In terms of facilities construction, the hospital also regards it as the first of all expenses. No matter how tight the funds are, they always try their best to squeeze out money to buy some urgently needed modern equipment and improve the medical level. Since 200 1, they have raised130,000 yuan from various sources, and successively purchased a spiral CT of GE Company in the United States, a full-digital full-body color Doppler ultrasound of DU-6 in Italy, a full-automatic biochemical analyzer of DS-300 in the United States, a laparoscopic of Wolf brand in Germany, an automatic anesthesia machine of Oleda 200 and an electronic gastroscope of fujinon 265 in Japan. Japan Aloka black-and-white B-ultrasound, a 500MA TV fluoroscopy and X-ray camera, a bedside mobile X-ray machine, a C-arm X-ray machine, a dental film machine, three automatic film processors, an American Wellcome automatic ventilator, a painless delivery device, an electrocardiogram workstation, a spectrum electrocardiogram instrument, a transcranial Doppler instrument, a digital electroencephalograph, an otolaryngoscope, and a difficult laryngoscope. One B-ultrasound, one ophthalmic surgical microscope, one German Lycra RM-20 16 pathological slicer, one fetal umbilical blood flow detector, four neonatal incubators, three neonatal rescue machines, one semi-automatic biochemical analyzer, one hemagglutinator, one Mindray III blood cell counter, two fetal heart monitors, three dental comprehensive treatment tables, one electrovaporization mirror, one universal traction bed, and the computer is automatic. The use of these advanced medical equipment has greatly improved the overall medical level of the hospital, enhanced the competitiveness of the hospital, and basically met the medical service needs of the people in the county.
The renewal of equipment has brought considerable economic benefits to the hospital. In the past, there were more than 60 outpatient clinics a day at most, but now it has increased to more than 130. In the past, the hospital's annual income was several million, but now it has reached more than 20 million. Among the county hospitals at the same level, the First People's Hospital of Yuzhong County is in a leading position, laying a solid foundation for striving for a second-class first-class hospital. In terms of software construction, the First People's Hospital of Yuzhong County put forward a green channel medical service activity of "all for patients". This is the service slogan for rescuing critical, serious and urgent patients. As long as the patient is urgent, dangerous and serious, whether he is a cadre or a farmer, whether he is rich or poor, we should put saving people first. To establish a barrier-free green channel for emergency treatment, admission and surgery, all departments in the hospital must establish the idea of "playing chess" and the awareness of first aid, 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 can't afford to be hospitalized. This move won the rescue time for emergency patients, and the hospital also owed more than 500,000 yuan. Once, the hospital rescued a traffic accident victim. After receiving treatment, the patient was in a coma and no one paid for it. The hospital immediately rescued him and made him recover quickly, but the debt of 1 0,000 yuan was still in the hospital account.
In order to ensure the unimpeded green passage, the hospital put forward the responsibility system for first-time doctors, requiring hospitals to implement barrier-free medical care from top to bottom, and always put saving people first. Some dementia patients can't afford to see a doctor, but they still receive treatment, and some patients are unaccompanied. In addition to careful care, medical staff should also donate clothes and materials, eat and drink. Peng Huiying, head nurse of infectious diseases department, is a typical representative of nursing field. In March this year, the head nurse of infectious diseases department received a critically ill patient with liver cirrhosis from 1 10 patrol. He fainted on the roadside and lay on the roadside all night, unkempt and covered in dirt. After admission, the medical staff took a bath and changed clothes. At 7 o'clock in the morning in May this year, the head nurse of the brain department, Jin, received an unidentified traffic accident victim, who was seriously injured when he was admitted to the hospital. She is incontinent, her urine is full of blood, and the ward stinks. After receiving the consultation, the medical staff quickly bathed the injured and put on clean clothes. The injured person has loose bowels and urine all over his body. He has to change clothes four or five times a day. 10 More than 20 medical staff cared for the patient until he was discharged from the hospital. On February 6 this year, Song, the head nurse of the emergency department, received a 64-year-old man from Hunan named Zhao Tongbang, a "three noes" patient with no money, no escort and no self-care ability. After coming to Gansu, he was frozen in the street of Xiaguanying, alone, and was unconscious when he was admitted to the hospital. Song led 13 general practitioners to participate in the rescue. Two days later, he became an old man. When leaving the hospital, the old man held the hand of the head nurse 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 happen almost every day, adding luster and glory to the green medical Passage. The hospital has further established an amiable, respectable and lovely image among patients. To build a modern hospital, it is difficult to ensure the improvement of medical service quality without sound and strict rules and regulations. Therefore, the First Hospital of Yuzhong County has always been "patient-centered, management-focused, and improving the quality of medical services as the core" in the reform, and formulated and implemented various management measures. Since the beginning of this year, on the basis of summing up past experience, they have issued the Guide to Hospital Management Evaluation, which has enriched and strengthened the leading group of hospital management, improved the management organization of hospitals and departments, taken practical and effective measures to strengthen hospital management, promoted connotation construction, optimized hospital services, standardized medical behavior, improved medical quality, ensured medical safety, controlled medical expenses, and continuously met the multi-level medical requirements of the masses. This year, they focused on the following institutional measures.
