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Summary of hospital perception management in the first half of the year
Summary of hospital perception management in the first half of the year

Time goes by, never stops, and a piece of work is over. Looking back on our past work, we have gained a lot. I think you need to write a work summary. Presumably, many people are worried about how to write a good work summary. The following is my summary of hospital public opinion management in the first half of the year, hoping to help everyone.

Summary of hospital infection management in the first half of the year 1 In the first half of the year, under the leadership and guidance of the dean and the dean in charge, the hospital infection department carried out the following work according to the work objectives and plans of the hospital infection department this year:

First, strengthen the hospital infection case report.

Conscientiously implement the National Ministry of Health's Hospital Infection Control Standard and related regulations, establish and improve the system of discovery, registration, reporting, analysis and feedback of hospital infection cases, report immediately according to the prescribed procedures, conduct isolation treatment in time, take corresponding preventive measures, and conduct irregular spot checks on discharged cases and hospital infection departments. Hospital infection 13 cases in the first half of the year.

Second, strengthen the disinfection management of medical devices.

Hospital Infection Department conducts bacterial culture on samples of sterilized items every month in strict accordance with the Technical Specification for Hospital Disinfection, so that the sterilization rate of sterilized items can reach 100%.

Third, strengthen the rational use of antibiotics.

According to the spirit of the notice of the special rectification of antibacterial drugs by the Ministry of Health, the hospital sensory department of the hospital conducts a monthly follow-up survey on the use of antibacterial drugs for inpatients and discharged patients in our hospital, and makes timely summary, report and feedback, which provides an important basis for the rational use of antibacterial drugs.

Fourth, strengthen the disinfection and isolation of wards.

Regularly monitor and spot check the air in the ward, the surface of objects, disinfectants and the hands of medical staff, and try to use the oxygen inhalation device and atomizing inhaler once, so that one person can use it once and disinfect it once.

Five, strengthen hand hygiene

Hospital sensory department checks the implementation of hand hygiene in each department every month and evaluates the hand hygiene of medical staff. Head nurses in each department are responsible for inspection and guidance, so as to really cut off the way of transmitting diseases through the hands of medical staff.

Six, strengthen the standardized management of key departments

Standardize the layout of each department, clearly mark the clean area, polluted area and sterile area and delimit the boundaries, irregularly supervise the disinfection and isolation work of key departments, strengthen the awareness of aseptic concept, improve aseptic operation technology, ensure the smooth progress of the work, and eliminate the hidden dangers of hospital infection in the bud.

Seven, to carry out targeted monitoring

From 1 month, the targeted monitoring of type I incision (thyroid and hernia) was carried out during the operation, and the monthly summary analysis showed that there was no 1 case of type I incision infection. Eight. Strengthen the management of medical waste in various aspects such as garbage sorting, collection, transportation, inspection and supervision, strictly follow the medical waste management system, and strictly hand over. All defective parts should be registered, handed over and signed clearly, and all departments should have spring scales. When each section is handed over, the medical waste shall be weighed and registered, and the person in charge of each section shall be responsible for the final statistics. If there is any problem, the hospital sensory department will conduct irregular inspection on the temporary storage place of medical waste to ensure the safety of medical waste.

Eight, strengthen the monitoring of floor disinfectants and disinfectants.

In the first half of the year, the hospital infection department carried out the training of hospital infection knowledge and held a hospital infection quality analysis meeting, which successfully completed the hospital infection task in the first half of the year.

Summary of hospital infection management in the first half of the year 2 Under the leadership of hospital leaders and infection management committee, according to the relevant documents and regulations such as Hospital Infection Management Standard, Disinfection Technical Standard and Infectious Disease Prevention Law, our department has formulated the corresponding hospital infection control plan, organized its implementation, monitored the effect in time, and revised measures in time to control the incidence of hospital infection in a good range and prevent the outbreak of hospital infection. The main work this year is summarized as follows:

First, improve the management system and give full play to the role of the system.

1. In order to further strengthen hospital infection management, clarify responsibilities and implement tasks, the hospital infection management team of the department was adjusted and enriched in August this year, and the three-level network management system was improved. At work, when there is a need for multi-department coordination, report to the competent leader in time to solve the problem.

2. 1 1 In June, with the initiative of the Infection Management Committee and the support of the hospital leaders, the hospital infection management department joined the medical quality inspector of our hospital and formulated severe reward and punishment measures.

Second, the hospital infection monitoring

Our department is responsible for monitoring the incidence of infection in radiology department, regularly monitoring the environmental sanitation and disinfection and sterilization effect of radiology department, summarizing and analyzing the monitoring results in time, finding out the risk factors of hospital infection and looking for effective prevention and control methods. Through monitoring-control-monitoring, the occurrence of hospital infection is finally reduced and controlled, and the medical quality is improved.

