Hospital management self-examination report

About the hospital management self-examination report (general 5 articles)

In the blink of an eye, a period of work has come to an end. Looking back at the work during this period, there are some problems. At this time It is very necessary to write a self-examination report. Are you at a loss to write or have a clue? The following are self-examination reports on hospital management that I have collected and compiled (5 general articles). They are for reference only. You are welcome to read them.

Hospital Management Self-examination Report 1

According to the spirit of the document of the State Health Commission's "Notice on Submitting Safety Hazard Investigation and Management Work in Designated Medical Institutions", the leaders of our hospital attach great importance to , led by the dean in charge of logistics, staff from the General Affairs Department, the Hospital Infectious Diseases Department, the Medical Department and other departments conducted an investigation into potential safety hazards in the hospital. The self-inspection report on the investigation of the discovered safety hazards is now as follows:

1. Fire safety inspection

Conduct a gradual inspection of the fire safety passages, fire protection facilities, power distribution rooms, drug warehouses, etc. throughout the hospital. After investigation, fire extinguishers were installed in departments and corridors. All lines in the power supply system were inspected and no signs of aging or damage were found.

2. Fever clinic inspection

With the completion of the fever clinic reconstruction process, the reconstructed fever clinic has a building area of ??70 square meters, and the reconstructed fever clinic has reached the level of a second-level hospital According to the requirement of three areas and two channels, the medical channel and the patient channel have separate entrance and exit channels, the dressing rooms for putting on and taking off isolation gowns are physically separated, and each area is equipped with an air disinfection machine. Set up 2 isolation beds in the isolation observation room of the fever clinic. House numbers and night-light signs for each area are being produced. The doctors and nurses in the fever clinic were trained on relevant procedures. It is now necessary to continue to strengthen the registration of disinfection records, regularly check and replenish protective equipment.

3. Pre-screening and triage desk inspection

Staff at the pre-screening and triage desk must implement the "Four Mornings" Prevention and Control of the New Coronavirus Epidemic in accordance with the "About Comprehensive Implementation of the First-Diagnosis Responsibility System at the Grassroots Level" "Emergency Notice" requires to ensure the first time monitoring and detection, and effectively prevent problems before they occur. Pre-examination and triage are the first gateway for prevention and control. The Infectious Diseases Department of our hospital has conducted relevant procedures, protection knowledge, and epidemiology for the staff. Investigation, disinfection and other training. All patients seeking medical treatment must be carefully asked whether they have a history of going out or traveling to epidemic areas. Strictly conduct pre-examination and triage for fever patients, and report any abnormalities as soon as possible. The person in charge of the outpatient clinic is required to continuously strengthen training and complete various registrations at the same time. However, as the epidemic situation continues to improve, pre-examination and triage staff have slacked off in their work, and protection standards have not been met. Relevant staff were criticized and educated and required to continue to strictly implement the pre-examination and triage workflow.

IV. Negative pressure ward inspection

With the completion of the reconstruction of the negative pressure isolation ward, the reconstructed negative pressure ward has a building area of ??140 square meters and is equipped with a single isolation ward and A 3-person isolation ward can treat 4 infectious disease patients at the same time. Potentially contaminated areas, buffer zones, and contaminated areas should be divided reasonably. The person in charge of the infectious disease department was asked to organize department staff to conduct process training.

5. Radiology Department Inspection

In the early stage, the radiology department had unreasonable zoning, and medical staff did not strictly implement the principle of standard protection. Now the radiology department divides the entire process into clean area and semi-contaminated area. , the contaminated area was optimized, patient passages and medical care passages were set up, and department staff were trained. Radiology departments are required to wear mouth masks in accordance with standard protection requirements in daily work, and at the same time strengthen the management of medical waste. At the same time, the radiology department’s air and surface disinfection registration and COVID-19 medical waste disposal records were issued. Please implement and record them as required.

6. Medical waste disposal

Signs have been posted on the transfer vehicles for patients with new coronavirus pneumonia, and relevant personnel have been trained on occupational protection and vehicle disinfection and other work processes. The air and surface disinfection registration of COVID-19 transfer vehicles and COVID-19 medical waste disposal records were also issued, and the requirements for terminal disinfection for each patient transferred were implemented and recorded.

