Weave firm medical quality " The bottom of the network "

Weave firm medical quality " The bottom of the network "
Will it be December 2006, third army medical university southwest the intersection of director and Li Jingbo take up an official post Shi just, it is predecessor's achievement out of the ordinary to be in front of him: The large hospital with 2500 berths, portfolio and medicine teaching and research achievement the medical system comes out at the top in Chongqing, break through this achievement to realize the great-leap-forward development seems very difficult.It exceeds whom a lot of people expects to be, only 2 and a half years, this institute realized benefit " triple jump " ,Every business indexes rise continuously, the clinic quantity in sun reaches 9500 persons most, the gross income is expected to top 2 billion yuan at the end of this year, nearly double more than 1,044 million yuan in 2006. In the first prize of the above scientific award at provincial and ministerial levels which three medical universities obtain in 2008, this institute accounts for 5 items. This year, the pathologic heads of the department, the Changjiang River scholar Professor Bian XiuWu of this institute become " 973 " again Chief scientist of the important project of mouths of the people. This is rare in the military hospital.Win with the quality characteristicUnder the circumstances that a lot of hospitals carry on the current situation that the epitaxy expands actively, the southwest hospital is not impetuous. Li Jingbo propose " appropriate scale, the intersection of intension and construction, innovation develop, win with the intersection of quality and characteristic " once taking up an official post Development goal. This institute orientates 2007 as " The brand is expanded annually " ,Will orientate as in 2008 " Intension is deepened annually " ,In deepen, manage and strengthen at the quality making foot article.The leaders of this institute have made out a bill, shorten each time on the basis of existing berth and is in hospital for one day of day on average, mean increasing 300 sick beds. For this reason, this institute catches shortening and in hospital for this key link of days equally tightly, improve every efficiency through managing. Meanwhile, the whole institute implements the elastic work system, the all-weather operating room is opened, the clinical laboratory works in three shifts, the people of dept. of radiology rest the machine, register and charge in clinic the window is amalgamated, concentrated on registering before 9 o'clock, concentrated on charging after 9 o'clock, increased the window, reduced personnel, have raised the efficiency Li Jingbo says, it is day off in 113 days of one year, in addition, head of the department, expert attend various meetings, go out to hold a consultation etc., have caused the medical quality control of the vacation " The short board " . In order to guarantee medical quality, the method that this institute adopts is to weave " bottom of the network " of firm medical quality ,Implement medical treatment " Always in hospital " The system and attending to " Always in hospital " System. Namely the intersection of medical treatment and safe the intersection of end and from airline doctor and nurse on duty a line of defence, change to medical treatment " Always in hospital " Or attend to " Always in hospital " Responsible for. " always in hospital " On duty in the ward in 24 hours, weave the firm " bottom of the network " of medical quality . This institute still proposes, establish the great quality view, namely subdivide through discipline and integration, launching the new business new technology, improve technological platform,etc., improve the comprehensive medical quality of the hospital.The medical department's section chief Wu Haos of this institute say, except that a customary one is tertiary to make the rounds of the wards, from 30 past 22 every day to 23 o'clock, medical treatment is " always in hospital " Will lead first line doctor, nurse on the same day to carry on once again and make the rounds of the wards, how much patient does it have in all while being complete, have, need first grade attend to more or less and which piece it will be the intersection of condition and having critical, have what patient need surgery,etc. the next day, " always in hospital " It should be clear.One day of last June, surgery of incumbent ambition is " always in hospital " Wu Wei as usual for ward several patients critical control especially implementing. Will it be will it be about 1 o'clock before dawn next day, he look over one finish bicuspid valve and the intersection of aorta and a patient who replaced surgery just, found suddenly the patient's renal function and heart function had depleted signs, blood glucose was very high, the general one lowers the candy treatment and works with he no. Wu Wei thinks, only relies on the strength of doctors and nurses of this ward to be very hard to get along with and puts this patient, and condition of patient the whole institute after inferior for 24 hoursing loud to hold a consultation too. Then he determine, worried to invite department of nerve internal medicine, cardiovascular dept.(internal medicine), division of endocrinology, department of anesthesia " in hospital " resolutely Hold a consultation. These Line two doctors coming rapidly have made the comprehensive healing solution together, make the patient pull through finally. Wu Wei says: "From making a phone call to every subject ' always in hospital ' to consult about beginning, only use for 5 minutes, improve and rescue success rate greatly. "It is introduced, in southwest hospital, want, have the intersection of attending physician and above doctor of professional title could serve as medical treatment " in hospital " in principle ,Getting clinical the intersection of doctor and graduate or master graduate, work to even may take on all over 2 years. This regulation has been guaranteed " Always in hospital " Professional qualifications.The simulation training center of the southwest hospital costs more than 16 million yuan, various operation spaces and apparatuses are all available in the centre, to " always in hospital " Operation train just go on at there. It is newly appointed that this institute will direct against every year " Always in hospital " Off-the-job training of carrying on between one week and two weeks. Except start to operate, is " always in hospital " And coherent for department knowledge, coordination and communicative skill,etc. when studying being medical by quality control, traininging, and need to rotate in emergency unit, medical department, letters and visits from the masses and is done and in charge of the administrative department of running etc. with the quality.The total doctor is to in hospital " The fragrant bun " And the tradition " Always in hospital " Function compare,is it southwest hospital at system design at give to " in hospital always " More administration authority: " always in hospital " Positioned such that the assistant of the head of the department is a member of center group of an department.Wu Hao says, the head of the department of the large hospital often undertakes strenuous clinic, scientific research and administrative task, it is very difficult to have surplus energy to accept the careful management of the hospital is commented on. After the reform, are " always in hospital " The meeting becomes that transmits the management expectancy main channel of the hospital, is " always in hospital " Get involved and manage, make management quality and efficiency in the department all have obvious improvement. Wu Hao says, are nowadays " always in hospital " The question put forward at the meeting, a big chunk can be being solved or improved by the next day.Except " Make what is going on at highr levels known to lower levels " ," always in hospital " During fully communicate " Always in hospital " The meeting " The opera involving much singing and action " . Wu Wei tells reporters, at the meeting, are " always in hospital " During get content of exchange " The upper mesa " . But exactly these discussions, there are important meanings in the improvement of some quality. Once, the orthopedist needs a patient's image result badly, but the X-ray photograph is just sent after for a long time. The orthopedist finds through tracing back to to the whole procedure time has not been stopping over to complement and examine the department, and the guarantee department transported the middle lying in being responsible for is short of hands. Through discussing, are " always in hospital " Can fix the persons for one person to determine by department business finally,choose to send article responsible for the emergency off. The modification of this detail has raised the efficiency greatly.In order to ensure " Always in hospital " The full play of management function, southwest hospital replenish " in hospital " per month From 600 yuan to 800 yuan, and allot the mobile phone for them. Meanwhile, if attending physician finish " in hospital " In tenure, have no right to declare associate professor and associate professor of treatment. According to the introduction of Wu Hao
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