Job Recruitment Website - Property management - How to write the annual work summary of infectious diseases doctors (5 articles)
How to write the annual work summary of infectious diseases doctors (5 articles)
1 20xx, with the correct leadership of the hospital leaders and the strong support of all departments in the hospital, the hospital infection management was strengthened, which ensured the smooth development of all the work in the hospital infection department, but there were still some problems to be solved and improved. Hospital infection management in 20xx years is summarized as follows:
First, strengthen the control of hospital sensory quality, especially the management and supervision of key departments and key links.
1. Every month, according to the hospital infection inspection standard, conduct irregular inspection and supervision on all departments in the hospital, especially key departments such as supply room, operating room, delivery room, abortion room and clinical laboratory, and provide timely written feedback when problems and hidden dangers of hospital infection are found. Department to find out the reason, formulate corrective measures and then return to the hospital infection department. Hospital infection department tracks and checks the improvement effect according to the rectification measures.
2, strengthen the supervision and inspection of key links, focusing on the implementation of hand hygiene standards, disinfection and isolation system, aseptic technology operating norms and medical waste management norms, found that they are not implemented, timely feedback and stop. Reduce the probability of cross-infection and nosocomial infection.
3. Conduct 1 month comprehensive supervision and inspection on all clinical departments, medical technology, outpatient departments and property cleaning, check the implementation of disinfection and isolation, aseptic technology, medical waste management, hand hygiene, hospital infection control management, hospital infection knowledge learning and assessment in all departments, give timely feedback when problems and hidden dangers are found, put forward rectification opinions, and track and check the rectification effect.
Second, strengthen the monitoring of hospital infection
1, the prevalence rate of nosocomial infection in our hospital is zero.
2. We monitored and summarized the surgical incision in the first half of 20xx. In the first half of 20xx, the infection rate of cesarean section incision in our hospital was 0, which indicated that the control of surgical incision infection in our hospital was effective.
3, statistics, analysis of the use rate of antibiotics in each department twice, and print the analysis report issued by the department, put forward opinions and suggestions.
4, retrospective investigation of all hospital medical records of hospital infection, and timely inspection.
In order to find the problems and clues of hospital infection in time and take countermeasures in time, all surgical cases should be targeted for detection of surgical incision. * * * More than 6,000 cases were investigated, and the incidence of nosocomial infection in our hospital was 65,438 0.8%, which was lower than last year.
5, environmental hygiene monitoring and biological monitoring, every month for key departments, every quarter for non-key departments of air, surface, disinfectant, staff hands and other environmental sampling monitoring of bacterial growth and disinfection effect monitoring, monthly summary. Biological monitoring of pressure steam sterilization is carried out every week, pre-vacuum test is carried out every day, physical and chemical test is carried out on each tank, and monitoring results are recorded. The qualified rates of sterilization effect monitoring, biological monitoring, air bacterial culture, surface bacterial culture, medical staff hand bacterial culture and disinfectant contamination were 65438 000%, 65438 000%, 99.6% and 95.6% respectively.
Third, strengthen the management of medical waste.
It emphasizes the daily supervision of hospital medical waste and sewage treatment, and requires strict implementation of laws, regulations and rules, strict separation of medical waste from domestic waste, classified collection of medical waste in the generating department, double-layer packaging, clear identification and closed transportation, and storage of medical waste in temporary storage area for no more than 48 hours. Timely feedback and rectification when problems are found to ensure the timeliness and effectiveness of medical waste management.
Fourth, strengthen the study and training of hospital infection prevention and control knowledge.
According to the requirements of hospital infection training and the plan made at the beginning of the year, all employees were trained in the knowledge of hospital infection prevention and control, such as the importance of hospital infection control, Ebola prevention and control, the interpretation of 20xx disinfection technical specifications, and the training of hospital infection knowledge for grass-roots employees for four times, and the new medical staff were trained and assessed. Each department learns hospital sensory knowledge once a month, takes an exam once every quarter, and the hospital sensory department supervises the implementation every month. It not only increases knowledge, but also improves medical staff's understanding of the importance of hospital infection prevention and control, and improves compliance.