At the same time, our hospital purchased a negative pressure ambulance stretcher and sent the relevant operation video to the person in charge of the outpatient and emergency departments via WeChat, requesting that staff be organized for training.

Emphasis was placed on the disposal of medical waste in each department, and the "County People's Hospital Emergency Plan for Medical Waste Disposal of Novel Coronavirus" and the COVID-19-related medical waste disposal registration book were issued to each department, and a registration book for medical waste disposal related to COVID-19 was produced. Medical waste label with the word "COVID-19" in red. All departments are required to strictly implement and provide training to personnel (staff and cleaning staff). During the hidden danger investigation process, it was still found that some departments did not provide enough health education to patients and cleaning staff, and patients disposed of medical waste by themselves. This has been fed back to the relevant departments and criticism and education has been carried out.

As the epidemic situation gradually improves, medical staff’s awareness of standard protection has begun to loosen. When asking staff in relevant departments, they found that they have begun to forget the treatment procedures for fever patients and suspected patients. The hospital's new coronavirus leadership team will organize process training and training on putting on and taking off isolation gowns in batches for all hospital staff again this week. It is planned to organize another new coronavirus pneumonia emergency drill on Friday.

After receiving the rectification opinion letter issued, the heads of each department attached great importance to it and immediately carried out rectification. They required each department to conscientiously follow the procedures and implement them in the next step of work. They also requested that the department work be reviewed within this week. Carry out full-coverage, all-staff special training to master the technical specifications related to diagnosis, treatment, and prevention and control of COVID-19 as soon as possible, so that all medical staff can enhance their detection and identification capabilities, and be able to standardize technical measures such as isolation, reporting, hospital infection control, and personal protection. , to ensure that no one is missed and that the spread of infection does not occur. Hospital management self-examination report 2

The county has gradually implemented standardized management of township health centers. By holding mobilization meetings, issuing implementation plans, clarifying work goals and tasks, and formulating work measures, we will first use pilot projects in some township health centers as a guide and gradually roll them out throughout the county. So far, this work has been fully implemented in 13 township health centers across the county. According to the requirements of superiors, the progress of the standardized management pilot work of township health centers in our county is now self-examined and reported as follows:

1. Work achievements

1. Through the review of all aspects of medical care in health centers The standardized construction of clinical departments and public health vaccination clinics and environmental construction have further improved the infrastructure construction of township health centers including department configuration, medical equipment equipment and use, and appointment of professional and technical personnel.

2. Through the unified management of people, talents, and materials in township health centers, the health centers are responsible for the deployment of technical talents, qualification access, funding, asset management, and business of the unit and village clinics within its jurisdiction. Guidance and work coordination, public health, medical market supervision, etc. have streamlined the management system of township health centers.

3. Completed the reform of the personnel allocation system of township health centers. On the basis of implementing the target responsibility system for the director’s tenure and improving various management systems, the department settings of township health centers were divided into public health departments. and medical care. It is clarified that each township health center mainly provides public health services. On this premise, the central health center must further improve the level of medical technology and guide the business work of surrounding general health centers. A strict performance appraisal system has been established, and the distribution of personnel wages is linked to the services provided and labor contributions, which has improved the intrinsic vitality of township health centers and stimulated the enthusiasm of the majority of cadres and employees.

4. Institutionalized management has been implemented in both the administrative and business aspects of the health center. Class-oriented goals and tasks for hospital leaders and department heads were set. Implement a job responsibility system that combines responsibilities, rights, and interests, and establish and improve various medical care work systems including handover of clinical departments, standardized writing of medical documents, error and accident registration, disinfection and isolation, etc., to prevent medical disputes and eliminate medical liability accidents occurrence.

