Unforgettable working life has come to an end, and the work problems existing in the past period of time are worth summarizing, and it is worth summarizing and completing the self-inspection report. So, have you mastered the format of the self-inspection report? The following is a sample of hospital safety risk self-inspection report (generally 6) compiled by me, which is for your reference only and I hope it will help you.
Hospital Safety Self-inspection Report 1 I. Reflection and Lessons
The two medical safety incidents in Tongcheng County Hospital of Traditional Chinese Medicine and the First People's Hospital of Xiantao City are a shame for medical workers and also sound the alarm for the majority of medical workers. We must implement the core system of medical quality management in daily work, and medical workers should strengthen their sense of responsibility. The above two incidents have nothing to do with the level of medical technology, but the core system is not implemented in place, which is a problem of medical staff's sense of responsibility and work attitude. This kind of problem has caused extremely bad social impact and seriously damaged the image of medical workers in the eyes of ordinary people. In the case of poor social and medical environment, it is even more necessary to prevent such incidents from happening again.
Second, their own problems.
65438+February16-65438+February 25th1/Department and 136 On-the-job employees submit self-examination and self-correction materials. Through self-examination and self-correction activities, many problems have been found, mainly including:
1, practicing according to law
Through the hospital management year and hospital rating activities, the hospital medical staff practiced in strict accordance with the law, and 4 unqualified personnel were cleared. The current problem is that the staff in B-ultrasound room and pathology department are not qualified, which is also a problem in most hospitals.
2, the implementation of the core system
The hospital has formulated the core system of 15, which conforms to the actual situation of the hospital. All the core systems can be mastered by all the staff through hospital rating activities, but there are also some cases that are not implemented in place: for example, the responsibility system for first diagnosis is not implemented in place, and every outpatient can't write a medical record because of his busy work; The system of three-level doctor rounds cannot be fully implemented due to personnel structure problems, and the quality of rounds is not high; The discussion of difficult cases and deaths can not improve the level of young doctors because of the average level; The examination and approval system of surgical grading management is a mere formality; The quality of medical record writing is still poor, especially in the departments with poor medical quality, which need continuous improvement; The handover system cannot be well implemented, especially for critically ill patients. Due to the heavy workload, the inspection system is often not fully implemented, which has caused medical safety hazards.
3. Hospital sensory control.
Due to the limitation of personnel level, equipment conditions and staff quality, it is still difficult to solve the problems found through monitoring, such as the layout of operating rooms and delivery rooms, and insufficient implementation of hand hygiene standards.
Third, improvement measures.
1, practicing according to law
Unqualified personnel are required to obtain corresponding qualifications within 2 years. At present, they can only send descriptive report forms instead of diagnostic reports to avoid potential safety hazards.
2. The implementation of the core system
All functional departments are required to inspect clinical departments irregularly every month, especially key departments (such as operation department, emergency department, delivery room, disinfection supply room, stomatology department, operating room, etc.). ), key links (critical period of patients' hospitalization, perioperative period, key links of quality control) and key personnel (new employees, interns, trainees, transfer professionals) to prevent medical safety accidents;
3. The feeling of the hospital.
Strengthen personnel quality training, purchase necessary equipment, assign special personnel to check on time every month on the basis of establishing a microbiology laboratory in XX, including air, disinfection items, workbench, staff hand hygiene and ward monitoring once a month, and make timely rectification to prevent hospital infection.
4. Strengthen personnel quality training.
In the past, we only paid attention to the cultivation of personnel's health technical level. Through the education of several incidents, we will strengthen the humanistic quality education of staff and further strengthen the concept of "doctors are kind"; Strengthen the education of key personnel, adapt to the current work needs, and further implement the medical record writing norms.
5. Strengthen the cultivation of communication skills.
Doctor-patient communication is a very important link in medical activities. Our hospital organized a special lecture on communication skills between doctors and patients, emphasizing the communication between patients in admission, hospitalization and discharge, so as to avoid medical safety hazards to the greatest extent. Doctor-patient communication should pay attention to skills and personnel arrangement, and resolve doctor-patient disputes in the bud.
Medical safety is no small matter. Medical personnel must strictly implement the core system of medical quality and safety, and the alarm bell will ring, so as to prevent or avoid medical safety accidents. Our hospital has learned a lesson from two recent medical safety accidents in our province. As hospital administrators, we are fully aware of the importance of medical safety management. In the future, we should consciously raise the awareness of medical safety, focus on medical safety, combine the actual situation of the hospital, work rigorously, brainstorm, investigate medical hidden dangers in the hospital, and prevent and reduce the occurrence of medical errors and accidents.