Problems with verbs (abbreviation of verb)
1, the compliance of medical staff in hospitals to implement hand hygiene standards is still not high, and the implementation of hand hygiene system in various departments is generally ineffective, which has hidden dangers of cross-infection in hospitals.
2. Some medical personnel and property personnel lack the concept of sterility, and the disinfection and isolation system and aseptic technology are not strictly implemented. Property personnel have low education level, poor compliance in learning and implementing disinfection and isolation, and there are potential safety hazards of cross-infection.
3. Clinical departments pay insufficient attention to the diagnosis and report of nosocomial infection, and there is a phenomenon of omission. The annual omission rate was 33.3%, which was higher than the standard of no more than 20%.
4. The full-time staff in our hospital have not obtained the certificate of approval, and the full-time staff and part-time staff in our hospital lack the training of relevant knowledge and technology, so it is difficult to carry out some targeted monitoring and hospital control projects.
Hospital infection control department
20xx 12.4
How to write the annual work summary of infectious disease doctors 2? Main work carried out by hospitals and hospital infection departments:
65438+
2. Strengthen the supervision of the prevention and control of nosocomial infection in clinical departments, communicate in time, guide and improve in time when problems are found, especially for the phenomenon that the medical waste classification of medical staff in our hospital is unclear and the aseptic operation of a few clinicians is not in place, conduct on-site supervision and correction for many times, thoroughly clean up the dead corner of the prevention and control of nosocomial infection, truly achieve the standardization and unity of hospital infection management in the whole hospital, and fully reflect the hospital infection management.
3. Strengthen and improve the monitoring of environmental microorganisms and bacteria, combine monitoring with clinical work, and initiate environmental dynamic bacteria monitoring, which will play a substantial role in the inspection and supervision of clinical disinfection and isolation, especially take the initiative to conduct random sampling monitoring of neonatal wards, maternal and child wards, neonatal incubators, etc. And play a good role in monitoring and prompting the environmental quality of disinfection and isolation work in key areas.
4. Carry out monitoring of nosocomial infection cases in key areas and start targeted monitoring of nosocomial infection in icu.
5. Do a good job in hospital infection outbreak monitoring report and prevention and control. In, the Department of Nosocomial Infection formulated the Early Warning Report System of Clinical Nosocomial Infection Outbreaks to strengthen the prospective monitoring of Nosocomial Infection Outbreaks and implement the system. In April this year, the hospital infection department actively went deep into the front-line investigation and treatment, reported to the hospital infection Committee in time, and assisted the outpatient department to take corresponding control measures to control the outbreak of infection in time.
6. Do a good job in the prevention and control of nosocomial infection of infectious diseases, and do a good job in the prevention and control of nosocomial infection in pre-inspection triage desks and isolation wards, especially the prevention and control of hand, foot and mouth disease and influenza A (h 1n 1). Hospital infection department conscientiously implements the relevant spirit of the superior health administrative department, and seriously standardizes and formulates relevant work systems and processes to meet the requirements of hospital infection prevention and control. There was no nosocomial infection of infectious diseases in our hospital in the first half of the year, and it is planned to meet the standard.
7. Further strengthen the continuing education and training of hospital infection knowledge. In the first half of the year, the hospital sensory department has completed off-campus training and some in-hospital training.
8. Strengthen the supervision and assessment of the implementation of hospital infection prevention and control measures in clinical departments.
Adhere to the working concept of continuous improvement, find problems, study in time, communicate in time, improve in time, incorporate persistent problems into the quality control assessment score at the hospital level, and honor rewards and punishments; Do check and guide at any time, regularly assess and evaluate, regularly report the assessment to each department, and report relevant information to the higher authorities, hospital leaders and hospital quality control departments on time and in accordance with regulations.
