients". This is a service slogan put forward for rescuing critical, serious and emergency patients. As long as the patient is an emergency, critical or serious patient, regardless of whether he is a cadre or a farmer, whether he is rich or poor, saving people must be given top priority. Establish a barrier-free green channel for emergency care, admission, and surgery. All departments in the hospital must establish a "game of chess" mentality and first aid awareness, cooperate with each other, and unconditionally ensure the smooth flow of the "green channel" for emergency rescue. Some critically ill patients have family difficulties and cannot afford to be hospitalized, so they need to be treated first and pay later. This measure buys time for emergency patients to be rescued. As a result, the hospital is burdened with more than 500,000 yuan in arrears. Once, the hospital rescued an injured person in a traffic accident. The patient remained in a coma after receiving the treatment and no one paid him. The hospital immediately rescued him and quickly restored his health. However, the overdue payment of more than 10,000 yuan was still outstanding. on the hospital's account.

In order to ensure that the green channel is unobstructed, the hospital has proposed a first-diagnosis physician responsibility system and requires the hospital to implement barrier-free medical treatment from top to bottom, always putting saving lives first. Some patients with dementia have no money to see a doctor, but they still receive treatment. Some patients have no one to accompany them. In addition to taking careful care, medical staff must also donate clothes and materials, and provide food and drink. In terms of nursing care, they are even more meticulous and meticulous. Peng Huiying, the head nurse of the infection department, is a typical representative. In March this year, Peng Huiying, the head nurse of the infection department, received a critical patient with liver cirrhosis who was sent by the 110 patrol police and passed out on the roadside. No one was there. Guan, he lay on the side of the road all night, unkempt and covered in dirt. After being admitted to the hospital, the medical staff took a shower, changed clothes, and then conducted a comprehensive physical examination. The patient was very grateful. One day in May this year, at 7 o'clock in the morning, Jin Xueling, the head nurse of the Department of Neurology, received an unknown victim injured in a traffic accident. There was no accompanying person. The injury was serious when he was admitted to the hospital. He was incontinent, with feces, urine and blood all over his body. The whole ward was full of stench. .

After receiving the diagnosis, the medical staff quickly bathed the injured and put him into clean clothes. The injured had diarrhea and was covered in feces and urine. He had to be washed four or five times a day. More than 10 medical staff continued to care for the patient for more than 20 days until the patient was discharged. On February 6 this year, Song Yufang, the head nurse of the emergency department, received a 64-year-old man from Hunan named Zhao Tongbang. He had no money, no accompanying person, and no ability to take care of himself. He was already frozen after coming to Gan. He was frozen in the streets of Xiaguanying, alone. He was unconscious and incontinent when he was admitted to the hospital. Song Yufang led 13 general practitioners to participate in the rescue. It took two days for the old man to wake up. The general practitioners donated clothes and materials to provide food and shelter. After careful nursing for more than 20 days, the old man recovered and was discharged. When he was discharged from the hospital, the old man held the head nurse's hand and said excitedly, "You saved me, otherwise, I would have frozen to death on the side of the road." These touching stories of saving lives and healing the wounded happen almost every day, adding to the green medical channel. of glory and glory. The hospital has further established an amiable, respectable and lovely image among patients. Without sound and strict rules and regulations in the construction of modern hospitals, it is difficult to ensure the improvement of the quality of medical services. To this end, Yuzhong County No. 1 Hospital has always been "patient-centered, management-focused, and improving the quality of medical services as the core" in its reform, and has formulated and implemented various management measures. Since the beginning of this year, they have issued the "Hospital Management Evaluation Guide" based on summarizing past experience, enriched and strengthened the hospital management leading group, improved the hospital and department secondary management organizations, and adopted practical and effective measures to strengthen hospital management and promote Connotation construction, optimizing hospital services, standardizing medical behavior, improving medical quality, ensuring medical safety, controlling medical expenses, and constantly meeting the multi-level medical requirements of the people. This year they focused on the implementation of the following institutional measures.