5. Actively carry out counterpart support work for rural health institutions, arranging for 5 county-level medical and health institutions to provide counterpart support to 13 township health centers, and arranging 13 township health centers to be divided according to their regions to be responsible for 248 hospitals in the county The village clinic's coverage responsibility system has effectively established and improved the infrastructure of the rural three-level medical care network, maximizing its due role. By signing a counterpart support agreement, the work objectives, work tasks, working methods, time, and responsibilities and powers of both parties are clarified, which improves the management and service capabilities of grassroots medical and health institutions at all levels, thereby enabling the assisted township health centers and villages to The clinic has undergone significant changes and rectifications in terms of environmental construction and connotation construction.

6. Strengthened the management of full-time personnel such as township health center accountants, defense specialists, maternal and child specialists, and joint treatment specialists, and formulated employment and assessment management methods for each specialist. Recruitment must be reported by the health center and hired after approval by the health bureau. The health center cannot change at will without permission from the superior authority. This ensures the stability of the full-time staff of the health center and effectively promotes financial, public health and other aspects of employment. the smooth progress of the work.

7. The "Ten Standards for Directors of Township Health Centers in Huaxian County" were formulated and issued to strengthen the management of health center directors. It is clearly required that the directors of health centers carry out various tasks in accordance with relevant national laws and regulations, obey the management of the health bureau, ensure the smooth flow of government orders, strictly observe self-discipline in accordance with the "Ten Standards for Directors of Township Health Centers in Huaxian County", and complete various tasks on schedule.

2. Existing problems

1. Due to historical reasons, some township health centers are short of technical personnel and small in scale, and the existing medical equipment cannot play its due role. Solution: The health center is solving the problem through temporary secondment, entrusted training, etc.

2. Unbalanced distribution of medical equipment resources. Solution: Through investigation and statistics, the Health Bureau will uniformly register, repair, maintain and debug all damaged and idle medical equipment in township health centers across the county, and then redeploy them for use. In order to improve the utilization rate of equipment and facilitate the people to seek medical treatment.

3. Effectively combine the inherent common points in the standardized construction of village clinics, standardized management of township health centers and integrated management of rural health services, and jointly focus on management, scientific and reasonable Arrange deployment and greatly improve work efficiency.

In order to steadily implement the national essential drug system, effectively solve the problem of "difficulty and high cost of medical treatment" for the masses, and implement the people-benefiting policies of the party and the country, we have strengthened measures, paid close attention to implementation, and solidly promoted the "Three Drugs" Work in unison”. The self-inspection status of the “Three Unifications” work of drugs in our jurisdiction is now reported as follows:

1. Our hospital has established a “Three Unifications” work leading group, headed by the president. We have formulated pharmacy quality management policies and objectives, compiled quality management program documents and operating procedures, and implemented a combination of regular inspections and routine inspections to ensure that our hospital's pharmaceutical quality management work is well-founded and has rules to follow.

2. Our hospital has been distributed by the "Three Unifications" enterprise since October 20xx, and the usage rate of basic drugs is 100.

3. There are 15 standardized village clinics in our area, all of which have signed contracts with the "Three Unifications", and the drugs are purchased by the "Three Unifications".

4. We have conducted training on the "Clinical Guidelines for Essential Drugs" for all staff in our hospital. At present, clinicians can use essential drugs reasonably and safely. The health center management self-examination report defaults to the "three unifications" distribution process. The main existing problems:

1. The distribution company’s drug varieties are not comprehensive, and some necessary drugs cannot meet the clinical needs of hospitals and village clinics. Such as first aid medicines.

2. The delivery of medicines is not timely during the distribution process.

3. Some medicines are relatively expensive.

In the future work, we are determined to implement the reform of the national essential drugs system, increase the intensity of publicity and supervision, improve the long-term supervision mechanism of the "three unifications" of drugs, and ensure the smooth work of the "three unifications" of drugs. Advance.

Hospital Management Self-examination Report 3

In order to fully understand the first phase of the county’s hospital management year activities, supervise, guide and help each unit to carry out the hospital management year activities solidly and effectively, discover, establish and promote good Practices, advanced models and successful experiences, in accordance with the spirit of the documents of the Autonomous Region Health Department and the requirements of the "xx County Health Bureau's Implementation Plan for Carrying out Patient-centered Hospital Management Annual Activities with the Theme of Improving Medical Service Quality", the County Health Bureau requires all In late October XX, the medical unit adopted a self-examination method to conduct a self-examination of the first phase of the hospital management year activities.