9. Further strengthen the management of classified collection and treatment of medical wastes. After use, the recovery rate in disposable goods is 65,438+000%, and the incineration rate of waste medical waste is 65,438+000%. The key supervision is the classification and packaging of domestic waste and medical waste, the treatment of medical sharps and infectious waste.
10, conscientiously implement the system of hospital infection evaluation and analysis, do a good job in statistical reporting of relevant information, hold regular hospital infection work meetings, evaluate and analyze the occurrence, monitoring and evaluation of hospital infection and the implementation of hospital infection prevention and control measures, monitor drug-resistant strains, analyze the pathogenic inspection rate of hospital infection cases, and publish hospital infection newsletters on a regular basis.
Second, the main problems existing in hospital public opinion work and the focus of work in the second half of the year:
1, the target monitoring work is not perfect.
2. The facilities for classified collection and treatment of medical wastes in the whole hospital need to be improved (trash cans and garbage bags).
3, hand washing facilities need to be improved (faucet, hand sanitizer, etc.). ).
Over the past year, under the leadership of the dean and the director in charge, with the active cooperation of all departments in the hospital, with the strong support of all medical staff, and with the joint efforts of * * *, the infection room has actively and conscientiously carried out various tasks according to the work objectives and plans formulated this year, successfully completing all tasks in 20xx, and no hospital infection epidemic has occurred throughout the year. The relevant information is briefly reported as follows:
First, establish and improve the rules and regulations of hospital infection management and refine the quality management measures of hospital infection.
Continuously improve the three-level network organization of hospital infection management: according to the adjustment of department heads, readjust the composition of the infection management team in clinical departments and give full play to the three-level quality control of infection management in departments. Implement the responsibilities of the hospital infection monitoring team in clinical departments, strictly implement the relevant laws and regulations on hospital infection and implement various rules and regulations, give full play to the responsibilities of monitoring doctors, monitoring nurses and other medical personnel in hospital infection management, and put the hospital infection management work in place.
Two, revise and improve the rules and regulations of hospital infection management.
Constantly improve the relevant systems, and re-establish new quality evaluation standards for hospital infection management in clinical departments and key departments according to the requirements of relevant laws and regulations and dimethyl evaluation standards. According to the assessment criteria, departments can supervise and inspect hospital infection prevention and control, disinfection and isolation, aseptic technology, medical waste management, etc., feedback in time when problems are found, formulate rectification measures, and get the signature of head nurses or department directors, carefully investigate potential safety hazards, and earnestly manage key departments, key parts and key links. In particular, the hospital infection management in key departments such as operating room, supply room, hemodialysis room, delivery room, newborn room, intensive care unit, stomatology department, gastroscope room and laboratory department was strengthened, so as to find out potential safety hazards and take intervention measures as soon as possible.
Third, improve the implementation of disinfection measures, and make disinfection records.
In May, 5438+ 10, nearly 200 books such as Ultraviolet Disinfection Record Book, Object Surface Disinfection Record Book, Disinfectant Replacement Record Book, Room Terminal Disinfection Record Book, Department Hospital Infection Management Self-inspection Record Book, and Medical Waste Recycling Record Book were made and distributed to all relevant departments in the hospital to improve the quality control records of various hospitals.
Fourth, strengthen the training and assessment of hospital awareness knowledge.
Complete hospital awareness knowledge training on time, and carry out hospital awareness knowledge training for 6 times throughout the year, and conduct training and questionnaire survey for medical staff, interns and new employees in the hospital respectively, with good results; In view of the sense control management of laminar flow operating room, we also specially organized the training for the staff of surgery and operation-related departments in the whole hospital on strengthening the sense control management of laminar flow operating room, and cooperated with the Health Bureau to complete the infection knowledge training for the head nurses of township hospitals in the county, which achieved the expected results.
Fifth, strengthen the monitoring and supervision of hospital-acquired cases and provide a safe medical environment.
