Summary of hospital internal control work

Summary of hospital internal control work

The goal of internal control is mandatory, and its measures are defensive, so the internal control work of the hospital is also extremely important. Here is what I will do for you Collected summary of hospital internal control work, welcome to read!

Summary of hospital internal control work

In 20xx, the district committee, district government, district health bureau and Under the correct leadership and strong support of relevant departments at higher levels, our hospital fully implements the spirit of the 18th National Congress of the Communist Party of China, takes the opportunity of creating a grade-level hospital, strengthens scientific management, highlights connotation construction, improves various rules and regulations, improves medical conditions, and creates characteristics of traditional Chinese medicine Specialist, and actively carry out pre-disease treatment services. The hospital maintained the momentum of rapid development and successfully completed various tasks for the year. The hospital's management level, overall scale, and total business volume have jumped to a new level. The work in 20xx is now summarized as follows:

1. Economic work indicators completed in 20xx:

As of October 20, the total income of the hospital is 10,000 yuan, including 10,000 yuan in financial subsidies, medical Income of 10,000 yuan, pharmaceutical income of 10,000 yuan, proportion of pharmaceuticals. In 20xx, the business volume is expected to be 10,000 yuan.

2. Pay close attention to political and ideological work and implement the construction of party style.

In 20xx, our hospital solidly carried out the "Style Efficiency Construction and Improvement Year" activities, created the "People's Satisfaction Grassroots Unit Activities", and the "Three Goods and One Satisfaction" activities, and strictly implemented the provincial, municipal and district "About Activities for the People's Satisfaction" The Notice on Implementing the Eight Provisions of the Central Committee and the Ten Provisions of the District Health Bureau on Strengthening the Work Style of the Health Industry. First, clarify the division of tasks and responsibilities of the members of the leadership team in the construction of work style, and form a leadership pattern and working mechanism that focuses on all aspects of management; establish an accountability system, and incorporate work style work into the management of leading cadre assessment objectives. Secondly, we should strengthen the education of medical ethics and professional ethics, fully mobilize and involve all staff, educate the majority of medical and health personnel to firmly establish the idea of ??serving the people wholeheartedly, strengthen professional responsibility, professional ethics, professional discipline, and enhance service awareness. The professional ethics of health technicians shall be assessed annually and linked to various rewards and punishments. The third is to resolutely correct unhealthy practices in the purchase and sale of medicines. Standardize the procurement of drugs and health equipment; strictly implement the Provincial Department of Health's "Regulations on Stopping Medical and Health Personnel from Accepting Red Envelopes and Holding Responsibility" and other relevant regulations, and resolutely investigate and punish clinical promotion fees and billing fees , unified prescription fees, prescription fees and other kickbacks, large prescriptions, random inspections, arbitrary charges and other issues, ensure reasonable inspections, rational use of drugs, and reasonable charges; it is strictly prohibited to accept "red envelopes" from patients. Fourth, the hospital office and nursing department organized, with the dean participating, inviting patients and patient family representatives from various departments to hold symposiums on work style construction, soliciting opinions and suggestions and solving them in a timely manner. In 20xx, 4 symposiums were held with more than 80 people participating; Leading employees from all walks of life are invited to serve as work style supervisors all year round, and social questionnaire surveys are conducted on the hospital's medical ethics, medical style, quality of medical care, technical level, medical environment, etc. A total of 2 evaluations were conducted. The hospital's overall satisfaction rate was 96.6. The hospital Employees evaluated the hospital twice, and the overall satisfaction rate was 96.7.

3. Strengthen the internal management of the hospital and accelerate the pace of hospital development

(1) Adhere to the development of medicine through science and technology, and attach importance to talent training and scientific research. First of all, according to the business development and work needs of our hospital, we have enriched the team of middle-level cadres and added reserve forces for the development of the hospital. Implement the attending physician responsibility system, strengthen the teaching of young comrades, organize a three-tiered talent team, accept undergraduate students, send people for further study, and participate in the postgraduate class of Western Studies with 9 people. Encourage young doctors to improve their studies. Secondly, strengthen learning and training to improve the professional quality of medical staff. Every Wednesday is designated as the hospital-wide TCM knowledge training day. Every Tuesday, students participate in video learning from the State Administration of Traditional Chinese Medicine and carry out 23 in-hospital business trainings; they organize 6 hospital-wide "Three Basics" knowledge assessments, with a pass rate of 98.5. Ranked second in the district's three basic exams.