X medical institutions across the county have conducted self-examinations and summary reports. The self-examination status is now reported as follows:

1. Main achievements

Overall , each hospital combined its own actual conditions and creatively carried out work in carrying out the Hospital Management Year activities, each with its own characteristics and remarkable results.

(1) Leaders pay attention and the organization is sound. Each hospital and health center has established a leading group for the Hospital Management Year activities, with the top leader serving as the first responsible person. The members of the team of the County People's Hospital have played an exemplary role in the hospital management year activities, taking the hospital management year activities as the top priority of the hospital's work, and taking the hospital management year activities as an opportunity and entry point to comprehensively strengthen the hospital's connotation construction; the county The People's Hospital, the County Second People's Hospital, the County Hospital of Traditional Chinese Medicine, and the County Maternal and Child Health Hospital have all specially assigned an office director to be responsible for the hospital management year work, which provides sufficient organizational guarantee for the effective implementation of the hospital management year activities.

(2) Mobilize all personnel and deploy carefully. Most hospitals attach great importance to the annual hospital management activities. In accordance with the requirements of the Ministry of Health, the Department of Health, and the municipal and county health bureaus, they have mobilized and deployed at all levels, and formulated implementation plans for the annual hospital and department management activities based on actual conditions, with clear goals and specific tasks. .

(3) Vigorously publicize and strengthen education. Each hospital has carried out in-hospital and social publicity to varying degrees, using fixed banners, slogans, promotional windows, etc. for in-hospital publicity. Most hospitals have created a briefing on the Hospital Management Year activities to promptly convey the relevant spirit and reports of the superior health administration departments. The progress of annual activities of unit management. Some hospitals have also used advanced figures and typical deeds around them to strengthen professional ethics education for medical staff and carry out discussions on topics such as "What if I were a patient". Through these activities, medical staff are encouraged to think differently, change their service concepts, and enhance their patient-centered initiative and consciousness.

(4) Improve services and reduce costs. Some hospitals have integrated the work of improving medical services and reducing medical expenses into the first phase of the Hospital Management Year activities. They started early, acted quickly, and achieved initial results, winning praise from the society. The County People's Hospital has opened a green channel, giving priority and preferential treatment to disabled people and the elderly over 70 years old. Wheelchairs, carts, etc. are provided free of charge to patients. The commuting time of medical technology departments, pharmacies, and charging rooms has been flexibly managed, optimizing Service procedures, unclogged service links and other measures provide convenient services for patients to seek medical treatment; in order to make medical services closer to patients and the masses, and to achieve patient-centered high-quality services, the County Second People's Hospital compiled a bulletin board on the psychiatric inpatient department. "Instructions for Hospitalization Procedures", "Hospital Convenience Service Flow Chart", etc. have been printed, which greatly facilitates patients.

The County Maternal and Child Health Hospital implements policies to benefit the people, performs reasonable inspections, carries out high-quality and honest service activities, and implements services such as having someone to pick you up when you are admitted, someone to handle the procedures, someone to accompany you during the examination, someone to take you off when you are discharged, etc., which has improved service quality and promoted It has achieved comprehensive and coordinated development of hospital civilization construction. Focusing on the theme of the Hospital Management Year, the County Hospital of Traditional Chinese Medicine has formulated detailed measures for the activities, formulated highly operational quantitative management indicators, implemented convenience measures, set up medical guidance consultations, and provided humanized services.

(5) Summarize carefully and transfer paragraphs in a timely manner. The management annual activity offices of most hospitals and health centers are in place, with detailed materials and perfect file management. They have carefully self-examined and summarized the first phase of work in accordance with the spirit of the documents of the Autonomous Region Health Department.

2. Problems and shortcomings

Since the inspection is in the form of self-examination, the understanding of the achievements of each hospital is definitely not comprehensive and in-depth, and there are many good practices and experiences. Not found.

I hope that everyone will strengthen communication through text messages and other methods in the future, and learn from each other. Judging from the summary report of this self-examination, the achievements are important, but there are still some problems and deficiencies.

