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    Bien Ban Kiem Tra Danh Gia Chat Luong Benh Vien 2019

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    10 views14 pages

    Bien Ban Kiem Tra Danh Gia Chat Luong Benh Vien 2019

    Uploaded by

    Đoàn Anh Hoàng
    Bien Ban Kiem Tra Danh Gia Chat Luong Benh Vien 2019

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    1128/2019 BIEN BAN KIEM TRA, DANH GIA CHAT LUQNG BENH VIEN NAM 2019 (AP DUNG CHO CAC DOAN KIEM TRA CUA CO QUAN QUAN LY) Bénh vign; BENH VIEN DA KHOA TINH HA GIANG Bia ch Sha 1,78 10, phuing Minh kei, Thin pho Ha Giang, Tink hi gang, phuing Minh Khai thin ph 1 Giang, Ha Giang Gi aéc: PHAM ANH VAN Di d9ng: 0904174698, Email: Vanbsbg@gmail.com THONG TIN DOAN KIEM TRA Doan kiém tra duge thinh lip theo ‘Quyét dinh sé: 1014/QD-SYT ngity 11/11/2019 cia Giém dée Sa ¥ é 1. Ong Luong Viét Thuan - Giim dée SY té, ma anh gid vién 12715 - ‘Truong doin 8 Thi MY - Trung phng NVY, ml nh gi vign 13624 - Ths kg 3. Ba To Thi L6- Chinh Vin phong SY t€, mi inh gd vién 12784. Thanh vién 4-Ong Luu Binh Mant - Chinh thanh tra iY t&, ma din gi vién 12749. Thigh vién 5: Ong Hong Héng Tu - Taxing phong QLHN Y Duge va BHY'T, So tnt danh ea 7. Ba Nguyén Thi Kiéu Hing - Phé tring Phong KH-TC, ma danh gi vign 12711 - Thanh vién §. Ba Luong Thi Thuy Vinh- Pho ting Phong Nghigp vu Dug, mi dinh gid ven 12140, Tha vién 9. Ba Phing Thi Thanh, Phé Chi tich cOng doan nganh- Thanh vign 10 Ong Chiie Hing Phong - Gim de Bénh vign Lao vi bah phi, mn dd gi vi 19160 Thin vién 11. Ong Pham Manh Cong Giim de Bgnh vign BKKV Bie Quang, ma dinh gid vién 19064. Treen 12, Ba Nguyén Thj Hoa - Trudng phong Digu duéng Bénh vin DKKV Bic Quang, ma dank gid vién 19165 - Thanh vign 13. Ba Nguyn Thi Binh - Phong Nghigp vy Y Sé ¥ td, ma dinh gis vign 12754~ Thanh vien 1ig:Bt Newyen Thi Thu Ha, Pho Phong Bigu dung, Bénh vign Lao vi bénh phd, mi din gid vién 19256 -Thinh vién TOM TAT KET QUA DANH GIA CHAT LUQNG BENH VIEN 1. TONG SO CAC TIBU CHi BUGC AP DUNG DANH GIA: 83/83 TIEU CHI P DUNG SO VOI 83 TIEU CHE: 100% 3. TONG SO DIEM CUA CAC TIEU CHT AP DUNG: 304 (C6 hg sé: 330) 4. DIEM TRUNG BINH CHUNG CUA CAC TIBU CHI: 3.67 2. TY LE TIEU CHI (Tiéu chi C3 va C5 cb hg sé 2) IKET QUA CHUNG CHIA THEO MUC|Mge [Me [Mite [Mie 4] Mite 3[Bag sb Wau B.SOLUGNGTIEUCHIDAT: fo {10 [as [a as [6% TEU CHI DaT. 000 [1.20 po.ra [5785 [as |as Nei thing. .ninCl1G TRUONG DOAN KIEM TRA THU KY DOAN GIAM DOc BENH VIEN toi tén) én) Suvi ding dw) 2 fe : L—- OY aani2019 BAO CAO DOAN KIEM TRA, DANH GIA CHAT LUQNG BEN! VIEN NAM 2019 I. KET QUA DOAN KIEM TRA, DANH GIA CAC TIEU CHi CHAT LUQNG Mi 86 Chi tieu Béoh vign ty inh gid NAM 2019 Doin KT aénh|chi sid NAM 2019 |e A [PHAN A. HUGNG DEN NGUOI BENH (19) lal [AL Chi din, dén tip, hudng din, ep cdu gui bénh (6) ALT INeudi bénh dye chi din ring, dn Gp va hung din op thE Janz INaubibénh duge chi doi trong phing dly di tin nghi va duge vn chuyén phi hp v6i tinh trang bg tit lal [Bénh vign tién hanh cdi tién quy