First, seriously study and implement health laws and departmental rules, so that all work will gradually embark on the track of institutionalization and standardization. In order to do a good job in the hospital, the hospital specially formulated a study plan for laws and regulations at the beginning of the year. Focus on the study of People's Republic of China (PRC) Law 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 the Administration of Disinfection, Emergency Regulations for Public Health Emergencies, Measures for the Administration of Information Reports of Public Health Emergencies, Regulations for the Administration of Information Reports of Infectious Diseases, Measures for the Administration of Hospital Infection, Drug Administration Law and Medical Practitioners Law. Through the study, the basic norms of medical record writing, the regulations on medical records management in medical institutions, the measures for prescription management and other laws, regulations and departmental rules have further improved the consciousness and consciousness of the staff in the hospital to learn the usage of the law, and all the work in the hospital has moved towards an institutionalized and standardized track, enabling them to act according to law, practice medicine and manage according to law in their work, and also improving the level of hospital staff to use legal weapons to safeguard their legitimate rights and interests. The staff and workers of the whole hospital participated in the 2006 county-wide examination for popularizing the law for cadres and workers, and their scores were all above 90.
The second is to standardize the writing of medical records and continuously improve the quality of medical care. According to the Basic Specification for Medical Record Writing of the Ministry of Health and the requirements of the Provincial Health Department on 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 management system based on basic quality, link quality and terminal quality. Starting from the basic quality, taking medical record writing as a breakthrough, referring to the experience of provincial and municipal hospitals, the records of power of attorney, surgery, conversation, blood transfusion and so on. Are specially standardized and improved. In the writing of outpatient and inpatient medical records, the contents of writing (chief complaint, current medical history, past history, family history, marriage and childbearing history, menstrual history, physical examination, initial diagnosis, course record, three-level rounds, analysis of examination results and changes of illness) are discussed. Pay close attention to link quality, and the hospital will strengthen link quality management. Every week, the business dean and functional departments will check the medical records during the operation, and check the medical records during the operation 1 152 copies throughout the year, and immediately notify all departments to improve when problems are found, thus ensuring the continuous improvement of medical record writing and link quality; Without relaxing the quality of the terminal, two business vice presidents will check and score the medical records filed after discharge and report the problems existing in the hospital. Because our hospital pays close attention to quality management based on three qualities, it ensures the continuous improvement of medical record writing quality and medical quality. In order to continuously improve the quality of medical record writing, the hospital launched a medical record writing quality appraisal activity, and * * * extracted hundreds of medical records. The medical record review team scored word for word in strict accordance with the medical record scoring standard of the Provincial Health Department. After two months' careful evaluation, the hospital selected 1 first prize, two second prizes and three third prizes for commendation and reward.
