Summary refers to the written materials that social groups, enterprises, units and individuals review, check, analyze and evaluate after a certain period, a certain project or a certain work is completed, so as to affirm achievements, gain experience, find out gaps, learn lessons and have some regular understanding. It can make us more efficient, so we need to go back and summarize and write a summary. How to write a summary without becoming a mere formality? The following is a summary of 20021Nursing Quality Month that I carefully compiled for your reference, hoping to help friends in need.
Monthly Summary of Nursing Quality 1 Around the theme of "patient-centered, improving the quality of medical services", the practice activities of "three good and one satisfaction" were carried out and achieved certain results. The report reads as follows:
First, strengthen organizational leadership and seriously organize implementation.
The leadership of the hospital attached great importance to it, held a special meeting, formulated and issued specific measures to carry out the "Service Quality Month" activity, and asked all departments of the hospital to raise awareness, strengthen leadership, seriously mobilize, and closely combine publicity and education with post service; To do a good job of implementation, we should take quality month as an opportunity to create an atmosphere of "everyone cares about quality and everyone values quality". At the same time, the hospital office actively communicated and coordinated with various functional departments to form a joint effort, which laid a good foundation for promoting the hospital service quality month.
Second, carry out all kinds of publicity to improve quality awareness.
Combined with the actual situation of our unit, we carried out various publicity activities in the service quality month. Use the publicity column to publicize the theme and content of the service quality month activity. The medical, nursing and administrative logistics departments should call leaders to clarify the knowledge of service quality, increase publicity efforts, improve employees' awareness of service quality, and carry out service quality publicity activities in the form of publicity slogans to create a good atmosphere in which everyone cares about service quality and everyone values service quality. At the same time, organize employees to seriously study the hospital's rules and regulations, job responsibilities and post operation procedures, and effectively improve the level of work philosophy and sense of responsibility.
Third, strengthen business training and highlight the focus of service quality.
1. In order to practice in accordance with the law and standardize behavior, doctors' laws and regulations and professional training were carried out in time, theoretical examinations were organized, and cardiopulmonary resuscitation plans were rehearsed; The participation rate of business learning in the hospital is over 90%, and it is organized by combining the guidance of external teachers and senior and intermediate doctors in the hospital. And organize the medical staff of the whole hospital to learn the excellent deeds of Dr. Zou Mofan, impart teaching experience and effective communication skills with family members, and enhance the image of doctors.
2. Organize business study and training for all nursing staff. Organize head nurses to comment on nursing work; Cooperate with the center's "three basics" theory and skills examination, organize nursing staff to watch videos, field practice and random examinations, and organize nursing staff to participate in the "three basics" theory and skills examination organized by higher authorities; Organize professional training for foreign nurses, including: asphyxiation rescue, emergency plan and treatment.
In the management of canteen, we put food safety in the first place. In connection with the promulgation of the Food Safety Law, managers and employees of canteens were repeatedly asked to organize lectures on food hygiene knowledge, and professionals from district health and epidemic prevention departments were invited to give lectures and training in hospitals. A brochure on the Food Safety Law was distributed to everyone, and employees were organized to hold cooking competitions.
Fourth, grasp the key points, self-examination and self-correction.
In the service quality month, we combined with the characteristics and nature of our own work, took ISO quality management system standards and various rules and regulations as the criterion, and carried out the following work in view of the problems existing in daily medical management and service:
1. Seriously carry out management and service quality inspection (spot check) and self-inspection. Check content:
First, check the employees' implementation of rules and regulations, performance of job responsibilities and observance of labor discipline. Regular and irregular inspections and spot checks by various functional departments, as well as departmental self-examination, specifically checking the employees' commuting time and their compliance with labor discipline during work and hospitalization;
The second is to check the attitude of the staff in implementing business operation procedures and prescribed actions, serving patients and receiving family members. Specifically, check whether the traces recorded by medical staff in professional work conform to the operating rules, check the situation of nursing staff in nursing work and their operating procedures in receiving family members, and understand the reception attitude of nursing staff through interviews with family members.
The third is to check whether the cleanliness of the department meets the requirements. Check the cleanliness inside and outside the office, locker room and ward of the department staff.
The problems found in the inspection (including random inspection by superior leaders) are as follows:
Medical treatment: 30 medical records of the whole hospital (5 in each ward) were randomly selected, of which 2 were defective, mainly manifested as: the doctor's orders were altered. No violation of the "Five Rationalities" was found during the inspection.
