Hospital self-examination and self-correction report sample

Conduct self-examination and self-correction to identify existing problems and propose solutions. The following is a "hospital self-examination, self-correction and rectification report sample" compiled by me for your reference only. I hope it will be helpful to you. For more related articles, please continue to pay attention to the hospital self-examination and self-correction report in the model column.

In order to consolidate the results of our hospital's grade review, further strengthen the connotation construction, highlight the characteristics of our hospital's traditional Chinese medicine, give full play to the advantages of traditional Chinese medicine, and improve The clinical efficacy of traditional Chinese medicine, improve the overall service and management level, with the theme of "taking the patient as the center, giving full play to the characteristics and advantages of traditional Chinese medicine to improve the clinical efficacy of traditional Chinese medicine", according to the "Hebei Provincial Administration of Traditional Chinese Medicine on the continuous improvement inspection and evaluation of secondary traditional Chinese medicine hospitals" Work Notice" (Hebei Traditional Chinese Medicine Letter {20xx}13) requires that all work in the inspection and evaluation phase be effectively done, in accordance with the "Implementation Rules for Continuous Improvement Inspection and Evaluation of Second-Class Traditional Chinese Medicine Hospitals and Traditional Chinese Medicine Specialty Hospitals", combined with our hospital's Class-A Class A Waiting for the hospital to review the existing problems and formulate an implementation plan. The leaders of our hospital will set up a leading group for continuous rectification inspection and evaluation to conduct a comprehensive and detailed self-examination. Now the fourth part of the clinical path of traditional Chinese medicine and the traditional Chinese medicine diagnosis and treatment plan will be promoted and implemented. It will be deducted 33 507 points. The self-examination and self-correction report is as follows:

1. Implement clinical TCM practices formulated by the State Administration of Traditional Chinese Medicine. Regularly conduct statistical analysis, continuous improvement and improvement on the implementation of clinical pathways.

1. Through self-examination, in the annual statistical analysis of the implementation of TCM clinical pathways (such as enrollment rate, completion rate, efficacy level, etc.), the existing problem is that the encephalology department treats single-type vertigo, Regular check-ups and analysis of headaches are not specific.

2. Formulate corresponding rectification measures based on the problems existing in the self-examination. The existing problems will be summarized, studied and discussed by the leadership group, and handed over to the encephalology department to improve each disease based on statistics on the implementation of the clinical path. Regular inspection and analysis of species.

3. After self-examination, existing problems were found. The encephalology department actively cooperated with the response leadership group and followed the guidance of the "Implementation Rules for Continuous Improvement Inspection and Evaluation of Secondary Traditional Chinese Medicine Hospitals and Traditional Chinese Medicine Specialty Hospitals"

Requirements, the statistical analysis of the implementation of TCM clinical pathways for dizziness and headache has been completed and improved.

2. Based on the TCM diagnosis and treatment plan issued by the State Administration of Traditional Chinese Medicine, combined with the actual implementation of the TCM diagnosis and treatment plan in our hospital, summarize and evaluate the clinical diagnosis and treatment of TCM.

(1)

1. Through self-examination, in accordance with the relevant requirements of the State Administration of Traditional Chinese Medicine, analyze, summarize and analyze the implementation of the diagnosis and treatment plan and the diagnosis and treatment of dominant TCM diseases. Under evaluation. The analysis and evaluation of palpitations (premature ventricular contractions) were not in place and were not implemented as required.

2. Based on the problems existing in the self-examination, the hospital leadership team will formulate corresponding rectification measures, feedback the existing problems to the corresponding departments, and hand them over to the department directors for supervision and improvement.

3. After self-examination, the department director and members completed the analysis and evaluation of palpitations (premature ventricular contractions) based on the feedback from the leadership group and the requirements of the National Hospital of Traditional Chinese Medicine Administration for the diagnosis and treatment of dominant diseases. .

(2)

1. Through self-examination, TCM practitioners are proficient in undergraduate TCM diagnosis and treatment plans and clinical pathways, apply them correctly and continuously improve clinical efficacy. Clinicians do not have a comprehensive grasp of diagnosis and treatment plans and clinical pathways, and senior doctors with professional titles cannot correctly guide lower-level doctors to use TCM theories, thinking, and methods to carry out diagnosis and treatment plans and implement clinical pathways.