Hospital safety self-inspection report 2 Since September 20th, our hospital has organized personnel to conduct self-inspection on the safety work of the school hospital, and now the self-inspection situation is briefly reported as follows:
First, the security organization has been established.
Our hospital has set up a safety leading group with President Zhu Ting as the team leader and the vice president in charge of safety as the deputy team leader, which is composed of safety teams and various departments. It has formed a situation in which people are in charge of safety at all times.
Two, safety management rules and regulations have been formulated.
Including safety responsibility system, safety education system, safety technical measures, safety fund investment management system, safety duty system and safety inspection system. Various rules and regulations, including the institutionalization and standardization of safety work.
Third, a safety self-inspection was conducted.
The safety self-inspection activity was led by President Zhu and attended by the heads of various departments, and conducted a comprehensive inspection of the hospital safety work in all hospital districts of our hospital. First of all, we checked whether the heads and employees of hospitals in various campuses have established the idea of "safety first, prevention first" and whether they have the idea of opposing business and safety work. Solve the incorrect ideas found on the spot; The second is to investigate the hidden dangers of sound, including the comprehensive inspection of outpatient department, examination room, pharmacy, pharmacy and ward. The specific contents include fire fighting, water and electricity, oxygen utilization and all facilities. Some hidden dangers found in the inspection, such as some knives without covers, some items blocking the safe passage and inconspicuous safety signs, were rectified one by one. The third is to hold a safety inspection summary meeting.
Summarized and deployed the safety work of the school hospital.
Fourth, the next few measures:
First, educate the staff of the whole hospital to firmly establish the guiding ideology of "safety first, prevention first" and further standardize various safety rules and regulations.
Second, regular inspection is an important system. There are inspections every day. All departments, departments and rooms should check whether there are any safety factors at work and then implement them after work; Check on Monday. Every Monday, the school hospital is led by the vice president in charge of safety, and the heads of all departments conduct a safety inspection on all campus hospitals and departments to solve hidden dangers on the spot. Check once a month. At the beginning of each month, President Zhu will lead the team, and members of the safety leading group will take part in a major inspection, which will be summarized in the first quarter and the end of half a year respectively.
Third, in the near future, some funds will be invested to improve the safety facilities of the school hospital, such as mechanical equipment, fire fighting equipment, personal protective equipment, chemicals and medical supplies.
Please criticize and correct the above report.
Hospital safety self-inspection report 3 According to the requirements of "Special Action for Nuclear and Radiation Safety Inspection" issued by Zhengzhou Airport Port Planning and Municipal Construction Environmental Protection Bureau, our hospital carefully organized radiation protection teams and emergency agencies to carry out self-inspection work to improve the safety level of radiology department in our hospital and reduce hidden dangers of accidents. The contents of self-examination include the following aspects:
(1) the improvement and implementation of various rules and regulations;
(2) routine detection of radiation diagnosis and treatment equipment and radiation protection measurement in and around the site; ③ Personal dose monitoring, physical examination and regular staff training;
(4) Radiation protection of the examinee and accompanying personnel, etc. The specific self-inspection report is as follows:
I. Legal operation:
On-the-spot inspection by relevant menstrual departments in xxxx year, after all the indicators reached the standard, our hospital issued the Radiation Safety Permit.
Second, the organizational structure:
The hospital attaches great importance to radiation protection. According to the requirements of relevant national laws and regulations and the actual situation of our hospital, the "Radiation Safety Management Team of Sanguanmiao Central Health Center" has been established and improved to inspect and supervise the radiation protection work of the radiology department. The radiation safety management team is headed by the hospital leader and leads the related radiation work. The radiation management team is held by relevant professional and technical personnel, whose main task is to manage, supervise and implement the radiation safety and protection work of the whole hospital, and is responsible for the health management, personal dose management and training management of radiation workers; Regular inspection of radiation diagnosis and treatment equipment and regular monitoring of places. Part-time undergraduate course room radiation safety task. The radiation protection team and task force regularly and irregularly inspect the radiation protection situation of relevant departments every year, investigate the hidden dangers of radiation protection, solve the radiation protection problems and ensure the safety of radioactive sources. Constantly improve and perfect the regulations and facilities on radiation protection required by higher authorities.
