Self-inspection report of medical institutions

Self-inspection report of medical institutions

Time flies and the work has come to an end. In the course of our work, we have seen good aspects and areas that need improvement. It's time to record them in the self-inspection report. So how is the general self-inspection report written? The following is the self-inspection report of medical institutions I compiled for you, hoping to help you.

Self-inspection report of medical institutions 1 In order to further strengthen the legal practice of radiation diagnosis and treatment in our county, according to the requirements of the Municipal Health Bureau on "self-inspection of the legal practice of radiation diagnosis and treatment", our hospital conducted a self-inspection of the legal practice of units carrying out radiation diagnosis and treatment activities in our county from May 13 to May 17. The inspection situation is summarized as follows:

I. Basic information

There are 12 institutions engaged in radiation diagnosis and treatment within the jurisdiction of our county (2 Chinese medicine hospitals and township mines hospitals, 7 township hospitals, maternal and child health care centers, CDC and Kangbao plasmapheresis stations), 25 radiation diagnosis and treatment equipment and 16 radiation workers. All 12 units that carry out the practice of radiation diagnosis and treatment according to law have valid radiation diagnosis and treatment licenses, and all radiation workers have participated in the training related to radiation diagnosis and treatment protection organized by the higher health department, with the training rate of100%; Occupational health monitoring rate is 88%; The personal dose monitoring rate is100%; In 20xx, the total number of X-ray diagnoses in the county was 16623.

Second, the main problems

1. Although all radiation diagnosis and treatment units are equipped with corresponding protective equipment for radiation workers, there is a relative lack of protective equipment for patients.

2. Some radiation diagnosis and treatment institutions did not carry out condition testing on radiation diagnosis and treatment equipment.

III. Future Work Plan

1, strengthen the supervision of the work quality and safety protection of all radiation diagnosis and treatment units in the county, urge them to equip radiation workers and patients with necessary protective equipment, and actively organize radiation workers to participate in radiation health protection training organized by higher health administrative departments.

2, the radiological diagnosis and treatment institutions of radiological diagnosis and treatment equipment status detection and "radiation diagnosis and treatment license" for verification, the radiological diagnosis and treatment equipment at least once a year to check, to detect unqualified units of the "radiation diagnosis and treatment license" annual inspection will not be accepted.

3. Combine the occupational health monitoring and personal dose monitoring of radiation workers in various radiation diagnosis and treatment units with the annual assessment, and actively urge them to carry out occupational health monitoring and personal dose monitoring of radiation workers.

2. Huaxi District Health and the self-inspection report of medical institutions of the US Food and Drug Administration:

In order to further strengthen the supervision of medical and health institutions in my township, it is of great significance to adhere to the basic principles of deepening the reform of medical and health system, improving medical quality, ensuring medical safety, improving the utilization rate of grassroots medical services and improving the health status of the people. My township seriously organized personnel to conduct self-examination on township hospitals and three village clinics; The self-inspection report is as follows:

First, the supervision and licensing of medical personnel's professional qualifications

Medical staff in our township strictly abide by relevant laws, regulations, rules and industry requirements. Medical staff and outpatient doctors in health centers must obtain the qualifications of practicing doctors or assistant doctors, and nurses have nursing qualifications. Those who have not obtained the qualification certificate shall not engage in the diagnosis and treatment of medical posts. Rural doctors can only carry out medical business if they have obtained the qualifications of rural doctors or rural doctors. Strictly follow the Law on Medical Practitioners, Regulations on the Management of Rural Doctors and Regulations on Nurses. Non-health technicians are strictly prohibited from engaging in diagnosis and treatment activities. In strict accordance with the "Regulations on the Administration of Medical Institutions" and other relevant laws and regulations, carry out the "diagnosis and treatment business" that is suitable for its functions and tasks, and strictly practice the scope; No violations of laws and regulations were found in the self-examination.

Two, establish and improve the rules and regulations, standardize medical service behavior.

In accordance with the requirements of laws, regulations, rules, norms and technical specifications such as Regulations on the Administration of Medical Institutions, Regulations on the Administration of Rural Doctors, Measures for the Administration of Township Hospitals, and Measures for the Administration of Hospital Infection, my township has established, improved and checked the implementation of various management rules and regulations; Strengthen the management and control of medical quality, standardize the writing and storage of medical documents, and rationally use drugs and medical devices to ensure medical safety; Strictly implement hospital infection prevention and control measures and strengthen the management of disposable medical equipment and consumables; The treatment of medical wastes and the harmless treatment of sewage and dirt shall be carried out in accordance with the Regulations on the Administration of Medical Wastes. After strict self-examination, there are no illegal personnel and incidents in my hometown.