2. Based on the problems existing in the self-examination, the hospital leadership team attaches great importance to this problem. In order to improve professional standards, for doctors who have not mastered the diagnosis and treatment plan and clinical path, the Chinese medicine diagnosis and treatment plan is carried out according to the requirements of the diagnosis and treatment plan. , implement clinical path training and go to higher-level hospitals for further study, put forward rectification requirements for senior doctors with professional titles who fail to provide TCM diagnosis and treatment plans and implement clinical paths to lower-level doctors, and formulate professional training plans for senior doctors with professional titles to conduct TCM diagnosis and treatment

Training and learning of plans and implementation of clinical pathways must be mastered and applied proficiently, and be able to guide lower-level doctors to use diagnosis and treatment plans and implement clinical pathway applications to improve clinical efficacy.

Regular inspections and assessments are carried out by the leadership team.

3. After self-examination, each physician actively participated in training and went to higher-level hospitals to study in accordance with the arrangements of the hospital leadership team, and became proficient in diagnosis and treatment plans and clinical pathways. Physicians with senior professional titles responded to the leadership arrangements of the hospital to follow the TCM diagnosis and treatment plan and implement clinical path learning. The clinical efficacy has been greatly improved through training.

During this self-examination, our hospital strictly followed the Traditional Chinese Medicine Hospital's "Patient-centered, giving full play to the characteristics and advantages of Traditional Chinese Medicine to improve the clinical efficacy of Traditional Chinese Medicine". During the continuous rectification inspection and evaluation, the fourth part of the Traditional Chinese Medicine clinical path and Traditional Chinese Medicine diagnosis and treatment plan Promote and implement, formulate corresponding rectification measures for some problems that exist and are discovered due to subjective and objective reasons, and all rectifications have been put in place in accordance with the regulatory requirements, and have been applied clinically to improve clinical efficacy and protect people's health. Hospital Self-examination and Self-Correction Report 2

Excellent doctors must not only abide by medical technical standards, but also abide by laws and regulations. To form a correct world view and value orientation, we must stand at a higher level, look at the relationship between humans and nature with a long-term perspective, and handle the relationship between people well. At the same time, while doing a good job in medical business and technical work, Contribute to disease prevention and health care for the people.

To be an excellent doctor, I must first deeply analyze myself and identify my own shortcomings. I have been working as a stone disease doctor for more than 10 years. Although I have achieved certain results and studied medical technical secondary school, junior college, and undergraduate studies consecutively. Although I later obtained the medical practitioner qualification certificate through hard work and my professional skills have been greatly improved, But I believe that my study is not systematic, comprehensive and in-depth enough; theoretical study and specific practice are not well integrated; when there are many patients, I sometimes appear impatient, and when there are few patients, I occasionally appear impetuous. In view of my own shortcomings, by repeatedly searching for the reasons, I would like to rectify and improve from the following aspects.

1. There must be noble medical ethics and medical style

Morality is the first of group education, the basic moral character for human beings, and the standard for distinguishing right from wrong. Medical ethics should serve as the code of conduct and self-discipline for clinicians to practice. Medical ethics requires doctors to have a benevolent heart. A benevolent person loves others, and doctors must serve patients with a sincere and benevolent attitude. Only by applying benevolent techniques can we gain the respect, love and dependence of patients. Establishing a deep friendship with patients will inevitably increase the therapeutic effect. In today's commodity economy, a small number of doctors mistakenly believe that money is everything, regard the noble medical cause as a buying and selling relationship, and lack emotional communication with patients. Once the treatment effect is not satisfactory or an unexpected situation occurs, medical disputes often arise due to misunderstandings. Doctors with good medical ethics can correctly handle the doctor-patient relationship, thereby avoiding the occurrence of these things and greatly reducing the incidence of medical disputes.

The most important thing is to have a high sense of responsibility. A high sense of responsibility, patience and meticulous work attitude are also very important. A modest, prudent, and non-arrogant work attitude is also a must. Respecting teachers and being ethical is a virtue that our young doctors must possess. As a young doctor, I must respect senior teachers in various tasks such as business, teaching, and scientific research. In order to receive their love and education, senior physicians should be humble to colleagues in all relevant disciplines and learn from them things that are beneficial to their practice.