Third, the management system project:
1. Further refined, standardized and improved the relevant rules and regulations of hospital radiation protection management, and the implementation was good;
2. The monitoring, management and safety systems for radioactive sources and radiation devices are basically sound and implemented;
3. On-site management: all subjects have formulated and improved the rules and regulations of on-site management in accordance with the requirements of relevant laws and regulations, and the implementation is very good;
4. Testing management: relevant management regulations and systems have been improved, and personal dose testing for employees has been carried out regularly;
5. Emergency management: Establish and improve relevant rules and regulations and emergency plans in strict accordance with the requirements of emergency management;
6. Personnel management: Various personnel management systems have been established and improved according to relevant regulations, including health management, training management, physical examination and training records. , and strictly implement health and training management;
7. Accident management: further standardize and improve the rules and regulations of radiation accidents and accidents and strictly implement them;
8. Waste management: establish and strictly implement various rules and regulations on radioactive waste management and treatment.
Four, radiation protection and facilities operation:
1. premises and facilities: according to the requirements of relevant laws and regulations, all departments have strictly tested and improved the radiation protection, alarm, warning signs and emergency exits of the premises, and basically reached the relevant regulations.
2. Disposal of retired radioactive sources: A radioactive source recovery agreement has been signed with the source supplier, and all retired radioactive sources are recovered by the source supplier;
Verb (abbreviation for verb) employee
L, all personnel engaged in radiation work are certified;
2, the establishment of radiation workers personal dose files, unified management. All radiation workers wear personal dosimeter; Carefully find and analyze the reasons for those who exceed the personal dose to avoid similar incidents in the future, and carry out health checkups for those who exceed the standard to ensure good health;
3. All radiation workers should have regular health check-ups for radiation workers;
4. Regularly send personnel to attend safety protection classes to continuously improve the professional knowledge related to radiation protection.
Six, radioactive source safety work
Radiology department has strengthened the security of radioactive sources and established relevant systems for the security of radioactive sources. The safety measures of radioactive sources have been improved from two levels of hospitals and departments.
VII. Radiation Protection of Subjects and Their Nursing Staff
According to relevant regulations, all relevant radiation examination and treatment rooms have strengthened radiation protection for patients and their nursing staff. By taking the test dose control; Strictly grasp the indications; Strengthen the radiation protection of sensitive glands such as thyroid gland, gonad and thymus gland of minors; Wear protective clothing and other protective articles to reduce the public medical radiation level and ensure the public's radiation protection.
The above is the self-inspection of radiation safety and protection in our hospital. Generally speaking, we have done detailed and sufficient work in organizational management, system management, site management, facility management and radiation management, and achieved good results. Through self-examination, we also found some problems and shortcomings, which need to be further supplemented and improved in the next step.
Hospital safety self-inspection report 4 after receiving the notice from the head of the hospital, 20 15 168 On Forwarding the Emergency Notice on Immediately Carrying out Explosion-proof Safety Inspection of Hazardous Chemicals, our hospital immediately convened a safety production meeting of the whole hospital, carefully arranged all the work, and carried out safety production inspection within the whole hospital. The inspection is now reported as follows:
First, carefully investigate all potential safety hazards.
The safety production leading group organized relevant personnel to conduct self-examination on the key safety scope of the hospital, and successively disinfected the fire fighting, power supply, water supply equipment lines and supply rooms with high pressure; Radiology, laboratory facilities and equipment, drug management, clinical centralized oxygen supply facilities, canteens and other fields for detailed inspection and rectification.
1, emergency treatment of public health emergencies and medical and health guarantee.
In view of possible public health emergencies and disasters, the hospital has formulated relevant emergency plans, set up medical and health emergency rescue teams, maintained smooth communication, and established emergency materials reserves such as medical rescue and prevention.
2. Medical safety
All departments earnestly implement the core system of medical safety, improve the hardware facilities of medical safety, and standardize the facilities of supply room, operating room and other departments. Medical waste treatment rules and regulations are sound, and the treatment methods meet the standards, so that it is managed by special personnel and the responsibility lies with people.
3. Public security and fire control.
Fire control room, guard room safety measures in place, safety and fire responsibilities clear, work system in place. The protection and monitoring measures of key departments are strict.
4, fire safety knowledge training
Hospital fire safety and security personnel can actively participate in all kinds of fire knowledge training courses, and the hospital can organize employees to learn fire safety knowledge and conduct fire emergency drills with armed police soldiers of the county fire brigade.