A few unit leaders do not fully understand the importance of the hospital management year activities and deal with them passively. Instead of treating the Hospital Management Year activity as a good opportunity and means to promote hospital internal management and improve hospital service and management levels, it treats it as an independent movement; instead of organically integrating it with the overall work of the hospital, it It was simply dealt with as an activity that was not related to the work of the hospital. The leading group and office for the Hospital Management Year activities were only formally established. There were no full-time personnel responsibilities. There were deviations in the leadership ideology and understanding, which made the Hospital Management Year activities from the very beginning. Just a formality.

The first phase of the Hospital Management Year activities is mainly about publicity, mobilization and organizational deployment. The inspection method and content are relatively simple. The first purpose of the self-inspection is to discover, establish and promote the methods for each hospital to carry out the Management Year activities. Good practices, advanced models and successful experiences, the second is to attract all hospital cadres and workers to attach great importance to the Hospital Management Year activities, lay the foundation for the next step of work, and comprehensively promote the Hospital Management Year activities. Based on the results of this spot inspection, the following requirements are put forward for the next stage of the hospital management year activities:

All hospitals and health centers must effectively strengthen organizational leadership, correct their thinking, and clarify their goals. The annual activities of hospital management are closely related to the overall work of the hospital, involving various departments, departments and links of the hospital. Its content, requirements and indicators are rich and specific. Doing a good job in the Hospital Management Year activities is a good opportunity to promote internal management of the hospital and improve the hospital's service level and management level. Each hospital must adhere to the spirit of truth-seeking and pragmatism, continuously improve the ideological understanding of the medical staff throughout, publicize and mobilize Units that are insufficient must make up for the shortage, and make full use of media such as banners, promotional windows, and brochures to vigorously publicize the significance of carrying out the Hospital Management Year activities, publicize models, experiences and results, create a good public opinion atmosphere for the Hospital Management Year activities, and form people's A good atmosphere in which everyone pays attention to, participates in, and strives to contribute has pushed the hospital management year activities to a deeper level. Each hospital should establish its own expert supervision group to conduct supervision and inspection of its own work and longitudinal comparison of work improvements. Implementation and practical results should be implemented throughout the hospital management year activities, and resolutely avoid going through the motions.

Each hospital should actively explore and carry out work innovatively based on the actual situation of its own unit. It is necessary to use effective activity methods and carriers to enrich activity content and strengthen activity effects, so that the Hospital Management Year activities can fully reflect the characteristics of each hospital and reflect the contemporary nature and creativity; it is necessary to effectively summarize effective good ideas and practices , establish mechanisms, form systems, and carry out hospital management year activities to bring the level of hospital management and medical services to a new level. Hospital management self-examination report 4

According to the "Notice of the Office of the State Administration of Traditional Chinese Medicine and the General Office of the National Health and Family Planning Commission on the issuance of a special inspection plan for the management of traditional Chinese medicine pieces in medical institutions across the country" and the Provincial Health and Family Planning Commission According to the requirements of the "Notice on Issuing the Implementation Plan for the Special Inspection of the Management of Traditional Chinese Medicine Pieces in Medical Institutions in Jiangsu Province" by the Party Committee and the Provincial Bureau of Traditional Chinese Medicine, in response to the call of our city to organize a special inspection of the management of traditional Chinese medicine pieces in medical and health institutions in the city, in the near future our city The leading group for quality management of traditional Chinese medicine pieces in our hospital conducted a comprehensive self-examination on the purchase, storage, preparation, decoction, prescription management and review of traditional Chinese medicine pieces in our hospital. The self-inspection report is now as follows:

1. Current status of management of traditional Chinese medicine pieces in our hospital

1. A management organization has been established. Our hospital has established a leading group for the quality management of traditional Chinese medicine pieces, with Dean Liu Jinghong personally serving as the team leader. It strictly manages the purchase, storage, preparation, decoction prescription management and comments of the pieces, thus ensuring the quality of the traditional Chinese medicine pieces. Ensure the safety and effectiveness of clinical medication.