2. You must have solid theories and superb techniques

Medical skills are the ability to serve patients. To be able to serve patients well, the skills must be excellent, sophisticated, and rich. Clinical experience and trained operational abilities can only be acquired through long-term clinical practice, and practice can produce true knowledge! Practice should start from the basics, and each operation should be trained and mastered. The operation process should be skillful and standardized. Only after training and mastering the basic skills, can you perform various operations Only in this way can you be handy. In the learning process, theory and practice should be combined. It is necessary to master some basic research methods, such as the format of paper writing and data collection methods, and personally participate in scientific experimental research. , which can play a very good role in improving yourself and ultimately becoming a qualified doctor.

3. You must be diligent in thinking, good at summarizing and have the ability to respond keenly to emergencies in various clinical activities

In all clinical medical activities, you should have a calm mind There must be both psychological preparation and material preparation, accurate judgment and appropriate treatment, so as not to waste precious treatment opportunities. Sufficient attention should be paid to subsequent analysis and experience. These are rare assets for guiding clinical work, and they are even disease materials that are difficult to see in books. For each emergency, it should be discussed repeatedly and carefully in combination with theory...

Fourth, you must be dedicated to your job and have good interpersonal relationships

If you want to be a competent employee Doctors must realize the importance of their position. But the premise of all this is first of all, dedication and good interpersonal relationships, which are also components that cannot be ignored in the treatment of diseases.

5. It is necessary to establish a correct academic style and medical style and establish a lifelong learning atmosphere

Read journals regularly, persevere, and be good at using modern science and technology. For example, there are a large number of medical journals on the Internet. If you have resources and can use computers flexibly, you can find the information you need in a shorter time, and you can enhance the pertinence of your learning to improve learning efficiency.

The noble medical ethics of refusing to accept red envelopes for patients warms people’s hearts. As a medical worker, only by strengthening the cultivation of medical ethics, promoting noble medical ethics, and inheriting and carrying forward the professional ethics of "physicians' benevolence" can we change patients' misunderstandings about the "hidden rules" of receiving red envelopes in hospitals and guide the doctor-patient relationship to a healthy and harmonious one. direction of development. Here, we all need to learn from many doctors such as Director Jiang Li, Zhao Chuan, Cai Pu, and Wu Dingzhi who have repeatedly refused to accept red envelopes from patients. The hospital has become so harmonious because of the good atmosphere brought by batches of doctors with high medical ethics like them. They are all my reference for learning.

6. To further improve the clinical medical level

We should strive for technical excellence. Medical knowledge is constantly updated and developed, and human diseases are also constantly changing. There are always unknown areas in medicine. We should all use an open mind and a proactive spirit to study medicine, and be patient-centered when treating diseases. , instead of advocating "evidence-based medicine" based on personal preferences and habits. "Evidence-based medicine", also known as evidence-based medicine, is also a course I am studying in the undergraduate class of Chongqing Medical University. Its meaning is to use the best existing scientific evidence purposefully and correctly to guide the treatment of each patient. This requires that we must be willing to read and be good at reading while practicing a lot of solid clinical and scientific research, so that we can become qualified clinicians in the new century.

At the same time, as a member of xx Hospital, I love xx Hospital very much. I sincerely hope that xx Hospital can develop quickly and steadily into a top hospital in xx city. Hospital Self-examination and Self-Correction Report III

Since our hospital launched the "Three Goods and One Satisfaction" campaign in 2011, which includes good service, good quality, good medical ethics, and people's satisfaction, our hospital has conscientiously implemented the guidelines issued by the Ministry of Health. The "Work Plan for the "Three Good and One Satisfactory" Activities of the National Medical and Health System" now summarizes the self-examination and self-correction work carried out in the first half of 2013 as follows:

1. Work Achievements

Hospital According to the "Notice on Carrying out the "Three Goods and One Satisfaction" Activities in the Medical and Health System in 2013" issued by the superior authorities, the "Three Goods and One Satisfaction" activities were actively and conscientiously carried out in combination with the actual situation of our hospital.

1. Established an organizational structure. On April 21, 2013, the hospital established a leading group for the "Three Goods and One Satisfaction" activity with President Li Huilin as the team leader and the vice presidents as deputy leaders to lead the entire hospital in carrying out this activity; at the same time, a team headed by Ma Jianguo, deputy director of the hospital, was established. The hospital's "Three Good and One Satisfied" activity office, with the president as its director and deputy director of the Medical Education Department Hu Daoxu, is responsible for the specific implementation of the hospital's "Three Good and One Satisfied" activities. In addition, a "Three Good and One Satisfied" activity office has been established with heads of departments as team members. ” Activities Working Group.