Second, self-examination found security risks.
1, cigarette butts are thrown in the safe passage of individual departments, which is a potential safety hazard.
2. Someone in the elevator doesn't know how to use the elevator and presses the switch randomly, which affects the normal operation of the elevator.
Third, the rectification measures
Through this self-inspection of safety production, our hospital has made the staff more aware of the importance of safety work, ensured the "four in place" (responsibilities in place, measures in place, emergency drugs in place, emergency materials in place), strengthened the duty force in holidays, emergency rooms and wards, and strictly implemented the duty system of safety production in holidays and the guidance system for leading cadres. The fire duty room is answered 24 hours a day. The elevator is managed by a special person. The tobacco control office of the hospital should check and prohibit smoking in the ward. All relevant departments should actively implement the responsibilities related to production safety to prevent all kinds of safety accidents. The hospital safety production leading group will conduct spot checks, and those who fail to change within the time limit or fail to make rectification will be seriously investigated for responsibility.
Hospital safety self-inspection report 5 According to the Law of the People's Republic of China on the Prevention and Control of Radioactive Pollution, Regulations on the Safety and Protection of Radioisotopes and Radioactive Devices, Regulations on the Health Management of Radioactive Workers and Regulations on the Management of Radiological Diagnosis and Treatment, according to the requirements of environmental protection, health and other administrative departments for radiation safety protection management, combined with the actual situation of our hospital, establish and improve the radiation protection management system and implement radiation protection measures. Now I briefly report to the leaders as follows:
I. Basic information
Our hospital is the only comprehensive second-class first-class hospital in Hualong County, with 220 beds, open beds 160, and employees 160.
The radiology department is located on the right side of the first floor of the hospital inpatient building. The radiation workshop is 65,438+030m2, with one X-ray machine of 500 max, one X-ray machine of 200 max and one X-ray machine of 50max each. 20xx bought a new digital X-ray machine (DR) in June, 438+February, and equipped a computed tomography camera (CT) in the provincial health department in 20xx. There are 5 professional technicians, including 2 medical diagnostic machines, 2 light boxes for reading films, 5 microcomputers and 2 film printers.
Second, the protective facilities
1. Environmental safety protection: the public central control room, CT room, DR room and 500mAX optical diagnosis room of CT machine room and 500mAX optical diagnosis room are painted with 24cm brick and 1.5cm barium sulfate, the roof of CT machine adopts 3mm lead plate and colored steel tile, and the 500mAX optical diagnosis room adopts cast-in-place 12cm concrete. The observation windows in the control room are all lead glass with a thickness of 15cm. The protection effect reaches 3mmPb equivalent. The entrance and exit of doctors and patients in the computer room is 5cm thick, and the inside is lined with 5mm thick lead plates.
2. Radiation protection equipment: lead apron, lead collar and half-length protective apron.
3. Three wastes treatment: the radiation generated by the X-ray device in the working process is mainly external X-ray irradiation, which can be shielded by shielding materials. Because of the low energy of X-ray, no radioactive substances will be produced during the work, so it is not necessary to consider the treatment of radioactive "three wastes"; During the working process, a small amount of ozone and nitrogen oxides will be produced, which can be ventilated by a ventilator.
Third, management measures.
1, improve the management organization. The hospital attaches great importance to radiation safety protection, and established a "Radiation Safety Protection Leading Group" with Sima Fu, vice president in charge of radiation safety, as the team leader, and Director Guo, staff and Luo of Radiology Department as members, which is fully responsible for the radiation safety protection management of the hospital, organizing the use, storage, emergency treatment and waste recovery of radiation-containing devices, training and educating radiation workers, publicizing radiation protection knowledge, supervising the implementation of radiation diagnosis and treatment management regulations, and inspecting radiation machinery and equipment.
2. Establish and improve the radiation protection safety management system. The X-ray machine operating rules, quality control system, radiation protection system, radiation equipment maintenance system, radiation accident reporting system, radiation protection and safety system, personnel training system, radiation health and personal dose management system, post responsibility system, regular self-examination and monitoring system and emergency control system were formulated.