1, medical record monitoring

Retrospective investigation mode of nosocomial infection cases (refer to the discharged medical records one by one in the medical record room to prevent missing reports), and truly understand the baseline of nosocomial infection rate in our hospital. At the same time, the whole treatment process of key patients in the lower ward was followed up in the form of prospective investigation, and the occurrence of hospital infection was closely observed, which not only managed the process of patients, but also provided continuous training for doctors in charge of beds. This work has achieved the expected results, which can find hospital infection cases in time and prevent the outbreak of hospital infection.

① Infection rate monitoring:

② Monitoring of omission rate: reporting rate of infectious diseases. Meet the requirements of the Ministry of Health.

2. Environmental monitoring

Regular sampling in radiation environment, the qualified rate is 98.6%. For unqualified products, find out the reasons in time and re-sample.

3, disinfection and sterilization monitoring

Monitor the effect of pre-vacuum pressure cooker in disinfection room every month. According to the requirements of national disinfection standards, B-D test should be done every day and biological monitoring should be done every month to ensure the disinfection and sterilization quality of pressure cookers. Monitor the requirements of national disinfection standard for rapid pressure steam sterilizer in operating room to ensure the sterilization quality.

Monitoring of disinfectant use in radiology department every month: * * 246 samples were monitored, 246 samples were qualified, and the qualified rate was 100%. Gradually cancel glutaraldehyde immersion disinfection in surgical wards and adopt pressure steam sterilization.

In June, the ultraviolet lamp in use was monitored. In the first half of the year, 79 lamps were monitored, and 75 lamps were qualified, with a qualified rate of 94.9%.

4. Put on record the disinfectants and disposable medical instruments and supplies used in our hospital.

Three, the key parts of hospital infection management

Spot check the infection management of key DSA every quarter, find problems, actively communicate with the department director or head nurse and supervise the improvement.

Fourth, carry out training through multiple channels to improve the hospital awareness of medical staff.

1. new employee training: three new employees were trained and assessed on the knowledge of hospital infection and medical waste management, and the qualified rate was 100%. The newly admitted interns and nurses were trained in hospital infection knowledge, so that they had a preliminary understanding of the general situation of hospital infection;

2. Take various forms of infection knowledge training, organically combine centralized training with morning meeting department training, increase clinical medical staff's understanding of hospital infection, and improve hospital awareness.

Problems with verbs (abbreviation of verb)

1, the clinical infection management team did not fully play its role.

2. Some doctors do not pay enough attention to hospital infection, and the diagnosis and condition analysis of patients with hospital infection are insufficient, so the registration form of hospital infection cannot be submitted in time.

Summary of hospital emotional management in the first half of the year. In the first half of the year, the hospital feeling work mainly aimed at the problems existing in the supervision and inspection of the municipal quality control center, and gradually improved all the work. Details are as follows:

I. Monitoring:

From June to June, there were 3 cases of nosocomial infection/kloc-0, the incidence rate was 0.62%, and the pathogenic inspection rate was 84.6%. In the monitoring of catheter-related urinary tract infection, 53 cases were indwelling urinary catheter, the utilization rate of urinary catheter was 3.27%, urinary tract infection occurred 1 case, and the catheter-related urinary tract infection rate was 1.49%. Incision infection 1 case, the infection rate of surgical incision was 0.85%. * * * Two patients with multidrug-resistant bacteria were found and isolated and treated as required. Cross-sectional investigation of nosocomial infection was carried out as planned, and the data were uploaded to the national control base.

Second, hand hygiene:

In the first half of the year, there were 558 spot checks on hand hygiene, and 464 were actually implemented. The compliance rate of hand hygiene was 83.65438 0.05%. The timing is mainly due to poor compliance before contact with patients or cleaning/aseptic operation. The correct rate is 77.59%, mainly because the execution time of washing method is less than 15 seconds, and the personal six-step washing method is incorrect.

Third, training:

1. In-hospital: conduct pre-job hospital infection knowledge training for new employees 14 person-times, and pass the examination; In view of the problems existing in occupational exposure in 20xx years, experts were hired to teach in our hospital to improve the prevention and control level of medical staff; According to the needs of clinical departments, in-depth targeted training was conducted for 4 times (including influenza prevention and control, hand hygiene, medical waste, safe injection, infection case diagnosis and cross-sectional investigation).

2. Outside the hospital: 1 1 people attended the training meeting organized by the city; Participants in the seminar organized by the Municipal Quality Control Center passed the exam in May.

Fourth, the key link management:

1. Operating room: 1 June, the air separation facilities in the operating room were maintained, and the operation resumed after the cleanliness test and air culture results were qualified; In view of the problems raised by experts in the quality control center, such as the cleaning of operating room equipment, we will rectify them one by one.

2. Gastroscope room: standardize disinfection records in our hospital according to Tianjin endoscopic quality control requirements.

3. Stomatology: Three people were selected to participate in the training organized by Stomatological Hospital of Medical University to enhance the awareness of infection prevention and control in stomatology.