trinh khém bénh, dip ting sw nai long ngudi bénh lala [Bgnh vign bio dim che dia Kign cp cing bénh Kip toi JALS INewai bénh dye im cdc thi tue, khim bénh,thanh tan... theo ding tity bio dim tinh eng bing vi mic wu tin la16 INewdi bénh dave hung din va bS tr lim xétnghigm, chin \dodn hinh dnb, thim dd cite ning theo trin ty thus tin [A2, Diéu kign co 56 vat chat phyc vu ngudi bénh (5) [a2.1 Nauéi bnh diy tr ndi tra duge nim mot ngudi moe give la2.2 INeudi bénh durye sir dung budng vé sinh sach sé va Gay di cde [phuong tign \a2.3 INgudi bénh duxge cung cp vat dung cf nhan @ly i, sach <8, chat Iugmg tot Jaz [Newoi bénh duge huéng cde tién nghi bio dim sie Khde, nang cao thé trang va tam ly lazs INgudi Khuyét tit duge tgp edn véi ede Khoa/phong, phuong ign va dich vy khém, chita bénh trong bénh vign las JA3. Méi truémg chim s6c ngs bénh (2) la3.1 INgudi bénh duge du tr trong moi mung, cinh quan xan, seeh, dep Ja3.2 INewi bah duge Khim va digu tr trong Khoa/phong gon ging, nein nip laa [Ad QuyEa va ii ich eta ngudi béoh () lag.t [Nguoi bénh Gage cung ef thing tin va tham gia vao qué tinh [sigue [aa2 [Newoi bah dupe tn rong quyEn dng hrc ain lA43 [Newoi béah duge nop vien phi thud tién, cdng Khai, minh | bach, chinh xéc [aaa [Newdi bénh duge hudng loi ti chi trong x8 hGi hia y tf las JNawi bénh o6 9 kidn phan nan, hfe mc hofe Khen ngei Guge Jbgnh vign tiép niin, phan hoi, giai quyét kip thoi Aso [Bénh vign dys hign khio st, nh gid sy ha long ngudi bin la tién hanh cfc bién php can thigp IPHAN B, PHAT TRIEN NGUON NHAN LUC BENE VIEN laa) IBI [Bi. SO jugng va co efu nhin lve bénh vign (3) BIA [xay dig ké hoach phat trign nhin lye béah viga B12 [Bao dim va duy ti dn dinh s luomg nbn ive bénh vig B13 [Bio dim co cfu chire dank nghé nghigp cia nhin Iye bah Ba. [B2. Chit hrong ngubn nbn hue 3) [B21 [Nhan vin y t duge dio tao va phat tridn Ky nding nghé nghié [B22 INhin vign yf dugs nng cao ky ning ing xt, a0 tf, y dc IB2.3 [Bénh vign duy tri vA phat trién bén ving chit lugng ngudn nhan’ hse [BS [B3. Ché 46 dai nad va digu kin, moi trudng lam vige (4) rarv2019 Mi sé Chitieu Béah vign ey inh git NAM 2019 |Doan KT aiinh| id NAM 2019 Ichi tide] B3.1 Bie Gi chink sek og, cS gh ata y 4 3.2 [Bio dim dia Kign lim vigo, vé sinh lao &dng va ning cao trinh [46 chuyén mén cho nn vign yt8 4 B33 [Ste Khe, di sOng tinh than cia nhin vién y t€ duge quan tm va cai thign Baa [Tao dumg moi tring lim vig tch ewe cho nin vign y @ Ba [B4. Lanh dao bénh vign (4) B41 [Xay dung ké hogch, quy hogch, chién huge phat tién bah va céng bé céng khai Ba [Trién khai vin ban ela cde ep quan ly [Ba [Bio aim chit hagng ngudn nhin Ipc quan iy bean viga [Baa [Oi duéng, phat trién doi ngi Hanh dao va quan ly ké can [PHAN C. HOAT DONG CHUYEN MON (35) lc [CI An nin, rt ty va an toan chéy nd @) on [Bao dim an ninh, tit ey bénh vign Ici [Bio dim an toindign vi phing ching chay nb ica. [C2. Quan iy ha so bénh én (2) cx [Hd so bénh din duge lap day di, chinh xic, khoa hoc [c22. fi sa bgan dn dupe quan I