3. Emergency treatment. In order to effectively deal with possible radiation accidents, ensure the orderly organization of accident rescue work, minimize or eliminate the impact of accidents and emergencies, avoid the spread and expansion of accidents, and maintain the normal medical work order, an emergency plan for radiation accidents was formulated, and a leading group for emergency treatment of radiation accidents was established with Comrade Sima Fu, vice president, as the deputy head and relevant personnel as members, and the responsibilities, organization and command, and working procedures for emergency treatment of possible accidents were clarified.
Fourth, daily management.
1. In order to enhance the radiation protection awareness of radiation workers and strengthen the training of professional knowledge and basic skills of radiation workers, various ways and forms are adopted to train radiation workers, and all radiation workers in our hospital are promised to participate in the professional knowledge training of radiation safety and protection organized by provincial and local environmental protection departments.
2. Regularly monitor the radiation protection effect, and verify the monitoring instruments and equipment to ensure the normal operation of monitoring. In 20xx, Qinghai Provincial Center for Disease Control and Prevention informed the radiology department of our hospital.
The X-ray diagnosis room reports the monitoring results and verification results respectively through verification, and issues the monitoring report and verification certificate.
3. Health monitoring of radiation workers includes physical examination before taking up the post and regular physical examination after taking up the post. Second, the staff must wear a personal chest card dosimeter, which is regularly tested by the Qinghai Provincial Center for Disease Control and Prevention. On the basis of the above work, all the passages and doors in the radiology department were reformed, warning lights and warning signs were newly installed, and warning signs were hung and posted. The radiation protection of our hospital meets the safety requirements after the assessment and acceptance by the leaders and experts of the county environmental protection bureau.
Although the radiation protection work in our hospital has been greatly improved, there are still some shortcomings. In the future, our hospital should further increase the investment in protection and monitoring facilities and equipment, strengthen management, strengthen monitoring, protection and safety awareness, and ensure the safety of the people and medical personnel.
Hospital Safety Self-inspection Report 6 In order to push the fire safety work of Ye Workshop to a new level, recently, under the leadership of the main leaders of the workshop, he conducted a special investigation on fire safety in various workplaces, canteens and key parts of the workshop. I listened to the reports of local leaders on the fire safety situation in their respective areas and held a symposium, analyzed the fire safety situation in the workshop, and put forward opinions and suggestions on the fire hidden dangers and difficulties and problems encountered in fire control work in various places.
First, fire safety issues:
1, employees' awareness of fire safety is weak. Under normal circumstances, employees pay attention to the study of post safety and technical business knowledge, but ignore the study and training of fire safety knowledge, resulting in low fire safety quality of employees, less knowledge of fire laws and regulations and how to deal with fires, unable to perform safety duties stipulated by fire laws and regulations, and weak self-rescue ability.
2. Individual employees have "habitual" violations. Workers who have the habit of smoking often put cigarette butts into the gap between sofa and bed, which brings great fire hazards. The production utensils in individual canteens are placed in disorder, which often occupies fire-proof space and blocks fire exits. In the event of a fire accident, it is easy to cause group deaths and injuries.
3. The implementation of fire safety management system is lax. Fire warnings and danger signs in individual places are scattered, and the storage location of fire extinguishers is not obvious. The fire safety personnel in the team did not implement the daily inspection system, and there was a phenomenon that other personnel signed on behalf of them, which made the fire safety management measures not guaranteed.
Two, in view of the above problems in a timely manner to develop fire safety management countermeasures.
1. Strengthen fire prevention publicity and education, and improve employees' awareness of fire safety. Carry out regular fire safety publicity and education, so that employees are familiar with the fire hazards and fire prevention measures in their own places and positions, master the performance of fire-fighting facilities, the use of fire-fighting equipment, and the basic skills of fighting initial fires and self-help and escape.
2, continue to carry out in-depth investigation and rectification of fire hazards. Regularly carry out supervision and inspection, and severely investigate and deal with "habitual" violations. Especially in key places such as canteens, strengthen supervision, strictly investigate "habitual" violations such as occupying fire-fighting space and blocking fire exits, expose fire hazards in time, and seriously deal with those involved to prevent fire accidents.
3, establish and improve the fire safety management system, standardize the workshop fire safety management. Actively take measures to standardize fire safety management, truly incorporate fire safety work into workshop production and operation management, improve the ability of fire prevention, and take fire safety common sense and fire fighting skills as one of the basic conditions for assessing team leaders and employees to ensure everyone's safety and safety forever. Fire supervision does not leave a blind spot, which makes fire safety work vivid and effective and lays a solid foundation for safety production in our section.
;