1. Collect the medical records of clinical infection, make monthly statistics on the incidence rate, infection site and pathogen monitoring of hospital infection, analyze the risk factors of hospital infection, and put forward prevention and control measures. During the period of 1-65438+2 months, the number of discharged patients was ***26990, and 57 cases were infected, the infection rate was 0.2 1%, and the underreporting rate of infection was 0.007%.
2. Complete the survey on the prevalence rate of nosocomial infection in 20xx years on time, and conduct a comprehensive cross-sectional survey on the existing cases in the hospital from September 25th as planned. The number of inpatients in the hospital is 57 1 person, and the actual investigation is 57 1 person. The investigation rate was 100%, and the number of nosocomial infection cases was 1 14.
Six, to carry out targeted monitoring, real-time monitoring of hospital infection, reduce the incidence of hospital infection in key links.
1, 20xx 1 to June, the targeted monitoring of incision infection in general surgery was carried out, and all patients in general surgery in our hospital were monitored. Feedback the monitoring results to clinicians regularly, so as to analyze the causes of infection in time, take effective prevention and control measures, reduce the incidence of incision infection, enhance the awareness of medical staff about hospital infection, and help improve medical quality.
2. Targeted monitoring of nosocomial infection caused by multi-drug resistant bacteria. The monitoring objects are all hospitalized patients with multi-drug resistant bacteria. Through monitoring, patients infected with multi-drug-resistant bacteria can be found as soon as possible, and clinical medical staff can be guided to implement preventive measures for drug-resistant bacteria isolation. Remind clinicians that isolation can only be lifted after at least two times of negative bacteriological culture after infection control, effectively preventing and controlling the spread of multi-drug resistant bacteria in the hospital and ensuring medical safety.
Seven, strengthen the infection management of key departments and key departments.
According to the quality inspection standard of infection in key departments, supervision is carried out irregularly, so as to achieve planned, arranged, focused, measured, supervised, feedback, rectification, special management and continuous improvement, so as to implement the infection management system in key departments.
Eight, strengthen the monitoring of environmental sanitation, disinfection and sterilization effect and hand hygiene.
In addition to routine environmental hygiene monitoring of clinical departments in hospitals, air, object surfaces, medical hands, disinfectants and sterile instruments in key departments such as operating room, supply room, intensive care unit, delivery room, stomatology department, gastroscope room, hemodialysis room and emergency department are sampled and monitored every month, and the disinfection and sterilization effect of various departments in hospitals is monitored. From/kloc-0 to 65438+February, more than 730 samples were collected in the hospital, including 1 62 air samples, 158 surface samples, 158 medical staff samples, 65438 disinfectant samples and 1 disposable articles samples. At the same time, the hospital infection prevention and control monitoring of ventilator-associated pneumonia, catheter-related infection and blood flow catheter-related infection in ICU were carried out. The intensity monitoring of ultraviolet lamps used in clinical departments, medical technology departments and outpatient departments of the hospital was completed, and 35 ultraviolet lamps were monitored for 65 times. If it is unqualified, replace it in time to make the qualified rate reach 100%. The pressure cooker in the supply room was monitored biologically and chemically every month, and the qualified rate of aseptic mechanical sterilization reached 100%. The comprehensive performance evaluation of laminar flow operating room, including dust particles, use of high-efficiency filters, leak detection and working conditions of components, is completed by the provincial CDC, and the endotoxin detection of dialysate in hemodialysis room every quarter and the chemical pollutants detection of dialysis water once a year are completed by the municipal CDC, and the monitoring results are fed back.
Nine, strengthen the management of medical waste.
The infection department has continuously improved the rules and regulations of medical waste management, signed the responsibility book of medical waste management with the heads of various departments and full-time medical waste collectors, defined the responsibilities of all kinds of personnel, implemented the responsibility system and implemented the accountability system. The medical wastes in clinical departments are classified strictly according to the requirements, and the recyclers are strictly handed over to the clinical and medical departments, signed by both parties, and transported in a sealed manner. Provide full-time personnel with necessary personal protective equipment, the temporary storage point of medical waste meets the requirements, and strictly implement cleaning and disinfection measures. Strengthen the training of staff, so that the classification, collection, storage, packaging, transportation and handover of medical waste in our hospital can be standardized and managed, and the loss or infection outbreak caused by poor management of medical waste can be prevented.