Third, pay close attention to the implementation of rules and regulations to ensure the quality of medical care. Since the beginning of this year, the hospital has taken the implementation of various rules and regulations to ensure the quality of medical care as the top priority. Each department conscientiously implements the hospital's work system, medical operation process and routine diagnosis and treatment, and implements 14 core rules and regulations to ensure medical quality. All medical staff earnestly implement the post responsibility system, and all departments, especially the outpatient department, earnestly implement the first-visit responsibility system, and critically ill patients are escorted to the inpatient department by the medical staff of the first-visit department. The hospital takes the implementation of three-level doctor rounds (the first superior doctor rounds within 24 hours of hospitalization), graded nursing system, difficult case discussion system, consultation system, critically ill patient rescue system, preoperative discussion system, death case discussion system, rounds system, basic medical record writing standard and management system, handover system and technical access system as the focus of daily work inspection, and conducts supervision. This year, the doctor handover system was improved to prevent and eliminate medical disputes and errors. The hospital has formulated the implementation plan of "strengthening hospital management year and doing well in hospital management", which has strengthened the responsibilities of all kinds of personnel, defined the division of labor, and assigned responsibilities to each person. As the first person responsible for the medical quality of the department, the director of the department and the head nurse are specifically responsible for the medical quality of the department. Because the division of labor is clear, the responsibility lies with people, which ensures the implementation of various rules and regulations, the quality of medical care is constantly improved, and medical disputes and errors are constantly reduced.
In order to provide better, more efficient and cheaper services for the majority of patients, according to the Prescription Management Measures and the Guiding Principles for Clinical Application of Antibiotics, the hospital carefully examined the clinical medication of all inpatients, standardized the unreasonable use and irregular use of antibiotics, and conducted scientific examination, rational drug use and reasonable treatment for all inpatients.
Fourth, starting from the "three basics and three strictness", continuously improve the quality of nursing. In order to continuously improve the quality of nursing, the nursing department made a nursing work plan at the beginning of the year, with annual arrangement, monthly plan and weekly summary, strengthened the management of head nurses and implemented the common 10 nursing operation; Strengthen nursing quality management, standardize nursing operation, abide by technical operation routine, improve the writing quality of nursing documents, and implement nursing teaching rounds from beginning to end. Through unremitting efforts, the quality of nursing has been continuously improved, and no major mistakes have occurred. In order to celebrate "5. 12" international nurses' day and improve the theoretical level of nurses, the hospital held a nursing knowledge contest and won the first place in the county-wide nursing knowledge contest to celebrate "5. 12" international nurses' day. Clinical nurses in the whole hospital took the examination of common nursing techniques, and the qualified rate reached 100%.
The fifth is to strengthen the construction of medical ethics. In order to strengthen the construction of medical ethics, the hospital formulated specific requirements and corresponding working systems at the beginning of the year. In order to thoroughly solve the problem of bribery in the field of drug purchase and sale, the hospital has formulated an implementation plan to control bribery in the field of drug purchase and sale, which has been thoroughly treated step by step and in stages, and has been well received by the supervision and inspection of ministries and agencies. According to the medical ethics norms and the requirements of "Ten Provisions" and "Eight Prohibitions" formulated by Lanzhou City, the hospital has established a long-term mechanism for the construction of medical ethics, improved the working system, carefully supervised and inspected poor service attitude, irregular service behavior and low service quality, put an end to eating, taking, being stuck and demanding, and fundamentally solved the problems of cold, hard, top and stumbling service attitude.
Sixth, strengthen personnel training to provide reliable guarantee for hospital development. In order to speed up the development of the hospital, the hospital sent two doctors to Gansu Maternal and Child Health Hospital for further study, and nine doctors and 15 nurses participated in various short-term studies organized by the provincial offices. At the same time, special lectures, business rounds, TV teaching, etc. are used to guide the on-the-job employees to develop new technologies and new businesses, and famous experts from the province are invited to give lectures once a month, and the whole hospital carries out special topics on key infectious diseases. This spring, the Municipal Health Bureau issued a call to the medical units in the city to strive for a second-class hospital, which brought new development opportunities to the first hospital in Yuzhong County. This has added new impetus to the reform. To this end, the First People's Hospital of Yuzhong County has set the commanding height of this year's reform at the sprint dimethyl hospital. It puts forward higher goals and stricter requirements for the development of hospitals. Since April this year, according to the selection conditions and evaluation requirements put forward by the provincial and municipal health authorities, they immediately mobilized hospitals to rush to secondary hospitals, set up a hospital grade evaluation leading group headed by Dean Li Tingren, formulated an evaluation implementation plan, and assigned evaluation tasks. The whole hospital participated, and soon everyone competed for the second-class hospital, creating a good atmosphere.
At present, the sprint evaluation activity of the second-class hospital is in full swing in the First Hospital of Yuzhong County. Full of confidence, the whole hospital climbed the peak of dimethyl hospital with excellent performance and won the title of dimethyl hospital.