The so-called details refer to small links or plots. Because of their small size, people often ignore them consciously or unconsciously. They often fail to take care of the details due to limited time. People who are eager for quick success and quick gains and are ambitious are obsessed with details. Dismissive, in fact, details determine the success or failure of all kinds of big and small things. Haier’s president once said when talking about management, “Doing every simple thing well is not simple, and doing every ordinary thing well is extraordinary.” The president's words are full of philosophy and express the essence of Haier's management. They are also extremely applicable to our nursing work. To do ordinary and seemingly simple nursing work well, we must pay attention to details.

The book "Details Determine Success" is a best-selling book written by Mr. Lu Han, a "detail management expert". Detail management has attracted more and more people's attention. How to make every nursing manager fully understand Recognizing the importance of detail management, how to do a good job in detail management is a new topic worthy of discussion and research. Combined with the practice of detail management in the hospital, it aims to strengthen the awareness and practice of detail management, improve the quality of nursing and nursing service levels, and reduce the occurrence of nursing errors, accidents and nursing disputes. The report is as follows.

1 The significance of nursing detail management

The era of refined management has arrived. Today, when people pay more and more attention to detail management, it is particularly prominent in nursing management work. In nursing management work, if we want to achieve "zero errors in nursing quality, zero distance between nurses and patients, zero defects in nursing technology, and zero complaints about nursing services", we must strengthen detail management, instill the importance of details in every nurse, and make every detail a priority. Raise it to an important level, gradually realize the refinement of management, eliminate dead ends in management, and make management timely, comprehensive, and effective, so that every nursing link reveals meticulous rigor, and truly interlocking , careless but not missing. In the process of nursing management, through the lessons of blood and tears of our nursing predecessors, our rules and regulations in nursing work are not loose, strict, or untrue, but they are often spoken, written on paper, and fixed on the wall. Failure to implement it in action puts forward higher requirements for nursing management workers, that is, they must pay attention to details.

1.1 Detail management is closely related to the quality of nursing work

Nursing work is directly related to the quality of medical care and the effectiveness of patient treatment. Therefore, nursing work needs to be absolutely rigorous and meticulous, without any sloppiness. This requires that in nursing work, always strictly follow the nursing operation process, pay attention to every link, pay attention to every detail, and the process strives to be high-quality and efficient, requiring nursing care. To achieve efficient work processes, nursing management workers must always understand one truth: employees only do what you check, not what you ask.

1.2 Detailed management is a need for nursing safety

The newly issued "Regulations on the Handling of Medical Accidents" issued by the State Council not only allows medical staff to see the improvement of my country's relevant laws and regulations, but also promotes medical Institutions should take measures as soon as possible to standardize medical practices and avoid medical risks. The law itself aims to protect the legitimate rights and interests of medical care and patients, and medical care risks refer to the risks of legal and economic compensation borne by medical personnel or medical institutions for medical infringements on other people's bodies during medical activities. .

Risk treatment is the core content of risk management, and the most important thing is risk prevention, that is, taking active measures to prevent the occurrence of risk events. Emphasizing the detailed management of nursing work is the need for nursing professional ethics, occupational risks and occupational safety. Nurses are respected as "angels in white". The profession requires nursing workers to have a benevolent mind, dedication, and treat patients as family members. At the same time, the quality of nursing care contains many parts, and each part is composed of many details. .

In nursing work, how and how well every detail of the work is done is directly related to the patient's life and physical safety. It is high-risk, and most medical errors occur. , all due to details.

There are numerous examples of this, such as: intravenous oxytocin 2.5 u, mistakenly added 10 u, causes tonic uterine contractions in pregnant women, endangering the health of the mother and baby; the floor that has just been wiped may cause the patient to fall, etc. Everyone will be alert to those big and obvious mistakes and carefully avoid them; but what makes nurses lose their vigilance are those dangerous actions and habits. Over time, they have become accustomed to it; just when you don't feel dangerous, danger has quietly struck you. You got it.

1.3 Detail management is the need for high-quality nursing services

Nursing services are expressed in details and focus on details. Service is composed of every detail, and nursing service is particularly outstanding. The details of nursing services are not only actions and words, but also expressed in a look and a smile. Nursing services are thoughtful and true in the details. If you want to achieve zero defects in nursing services and treat patients with high-quality services, you must sort out the details and pay attention to details. You must put the patient as the center in the work process, make it convenient for the patients, do the little things around you, start with the details, and make every effort Only when these operations are feasible can truly high-quality services be achieved. Facts have proved that the simple ones are also the hardest to stick to.

2 The practice of detail management

2.1 Nursing managers should first have the awareness of detail management

Now that there are correct practices, there are also ways to prevent errors Methods, especially the work magic weapon summed up by nursing seniors - "three checks and seven pairs", why do so many things happen that shouldn't happen? This is the crux of the matter - awareness. Nursing managers and nursing staff lack the awareness that risks originate from "details" in their minds. This requires nursing managers to instill in every nurse the awareness that risks originate from details, and pay attention to detail management at all times during work. Nursing work It is highly risky, and a slight oversight in details may lead to serious and irreparable mistakes, so the safety alarm bell must be ringing and detail management must be unremitting. Fully understanding the importance of detail management, we ask every nurse to carefully read the book "Details Determine Success" at work. Each nurse writes their reading experience based on the nursing work, strengthens the awareness of details, and allows every nurse to truly Pay attention to details, keep "paying attention to details" in mind at all times, implement it in actual nursing work, and mark their thoughts with "risks come from details" so that they can pay attention to details and do a good job in details in future work. .

2.2 Detail management should penetrate into every quality standard

Nursing management relies on various quality standards to restrict and promote the overall quality of nursing, and when implementing standards, attention should be paid to details It will be a world of difference from not paying attention to details. To do a good job in detail management, the most important thing is not to ignore details, establish practical detail management measures, and establish a detailed work process so that everything must be reviewed by the nursing manager. For example, for our medical guidance service, we have established a very detailed grooming, appearance, and guidance process. Every detail has standards to facilitate managers' supervision and assessment, so that every nurse knows what exactly should be done and how to do it, and nursing management Check how well the operator is doing against the standards.

2.3 Only by going deep into the clinic and patients can we achieve truly effective detail management

In order to truly achieve detail management, nursing managers must go deep into the clinic and start from the smallest details. Starting from the beginning, every nursing manager should have the ability to foresee the final results from the smallest actions, eliminate the danger of turning a blind eye, control and take measures in a timely manner, promptly discover the detailed problems in nursing work, and work hard on the details to improve the quality of nursing; To truly achieve detail management, nursing managers must go deep into patients, communicate with them in depth and detail, obtain first-hand information, truly understand the needs of patients, solve problems for patients, work hard on detail services, and focus on details. Reflect the true feelings of nursing.

The hospital conducts telephone follow-up visits to patients who have been discharged for three days, and forms a written summary of the weekly follow-up visits; discharged patients are delivered to their homes in free vehicles; inpatients are provided with free porridge three times a day; discharged patients are delivered to the hospital gate; new Admitted patients are first sent to the bed, and the nurse collects information and brings it to the bedside; a glass of water is given to the waiting patient. He does the little things around him and provides detailed services to patients, which is highly praised by patients.

In short, in nursing work, every nursing staff and every nursing manager should pay careful attention to details, keep the idea of ??"paying attention to details" in mind at all times, and keep it in mind. The implementation of details is carried out in actual actions, "think big, start small", and compete with the devil on the details, in order to achieve the highest quality of nursing services and the best nursing services.