Ten, strengthen the prevention and control of infectious diseases, calmly and actively respond to emergencies.
During the hand, foot and mouth disease and H7N9 epidemic, further strengthen the disinfection and isolation requirements for pre-inspection triage desks, pediatric clinics, hot (emergency) clinics and other key places, increase the propaganda of hospital infection prevention and control, find out the problems existing in disinfection, sterilization and isolation in time and make rectification, and at the same time strengthen the classification, collection and treatment of medical wastes to prevent infection outbreaks caused by poor management.
Eleven, strengthen the disinfection management of medical devices and disposable sterile medical supplies.
In order to strengthen the management of sterilized medical devices and disposable sterile medical supplies, the hospital office conducted routine supervision and spot checks on them in 20xx. Newly purchased sterile medical devices and disposable sterile medical supplies were randomly selected for 6 times throughout the year. Methods Samples were taken from the equipment warehouse and sent to the bacteria room for biological monitoring. The qualified rate was 100%.
Twelve, strengthen the management of antibacterial drugs.
To carry out the monitoring of bacterial drug resistance, formulate the prevention and control system of nosocomial infection of drug-resistant bacteria, and participate in the management of rational use of antibacterial drugs.
Thirteen, complete the temporary tasks assigned by the hospital leaders on time.
Shortcomings and areas needing improvement:
1, the hospital infection management committee meeting should be held in time.
2. The joint meeting system of multidrug-resistant bacteria has not been implemented, and it is necessary to further strengthen multi-sectoral cooperation, especially the joint management with bacteria room, medical department and pharmacy, so as to provide guidance for the rational use of antibiotics in clinic and strengthen the management of nosocomial infection.
3. Further strengthen the monitoring of nosocomial infection in key parts and key links, such as the management of key projects such as ventilator-associated pneumonia, indwelling catheter-related infection, surgical site infection and dialysis-related infection.
4. The monitoring work of the hospital infection management department needs to be more detailed and in-depth to reduce the hospital infection rate.
5. The compliance of medical staff to wash their hands needs to be further improved.
Looking back, although the hospital infection management in our hospital has made some achievements, it must be in the past, which can not be separated from the direct leadership of the hospital leaders and the joint efforts of all staff. We should be soberly aware that the hospital staff's awareness of hospital infection needs to be further strengthened due to the backward infrastructure, inadequate staffing of infection monitoring personnel and unreasonable structure, and the hidden dangers of hospital infection are still quite serious in some aspects. The prevention and control of hospital infection has entered the legal management track, and hospital infection incidents, especially group infection incidents, have caused malignant medical accidents from time to time. Therefore, I also hope to get the support and guidance of the hospital leaders as always, equip the infection room with young people who understand business and love sensory control, provide me with more training and learning opportunities, and expand my professional knowledge of sensory control in order to better serve the clinic. We firmly believe that as long as we have a unified understanding, perform their duties, cooperate with each other, implement them step by step, and take effective prevention and control measures, we will certainly be able to do a better job in hospital infection management and make our hospital's hospital infection management go to a new level.
Infection office
20xx65438+1October 25th
How to write the annual work summary of infectious diseases doctors? Looking back on the busy and intense work in the past six months, I feel gratified and proud. It is gratifying that the members of this department can unite and overcome difficulties. I am proud that with limited manpower and material resources, our department can complete the tasks assigned by the hospital on the premise of ensuring medical safety. Under the leadership of the hospital leaders and the nursing department, all medical staff paid close attention to the implementation of the target plan formulated at the beginning of the year, earnestly implemented it, and made unremitting efforts to successfully complete various tasks, and achieved a double harvest of social and economic benefits.
First, create departmental culture and build team spirit.