Supervise the medical department, nursing department and other functional departments to organize in-hospital business lectures. On the other hand, we speed up talent cultivation through “going out and inviting in” methods. Third, we must persist in developing medicine through science and technology and carry out new technologies and new projects. Lithotriptors, fully automatic immunoassay analyzers and other medical equipment have been purchased successively to provide guarantee for clinical diagnosis and treatment.

(2) Pay close attention to the quality management of medical care to ensure medical safety. Carefully organize and supervise the medical department, nursing department and other functional departments to regularly carry out medical quality inspection activities, carefully inspect the writing of medical records, prescriptions, the use of antibiotics and the implementation of disinfection and isolation, conduct comprehensive analysis, and strictly Rewards and penalties are carried out in accordance with the hospital management system. At the same time, the coordination, guidance, and supervision roles of administrative and logistics functional departments are fully utilized to provide strong logistical support for the normal development of clinical front-line business. Due to effective work measures

, the quality of medical care has steadily increased. There have been no major medical errors in the past year, which has effectively prevented medical risks and promoted the rapid growth of medical business. At the same time, patients have increasingly trusted the hospital. The higher.

(3) Further strengthen the management of New Rural Cooperative Medical System. The first is to ensure a participation rate of 100 and ensure full coverage. It is necessary to truly implement the participating personnel. The second is to improve the compensation plan to ensure that the actual compensation ratio for people's hospitalization medical expenses is above 10%. The third is to improve service capabilities and ensure network service coverage of 100%. Improve the village-level online reporting system, comprehensively improve the quality of new rural cooperative medical care management and operation, and ensure that participants can use their cards for medical treatment and settlement by swiping their cards quickly, conveniently, fairly and transparently. The fourth is to strengthen supervision and management, further standardize medical service behavior, and rationally use cooperative medical funds. Clarify responsibilities, strictly assess rewards and punishments, strengthen fund use monitoring, implement average cost control, limit payment for single diseases, strictly check hospital admissions, strictly control large prescriptions, and strictly prevent impostors.

(4) Further promote equalization of public health services. Organize and implement tuberculosis prevention and treatment, hospital delivery subsidies for rural pregnant women, free folic acid supplements for rural pregnant women before and during early pregnancy, free pre-marital medical examinations, prevention of mother-to-child transmission of AIDS, syphilis and hepatitis B, under 15 years old Public health services include free hepatitis B vaccination for children and free surgery for poor cataract patients to restore their eyesight.

(5) Further improve the essential medicine system. The first is to strictly standardize the procurement channels for essential drugs and implement zero-margin sales. It is strictly forbidden for a few village clinics and a few health service points to sometimes purchase medicines on their own without complying with regulations or sell them at zero price difference. We must resolutely implement the major policy of medical reform. The second is to conscientiously implement the performance appraisal system. Performance appraisal is an important part of the reform of the medical and health system, especially the implementation of the essential medicine system. Internal employees must be assessed for their performance, and village clinics must be assessed for their performance in a timely manner. It is strictly prohibited to make compromises or to play cards, and it is strictly prohibited not to perform assessments but not to deliver, to only assess but not to deliver, or to assess but not deliver. The third is to resolutely strengthen medication management. It is necessary to continue to strengthen the supervision of medical personnel's rational use of drugs, continue to implement monitoring and analysis of abnormal situations of drug users, drug use structure, and drug quantity, and implement regular reporting, regular analysis, and regular rectification systems to ensure rational clinical use of drugs.

4. Steadyly promote the construction of grade-level hospitals

The first is to carefully compare the establishment standards and assessment rules to understand the spirit; the second is to formulate a plan and divide it into relevant functional departments according to the assessment requirements and content. , clarify the responsible person, and pay close attention to the implementation of the work; the third is to carefully identify the gaps, formulate rectification measures, and bring the problems that are difficult to solve in the department to the founding group meeting, and the hospital leaders will make a decision on the spot to solve them; the fourth is to stick to the score points, Improve relevant information; the fifth is to promote the development of various tasks based on the standardized standards of second-level hospitals and strive to improve service satisfaction; the sixth is to strengthen confidence, overcome difficulties, be truthful and pragmatic, and effectively do a good job in the review and evaluation of second-level hospitals. Specific work.

