B Y T

BNH VIN BNH NHIT I TRUNG NG

B Y T
BNH VIN BNH NHIT I TRUNG NG

 Tin thn ca Bnh vin l Nh thng Cng Vng thnh lp

nm 1911 (Sau ny l Bnh vin Bch Mai)
Nm 1989, thnh lp Vin Y hc lm sng cc bnh nhit i
Bnh vin Bch Mai t Khoa Truyn Nhim, Khoa Vi sinh
v B mn Truyn nhim HYHN
Ngy 30/3/2006 thnh lp Vin cc bnh Truyn nhim v
Nhit i Quc gia trc thuc B Y t theo quyt nh s
487/Q-TTg ca Th tng Chnh ph.
Ngy 13/11/2009 i tn Vin cc Bnh Truyn nhim v
Nhit i Quc gia thnh Bnh vin Bnh Nhit i Trung
ng theo Quyt nh s 4450/Q-BYT ca B trng BYT.

CHC NNG, NHIM V

Bnh vin l tuyn cao nht khm, cha bnh, phc
hi chc nng v cc bnh truyn nhim v nhit i
o to, tham gia o nhn lc y t chuyn khoa
Nghin cu khoa hc v y hc

Ch o tuyn di v chuyn mn, k thut

Phng chng dch bnh
Hp tc quc t
Qun l kinh t trong bnh vin

C CU T CHC HOT NG
7 PHNG CHC NNG
T chc cn b

K hoch tng hp
Hnh chnh qun tr
Vt t - Thit b Y t
Ti chnh k ton
iu dng
Hp tc quc t
02 TRUNG TM

o to ch o tuyn
Phng chng dch-t vn
tim chng vc xin

7 KHOA LM SNG
Khm bnh
Cp cu
iu tr tch cc
Vim gan
Nhim khun TH
Virus-KST
Nhi

6 KHOA CN LM SNG
Xt nghim
Huyt hc TM
Dc
Chn on hnh nh
Chng nhim khun
Dinh dng

C CU NHN S
Ph Gio S
Tin s

03 ngi
06 ngi

Bc s Chuyn khoa cp II
Thc s bc s
Bc s Chuyn khoa cp I
Bc s
Dc
iu dng
K thut vin Y
H l, Y cng
Khc
Tng cng