Third, the existing problems

1. In the future, it is necessary to further strengthen the training of primary medical personnel, carry out education on medical quality and safety, medical ethics, and organize relevant training on laws and regulations, rational drug use, hospital infection, diagnosis and treatment skills, and doctor-patient communication.

2 to carry out publicity and education on medical knowledge of the masses, guide the masses to correctly understand medical risks, and improve medical safety awareness.

After strict self-examination, this is generally the case in my hometown. I hope that the superior leaders will guide and improve more in the future.

4. Gradually improve, strive to deepen medical and health reform, and improve the quality of medical services.

3. Self-inspection report of medical institutions of the Municipal Health Bureau:

In order to further strengthen the supervision of medical and health institutions in my township, adhere to the basic principles of deepening the reform of medical and health system, improve medical quality, ensure medical safety, improve the utilization rate of primary medical services, and improve the health status of the people, it is of great significance. My township has carefully organized personnel to conduct self-examination and self-evaluation of medical institutions in the township. Self-examination and self-assessment are as follows:

I. Personnel qualification supervision

There are 24 rural medical staff in our jurisdiction, including 0/5 in hospitals and 9 in 4 village clinics. There are currently medical practitioners 1 person, 3 assistant medical practitioners, practical nurse 1 person, B-ultrasound and electrocardiograph 1 person, 2 assistant medical practitioners and 7 rural doctors. All the above personnel have been registered in our jurisdiction and filed with the Municipal Health Bureau. Practitioners carry out practice activities in accordance with the Law on Medical Practitioners, Regulations on the Management of Rural Doctors, Regulations on Nurses and other laws and regulations, so as to prevent people without professional qualifications from engaging in relevant medical and nursing work.

Two. The implementation of various rules and regulations

In accordance with the requirements of laws, regulations, rules, norms and technical specifications such as Regulations on the Administration of Medical Institutions, Regulations on the Administration of Rural Doctors, Measures for the Administration of Township Hospitals and Measures for the Administration of Hospital Infection, establish and improve various management rules and regulations and check the implementation; Strengthen the management and control of medical quality, standardize the writing and storage of medical documents, and rationally use drugs and medical devices to ensure medical safety; Strictly implement the prevention and control measures of hospital infection and strengthen the management of disposable medical devices and immersion medical devices; The treatment of medical wastes and the harmless treatment of sewage and dirt shall be carried out in accordance with the Regulations on Physical Management of Medical Wastes. And strict self-examination.

Three. Standardize medical service behavior

1. Strengthen the management and preservation of medical care documents for reference.

2. Rational use of essential drugs.

(1) All rural medical institutions in our jurisdiction have used the essential drugs prescribed by the state.

(2) In strict accordance with the Measures for the Administration of Clinical Application of Antibacterials, the leading group for the administration of antibacterial drugs in hospitals dynamically manages antibacterial drugs and prescriptions in medical institutions under their jurisdiction, and timely intervenes in irrational drug use.

(3) Various charges

We strictly follow the national price policy on the Regulations on the Management of Medical Service Charges, and implement a full disclosure system for all charges. Clearly marked. Convenience supervision.

(4) Prevention and control of key infectious diseases

Actively carry out work in accordance with the Law on the Prevention and Control of Infectious Diseases and the Regulations on the Management of Infectious Diseases, make unified arrangements, assign responsibilities to people, adhere to the responsibility system of first diagnosis, actively refer patients or suspected cases of infectious diseases, report the epidemic situation, and actively cooperate with the prevention and control departments at higher levels to carry out relevant epidemiological work. Do not shirk or intercept infectious patients. existing problems

1. In the future, it is necessary to further strengthen the training of primary medical personnel, carry out education on medical quality, medical safety and medical ethics, earnestly study various laws and regulations, and carry out training in business skills and doctor-patient communication.

2, to carry out publicity and education of medical knowledge, guide the masses to correctly understand the medical risks, improve the medical safety awareness of the masses and the ability to identify counterfeit and shoddy drugs.

3. Implement the accountability system.

Those who fail to operate according to the operating rules at work and have medical accidents or medical disputes will be dealt with seriously in accordance with relevant laws and regulations and will not be tolerated.