Highlights of work in 20xx: Create a grade-level hospital and achieve standardized management. Mainly manifested in the following aspects:

1. Improve the organizational system, standardize the department setup and department naming.

2. Increase investment and improve the hospital environment. More than 500,000 yuan has been invested to renovate the first floor of the newly constructed ward building into a standard disinfection supply room, expand and relocate the medicine warehouse and Chinese medicine decoction room, and build a parking lot and green belt. More than 400,000 yuan has been invested in the introduction of a fully automatic immunoassay analyzer, and the purchase of traditional Chinese medicine diagnosis and treatment equipment such as a lithotripter and a specific wave therapy device.

3. Information construction is developing rapidly. Dozens of computers have been purchased for ward outpatient clinics, and electronic medical records are used in both wards and outpatient clinics.

4. Strengthen business and technical learning and strictly implement the "Three Basics and Three Stricts". It has invested more than 50,000 yuan to establish an online video learning platform for traditional Chinese medicine technology of the State Administration of Traditional Chinese Medicine, and organizes learning for all hospital employees every Tuesday afternoon. The hospital organizes learning on appropriate techniques of traditional Chinese medicine every Wednesday afternoon, and scientifically improves the assessment rules. Effectively carry out pre-job training for new staff, "Three Basics and Three Stricts" and knowledge training and examinations on health laws and regulations for on-the-job staff, requiring everyone to pass the test.

5. The unique advantages of traditional Chinese medicine will be further brought into play. Specialty construction has achieved results. Promote traditional Chinese medicine performance assessment, improve the traditional Chinese medicine performance assessment plan, and include the utilization rate of traditional Chinese medicine pieces, the treatment rate of traditional Chinese medicine, and the treatment rate of dominant diseases of traditional Chinese medicine into the comprehensive assessment goals of the department. Integrate the pain department, anorectal department, and diabetes department with strong strength and obvious advantages of traditional Chinese medicine as municipal, district and key specialties. The number of personnel in the pain department, anorectal department, and diabetes department has been increased, and traditional Chinese medicine diagnosis and treatment equipment such as fumigation warehouses and traditional Chinese medicine specific wave therapy instruments have been purchased. Preliminarily establish a ward comprehensive treatment area and an outpatient comprehensive treatment area, establish a "preventive treatment" service platform, open a constitution identification clinic, carry out winter disease and summer treatment services, and promote the unique advantages of traditional Chinese medicine play.

6. The construction of hospital culture has been implemented. The core value system consisting of the hospital's purpose, training, and development strategy was further clarified. The hospital has its own hospital song "Angel's Choice", which fills the gap in the hospital's cultural construction. Compiled and printed the "Employee Handbook" and "Culture Handbook" and conducted training. By carrying out the "Three Goods and One Satisfaction" activities, the creation of civilized demonstration windows, and medical ethics assessments, we vigorously advocate the industry atmosphere of self-discipline and self-examination; we vigorously advocate the sense of responsibility and mission of inheriting and innovating the motherland's medicine. According to the design style of "Weibing Hall", "Baicao Hall" was designed and decorated, perfectly combining the unique traditional Chinese medicine heritage with the actual situation of our hospital, giving people a dual enjoyment of vision and knowledge.

Main work ideas, goals, tasks and promotion measures in 20xx

1. Guiding ideology

In 20xx, the hospital took the spirit of the 18th National Congress of the Communist Party of China as its Guidance, starting from the Second Grade Hospital, closely focusing on the overall work arrangement of the District Health Bureau, combined with our hospital's 12th Five-Year Plan, scientific management, accelerating the training of talent echelons, and comprehensively improving the level of specialist medical technology and community medical service capabilities; Increase investment, introduce new technologies and projects, accelerate the construction of key specialties, and enhance core competitiveness; actively explore new cooperation models, rely on the rich medical, scientific, and research resources of higher-level hospitals to improve the overall business level and further realize the transformation from township central health care The hospital has developed by leaps and bounds into a district-level hospital of integrated traditional Chinese and Western medicine, providing safe and convenient medical services to residents throughout the region.