4. Hospital infection outbreak disposal drill: A drill was held in April to strengthen medical staff's understanding of hospital infection outbreak, further clarify the functions of various departments, improve the mechanism, improve the identification ability, rapid response and disposal ability of clinical departments, minimize the harm and ensure medical safety.

Verb (abbreviation of verb) revises the relevant system:

According to the relevant norms of hospital feeling and the Implementation Manual of Clinical Nursing Management Quality Standards, and in contrast to the existing system flow in our hospital, we will constantly improve the relevant systems in our hospital. (Intestinal outpatient and stomatological hospital infection management system, operating procedures for recycling contaminated items, and treatment process of reusable instruments, etc. )

Summary of Hospital Infection Management In the first half of this year, with the correct leadership and strong support of hospital leaders and hospital infection management committee, our department strictly followed the Hospital Infection Management Measures, Technical Specifications for Disinfection, Regulations on Medical Waste Management and other laws and regulations, and the newly promulgated industry standards of the Ministry of Health, aiming at standardized and streamlined management, constantly standardized and improved various rules, regulations and responsibilities of hospital infection, strengthened the hospital infection knowledge training of medical staff in the hospital, and improved their awareness of hospital infection. In order to further improve the management of hospital infection in the future, the hospital infection control work in the first half of this year is summarized as follows:

First, standardize and improve the hospital's rules and regulations and responsibilities.

In order to make the hospital infection work standardized, systematic and scientific, in the first half of this year, according to the Measures for the Administration of Hospital Infection and other relevant national laws and regulations, as well as a series of hospital infection rules and regulations formulated by our hospital, the hospital infection department made standardized, standardized and procedural considerations for the medical staff in the hospital, so that they could have rules to follow in their respective medical activities, set up a hospital infection quality control team, and at the same time defined the corresponding responsibilities of all levels and types of personnel in the hospital infection management.

Second, strictly implement the basic methods and operating procedures for preventing and controlling hospital infection.

In order to prevent and control hospital infection, and control the hospital infection rate to the lowest level in the future, our department formulated a series of basic methods and operating procedures for preventing and controlling hospital infection in the first half of this year according to the relevant national laws and regulations and the actual situation of our hospital, which laid a good foundation for standardizing the medical staff in our hospital to prevent and control hospital infection in future medical activities.

Third, strengthen the training of hospital awareness knowledge of all medical staff and improve the hospital awareness of all medical staff.

Through the training of hospital awareness knowledge for all medical staff, self-study and self-examination at ordinary times, and organizational study by departments, all medical staff can clearly understand their respective responsibilities in hospital awareness work and improve hospital awareness. In the first half of the year, all clinical medical staff were tested for hospital sensory knowledge, and the overall effect was good.

Fourth, strengthen the management of disinfection and sterilization, and effectively control hospital infection.

Adhere to the weekly inspection and guidance of departments, and complete the monitoring of disinfection, isolation, hand hygiene, aseptic operation, environmental sanitation, cleanliness and hygiene of key departments according to the annual work plan: monitor the environmental sanitation, disinfection and sterilization effect of 7 departments every month, with a total of 198 samples, with a qualified rate of 100%. Ultraviolet lamp monitoring is also qualified.

Five, standardize the management of medical waste

According to the Regulations of the Ministry of Health on the Management of Medical Wastes, the Catalogue of Medical Wastes and other laws and regulations related to medical wastes, combined with the actual situation of our hospital, relevant measures such as the collection, classification and registration of medical wastes, as well as emergency plans for the spread and loss of medical wastes were formulated, which standardized the management of medical wastes in our hospital. In particular, the requirements for the treatment of laboratory medical waste and the recovery and treatment of medical waste in local infirmary have been strengthened. Shortcomings and priorities in the second half of the year:

1, continue to strengthen hospital infection monitoring, strictly require and urge clinical departments to carry out bacterial culture on patients who use antibacterial drugs, and provide scientific basis for standardizing the use of antibacterial drugs. Implement the "Hospital Infection Monitoring Standard" of the Ministry of Health, and make statistics, analysis and feedback on the monitoring of infection cases every month.

2. Standardize the disinfection and sterilization of laboratory biological specimens; Strengthen the standardized management of disinfection supply room to make sterilization monitoring standardized and regular. Monitor the air, the surface of objects and the hands of medical staff in the operating room, delivery room, intensive care unit, abortion room, disinfection supply room, treatment room and dressing room of key departments and comprehensive departments every month, and give relevant guidance. Unqualified departments and departments shall find out the reasons and conduct relevant monitoring again at an appropriate time.

3. Continue to pay close attention to the implementation and management of the hand hygiene system for medical staff, strengthen their awareness of hand hygiene, and improve their hand hygiene compliance.

4. Strengthen the management of medical wastes and strictly implement the Regulations on the Management of Medical Wastes.

5. Continue to carry out hospital awareness training for hospital staff, improve their hospital awareness, and guide and supervise the classification and management of medical wastes. Pre-job training and assessment of hospital infection knowledge for new medical staff.

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