First, conscientiously study and implement health regulations and departmental rules, so that all work can gradually be institutionalized and standardized. In order to do a good job in all aspects of the hospital's work, the hospital formulated a study plan for laws and regulations at the beginning of the year, focusing on the "Law of the People's Republic of China on the Prevention and Control of Infectious Diseases", "Measures for the Implementation of the Law on the Prevention and Control of Infectious Diseases", "Measures for Disinfection Management", " "Regulations on the Emergency Response to Public Health Emergencies", "Measures for the Management of Information Reporting on Public Health Emergencies", "Management Standards for Reporting Information on Infectious Diseases", "Measures for the Management of Hospital Infections", "Drug Administration Law", " Law of the Practicing Physicians, "Measures for the Administration of Soil Protection", "Regulations on the Handling of Medical Accidents", "Basic Standards for Writing Medical Records", "Regulations on the Management of Medical Records in Medical Institutions", "Measures for the Management of Prescriptions" and other laws, regulations and departmental rules, through study, further It has improved the awareness and consciousness of all employees in the hospital to learn and use the law. All the work of the hospital has moved towards the track of institutionalization and standardization. In the work, we must act in accordance with the law, practice medicine in accordance with the law, and manage in accordance with the law. It has also improved the ability of all employees in the hospital to use the law. Weapons protect the level of one's own legitimate rights and interests. All employees of the hospital participated in the 2006 county-wide law popularization examination for cadres and employees, and their scores were all above 90 points.

The second is to standardize the writing of medical records and continuously improve the quality of medical care. In accordance with the Ministry of Health's "Basic Standards for Medical Record Writing" and the Provincial Department of Health's requirements for standardizing medical record writing, combined with the actual work of the hospital, in order to continuously standardize medical record writing, improve medical quality, and further improve the quality based on basic quality, link quality, and final quality management system.

In order to strengthen the construction of medical ethics and medical ethics, the hospital formulated specific requirements at the beginning of the year and formulated corresponding work systems. In order to completely solve bribery in the field of pharmaceutical purchase and sales, the hospital formulated an implementation plan to control bribery in the field of pharmaceutical purchase and sales, and implemented step-by-step and phased measures to control bribery in pharmaceutical purchase and sales. We have thoroughly dealt with bribery in the field and have been well received in the supervision and inspections of the provincial departments. In accordance with the medical ethics standards and the "Ten Provisions" and "Eight Don'ts" formulated by Lanzhou City, the hospital has established a long-term mechanism for the construction of medical ethics and medical ethics, improved the work system, and responded to poor service attitudes, irregular service behaviors, and poor service quality. The higher education department has conducted careful supervision and inspection to eliminate the occurrence of eating, taking, getting stuck, and asking for food, and fundamentally solved the problems of cold, hard, bumpy, and bumpy service attitude, which has significantly improved the hospital's medical ethics and style. .

The sixth is to increase personnel training to provide a reliable guarantee for the development of the hospital. In order to speed up the development of the hospital, the hospital sent 2 doctors to Gansu Maternal and Child Health Hospital for further study, and sent 9 doctors and 15 nursing staff to participate in various short-term studies organized by the provincial department. Employees use special lectures, business rounds, and TV teaching to guide the development of new technologies and new businesses. Famous experts from the province are invited to come to the hospital to give lectures once a month. The whole hospital conducts 40 hours of special training on key infectious diseases, with the number of participants reaching More than 800 people passed the exam and all passed the exam. This spring, the Municipal Health Bureau issued a call to all medical units in the city to strive to become a second-class hospital, which brought new development opportunities to the first hospital in Yuzhong County. Added new impetus for reform. For this reason, the First People's Hospital of Yuzhong County has set the commanding heights of reform this year as the sprint to become a second-class hospital. It has put forward higher goals and stricter requirements for the development of the hospital. Starting from April this year, based on the selection conditions and review requirements proposed by the provincial and municipal health authorities, they immediately launched a general mobilization of the whole hospital to sprint to the second-class hospitals, and established a hospital grade review leading group headed by President Li Tingren to formulate The review implementation plan was formulated and the review tasks were assigned. Everyone in the hospital participated, and a good atmosphere was quickly formed in the hospital where everyone strives for the top two and everyone strives to achieve excellence.

Currently, the evaluation activity for the second-class hospital is in full swing in the first hospital of Yuzhong County. The whole hospital is full of confidence to climb the top of the second-class hospital with excellent performance and win the crown of the second-class hospital.