2. Work Indicators

The number of patients diagnosed and treated increased compared with 20xx; the number of discharged patients increased compared with 20xx; the business income of 10,000 yuan increased compared with 20xx, and the proportion of medicines was controlled Below 35.

3. Objectives, tasks and main measures

1. Strengthen the scientific management of the hospital and consolidate the achievements of the establishment of the second-level hospital

(1) Strengthen the construction of the leadership team and conscientiously I studied the report of the 18th National Congress and the eight regulations of the Central Committee on improving work style and keeping close contact with the masses, and conscientiously implemented the responsibility system for building party style and clean government. Strict requirements are imposed on all employees of the hospital, and they must consciously accept supervision and eliminate red envelopes, kickbacks and other disciplinary violations. We must work hard, tell the truth, do practical things, and avoid showing off, making superficial articles, and engaging in image projects.

(2) To improve the hospital’s execution capabilities, on the basis of improving various rules and regulations in 20xx, the focus in 20xx will be to effectively combine the incentive mechanism with execution capabilities, clarify goals, and track and assess.

(3) Strictly implement the performance evaluation plan, more closely integrate distribution with workload, and continuously improve the evaluation system for middle-level cadres.

(4) Accelerate the construction of talent team structure and improve the reserve talent pool. Encourage qualified comrades to participate in postgraduate studies in Western schools; send business backbones to higher-level hospitals for training; use various forms such as "three basic trainings" and "continuing education" to continue education for all technical staff in the hospital; use various forms to strengthen reserve Talent training and optimization, and accelerating the construction of hospital talent echelon. At the same time, we recruit talents through multiple channels. In 20xx, we plan to introduce 3 undergraduate students in traditional Chinese medicine, 10 nursing staff, 2 medical examiners, and 2 imaging staff.

(5) Caring about the lives of employees, ensuring that employees’ welfare benefits are improved, preparing to build employee dormitories, and effectively improving employees’ lives, thereby enhancing the cohesion and centripetal force of employees in the hospital.

2. Strengthen medical quality management and improve medical service levels

(1) Further improve the quality management organization and quality management committee organization at the hospital and department levels to promote continuous improvement of medical quality .

(2) Strictly implement the hospital rules and regulations and the job responsibilities of medical personnel, and strengthen quality management, especially the core medical system.

(3) Strengthen the awareness of safe medical treatment and implement patient safety goals. Organize employees to learn relevant laws and regulations, strictly implement medical and health management laws, regulations, rules, diagnosis, treatment and nursing standards, and implement hospital medical defect management measures.

(4) Standardize electronic medical records, improve the quality of medical records, and promote the quality of medical records to drive the entire medical work. The medical department should increase the intensity of spot checks of medical records, announce the results of spot checks in a timely manner, and reward and punish according to standards .

(5) Continue to promote clinical pathways and single-disease quality control, actively develop new pathways, control mutation rates, and improve access rates. Each department in the hospital will implement at least one clinical pathway and actively promote clinical rationality. Use medication to reduce the ratio of drugs. The Medical Department, Science and Education Department, Pharmacy Department, and Hospital Infectious Disease Department jointly carry out random inspections from time to time. The focus is to continue to rectify the irregular use of antibiotics, conscientiously implement the prescription review system, and implement dynamic monitoring and abnormal early warning of prescriptions. Rational use of medication and timely intervention. Continue to promote clinical pharmacy work. Control the rational use of blood and strictly implement the approval system.

(6) Strive to improve service quality, adhere to people-oriented, build a three-dimensional service system, and ensure seamless medical services. The nursing department should strengthen the continuing education of nurses, improve the overall quality of the nursing team, continue to provide "high-quality nursing", implement refined management, and improve the cultivation of the nursing team. Actively carry out traditional Chinese medicine nursing and promote the unique advantages of traditional Chinese medicine.

(7) Actively carry out disease prevention services, improve service processes, and provide the public with a traditional Chinese medicine-specific health security service model, including physical identification, health assessment, health information database construction, traditional Chinese medicine health guidance and intervention, etc. Health care services with traditional Chinese medicine characteristics.

(8) Strengthen the professional skills and emergency response capability training of outpatient and emergency staff, and strive to improve the rescue level of critical patients and emergency response capabilities in outpatient and emergency departments. Doctors regularly go to superior hospitals for further training to master various emergency rescue skills and improve their diagnosis and treatment skills. Strengthen expert outpatient management and improve appointment registration.