01 ngi
24 ngi
6 ngi
38 ngi
21 ngi
158 ngi
70 ngi
5 ngi
48 ngi
380 ngi

KT QU THC HIN CC CH TIU

KHM CHA BNH C BN
NM 2015

CH S HOT NG KHM, CHA BNH

Ch tiu c bn

K hoch
nm 2015

Thc
hin

% t so
vi KH

350

322

92%

Tnh theo ging KH

95%

92%

Tnh theo ging thc k

100%

119%

Tng s lt khm

58 600

81 934

140%

BN iu tr ni tr

11 000

11 692

106%

Tng s ngy iu tr ni tr

112 200

117 516

105%

Ngy iu tr trung bnh/01 BN

10.2

10.1

0.1 ngy

BN iu tr ngoi tr vim gan

1 150

1 165

101%

Ngy iu tr ngoi tr VG

13 800

13 980

101%

Ging bnh
Cng sut s dng ging bnh

CH S HOT NG CN LM SNG
Tng s xt nghim

K hoch
nm 2015

Thc hin

% t so vi
KH

Ha sinh

600 000

661 190

110%

Huyt hc

140 000

211 108

151%

Vi sinh

20 000

19 289

96%

Xt nghim HIV

4 200

4 211

100,2%

Min dch

130 000

146 870

113%

Sinh hc phn t

20 000

23 335

117%

CH S HOT NG CN LM SNG
Tng s xt nghim

K hoch
nm 2015

Thc hin

% t so vi
KH

Siu m

25 000

43 487

174%

X- quang

20 500

27 836

136%

Chp CT- scanner

1 200

1 401

117%

in tm

1 500

3 010

201%

Ni soi d dy

900

1 550

172%

Siu m tim

500

1 176

235%

9 000

9 590

107%

Fibroscan

CH S HOT NG KHM, CHA BNH

Kt qu iu tr bnh
nhn ni tr

S bnh nhn ra
vin nm 2015

% so vi tng s
BN ra vin nm
2015

S BN iu tr khi,

9 606

92%

Khng thay i

466

4,4%

Nng hn

239

2,2%

Tin lng TV gnh

xin v

71

0.6%

T vong

45

0.4%

KT QU HOT NG C TH

KHM, CHA BNH

Trin khai lp t my bm s xp hng t ng ti khoa
Khm bnh, khu tip n BHYT; H thng phn mm qun
l khm bnh, hin th danh sch bnh nhn ch khm trn
mn hnh LCD ti ca cc phng khm.
Bnh vin k cam kt vi B Y t khng tnh trng ngi
bnh nm ghp ging bnh v ln k hoch trin khai ti
cc khoa lm sng.
Xy dng li danh mc k thut c ph duyt ca Bnh
vin (626 danh mc) theo Thng t s 43/2013/TT-BYT ban
hnh ngy 11/12/2013.
Trin khai chng trnh Gim st khng khng sinh ti
bnh vin giai on 2015 2020.

KHM, CHA BNH

T chc thnh cng L bn giao h s thit k chi tit Khoa
Xt nghim Bnh vin BNT & gii thiu Labo cng ngh
cao trong nghin cu v chn on bnh nhim trng ti VN.
Phi hp vi Hi Truyn nhim Vit Nam, i din Cng ty
Hoffmann La Roche t chc L pht ng Thng hnh ng
hng ng Ngy vim gan th gii nm 2015.
Phi hp vi O2 TV ghi hnh pht sng Gi vim gan. Tip
tc duy tr chng trnh Gi vim gan trn fanpage.
Cp nht phc hng dn chn on v iu tr vim gan virus C
T chc thnh cng bui nh hng truyn thng bo ch
phng chng bnh vim gan virut B v C nm 2015.

KHM, CHA BNH

Trin khai cc k thut lm sng, cn lm sng chuyn
su, c th:
- K thut ni soi can thip tht gin tnh mch thc
qun.
- Fibroscan;
- PCR chn on ho g; PCR chn on vim gan D,
vim gan E; PCR rickettsia;
- Xc nh vi khun Lao bng h thng GenExpert.
- K thut pht hin Mers CoV; xt nghim sng lc
virus Ebola; k thut nh danh vi khun bng my
Malditof.

CNG TC IU DNG V CSNB

TON DIN
T chc chm sc ngi bnh ton din theo ca ti Khoa
TTC v Khoa Cp cu.
T chc hp Hi ng ngi bnh, t vn, gio dc sc khe,
hng dn phng chng ly nhim cho ngi bnh v ngi
nh
Kim tra, gim st v cng tc iu dng, k thut vin 01
ln/thng.
Trin khai thc hin Thng t 07/2014/TT-BYT ca BYT, k
cam kt thc hin cc ni dung: i mi phong cch, thi
phc v hng ti s hi lng ca ngi bnh.
T chc thnh cng Hi thi iu dng vin gii, thanh lch
nm 2015.

O TO
Tp hun D phng, iu tr MERS CoV cho cn b BV.
Tp hun v chn on iu tr, sng lc, phng chng ly
nhim bnh do MERS-COV cho cc bnh vin khu vc pha
Bc, min Trung v H Ni.
Phi hp vi HAIVN t chc o to v h tr lm sng trc
tuyn v chm sc, iu tr ngi bnh HIV/AIDS.
Phi hp vi WHO t chc lp tp hun th my iu tr
cm nng ti Lng Sn v Bnh nh.
Phi hp vi MSD t chc tp hun chn on iu tr vim
gan virus C ti Ngh An.
T chc tp hun st xut huyt theo Chng trnh mc tiu
quc gia (05 lp vi 200 hc vin bc s v iu dng cc
bnh vin khu vc pha Bc).

NGHIN CU KHOA HC
T chc nghim thu ti nhnh 1, nhnh 2 ca ti nghin
cu cp Nh nc Nghin cu ng dng k thut sinh hc
phn t xc nh mc khng khng sinh ca mt s chng
vi khun gy bnh thng gp Vit Nam, M s:
KC.10.18/11-15
T chc Hi tho khoa hc v tnh hnh khng khng sinh v
nh gi mc khng khng sinh ca cc vi khun gy bnh
thng gp thng qua MIC; xc nh cc gen lin quan n
khng khng sinh ca cc vi khun gy bnh thng gp ti 13
bnh vin Vit Nam.
Tham gia nghin cu SEPSIS SEA050; tuyn bnh ca Nghin
cu M t Tin cu vic Kim sot v Kt qu iu tr ca
Nhim khun Clostridium Difficile cc Quc gia Chu Thi
Bnh Dng.

