| With the entry of our country to WTO and the establishment of the market economy system, the social environment which the hospitals face has changed completely. To satisfy people's growing need for health service and survive, develop in the competition, the hospitals have enforced the hospital management, and build many rules and regulations. All the actions with purpose have controlling. Good medical quality is the result of the strict controlling. Enforcing and paying attention to the management and controlling of medical quality will promote the medical quality of hospital constantly and succeed in the competition. This article unifies oneself many years to nurse the working practice, elaborated the medical service quality control and in the control elementary theory foundation in the multianalysis, take the Jilin University first clinical hospital near for 5 year hospitals medical service quality control and the control present situation as the template, has explored the medical service quality control and the control basic pattern, and the union actually proposed the countermeasure suggestion, the main content includes: 1 The medical quality control outlines 1.1 The medical quality control concept Medical service quality control is one comprehensive concept. Its connotation and the extension extremely is all broad. Generally speaks the medical quality control is refers: Manifests in the medical service the management main body (microscopic medical establishment medicine politics personnel, medical administrative offices director, medical technique and nursing staff), take the specific technical standard as the basis, take the case of illness as the basic unit, uses the scientific method track medical service activity throughout, and carries on the subjective appraisal to it, the feedback, the suggestion, the decision, the confirmation enclosed type cyclic process. 1.2 Medical quality control significance First, science reasonable use and assignment existing medical establishment's effective resources. The hospital person, the wealth, the thing is implements the medical quality control the most important premise, also is the inspection manages the organizer ability standard the basic boundary. The organization administrative offices establishment and the layout, the technical strength balanced use with puts, the fund equipment best puts with delivers, all is the critical time medicine technique horizontal quality comprehensive question. Second, the realization is fair, the efficiency, meets the different community basic medical service need, the implementation " by artificial this " the basic policy, protects the citizen health basic human right. The healthy power is person's fundamental rights, also is the foundation which other rights originates. The health manifests from the legal significance is one person's behavior ability, the responsibility ability, in the medicine symbolizes one person's physiological body and mind condition, only has the satisfied person's basic healthy medical demand, only then can truly guaranteeperson's survival value is society's person. Third, the strengthened spiritual civilization, the promotion society is harmonious. The harmony is society's main melody, the person only has locates when the matter, the spirit obtains " is reasonable " satisfies, society only then can enter harmonious condition. 2 Medical quality control integrant 2.1 Hospital quality control organization: Management organiza-tion system, quality control system, medical quality direction group. 2.2 The medical quality appraises: Medical foundation quality, medical flow quality, medical at the end of end quality. 2.3 Union quality appraisal target: Work benefit appraisal, economic efficiency appraisal, work quality appraisal. 2.4 The medical quality evaluation criteria. 3 The clinical quality appraised This part mainly from the hospital infection, the seriously injured condition, only the sickness plants the quality appraisal as well as and so on 4 aspects carries on the elaboration with the medicine, and asked the existence question and the improvement countermeasure. 4 The outpatient service quality control and nursed the quality control. This part elaborates the outpatient service and nurses the quality control the main content, the existence question, the countermeasure suggestion. 5 Medical quality control 5.1 Concept: Is refers for the guarantee achieves decides themedical quality requirement, the medical superintendent adopts each kind of measure surveillance medical service quality each activity, and corrects each kind of important deviation the process. Its basic meaning: First, the control is has the goal the behavior (process), either is by guarantees the plan can the smooth execution be the goal, either is achieves the certain standard is the goal. Second, the control frequently needs to pass " the monitoring " and " corrects an error " to realize. Third, the control is one process, passes through active the entire process. 5.2 Necessity 5.2.1 The medical quality control is the safeguard which hospital Lai Yi survives. 5.2.2 Medical quality control method lag. 5. 3 Significance 5.3.1 Impels the medical quality control idea to renew, enhances the hygienic resources the efficiency and the benefit, the increase may and the sex. 5.3.2 Eenhances the hospital management science cultural level, the standard medical personnel's medical behavior, causes the hospital with when all enters, adapts to the new situation which international connects rails. 5.3.3 Promotes the hospital management modernization, the information construction and the hospital overall personnel quality enhancement, and advances the talented person as well as the knowledge structure adjustment. 5.4 The main content includes: The sickness plants the quality control and the medical record quality control and so on.6 The implementation medical service quality control and the control present situation analysis and the improvement countermea-sure 6.1 The union analysis existence is insufficient. 