(9) Further strengthen the education and training on nosocomial infection knowledge, establish a target monitoring plan for the hospital's infectious disease department system, carry out link intervention to ensure the continuous and effective implementation of the infection control project, and pay attention to the management of sterile surgical incisions, requiring The grade A healing rate of sterile surgical incisions is 97, and the infection rate of sterile surgical incisions is 1.5. The Prevention and Protection Department must do a good job in the prevention and control of avian influenza, hand, foot and mouth disease, tuberculosis, and AIDS, and report infectious disease epidemics in a timely manner in accordance with regulations.

(10) Strengthen the construction of key specialties and encourage the development of new technologies and new projects. Increase investment in the municipal key specialty pain department and the district key specialty anorectal department and diabetes department to cultivate the core brand of our hospital. Each clinical department shall carry out no less than 2 new technologies and projects. Returning trainees must carry out new technologies and new projects and actively encourage subject research.

3. Strengthen the construction of medical ethics and medical style and build a harmonious doctor-patient relationship

(1) Increase the depth and intensity of medical style construction and carry out professional ethics education and service quality education. Strictly enforce professional disciplines and codes of conduct, revise relevant regulations on correcting unhealthy practices, open multiple channels for feedback on work practices, and establish a rapid information collection and processing mechanism to ensure that violators must be prosecuted, both investigated and punished, and rewards and punishments are clear. The hospital holds a symposium for work style supervisors every six months.

(2) Carry out in-depth efforts to combat commercial bribery in the field of pharmaceutical purchase and sales, strictly implement the "Unified Prescription" management regulations, further improve the supervision and control mechanism of key departments and key positions, strictly investigate commercial bribery cases, and resolutely curb them Unfair trading practices.

(3) Strengthen the comprehensive management of social security, build a "safe hospital", implement the disclosure of hospital affairs, strengthen petition work and family planning education, and severely crack down on "two illegal" behaviors.

(4) Adhere to the patient-centered approach, take mass satisfaction and dissatisfaction as the highest standard for measuring medical services, change the methods and methods of satisfaction evaluation, and use multiple channels to obtain satisfaction rates.

(5) Improve the "medical-patient dispute resolution mechanism" and move the barrier forward to reduce doctor-patient disputes. Promote the implementation of the safe medical incident reporting system, improve the ability to analyze, handle and apply safe medical incidents, improve the third-party mediation mechanism, implement the third-party mediation system, and truly play the role of alleviating doctor-patient conflicts.

4. Strengthen the construction of hospital culture and create a high-quality hospital image

(1) Create a positive and positive hospital image through continuous learning, training, discussions, seminars and other flexible and diverse forms. In a healthy and uplifting cultural atmosphere, we use galleries, websites, exhibition boards, electronic videos and other media as communication channels to actively carry out some educational and entertaining cultural and sports activities to enrich the cultural life of employees and increase employee cohesion and centripetal force.

(2) Strengthen the publicity and reporting work. On the one hand, we will promptly report various developments of our hospital to various media. On the other hand, we will invest a certain amount of money to strengthen advertising in a timely manner and expand the hospital's popularity.

(3) Actively carry out counterpart support, maintain communication with surrounding health centers and village health service centers, and build a close TCM counterpart support relationship through expert clinics, regular ward rounds, academic lectures, etc. , continue to do a good job in "health examinations", "free clinics in the countryside", and "follow-up visits".

5. Do a good job in logistics support management and improve the hospital's medical environment

(1). The Logistics Department will continue to do a good job in logistics supply support and provide high-quality and efficient clinical services. Further improve the cleaning work system, strengthen supervision of the cleaning company's work, and further beautify and green the campus environment.

(2) Do a good job in the later construction of the expanded ward building, try to complete the renovation and renovation of the operating room and obstetrics and gynecology ward by the end of the first quarter, and do a good job in relocation.

(3) Strengthen fire management work. The security department must be on duty 24 hours a day, strengthen patrols, truly focus on prevention, combine prevention, and eliminate potential safety hazards.

(4) Conscientiously implement the Ministry of Health's "Regulations on Strengthening the Management Functions, Standardization of Economic Accounting and Distribution Management of Financial Departments of Medical Institutions

" and other relevant regulations. The Finance Department must Strengthen financial and fixed asset management, improve various financial systems, implement cost accounting, increase revenue and reduce expenditure, reduce operating costs, and strictly control various non-medical expenditures.

