Quality service grass-roots inspection project announced the main check 18 items

Quality service grass-roots line is an important task of primary health care construction, in order to facilitate the vast number of primary medical institutions in the process of inspection to achieve better results.
Primary Physicians Commune invited the smooth pass of Shandong Provincial Health Committee expert group, chat city health committee evaluation, and achieved excellent results in Linqing City Liu Yuzi Center Health Hospital President Wang Shouqiang for everyone to share experience, hard goods.
on quality service grass-roots activities, primary health care institutions throughout the country are investing a lot of human, financial and material resources, such as in full swing to do a good job of evaluation preparations.
but what needs to be done to prepare when the review experts arrive at the site is still a fog for the institutions that have not been inspected.
In order to help grass-roots institutions and personnel to better understand the focus of the evaluation experts, combined with some of my own evaluation experience, for you to share the following: experts arrived at the agency site, the main person in charge of the first to the creation of the organization to do a brief report, so that experts can also in a relatively short period of time on the agency's functional tasks and resource allocation, basic medical and public health services, business management and integrated management and other conditions have a preliminary understanding, in order to go deep into the scene of the situation in the department, save time.
first step: Do you want to see it first? 1. Work system, workflow, work responsibilities, job responsibilities, emergency plans, exercises, laws and regulations, professional procedures, operating norms, etc. in line with the actual situation of the organization compiled into a book; Establish organizational structures such as medical quality and safety management, nursing quality, hospital infection management, pharmaceutical management, medical technology management, case quality management, clinical blood transfusion management, etc.; Each section has a sound professional and technical personnel files; Authorization for the use of antimicrobial drugs, classification authorization for surgeons, authorization for anesthesia, authorization for the operation of high-risk medical techniques, etc.
5. Quality control indicators for functional departments such as medical care, nursing and hospitality.
second step: Do you see what's dry again? 1. Are the sections aware of the provisions of the self-assessment criteria? Is the work system up-to-date? Is it practical? Is it in line with the actual situation of the organization? 2. Is training in the core medical system in place? Is the critical value reporting system, surgical safety verification system, graded nursing system, antibacterial drug management system, adverse event reporting system and duty and shift system and other medical quality and safety system known? 3. Does the academy establish quality control indicators at the two levels, and does it effectively implement inspection, supervision, feedback and rectification for the quality control indicators of each department? Is there three-base training for personnel at the two levels of the Academy? 4. Is the nursing organization management system working effectively? Is the content of the hierarchical care system revised in a timely manner? Does the department implement supervision, analysis and improvement for hierarchical and holistic care? 5. Are hospital infection managers clear about their job responsibilities? Is it timely to revise the relevant system and process of institutional hospitalization in the normal prevention and control of the outbreak of new crown pneumonia? Are there clear monitoring indicators and plans? 6. Are hand hygiene management hand washing facilities complete? Are the seven-step washing techniques mastered? Are medical waste and sewage treatment personnel pre-service? Are there day-to-day supervision, operational logs, and related inspection records? 7. Is the relevant medical staff aware of the hierarchical authority and is the functional department dynamically managing the staff delegation? Does the medical record check reflect the doctor's third-level check-up room? Are patients involved in medical safety management? 8. Is there a discussion book for difficult cases and a record of death discussions in the Department? Does medical treatment and nursing assess the patient's condition? Are prescription reviews in place? 9. Are critical values, adverse events and adverse drug reactions reported? Step 3: How did you end up doing? Experts in the organization after the review, will be reviewed the problems of the institution targeted on-site feedback, so that the organization can be targeted in a short period of time to improve and improve the work.
1. In the institutional aspect, the two levels of the Academy carefully combed and revised the core system of medical quality and all-related relevant suitable to the institutions, especially the clinical staff should strengthen training and learning, so that hospital posts work under the supervision of the system, and the functional departments regularly check, supervise and ensure the implementation of the system.
2. The evaluation guide organization of all personnel carefully study, really understand the evaluation criteria, comb the relevant provisions, according to the actual situation of the organization to develop a self-assessment report.
institutions to take the form of "please come in and go out" to strengthen the management of business learning, improve the level of institutional management.
3. Functional regulatory bodies should attach importance to and strengthen the management level of functional departments, make use of the relevant hospital regulations and regulations, strengthen the implementation of clinical department inspection, supervision, feedback and rectification, and form effective supervision at the hospital level in order to continuously improve.
4. According to the quality and safety indicators, the quality control activities at the two levels of the Academy of Quality Control activities, using management technical tools, carry out quality control activities at the two levels of the Academy, to achieve the positive trend of quality and safety indicators, and continuously improve the quality of medical care.