医院推行创新护理管理模式翻译.doc

Hospital implementation of innovative care management model【Keywords】Care services，Care management， Long-term operating mechanism【Abstract】Quality care demonstration project is to deepen the key tasks in medical and health system, hospital attaches great importance from management, staff training, incentives and logistical support and other aspects of the reform and innovation, and gradually establishs a long-term operational mechanism to improve the hospital the level of clinical care for the people to provide safe, high quality and satisfactory care.With the depth reform of the medical and health system, the Ministry of Health have officially launched in 2010, Quality care demonstration project activities, combined with clinical practice in our hospital, in the range of the whole hospital conducted extensive mobilization and publicity, held the meeting about pilot quality care ward, developed implementation of the program, carded rules and regulations, implemented the responsibility of positions, improved the support of security system. High-quality care in our hospital was closely integrated with the overall nursing care, nursing model to establish the responsibility contract system, from the communication mechanism, care management systems, clinical care models, performance evaluation methods, incentives and specialist nursing driving basic nursing on further promoted reform and innovation, established a quality care demonstration project of the mechanism for long-term operation, and effectively protected the patients safety and improve the quality of care, in the backdrop of medical and health system reform in public hospitals have taken a solid step forward.First, the hospital attached great importance to act together.Quality Care Demonstration Project is a systematic project, involving all aspects of the hospital, therefore, important meetings in the hospital to convey the spirit of the document and to conven the symposium, jointly issued multi-sectoral measures, such as in alleviating the clinical first-line aspects of nursing manpower shortage , expand the number of nurses and nursing staff recruitment, open recruit the backbone of nurses, establish mobile nursing libraries, encourage nurses rejoin and restrict the flow of nurses to non-nursing positon; Logistically, instal access control system in inpatient visiting, add security to assist and accompany visiting ward management; Apply requisitioned items in the HIS system, pharmacy and delivery team centralized distribute medicines, medical materials and office items for the ward to reduce the clinical nurse to the central pharmacy and supplies warehouses to get the medicine, reducing stocks in the ward and management links; Canteen staffs are responsible for patient registration dining, on time delivery, to ensure the quality of patient catering and hygiene. Continuously improve all aspects of service, effective in reducing non-nursing care time, and make sure the The time back to nurses, the nurses return to the patientsSecond, the unity of thinking and understanding, to establish an effective communicated mechanism.Thought is the precursor of action, whether quality care demonstration project activities can be effective, the key is whether the thinking and understanding is in place. As the rapid development of medical treatment means and continue promotion of the clinical pathway, inpatients, great changes have taken place, more critically ill patients, huge surgical volume, quick bed turnover, so it brings a significant increase in nursing workload, families and carers take part of life care for patients. After carrying out this activity, this part of requirements are commited by the nurses. Psychological conflict resulting individual nurses，hospital, two from the hospital and department levels act painstaking ideological work.Matron hold forum with nursing staff, young nurses and highly educated , multi-level officers of the seminar titles. Set up an effective form of communication like dean-mail, and learn ideological trend of nurses and the practical difficulties of clinical line, provided for clinical guidance and assistance targeted.Third, strengthen the vertical nursing management in nursing department, clear responsibilities, rights and interests.Nursing department is responsible for hospital-wide nursing recruitment, incentives, deployment and evaluation, performance allocation, hiring nurses of titles, etc. Based on this management，the hospital reinforces the nursing departments management functions to support the activities of all the policies and safeguards. For example, add first-line nurses, improve logistics, incre