Sunday, August 5, 2012

Jiangsu: The management of the hospital moves towards becoming more meticulous

Jiangsu: The management of the hospital moves towards becoming more meticulous
Jiangsu: The management of the hospital moves towards becoming more meticulous
Staff reporter Sun Meng Become more meticulous and manage higher realm that is scientific management, it is significant to manage, promote medical quality to improve and improve the service procedure in strengthening the public hospital. In at the intersection of Jiangsu and provincial hospital that July 10 hold take management, can move forward live finely, over one hundred directors, curing a policy office division chief to go to Wuxi city second the People's Hospital to pay and view and emulate, and are each method, effect, experience and realizing paying discussing in becoming more meticulous and managing. The medical reform needs the finely melting to manage of the public hospital, become the common understanding of the representative participating in the conference. Through advancing the introduction that will have the presidents, can find out the medical organization of Jiangsu Province explores the motive on in the management of finely melting. Keyword: Mainly examine doctor's responsibility system at present, Wuxi city second the People's Hospital spreads out and mainly examines doctor's responsible mainly examining group's operational mode, the patient is available to mainly examine the group, mainly examine a doctor and can select the subordinate doctor. This Yi LiHua, president of institute, says, the greatest transition that this kind of mode brings is, undertake to change everybody into the whole of department to care about the working efficiency, service quality and discipline development of the department in responsibility from the head of the department for department's development alone. The service quality of the hospital is promoted greatly, doctors and patients' dispute is reduced. It is introduced, this institute has established 47 to mainly examine doctor's responsibility system group together at present, mainly examine the group to relatively operate and manage independently independently. Mainly examining group's group leader is served as by the medical backbone of Corey's high age and service seniority, group leader and group member are produced from the two-way choice, implement the dynamic management in mainly examining group's group leader, and carry on the elimination of the last one. The hospital will mainly examine group's announcement and pay on the wall even, the patient's choice, medical service quality and dispute quantity and mainly examining work load and performance of the group and examining the hook, have aroused the enthusiasm of each group effectively. The head of the department mainly examines a doctor as freedom, is not responsible for the concrete medical group, but lead everybody to discuss the treatments of the difficulty, complicated case, and manage technological innovation and intension construction of the department,etc. in an all-round way. Keyword: Electronic case history the People's Hospital of Jiangsu Province regards electronic case history system as the platform from last May, manage medical quality and security. This Wang Hong, president of institute, points out, the electronic case history system relies on the informationalized means to record all medical behaviors that a doctor takes place in the course of making a diagnosis for the patient, its primary function is to rely on the informationalized means to standardize the doctor's operation behavior, but not utilize the computer to input and replace the craft homework briefly. In research and development and implementation of the electronic case history system, this institute also imbeds the medical quality control node into it. For example the intersection of course of disease and record include the intersection of case and characteristic, diagnose basis, the intersection of differential diagnosis and main point and make a diagnosis, plan 4 key element for the first time, hold a consultation doctor's order, immediately until message platform tell relevant the intersection of consultation and doctor of department in the courtyard system. In addition, the system uses etc. and points out and warns the function to the medicine incompatibility, ultra dosage of medicine too. Wang Hong says, this institute finds, the modification rate of the case history of the hospital is reduced from 6% when being handwritten before this to 2% of today in filing the quality analysis of the case history, the doctor's working efficiency is improved greatly too. Keyword: Head of the department the intersection of target responsibility system and the intersection of Wuxi and city fourth Cheng, director of people, red to point out, head of the department because it is strong in technology to be professional,it is appoint to promote,how long or getting longer time will leave by undergraduate course room, this often leads to the fact innovative consciousness is not strong. In addition, though a lot of hospitals have a goal responsibility system of heads of the department, lack and implement the examination of the situation to the goal responsibility of the head of the department. For solve problem this, Wuxi the intersection of city and fourth the People's Hospital cure the skill department, classify while being clinical the intersection of function and department, have defined duty and right of the chiefs of the office of all kinds of department. At the beginning of every year, the president signs the tenure liability statement of the goal with head of the department; Examine every quarter, its result is tied to bonus directly; Carry on the rank at the end of the year, implement the location elimination system of the end. This institute divides the function department into 4 kinds: Cure policy department, scientific research personnel department, Party and government organs and ensure the department, examine by quality control, scientific research and personnel training separately, finish the mandatory task and control the cost, offer the rear-service ensurance index as the main fact. This institute will also cure the skill department to divide clinically into surgical system department, internal medicine department system department, tumour system department, clinic system department and cure 5 kinds skill departments, manage the focal point differently in the curing the policy of each kind of department. This year, this institute has signed the second round " key training and relevant department's goal liability statement of tumour " with chiefs of the office of 13 departments, rewarded clearly and punishment measure. Keyword: The safe hospital builds to Vice President of Nantong university affiliated hospital Ni SongShi and says, this institute strengthens management in the construction of safe hospital, it is far lower than the similar hospital at the same level to bring about number and medical dispute compensation a horizontal tablet in medical dispute in recent years of the hospital. Quality and medical treatment of the case history are safe and closely bound up, Ni SongShi introduces, in order to reflect the case history finishes the labour value of people and caretaker, this institute has set up and is in hospital the value fund of case history. Among them, 95 the above-mentioned outstanding first rate in hospital case history value fund 50, 94 assign to lack of, deduct 5 by one each time 85 to, fen of the intersection of case history and values fund 0, 84 assign to lack of, deduct 10 by one each time 70 to, 69 and a following one deduct 500. Hospital implement risky to make a diagnosis the intersection of medical matters and the intersection of and filing system that tell still, demand, in charge of doctor, suffer from the side, reach the intersection of medical matters and together, understood and suffered from and then to its situation of the risk in the know of making a diagnosis by the place staff members of the medical matters, guarantee to suffer from and then the true will of the decision of making a diagnosis in accepting, check it is that the sufficient science is rational that clinical medical treatment is prepared at the same time. Since 2003, this institute has implemented making a diagnosis riskily there are more than 10000 examples in the case that the medical matters have been put on record, in that a few patients present complication, but there is no medical dispute.


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