NGHIN CU KHOA HC
Trin khai TNLS ngu nhin, a quc gia giai on III nghin
cu tnh hiu qu v an ton ca Phc phi hp trong vic
iu tr cc i tng nhim HCV mn tnh Kiu gen (GT)1,
GT4 v GT6 cha tng c iu tr do MSD ti tr.
Trin khai Nghin cu ngu nhin, nhn m, a trung tm,
giai on 3b nhm nghin cu tnh hiu lc v an ton ca
Sofosbuvir cng vi Ribavirin (Pegylated Interferon) i
tng nhim vi rt vim gan C mn tnh kiu gen 1, 2, 3 v 6
do Gilead ti tr.
Phi hp vi OUCRU tip tc trin khai cc nghin cu v cn
nguyn gy nhim khun huyt, CRP, VZO4,..
T chc thnh cng Hi ngh khoa hc ton quc v bnh
Truyn Nhim v HIV nm 2015 ti lt, Lm ng.

CH O TUYN
Kim tra, gim st cng tc phng, chng dch, m cc lp
tp hun cho tuyn di.
M cc lp hun chn on, iu tr, d phng cc bnh
truyn nhim gy dch mi ni, ti ni ti cc tnh khu vc
pha Bc v Duyn hi min Trung.
Trin khai su rng m hnh bnh vin v tinh, trc tip ch
o, gim st hot ng chuyn mn 03 bnh vin v tinh:
BV Bc Thng Long, BV c Giang, BV Sn Ty.

CNG TC N 1816
C 14 lt cn b vin chc i tng cng h tr chuyn
mn vho tuyn di.
Chuyn giao 05 gi k thut chn on iu tr vim gan vi
rt B, C cho 5 tnh: H Nam, Thi Nguyn, Tnh H Tnh,
Tnh Ninh Bnh; Lng Sn;
Chn on x tr SARI cho bnh vin a khoa cc tnh
Qung Ninh, Qung Bnh
K thut PCR chn on nguyn nhn gy bnh cho bnh
vin a khoa cc tnh Ph Th, Lo Cai.
k thut ELISA tm nguyn nhn gy bnh cho bnh vin a
khoa cc tnh: Vnh Phc, Ph Th, Ninh Thun
K thut nui cy mu, dch c th, nh danh vi khun v
lm khng sinh v k thut nhum mc tu tim nm
cryptococcus neoformans ti Gia Lai, Ninh Bnh, Bc Ninh,..

PHNG, CHNG DCH BNH

Thnh lp Ban ch o phng chng dch nm 2015, i cp
cu ngoi bnh vin,
T chc Din tp phng chng bnh do vi rt Ebola ti bnh
vin.
Xy dng phc hng dn chn on, iu tr v d
phng ly nhim bnh do virus Ebola c B Y t ph
duyt, ban hnh.
Xy dng Quy trnh tip nhn; Quy trnh vn chuyn; Quy
trnh xt nghim v Quy trnh kh khun bnh nhn nghi
nhim MERS CoV.
Tham d cuc hp trc tuyn vi cc nc thnh vin
ASEAN v nguy c v ng ph vi dch bnh MERS-CoV
Chun b y c s thuc, ho cht, vt t, trang thit b,
phng cch ly sn sng x l kp thi khi c dch xy ra,
Tng cng gim st, pht hin sm ca bnh xm nhp, cch
ly, x l kp thi.

HP TC QUC T
Tng cng hp tc nghin cu vi cc n v, t chc quc
t: Oxford, NCGM, Turf, HAIVN, CDC, Grand Challenges
Canada, BD, D n CRIS
Hp tc vi Oxford xy dng v a vo hot ng h thng
Labo xt nghim t chun quc t.