Nursing:
① There are 1 row of nursing staff dozing off on the job, and 1 row of workers' work clothes are hung in the patient activity hall of the ward;
(2) Disinfection and isolation work, individual ward floors failed to disinfect the treatment room within the specified time;
③ There are 1 nursing records with defects in nursing writing, which are reflected in the temperature list, admission evaluation and nursing records, and there are 1 nursing records in advance;
④ The dressing rooms of individual ward staff are untidy, and the items on the workbench of the nursing station are messy and snacks.
2. In terms of security services, we have carried out inspections to find hidden dangers and plug loopholes. First, check the operation of the facilities and equipment of the department, and whether the staff use the equipment correctly according to the operating procedures to ensure the safety of customers. Check the operation of the facilities and equipment of the ward and logistics team, check the actual operation process of the staff using the equipment, and check the self-inspection record account of the department; The second is to check the maintenance of fire control facilities and equipment. Check the maintenance and fixed-point placement of fire fighting facilities and equipment in various departments of the hospital.
The main problems found through inspection are that the safety service awareness of employees and department leaders needs to be further improved, and the self-inspection ledger records need to be clear.
In view of the hidden dangers and problems existing in service quality such as violation of discipline, business work and safety work, all departments are required to formulate corresponding treatment and rectification opinions and measures, carry out thorough rectification, and make relevant treatment and rectification records for inspection by the unit.
Five, the organization to carry out the "two festivals to promote stability" safety special inspection.
Make a safety inspection plan and issue safety inspection notices to all departments during the National Day on September 20th. Require all departments to do a good job in self-inspection and safety hazard investigation of facilities and equipment operation, and understand the ideological trends of departmental employees; On the eve of the festival, the main leaders of the hospital are responsible for forming a hospital inspection team to check the safety work of all departments in the hospital. Through the inspection of key places, departments and equipment in the hospital, the problems found were rectified in time. At the same time, carefully check all kinds of special equipment to ensure holiday safety.
Rectification measures of intransitive verbs
Through the development of this service quality month, we found that there are still the following shortcomings:
The executive power of individual department leaders is not enough; The staff service is insufficient, and the service concept is flawed and insufficient. Therefore, the following rectification measures are proposed:
The first is to further improve the professional quality of medical staff. Seriously study the relevant laws and regulations, system norms and job responsibilities, and require every medical staff to master and abide by them, and comprehensively improve their professional quality. Relevant functional departments regularly organize business study and business inspection and assessment. In order to ensure the quality of study, test scores are linked to personal economic benefits.
The second is to establish and improve rules and regulations and strictly implement various operating procedures. Constantly improve various rules and regulations and job responsibilities in practical work, and implement the responsibility to individuals; In order to make all the work timely, objective and flexible, the functional departments insist on combining regular and irregular inspection of service quality, report and feedback the information obtained in the inspection in time, and ask for rectification in time to ensure the effectiveness of the inspection.
The third is to strengthen the business training for all kinds of personnel and improve the awareness of service quality. Make plans to organize the training of management ability and execution of middle-level cadres, further strengthen the pre-job and on-the-job training of employees, and continuously improve the service level and service awareness of employees; Organize on-the-job training for different positions and types of work, do a good job in the implementation and execution of basic medical work, improve service quality according to standardized operating procedures, increase assessment efforts, and measure the implementation of measures with results.
Through the above measures, we can achieve the "six further" goals, namely: to further enhance service awareness; The service attitude is further corrected; Service behavior is further standardized; Service efficiency has been further improved; The service quality has been further improved; Service discipline has been further strengthened.
Nursing Quality Monthly Summary 2 (1) Work Achievements
1, spare drugs and rescue drugs in each department are not expired;
2, emergency medical personnel management; First-aid equipment is in a good standby state;
3. Highlight the monthly quality control of three internal departments, four internal departments and one external department to reflect the continuous improvement of nursing quality;
4. Patients from other departments are transferred to ICU, and ICU medical staff rescue them first and then hand them over. Nurses work as a team and cooperate with doctors on duty. They are skilled and busy, showing the decisive and calm professionalism of ICU nurses.
5. The nurses in charge of obstetrics and gynecology, Tian, Cui,, Li Hongshan, gave very detailed health education to patients, and the effect was very good. Their families are very satisfied with their nursing skills and service attitude;
6. The treatment rooms of the three departments are well managed, and the articles, liquids and environment are particularly clean and tidy; There is no phenomenon that male and female patients live in one ward in four departments.
(2) Problems existing in nursing quality inspection.