6.2 The countermeasure and suggests. 6.2.1 Enhances the medical quality control the countermeasure: 6.2.1.1 Transformation management function: The hospital in the participation medical service market intense competition process, needs to display the plan, the organization, the leadership, the control management function in the highly effective revolution management management, realizes the hospital benefit maximization. Must adapt market economy request, must change present management pattern, establishes take the market as the guide internal movement mechanism, enhances the supervisory work efficiency, strengthens the hospital participates the market competition the ability. 6.2.1.2 Strengthened quality consciousness: The medical quality relates patient's life and the health, also relates the hospital the survival and the development. Must guarantee medical quality, must increase the propaganda education dynamics and the inspection monitoring dynamics, the establishment perfect medical service quality control system, forms three levels of natures controls the network; Must grasp " three to be strict " training, from each medical record, each prescription grasps, must earnestly carry out quality testing, is prominent key, holds the difficulty, achieves the link quality and the at the end of end quality testing unifies, specially the inspection and the comprehensive inspection unifies, the qualitytesting and the inspection appraisal unifies. Causes the quality testing institution, the standardized regularization, eliminates each kind of medical flaw and the mistake in the embryonic stage. 6.2.1.3 Renewal management idea: We must set up modern medical service quality view, must positively profit from domestic external medical quality control aspect in in effective management way foundation advanced thought, method and technology, like the risk management, follows the card medicine, continues the quality improvement, the Total Quality Management, the clinical way verification and so on, further strengthens the medical quality control. 6.2.2 Enhances the medical quality control the suggestion: 6.2.2.1 The high grade medical quality control is the basic medical health service needs to transform the idea, to strengthen doctor's sense of responsibility. 6.2.2.1.1 Causes doctor to make clear their important responsibility is promotes the health and the maintenance health, thus in diagnoses and treats should self-consciously implement " the prevention is the focus " the policy. Strengthens the clinical prevention, the enhancement to the people health responsible sense of responsibility, respects the patient the right, observes the professional morals. 6.2.2.1.2 Strengthens doctor's legal consciousness, the standard practices medicine. 6.2.2.1.3 Strengthens the hospital is economical effectively, practices medicine the consciousness, abandons practices medicine does not work as place.6.2.2.1.4 Guarantees doctor realizes them is the main army which the hospital medical service quality unceasingly improves, should establish on own initiative harmoniously, is comfortable highly effective, practices medicine the environment. 6.2.2.1.5 Consummates doctor the qualifications recognizes with the registration system, strengthens in office training. 6.2.2.1.6 Strengthens the hospital the medical management, reduces the outpatient service doctor's medical load. 6.2.2.2 Establishes the nimble highly effective management mechanism, includes the fast highly effective policy-making procedure, by the artificial this management mechanism and the assignment mechanism. 6.2.2.2.1 Guarantees the effective mechanism urges doctor standard to practice medicine. 6.2.2.2.2 reduces doctor works the load is advantageous to improves the medical grade of service, reduces the medical dispute. Improves the medical record writing quality in particular, may provide the firsthand information for the clinical medicine research, provides the clinical basis for medical law dispute processing. 6.2.2.2.3 The increase medical service technology and fund put, the improvement medical service servicing facility, provides the technology and the material guarantee for the medical grade of service enhancement. 6.2.2.2.4 Consummates three levels of quality control networks. 6.2.2.2.5 Establishment courtyard level medical service quality management committee, is in command by chief, the member is composed by various functions administrative offices director aswell as the related medical expert. This committee is the medical quality control core organization, is responsible regularly to carry on the research decision to the medical quality question. Under the committee supposes " the medical nature controls supervises looks up the group ", is the permanent organization, is responsible for the medical quality the routine work. 6.2.2.2.6 Various functions department establishes the department nature controls the group, carries on the dynamic management to the medical quality. Mainly manages, aspect and so on system management, plan management and information feedback management from the organization obtains. 6.2.2.2.7 Establishment quality control procedure, the standard and the rewards and punishments system, urges all levels of medical personnel self-consciously to carry out the quality specification, self-inspection, self-control. In order to guarantee three levels of management networks movement is smooth, may adopt the evaluation courtyard branch two levels of responsibilities books system, establish the administrative offices medical service quality manager system as well as individual service file system. 6.2.2.2.8 Strengthens the medical link quality control. 6.2.2.2.9 Pays special attention to Shan Bing Zhong quality control. 6.2.2.2.10 Strengthens the talented person constructs, formulates the talented person goal management and person's quality specification. |