2. Developed an implementation plan. The hospital's "Three Good Things and One Satisfaction" Activity Office has formulated the "Implementation Plan for the Central Hospital's "Three Good Things and One Satisfaction" Activity in 2013."

According to the activity plan, our hospital’s 2013 “Three Goods and One Satisfaction” activity will be carried out in four stages: the first stage is the publicity and mobilization stage (January to May 2013); the second stage is the problem finding stage (June 2013 to July); the third stage is the rectification and improvement stage (August to September 2013); the fourth stage is the summary and promotion stage (October to December 2013).

3. Carry out extensive publicity and mobilization work. From the beginning of the activity, the hospital carried out various forms of extensive publicity and mobilization work. The hospital held mobilization meetings for middle-level cadres, doctors, and nurses; each department also held department meetings to study the "National Medical and Health System Development" The "Three Goods and One Satisfaction" Activity Work Plan" and the "Central Hospital's 2013 "Three Goods and One Satisfaction" Activity Work Plan" provide all employees with an in-depth understanding of the spirit of the "Three Goods and One Satisfaction" activity and lay a good foundation for carrying out this work.

The hospital also produced banners and slogans and posted them in eye-catching locations such as the outpatient lobby; timely reports were made on the progress of the "Three Goods and One Satisfaction" campaign in the hospital public column; and on the electronic screen in the outpatient hall. Various forms of propaganda and mobilization work.

4. Carry out various forms of self-examination and self-correction. In order to carry out this work, the hospital's "Three Goods and One Satisfaction" activity office has carried out various forms of self-examination and self-correction work.

1) In order to understand the people’s satisfaction with our hospital’s medical work, our hospital made a satisfaction survey form based on the “Three Goods and One Satisfaction” activity plan and conducted a survey on service, medical quality, and medical ethics. Content satisfaction survey. Based on the satisfaction survey results, targeted rectification work will be carried out.

2) Carry out special actions to standardize medical behaviors, conduct reasonable examinations and treatments, and improve the quality of medical care. As early as May this year, our hospital has carried out extensive special activities to standardize medical behaviors, reasonable examinations, and reasonable treatments throughout the hospital. After launching the "Three Good and One Satisfactory" activities, our hospital regarded this activity as the "Three Good and One Satisfactory" activities. One of the contents of the "Satisfaction" activity has been carried out more deeply, extensively and sustainably.

3) We held a patient symposium and a symposium on the work style of outside hospital supervisors to listen to the suggestions and opinions of patients and people from the public on the work of our hospital.

4) Set up suggestion boxes and complaint hotlines to solicit the opinions of patients and family members.

5. Report the progress of activities in a timely manner. Each department reports on the implementation of the "Three Good and One Satisfactory" activities.

6. Carry out high-quality nursing services and provide high-quality medical services that satisfy the people.

7. Vigorously carry out medical ethics and medical practice education, learn from advanced typical deeds in the health system and carry out legal education to improve medical staff's awareness of medical ethics and medical ethics and practice in accordance with the law.

8. Actively carry out work style evaluation work to improve public satisfaction.

The above are the results achieved by our hospital in the process of carrying out the "Three Good and One Satisfactory" activities, but during the inspection we also found that there are still some problems that need to be rectified.

2. Existing problems and corrective measures

1. The forms of publicity are not diverse enough, and online materials have not kept up in time.

Corrective measures: The Information Department is required to update online materials in a timely manner and dynamically publicize the "Three Goods and One Satisfaction" activities carried out by the hospital.

2. Patient symposiums are held once a month by department and not for the whole hospital.

Corrective measures: Appropriately increase the number of patient symposiums, and appropriately include some family members to participate in future patient symposiums, and hold hospital-wide meetings at appropriate times.

3. Although telephone appointments are available, there are very few patients who actually make appointments.

Corrective measures: Increase the publicity of outpatient appointment registration and improve the public’s awareness and acceptance of appointment registration.

4. The waiting time for outpatients in some periods is too long.

Corrective measures: At present, there are more outpatients on Mondays and the queue time is longer. We should increase the reasonable diversion of treatment time to avoid being too busy during busy times and too idle during leisure times.

5. Our hospital has not introduced social volunteer services into the hospital.

Corrective measures: Some hospital offices will formulate corresponding management rules as soon as possible and introduce social volunteer groups to our hospital to provide volunteer services in a timely manner.