Actively respond to the call of the hospital, the department insisted on organizing medical staff to seriously study medical laws and regulations, hospital rules and regulations, accept all kinds of medical ethics education such as love their jobs and dedication, and have discussion records. Adhere to the concept of patient-centered and quality-centered nursing service, adapt to the new situation of health reform and social development, actively participate in various political activities, take serving the people and contributing to society as the purpose, take patient satisfaction as the standard, and serve the people wholeheartedly.
Second, take patients as the center and strive for first-class quality service.
In daily work, nurses always keep in mind the service tenet of "patient-centered", put themselves in the patient's shoes and start from the perspective of "if I am a patient". Actively carry out the "one-on-one full service" planned at the beginning of the year, receive every patient well, do every job well, and care for every patient. When patients are admitted to the hospital, nurses warmly welcome them, introduce themselves, do a good job of appeasement, strengthen communication with patients, reduce patients' fear of unfamiliar environment and enhance their confidence in disease treatment. Head nurses often ask colleagues about their work skills, attitudes and patients' requirements, attach importance to patients' opinions and suggestions and solve them in time.
Third, standardize holistic nursing and strive for first-class management
Good management is the basis and premise of quality service. In order to make the management more standardized and professional, we insist on planning every week and summarizing every month. Establish and improve service objectives, consciously accept the supervision of patients and society, do a good job in monthly satisfaction survey, carry out quality nursing in depth, and actively play the subjective initiative of nurses, especially strengthen the implementation of admission, admission and discharge visits, and investigate the satisfaction of nurses in departments. , thus greatly enhancing the sense of responsibility of nurses. In order to make quality nursing more perfect, our department strictly implements the check system and nursing operation procedures, and no error accidents occur. Strictly implement, manage and monitor disinfection, sterilization and isolation measures. Pay close attention to the aseptic technical operation of nursing staff and inject one person, one needle, one tube and one towel. Strict management of disposable medical supplies, disposable sterile syringes, blood transfusions, infusion sets, etc. After disinfection, destruction and incineration, the hospital infection rate was 0 for half a year.
Fourth, improve the quality of nurses and cultivate first-class talents.
With the continuous progress and development of society, we deeply realize that comprehensively improving the comprehensive quality of nursing staff is an important link in the development of departments. Strive to cultivate a team with high cultural quality, good professional ethics and excellent professional skills. First of all, through continuous learning to improve the theoretical level of nursing specialty, we can do business study every month, conduct operation assessment and "three basics" theoretical examination every quarter. Not only that, the nursing department also organizes training and study for young nurses every month, from which everyone's way of thinking, manners and manners are obviously improved imperceptibly. We believe that only by constantly improving the cultural quality, professional ethics and professional skills of all nurses can we better serve the society.
Verb (abbreviation for verb) job performance
Over the past six months, our department has treated more than 500 patients and rescued many critically ill patients. With the improvement of nursing conditions, nursing level and service quality, our department successfully completed the monthly plan. However, we should also clearly see the shortcomings: bold innovation and perseverance in management consciousness; In humanized nursing, patients' return visit and health education are still a mere formality; There are still a few comrades who are indifferent to the implementation of rules and regulations; Thesis writing and nursing research are almost absent; Especially in the service attitude and patient satisfaction, it is still obviously insufficient. The demand of patients is the scope of our service, the satisfaction of patients is the standard of our service, the touch of patients is the goal we pursue, and the quality service is endless. We will constantly sum up experience, study hard, make the service more emotional and humanized, and make unremitting efforts for the hospital's service level to a new level.
How to write the annual work summary of infectious diseases doctors? 5. To carry out hospital infection knowledge training * times, hospital medical staff, * * * times. The training contents include: basic knowledge training of hospital infection, knowledge training of disinfection and isolation of hand, foot and mouth disease, knowledge training of occupational protection and disinfection and isolation of staff, knowledge training of hospital infection control and disinfection and isolation of influenza A (H 1N 1), hand hygiene standard training of medical staff, pre-job training of new medical staff, etc. The new medical staff have been trained and examined, and they will take up their posts after passing the examination.
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