(5) Strengthen the construction of information management and control and further promote the construction of clinical PACS system.

Improve the electronic medical record system of community health service units and strive to achieve database interconnection of electronic medical records, physical examination health records and resident health records.

4. Major projects planned to be implemented in 20xx

Introduction of MRI; new hemodialysis projects; renovation and opening of new operating rooms and obstetrics and gynecology wards; addition of pain department, Nephrology ward; new staff dormitory building.

Hospital accounting year-end work summary

Another year will pass in the blink of an eye. Since I took over the financial accounting of the Orthopedic Hospital at the end of October, I have been in office for one year so far. Looking back on the past year, I feel filled with emotion. During this period, the financial work I was responsible for received strong support and enthusiastic help from leaders, colleagues and departments. I would like to take this opportunity to express my heartfelt thanks.

The accounting job responsibility is to conduct accounting management and supervision of the financial activities of the entire hospital. Accounting work is a "mother-in-law" job. Things are complicated, and unlike other clinical departments, numbers and results can speak for themselves. But since I took office, I have loved my job, based on my position, been a down-to-earth person, worked diligently, fulfilled my duties, and faithfully performed my job responsibilities. The work situation over the past year is now reported as follows:

1. Be dedicated to your job, do a solid job in the hospital's financial accounting and management work, be not afraid of difficulties, serve enthusiastically, and play your due role in your position

As the hospital’s business volume continues to increase, accounting and workload have also continued to increase. Since taking over, I have worked overtime to carefully handle the accounts from January to April and complete them in a timely manner. Quickly familiarize yourself with your work tasks, learn the hospital management plan, and calculate the floating salary for the first quarter and pay it on time as required. I will start on the 21st of every month to record and summarize the discharged patients one by one by project and department. After completion, I will print it out and give it to the head nurse, pharmacy, and medical section chief of each department for verification. After confirmation, the hospitalization income will be recorded. Before the 5th of each month, the accounting for the previous month should be completed, printing out accounting vouchers and financial statements, binding them into a book, and filing them for safekeeping. Submit the monthly financial income and expenditure report for the previous month to the competent bureau before the 5th, and submit the business income statement and income summary comparison table for the previous month to the leadership of the hospital. At the same time, newly added fixed assets are entered to keep the fixed assets in the fixed asset management software consistent with the financial accounts. At the end of the year, the fixed assets annual report must be submitted to the county State-owned Assets Bureau in a timely manner. Every quarter, the income of each department and personal income must be counted, and the floating wages of the staff in each department shall be calculated truly, accurately and realistically according to the hospital management plan. After the draft is formed, it shall be submitted to the hospital leaders for approval and the floating wages of the entire hospital shall be paid on time.

While doing the above work well, we will also strengthen the management of bills and strictly implement the payment and cancellation management of purchase invoices in the cashier room, nursing department, cashier, etc. The tuition fees paid by students are entered into the computer in a timely manner for future reference, and the tuition fees are verified one by one when students receive their certificates. I warmly receive every student who inquires about tuition fees, and always devote myself to my job with a dedicated, enthusiastic and patient attitude. Always regard your position as a service window for the hospital. The work of the Finance Department is like an annual ring. The end of one month's work means the restart of the next month's work. Although it is complicated, trivial, and not too novel, as the lifeblood of the normal operation of the hospital, I deeply feel the value of my position. Therefore, in actual work, based on the principles of objectivity, rigor, and meticulousness, I have developed a rigorous Meticulous and pragmatic work style. When handling every accounting transaction, I must seek truth from facts, carefully review, strengthen supervision, and carefully review the expenditures that require my signature to ensure the authenticity, legality, accuracy, and completeness of the accounting information, and effectively play the role of financial accounting and supervision. .

2. Shortcomings in work

1. There is still a certain gap between business knowledge and management experience and the requirements of my own job.

2. The ideas for carrying out work are not broad enough and lack the spirit of innovation.

3. Some of the daily work is not detailed and in-depth enough. The management only stays on the surface and does not play a real role. In response to this situation, how to make the work more detailed and in-depth in the future and strengthen financial supervision and management? Function should be the focus of my future work. ?

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