8. The implementation of the core medical system in some departments needs to be strengthened.

Corrective measures: At present, the implementation of the in-hospital consultation system and difficult case discussion system in some departments needs to be strengthened, and the third-level ward rounds in some departments have not been fully implemented. Therefore, the Department of Medical Education will increase inspection efforts in this area and effectively implement various core medical systems.

9. The lists of various management committees are not updated in a timely manner.

Corrective measures: Please ask the office to change the corresponding personnel composition in a timely manner according to the hospital's personnel adjustments.

10. The use of antibacterial drugs needs to be further regulated, and some doctors use antibacterial drugs beyond their authority.

Corrective measures: The Department of Medicinal Materials is required to revise the management regulations on the graded use of antimicrobial drugs in our hospital in accordance with relevant regulations, and organize all doctors to learn the rational use of antimicrobial drugs.

11. The implementation of clinical pathways needs to be strengthened.

Corrective measures: Continue to strengthen the implementation of clinical pathways and launch clinical pathways for new diseases in a timely manner.

12. The telephone follow-up rate of discharged patients has not yet reached 100.

Corrective measures: Relevant departments are required to strengthen follow-up of discharged patients at least once a month. Hospital self-examination, self-correction and rectification report IV

In accordance with the requirements of the hospital's self-examination and self-correction activities, combined with study and personal daily work conditions, an in-depth analysis of whether there are a series of problems in personal work and study was carried out Find and analyze the ideological roots of problems. As a mid-level cadre of a maternal and child health hospital, I should seriously participate in this activity, comprehensively analyze the advantages and disadvantages, and find out the entry points to further improve work style and improve service efficiency.

Look for personal shortcomings. In response to the requirements put forward by the leaders of the hospital, I examined and analyzed my work, study situation and ideological status. The main problems I found include the following aspects:

First, the daily study is not enough and the regular practice cannot be maintained. The learning of theoretical and business knowledge, theoretical level, and quality capabilities are not yet well adapted to the needs of the development of the new water conservancy situation. The first is insufficient knowledge of political theory and failure to insist on strict requirements to strengthen the study of political theory. Secondly, the study of business knowledge is not enough. Sometimes the study of business knowledge is always relaxed on the grounds of heavy tasks and busy work. Sometimes the learning only stays at the level of what has been learned and seen, and cannot be understood deeply and thoroughly.

Second, in daily work and life, not enough is done in playing the vanguard and exemplary role of middle-level leaders, and the "string" of maintaining the advanced nature of leading cadres at all times and everywhere is not tightened enough. Sometimes they confuse themselves with ordinary employees, lower their own requirements and standards, and are satisfied with being passable and about the same.

The third is to further improve work efficiency, improve working methods, always adhere to the standards of fairness and integrity, and integrate with colleagues, and firmly establish the work principles of conscientiousness and down-to-earth work. Although I did not do anything unrelated to work during working hours, such as chatting on the Internet, watching videos, or skipping work, I still did not have high standards for myself. For example, sometimes the work only stayed at the level of completing tasks and did not insist on using them. High standards and strict demands on myself, without striving for perfection; although I am always in a working state of completing the task at hand, and even the working methods are relatively simple, I still do not use my brain and have no innovative spirit; although I always warn myself to always remain conscientious and diligent, I work in a down-to-earth manner and devote myself to my work with full enthusiasm, but sometimes I am still a little relaxed.

The reasons for these problems and corrective measures

The main reason is that I gradually relaxed my high standards and requirements, and failed to maintain the advanced nature of a middle-level cadre at all times.

Through the activities in the self-examination and self-correction learning stage, we conduct analysis and search, so that we can promptly understand our own problems and find the gaps and deficiencies. Through fact-based investigation of problems, serious rectification, criticism and self-criticism, we will further Improve your thinking and work style, and clarify the direction of your efforts.

Further strengthen political and ideological concepts and enhance leadership awareness. Strengthen the study of political theory, transform one's world view and outlook on life; correctly treat various opinions put forward by leaders and colleagues, see clearly from the opinions of colleagues the shortcomings and deficiencies that one usually does not notice or pay attention to, and humbly accept the opinions of leaders and colleagues opinions and suggestions to effectively solve the problem.