(3) Rectification measures
1, recently held a head nurse's regular meeting to give feedback on the existing nursing quality problems, requiring all departments to check the proposal for continuous improvement of nursing quality in time and make serious rectification according to the rectification opinions. The nursing department will follow up the main problems found in this month's quality inspection next month;
2. The nurse in charge should introduce herself to patients every day, do routine work well, and often communicate with patients about matters needing attention in diet, rest and rehabilitation exercise, and check whether the nursing level, diet and warning information of bedside cards are correct every day;
3. When patients change majors, they should inform the patients in advance to pack their things, contact the elevator, prepare a deposit slip for the patients, record the time to start transporting the patients on the nursing handover slip for patients who change majors, and immediately transmit the information such as wristband department and bed number to the department nurses;
4. The head nurse of each department should strengthen the supervision of the management of the rescue vehicle of the undergraduate course room. Departments that have not implemented the management of car closure should check the implementation of the management of medicines, sterile bags and equipment of ambulances every week. The head nurse and the treatment nurse of the department that implements the management of car closure will check and sort out the drugs and articles in the rescue car together on 1 every month, and make records;
5. Patients who use indwelling needle should draw blood before each transfusion, and then wash the catheter of Liu×× UE86 with sterile saline. Don't use too much force when drawing blood or flushing catheter. If there is no blood return, consider that the catheter of the indwelling needle is blocked and the venous indwelling needle should be removed;
6, strictly implement the doctor's advice and medication, injection disposal check system, all medication execution list must be printed, not copied, infusion paste unified regulations posted on the surface without liquid sign, so as not to affect the check;
7. Four contents of the evaluation standard of nursing document quality control were revised, and the head nurse was organized to study, and the head nurse conveyed the revised contents of nursing document standard to every nursing staff in the department in time;
8. In view of the problems found in the inspection, the nursing department carried out pulse rate vital signs measurement and infusion drip rate adjustment in July, standardized the basic behavior of nursing operation, and checked the head nurse's quality control over the responsible nurse (the requirements for the special inspection of the overall responsibility system nursing must be completed by the head nurse or the teaching teacher);
9. Coordinate with the instrument department to enter the wristband of the same specification.
Monthly summary of nursing quality 3. Key points
Various nursing assessments in the ward are put in place, including admission assessment, self-care ability assessment and various risk assessments, and the form records are standardized; The quality control of the second and fourth departments is carried out in groups, and the effect is good, and the quality control records reflect continuous quality improvement; The record of the first project is complete, and the quality control and training work are solid and effective.
Second, the existing problems:
1. nursing evaluation: after nursing evaluation, patients lack corresponding communication and health guidance is not in place; Some responsible nurses have limited ability and lack of nursing diagnosis knowledge.
2. Quality control of departments: Most departments are not standardized in quality control, with no focus, no focus on hidden dangers of departments, lack of professionalism and continuity, and some are mere formality. In short, the quality control of the department has not solved the substantive problems of the department.
3. Department training: First, the content of theoretical training is simple and impractical, and the examination form is single, so the nurses who ask questions on the spot cannot fully grasp it; Second, there is a lack of evaluation records in the technical operation examination of departments.
Third, the reason analysis:
1, the head nurse's management is not strong enough or the management ideas are vague;
2. The professional ability and knowledge level of nursing staff are uneven;
3. The head nurse is busy with her daily work and lacks certain supervision on the quality of nursing links and details;
4. Nurses have poor cooperation spirit and are not active in communicating with patients.
Fourth, the rectification measures
1, on-site problem feedback, and feedback to all departments in written form, urge the rectification, and follow up the rectification effect in May (including nursing evaluation, health education, quality control and department training).
2. Organize a meeting of nursing quality and safety management committee, with the topic of "How to control the quality of departments and improve the quality of nursing". Through the meeting, the quality control of the department was further strengthened, the management consciousness of the head nurse was improved, the work focus was highlighted, the quality index of the department was determined, and the nursing quality was continuously improved by using PDCA working mode.
3. Require all departments to provide professional training for nurses through various channels: the head nurse requires the responsible nurses every day (specifically, 1-2 patients in charge); Teach teachers to do a good job in training and assessment; Nurses will try to get rid of the manuscript in the morning shift, and the bedside shift will take the initiative to report the patient's situation.
4. Strengthen training. Organize knowledge lectures based on nursing evaluation to improve nurses' understanding of the importance of nursing evaluation; Invite experts from superior hospitals to give a special lecture on "continuous quality improvement of nursing" to further improve the scientific management level of head nurses.
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