2. The procurement, acceptance and management of traditional Chinese medicine pieces. Can strictly follow the regulations to purchase traditional Chinese medicine pieces from Chinese medicine pieces manufacturing enterprises with a "Pharmaceutical Production License" or Chinese medicine pieces operating enterprises with a "Pharmaceutical Business License". When purchasing traditional Chinese medicine pieces, they must be inspected and accepted in strict accordance with the national drug standards and the standards and specifications set by the provincial drug regulatory authorities, including quality, specifications, quantity, packaging, labels, certificates, etc., must meet the requirements, and each type of traditional Chinese medicine must meet the requirements. Decoction pieces must be accompanied by a quality inspection report from the drug regulatory department, and personnel with intermediate professional technical titles and experience in identification of decoction pieces must be responsible for the acceptance and signature of traditional Chinese medicine decoction pieces. Counterfeit and substandard drugs entered our hospital.

3. Storage, preservation and maintenance of traditional Chinese medicine pieces. Our hospital has an independent warehouse for traditional Chinese medicine preparations, with complete ventilation, temperature regulation, humidity regulation, moisture-proof, insect-proof, rodent-proof, theft-proof and other conditions and facilities. It is managed by dedicated personnel and inspected every day. This completely prevents the occurrence of problems such as moldy deterioration, discoloration, insect infestation, and rodent infestation of traditional Chinese medicine pieces.

4. Dispensing and management of traditional Chinese medicine preparations. Dispensing staff in traditional Chinese medicine pharmacies strictly implement the management system for dispensing traditional Chinese medicine pieces, and treat prescriptions that may cause drug safety problems such as "eighteen antis", "nineteen fears", pregnancy contraindications, and dosages exceeding the provisions of the "People's Republic of China and the Chinese Pharmacopoeia". Resolutely refuse to mix, and require the prescribing doctor to confirm (double signature) or re-write the prescription before mixing. The prescription requires special cooking methods such as decoction first, then adding it, or wrapping it in a decoction, which can be noted on the medication bag and made clear to the patient. He explained that no insects, mildew, oil leakage, discoloration, or channeling was found during the inspection.

5. Management of decoction of traditional Chinese medicine pieces. The decoction room of our hospital is equipped with two multi-functional automatic decoction machines, which can basically meet the relevant requirements of soaking, second decoction, stirring, first decoction, and then decoction. We have established relatively complete operating procedures and scientific and reasonable methods for traditional Chinese medicine decoction machines. As for the decoction process of Chinese medicine decoction, the Chinese medicine pieces that have special requirements such as decoction first, then adding, decoction separately, simmering, wrapping, decoction with water, etc. can be operated according to the requirements or doctor's instructions, thus ensuring that the Chinese medicine pieces are ensured. The quality of decoction ensures the safety and effectiveness of medication.

2. Problems

1. The decoction room of our hospital has few equipment and can only meet the basic requirements of patients for decoction of traditional Chinese medicine pieces. At the same time, due to the small number of staff in traditional Chinese medicine pharmacies, they are unable to achieve perfect work efficiency.

2. Due to the limited professional orientation of the prescription evaluation working group of our hospital, we failed to establish a complete special evaluation system for prescriptions of traditional Chinese medicine preparations, and also failed to smoothly carry out work related to evaluation of prescription evaluation of traditional Chinese medicine preparations.

3. Rectification measures

1. Our hospital will reasonably allocate and adjust the staff composition of the Chinese medicine pharmacy to ensure that the preparation, decoction and other related work of Chinese medicine pieces can be successfully completed to ensure work efficiency. , to ensure that patients take medications in a timely, safe and reasonable manner.

2. Strengthen the professional training of the staff of the prescription management evaluation team, and promptly establish a complete special evaluation system for prescriptions of traditional Chinese medicine pieces to ensure that the work related to the evaluation of prescriptions of traditional Chinese medicine preparations can be carried out smoothly.

