Pay close attention to the fact further the patient seeks medical advice and experiences
Pay close attention to the fact further the patient seeks medical advice and experiences
Staff reporter Zhang CanCan " the tertiary general hospital evaluated the standard " concerned by industry extremely made at last. Supervise the introduction of relevant person in charge of the department according to the medical care of Ministry of Public Health, in order to launch the work of evaluating better, contain relevant technical indicator " the tertiary general hospital evaluates the standard implementing regulation " but released subsequently too. Not encouraging exceeding scale enlargement according to the introduction of this person in charge, our country started the hospital grade to evaluate since 1989, the hospital grade of first cycle evaluated that was over in 1998, evaluated 17708 hospitals together, accounted for 26.4% of the hospital total number of our country of the end of 1998. Evaluate, have strengthened the macro-management consciousness to the health care industry through this wheel, have accelerated the hardware facilities of the hospital to upgrade, but store and assault and meet the serious phenomenon of making the fake of commenting, case history in the hospital too, must cause the hospital to hanker after scale enlargement to hardware cards such as counting and apparatus of the sick bed,etc. more severely, building the new building increases the scale of the sick bed, fall over each other to buy the medical apparatus, competitively have the new technology, new event, make the arms race. The new " standard " requires the hospital to develop on appropriate scale, pay attention to the construction of intension, no longer encourage the ultra scale enlargement of the hospital. According to the introduction of this person in charge, place insisting the hospital is public beneficial on very important position, this is that the hospital of our country evaluates the biggest difference between standard and other countries too. For example participate in, happen suddenly public the intersection of incident and urgent the intersection of medical treatment and rescue, coordinated cooperation like up to qualified to require, will be rejected in evaluation by a ticket. Newly-increased social assessment is according to the introduction of this person in charge, " standard " is outstanding during formulation to take patient's demand as the direction, pay close attention to the feeling that the patient seeks medical advice further. For example, in the hospital serves chapter one, have increased and made an appointment to make a diagnosis and served; Optimize the intersection of clinic and procedure, go to a doctor according to clinic patient's flow allocate medical resources, seek medical advice and wait in reduction; Strengthen the management of landscaped roadway of the emergency call, treat and cure the urgent critical disease patient in time; Improve, the service procedure of transferring from one department to another in hospital, change the place of examination, strengthening and changing the place of examination, the patient's handing over management of transferring from one department to another, offer continuous medical treatment service for patient, the patient's health education of strengthening and leaving hospital and following up a case by regular visits to the management of making an appointment; Improve the medical insurance service to manage, reduce the medical expenses of a patient to prepay, strengthen and effect an insurance a patient in the know agrees; Safeguard the patient's legitimate rights and interests; Strengthen and complain management. In in attending to manpower resources management, it emphasize by doctors and nurses in the past than, protect by bed than, this actually regards fixed assets and establishment as the standard to allocate and attend to manpower. If you can't put emphasis on not protecting, suffer from " the standard " than,focus on not examining by each nurse responsible patient quantity, could meet, dispose and attend to manpower with actual demand of patient for the core, demand to regard attending to the work load the foundation clinically as, allocate the elasticity in attending to the human resources according to accepting patient's characteristic, attending to the grade proportion, berth rate of utilization, this will impel the service efficiency of attending to the human resources to get great promotion too. This person in charge says, the appraisal on the scientific findings mostly valued the quantity in the past, and " standard " pays attention to the efficiency of scientific research even more, open thesis counting, scientific research task and winning fund amount of scientific research to weigh the scientific findings of the hospital of showing the berth and finishing by every hundred, the scientific research of the hospital should launch research work around patient's demand as the clinical service better, don't place too much energy on having a few difficult patient's benefited fields only. In addition, the newly-increased social assessment of " standard ", require the hospital to collect to the opinions and suggestions which the hospital serve in, outside the courtyard regularly, this will impel the hospital to pay close attention to the fact further the patient seeks medical advice and experiences, " regard patient as the centre " too Each detail which idea implement to and serve at hospital really in. Emphasize basic quality control according to the introduction of this person in charge, in promoting the medical lasting improvement of quality safety, " standard " requires hospital and department to all set up and amplify the quality and security and control the mechanism, find defect and potential problem in time. Chase the new technology to some hospital heat, unrealistically compare the quantity of launching the new technology, not only promote the upward supposition of the hospitalization cost also bring the question of greater hidden danger safely to medical treatment, " standard " emphasizes the management of basic quality in basic quality and high-quality precision and sophisticated technology. For example, emphasize on the medical technical management the classification is managed, manage and appraise the track of the whole process in launching situations such as the security, quality, curative effect, economy of medical technology,etc. newly, find and reduce the technological risk of medical treatment in time. Authorize and making the hygiene technical staff who implements risky technical operation of the operation, getting involved, anaesthetizing etc., carry on the assessment of technological ability and quality performance regularly. Abuse the comparatively serious situation to the heart support, " standard " is especially referred to, should know that get involved in indication of the treatment technology, standardize technical operation, there is resignation system of the apparatus of getting involved to make a diagnosis, the apparatus source can be traced back to. Strengthen, comment on proportion at ordinary times to the last round of evaluate, hospital assault meet, comment, pass after the evaluation appearing the intersection of quality and the intersection of person who come down and issue, " standard " has set up running, antibacterial drug use, institute's sense control, single number quality accusing of, infectious disease of the hospital and controlled the daily statistics evaluation index, lead the hospital administrator to pay attention to collecting the daily information of the hospital, carry on statistics analysis to the data, judge the operation state of the hospital from it, realize and become more meticulous to manage, the administrative administrator of the hygiene can also weigh the level of the management level of the hospital according to these indexes at the same time. Evaluate in the new round of hospital at the beginning, the daily proportion commented on will not be lower than 30% of total points, and normalize with the daily gradual norm commented on, the daily proportion commented on will also be further improved. The hospital needn't assault and greet and comment as before, so long as do a good job of every one solidly at ordinary times, can get the high score easily in the last hospital evaluates.
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