Based on their own duties, always maintain good work enthusiasm, give full play to the role of the center and leader of the department, abide by various rules and regulations, and do daily management such as attendance; at the same time, strict work discipline is required, and everyone is required to do it themselves. Do it first, requiring everyone to complete the work tasks, and you must be the first to complete it. Carefully listen to the opinions and suggestions of colleagues in the department, take the initiative to care and help in work and life, give full play to the strengths of each department comrade, stimulate everyone's enthusiasm for work, unite and lead all department staff to complete each charging work, and serve the central work of the hospital , strive for excellence in charging positions, and strive to advance in the department by the end of the year.

Strengthen self-reform, improve overall quality, study business consciously and hard, lay a solid foundation, flexibly use reasonable methods and measures, love your job, love what you do, be open-minded and eager to learn, and look at problems when you encounter them. Ask more, think more, and seek advice from the leaders and colleagues around you. Always keep in mind the responsibilities of a middle-level cadre, strictly demand yourself with higher standards, and focus on playing an exemplary role in daily work, study and life. Hospital self-examination, self-correction and rectification report 5

Self-inspection report on rectification of medical safety hazards. Our hospital has carefully organized the majority of employees to learn the spirit of the activity in accordance with the requirements of the Municipal Health Bureau on the 'rectification of medical safety hazards' activity. Special rectification activities were required for all aspects of the hospital's work. Since the rectification activities were carried out, the existing problems and rectification measures in our hospital are reported as follows:

1. Existing problems:

(1) Existing problems in medical quality Problems

1. Problems in outpatient departments

According to the management requirements of outpatient and emergency departments, our hospital does not have separate outpatient and emergency departments, and there are no fixed departments with strong professional skills. Emergency staff. The employment rate of outpatient and emergency doctors with certificates is not high, and there are cases of practicing medicine without certificates and illegally. Some medical staff do not have high professional skills, are not able to master and apply some common first aid equipment proficiently, and are not proficient enough in some basic first aid techniques. The cooperation between various departments is not close enough, and the collaboration between department personnel is not enough.

Medical documents are not written in a standardized manner. Outpatient prescriptions are not written in a standardized way, with incomplete elements, unknown dosage and usage, irregular application of antibiotics, and irrational drug use. The content of outpatient observation medical records is too simple, and the writing of observation cases cannot be strictly standardized. The quality management of inpatient cases is not in place, and case writing by some medical staff is not standardized and timely. Various records are not standardized, including emergency and critical patient conversation records, rescue records, difficult case discussion records, and deceased patient discussion records, etc. The writing requirements are far from meeting the quality standards for writing medical documents. Various outpatient diary records are incomplete, discontinuous and incomplete. Some medical systems and core systems are incompletely established and incomplete. It is necessary to further establish, improve and implement relevant systems in various departments, especially the core systems for continuous improvement in township hospitals. Various systems have not been implemented in place, and some systems no longer meet the needs of hospital management at the current stage.

Problems in the Nursing Department: The various nursing systems are incompletely established and imperfect. The previous nursing systems were established based on outpatient system management. Since the inpatient department building was put into use, the original system has not been able to meet the current management requirements. Now it is necessary to establish relevant standards based on the actual situation of inpatient department management. system.

The nursing management organizational system is not complete. Failure to implement relevant nursing management work in accordance with the provisions of the "Nurses Regulations" and failure to implement the target management responsibility system.

Since the inpatient department of the hospital was put into use, the nursing management department has not been able to establish a complete nursing management system in accordance with the functions and tasks of the township health center. The responsibilities of each position are not clear, and there is mutual blame-shifting in the work. Nursing human resources management is not complete, and a nurse management system has not been established based on the actual situation of the unit. There are no clear requirements for the qualifications, technical capabilities, and technical standards of nurses at all levels and types, and a sound nurse level and performance appraisal mechanism has not been established. According to the hospital nursing staffing standards, ward nurses and beds do not meet the required standards.

The assessment standards for nursing work are incompletely established and imperfect. The regular assessment of nursing work is not timely and is just a formality. Nursing documents are not written strictly in accordance with the "Basic Standards for Case Writing". The writing of nursing documents is not standardized and the writing quality is not high. Various registrations are incomplete, such as disinfection records, observation records, emergency and critical patient rescue records, shift handover records, etc.

The concept of aseptic technique is not strong and the operation still needs to be further improved. Failure to effectively establish standards for the operation of various nursing skills, some nursing staff's skills are not standardized, and the destruction of disposable items is not thorough and standardized. The hygiene of outpatient and inpatient departments is poor, and there are potential risks of cross-infection. Quilt covers and sheets are old, the glass is unclean, and cleaning is not timely.