NHNG THUN LI V KH KHN

Thun li:
L bnh vin chuyn khoa u ngnh Truyn nhim ca c
nc, c s quan tm, ch o trc tip ca B Y t, s
phi hp gia cc ngnh chc nng, cc cp y ng v
chnh quyn a phng
c s lnh o, ch o ca ng y, Ban gim c, s
on kt nht tr cao ca Ban gim c v ton th cn b
vin chc trong bnh vin
i ng cn b vin chc c trnh chuyn mn cao, nhit
tnh cng tc, quyt tm phn u hon thnh nhim v
c giao

NHNG THUN LI V KH KHN

Kh khn:
Bnh vin nm trong khun vin Bnh vin Bch Mai, vic
vn chuyn bnh nhn gp nhiu kh khn, c bit khi c
dch xy ra
Din tch s dng cht hp, cha trin khai b tr y cc
khoa phng theo iu l hot ng
Kinh ph phng chng dch, o to, nghin cu khoa hc,
ch o tuyn cha p ng c nhu cu hot ng.

KIN NGH
ngh B Y t tng kinh ph phng, chng dch, o to v
ch o tuyn p ng yu cu hot ng
Tng cng u t mua sm trang thit b y t kp thi phc
v cng tc chn on, iu tr tham mu cho B Y t khi c
dch bnh c bit nguy him xy ra

Xy dng c ch ti chnh, nhn s,... thun li cho cng tc

phng chng dch
Thc y nhanh tin d n xy dng bnh vin mi vi
cng sut 1000 ging bnh ti x Kim Chung - ng AnhH Ni

T KIM TRA, NH GI
CHT LNG BV NM 2015

Ngy 23 /11/2015 Gim c bnh vin c quyt nh s

483/Q-NT v vic thnh lp on t KTCLBV nm 2015
T chc on, tin thi gian v khi lng cng vic thc
hin:
T chc: on GNB c chia lm 4 nhm thc hin KTG
Thi gian: Trong 3 ngy: T 09 - 11/12/2015
Phm vi: Ton b 22 n v trong bnh vin
S lng tiu ch p dng: 80/84 tiu ch (khng p dng: 4
tiu ch l D3.4, E1.1, E1.3, E1.4 v khng c XHH Y t v
khng c Khoa Sn)

28

KT QU T KIM TRA, NH GI
CHT LNG BV NM 2015
1. TNG S CC TIU CH C P DNG NH GI: 79/83 TIU CH
2. T L TIU CH P DNG SO VI 83 TIU CH: 95%
3. TNG S IM CA CC TIU CH P DNG: 337
4. IM TRUNG BNH CHUNG CA CC TIU CH: 4.27
KT QU CHUNG CHIA THEO
MC

Mc 1 Mc 2 Mc 3 Mc 4 Mc 5 Tng s tiu ch

5. S LNG TIU CH T:

6. % TIU CH T:

0.00 0.00 7.59 58.23 34.18

46

27

79
79

29

10 S KIN NI BT
CA BNH VIN NM 2015

1. Bnh vin n nhn Hun chng lao ng hng nht ca

Ch tch nc v C thi ua ca Th tng Chnh Ph
"n v xut sc trong phong tro thi ua" ngnh Y t.
2. Duy tr p dng v cp nht thnh cng ISO 15189:2012;
Trin khai p dng ISO 9001:2008 cho ton b cc
khoa/phng/trung tm trong bnh vin.
3. T chc L bn giao h s thit k chi tit Khoa Xt nghim
Bnh vin BNT & Gii thiu Labo cng ngh cao trong
nghin cu v chn on bnh nhim trng ti VN.
4. T chc thnh cng Hi ngh khoa hc ton quc v bnh
truyn nhim v HIV/AIDS nm 2015.
5. T chc Hi ngh trin khai K hoch thc hin i mi
phong cch, thi phc v ca cn b y t hng ti s hi
lng ca ngi bnh v k cam kt thc hin.

6. T chc L pht ng Thng hnh ng hng ng ngy vim

gan th gii nm 2015. Phi hp vi O2 TV ghi hnh pht sng
Gi vim gan.
7. T chc cng tc phng, chng dch bnh MERS-CoV ti
Bnh vin Bnh Nhit i Trung ng.
8. T chc thnh cng Hi thi iu dng gii thanh lch.
9. T chc Hi tho ti cp Nh nc Nghin cu ng dng
k thut sinh hc phn t xc nh mc khng khng sinh
ca mt s chng vi khun gy bnh thng gp Vit Nam.
10. Hng ng thng hnh ng th gii v khng khng sinh v
T chc l k cam kt s dng khng sinh c trch nhim.

MT S HNH NH HOT NG
CA BNH VIN NM 2015

TRN TRNG CM N