During this self-examination, we found that there are still some problems and deficiencies in our work. Our unit will strictly abide by the requirements of the drug regulatory department, actively carry out business learning and self-examination, and ensure that patients use drugs reasonably. and safety. Hospital management self-examination report 5

In order to implement the "Notice of the Wuchang District Health and Family Planning Commission on Issuing the Implementation Plan for the Special Rectification Activities of Excessive Medical Treatment in Medical Institutions in Wuchang District" issued by the District Health and Family Planning Commission and the District Correction Office Wuchang Health Planning 11 In order to improve the service quality of our hospital's medical staff, improve the overall service level of the hospital, consolidate and promote the comprehensive and healthy development of the health industry, and strengthen the construction of industry style. According to the requirements in the notice of special rectification work, our hospital actively arranged and deployed, combined with the situation of our hospital, formulated practical rectification measures, and carried out self-examination and self-correction activities in a solid manner. The situation is now reported as follows.

1. Basic situation

(1) Strengthen leadership and build the entire organization.

In order to strengthen the smooth progress of the special rectification work, a special rectification work leading group was established with Dean Zheng Boxiong as the team leader (in charge of the special rectification work), Yang Bing as the deputy team leader, and the directors of relevant departments as members, responsible for organizing and coordinating , supervision, inspection, rectification and other work. On April 11, a mobilization meeting for all hospital staff was organized to make all staff realize the importance of carrying out this work, thereby ensuring that all work is implemented.

(2) Strengthen publicity and education and enforce strict industry discipline. The special rectification work leading group has a clear division of labor, closely focuses on the work focus, strictly enforces disciplines, and conducts regular supervision and inspections. The hospital has publicly issued a commitment to social services and resolutely refrains from excessive medical treatment, excessive inspections, and arbitrary charges. Established a special rectification complaint hotline, issued more than 30 satisfaction survey opinion forms, and rolled out broadcasts on the electronic display screen in the outpatient hall to accept social supervision. In response to the problems discovered, the relevant departments and those directly responsible were strictly investigated. Responsibility has comprehensively promoted the fundamental improvement of medical ethics and medical practice.

2. Inspection situation

A total of 20 archived medical records were collected from 8 departments in the hospital. In accordance with the management requirements of the "plan", an inspection item list was designed to unify the inspection content and standards. , led by the Medical Department and Nursing Department, organized some department directors to conduct inspections one by one. The random inspection results showed that no violations such as excessive examinations, repeated examinations, use of high-priced drugs, abuse of antibiotics, extended treatment courses or hospitalization times were found. A comprehensive clean-up and inspection was conducted on the hospital’s procurement of drugs, medical equipment, medical materials, laboratory reagents, vaccines, etc., and no kickbacks, commissions, red envelopes or other improper interests were found to be accepted in various names; departments and departments with medical behavioral services Medical staff personally did not accept red envelopes, meals or gifts from patients and their families. Existing problems: incomplete diagnosis, simple disease history records, a small number of medical staff with weak service awareness, and blunt attitude towards patients, which affects the overall image of the hospital.

3. Rectification measures

In response to the self-detected problems, the following rectification measures will be taken:

(1) Strengthen educational guidance and strengthen service concepts. Carry out education and training on laws and regulations, disciplinary warnings, and professional ethics, enhance the awareness of cadres and employees to consciously resist unhealthy tendencies, and build a solid ideological, moral, and legal defense line.

(2) Strengthen system construction and establish long-term mechanisms. Adhere to the weekly meeting system, conduct regular business training, guide medical staff to make reasonable diagnosis, treatment, and medication use, conduct regular prescription reviews, and provide timely guidance and corrective measures for unqualified prescriptions.

(3) Strengthen supervision and inspection and strictly enforce work discipline. In response to the problems reported by patients, timely verification and investigation are carried out. If the investigation is true, the relevant responsible persons will be held accountable in strict accordance with the provisions of the hospital management system and performance appraisal plan, and shall be linked to the annual assessment, priority evaluation, merit evaluation, and employment. If the circumstances are serious, the impact will be Larger ones will be dealt with more severely in accordance with relevant regulations.

(4) Adhere to strict national price policies, standardize charging items and standards, and eliminate problems such as independent items, decomposition of charging items, and repeated billing in medical services. ;