3. Problems in pharmacy work

The pharmacy drug management system is not complete. The management system for poisons, anesthetics and drugs is not implemented in place, accounting records are not standardized, and there are hidden dangers in management. Drug management is not in place, and expired and insect-eaten drugs still exist.

The personnel actually engaged in drug dispensing in the hospital are non-pharmaceutical professional technical personnel. Other professional and technical personnel will be employed in pharmaceutical dispensing after being trained by the Drug Inspection Bureau. The knowledge about related drug dispensing is insufficient, and the control of prescription dispensing is not strict, and unqualified prescription dispensing sometimes occurs. Some dispensing staff do not have a strong sense of responsibility, and sometimes the wrong medicines are dispensed

(2) Problems with service attitude

Outpatient staff have a poor service attitude, and patients often have According to the response, the service attitude, service awareness, and service quality are poor. There are problems such as coldness, bumping, hardness, and overbearing in medical services. The service attitude needs to be further improved.

The service quality of nursing staff is not high and they fail to reflect humanized services. The basic care and advanced care measures provided are not in place, and the care for inpatients remains at the primitive stage. The quality of medical services provided by some medical staff is not high and their service attitude is poor, which has caused strong complaints from patients. Some nurses have insufficient sense of responsibility in their positions, and the "three checks and seven pairs" system is not implemented in place, resulting in medical risks. The nursing error reporting and management system is not implemented in place, the observation of patients is not in place, and nurses cannot proactively report some adverse nursing events.

3. Pharmacy staff

The service attitude needs to be further improved. The staff had poor service awareness and attitude, and failed to establish a "patient-centered" pharmaceutical management service model. He speaks coldly and has a poor attitude in serving patients. There are instances of quarrels with patients, and patients react strongly. The service attitude needs to be further improved.

(3) Problems in the work style and mental outlook of cadres and staff

Some medical workers are muddle-headed and lack enterprising spirit, sense of responsibility and initiative, and need to further enhance their sense of work responsibility. , sense of urgency and crisis, enhance service awareness, improve service methods, improve doctor-patient relationship, and significantly improve the public's satisfaction with the style of medical institutions. Some medical staff have poor mental outlook. They do not wear work clothes or work IDs during work, are off duty, chatting, and are listless, unable to devote themselves to medical work in a high-spirited working state.

(4) Problems in environmental sanitation

For a long time, health units in the medical system have been unhygienic. Through inspections of our hospital, the floors and glass of various departments are generally dirty. The situation is messy and poor, and items on the table are piled up and placed randomly, which affects the image of the medical and health unit.

II. Rectification measures

1. In order to ensure the smooth progress of the health rectification work and meet the requirements of the rectification plan, a health work rectification leading group was established to be responsible for the hospital rectification work to provide Strong leadership guarantee mechanism.

Team leader Wang Gang is fully responsible for the health rectification of health centers and village health centers.

Members are responsible for the rectification of health work in various relevant departments and departments.

Wang Xiaoyi is responsible for the medical team and pharmacy to carry out strict rectification and report to the hospital office.

Zhang Lili is responsible for the rectification of obstetrics and gynecology and maternal and child health care

2. Strengthen medical quality management, establish rules and regulations, pay close attention to implementation, and prevent medical accidents.

(1) Establish a long-term mechanism for the rectification system of medical and health work. The leading group for medical and health rectification activities is responsible for medical quality and medical safety management, and has established a system for regularly organizing personnel to manage and supervise medical and health work. The hospital organizes personnel from relevant departments to conduct special inspections of the medical work of each department every week, and will report existing problems during the inspection. Register in the medical and health inspection form, immediately propose rectification measures, assign responsibility to the person, carry out rectification within a time limit, and organize relevant personnel to inspect the rectification situation.

(2) Establish and improve relevant medical work management systems. In accordance with the requirements of the Health Bureau, establish and improve relevant systems for each department, especially the core system for continuous improvement in township hospitals, establish a medical dispute prevention and disposal mechanism, and handle medical disputes in a timely and appropriate manner. Formulate medical accident prevention plans and handling procedures for major medical safety incidents, report major medical negligence and medical accidents in accordance with regulations, and effectively prevent accidental injuries caused by non-medical factors.