elt che, dy di, Khoa ge Ic [C3. Gg dung dng nghé thing tin 2) (Aim x2) en [Quan Iy tt co sé dt igu va thong tin y of Ic3.2 [The hign ede gidi phap tng dung cong nghé thong tin rong |quan ly va hogt dng chuyén mén [ca [Cé4. Phong ngita va kiém soat nhiém khuin (6) [car [Thi tap vi hod thign hé thng kiém soat nhiém khuan \ca2 Pxay dng va hung din nha vien y €thychign ele quy Win kim sot nhiém khudn trong béah vi [cas [ign kai chong tinh va giém sit tun hi ia ay Ics [Banh gid, gidm sat va trién khai kiém sodt nhiém khudn trong [béah vie \cas [Chit thai rin bgah vign duge quin Ij chgt cha, xi Ij an oan vi tudn thi theo ding quy din cas [Chit thai long bah vign dupe quan Ij chit ch, x an toin tun thi theo ding quy din Ics. ICS. Nang lve thyc hign kY thuat chuyén mén (5) (diém x2) on [Thue hign danh myc ky thuft theo phin tuyén kj thuat lcs.2 JNghién ci va trién khai dp dung ede kj thudt mdi, phuong mi lcs.3 \Ap dung cfc hung din quy tinh Ky that him bfah, cha leah vain kai ee bign phdp giim sit chdthuomg [esa PXay dung cdc hung din chin dosn vi difu tr less [Ap dung cdc hung din chin dn va du tr di ban inh va idm sit vige thie hin [C6. Hoat ding diéu dudng va chim sée ngudi bénh (3) Ico. Hg thdog didu dung tng duge tie lip va host ding hig aus co. JNgubi béah duge div dung hudng din, tr vin didu ti va chim séc, gio dyc sie khde phi hop v6i bénh dang duye diéu te Ico. ]Naubi beak dupe chim soc v8 sinh of akin wong qud win di tri tai bénh vign cz [C7. Nang Ive thyc hign chim s6c dinh duomg va tiét ché (5) lc74 [Béah vig thie fp hé théng t chic 48 thye ign cng tc din etme va tit ché trong bn vign \c7.2 [Bénh vign bio dim co sé vét chit dé thye hign céng téc dinh autng va tid ché trong béah vign aarva019 Bjah vgn oy oa Doan KT aanh|ci % Onin ah gia NAM A a0 fat [cra [Newtibénk duge dlnh ga, theo dO nh trang din dug tong 7 5 thas gian nim vién Kora [Nauti bea dye hug dln, ta van ch mph hop vei | 1 4 Hoga iy Lez [Naw8i Beak age cung cp ch din dug phi hop véi 7 7 lbh iy trong tho gian nim vign [CB [c8. Chit iuome net rghiém @) [cg [Bi dim ning lus thye hin ef xe nghibm huySt ge, hos 7 7 +1 sin, vi sinh va gi phbu enh [CR [Bio dim chlt hrgmg ce net nghig 5 3] [C9 [c9. Quan iy cung ig va sir dung thube (6) [CO:1 [Banh vignthidt lip bi thng tb chic oat dng due 4 z) [C92 [Bio dir co svat chit khoe Dive 3] 3| [Cung tng thude va vat wry 1 tidu hao dy 4, Kip hb, bi dm (C93 Jchdt tung 3 3 [Goa [sir dung tube an tain, hop 3 3 co.s |Thbng tin thud, theo di bio clo phn gob bai cia ude 7 A (ADR) kip thin, dy di va 66 chit hung [CO Hi dng tube va db dye tit Kp vi hogt dag Hida gud 3 3 [C10 _[ClO. Nahién ctu khoa hoe @) [ClO.1| Tih ewe trién kai hog dng nghién ctu Khoa Boe 3] 3] KeoalAn ding Kaui mpi ci oa ho wong howto bah 1 ‘ lvign vi ef pti php nng cao chit hrgng Kham, chia enh ID [PHAN D. HOAT DONG CAITIEN CHAT LUNG bi idt pb thng va ci én cht ung) [DIT [Thiel he thong. qu I chi lugmg bénh vign 4 ql Ipu2 [ay dime wi tridn Khai KE hoa, 8 én ci in cbt omg Ben 4 4 2 Nien [Di [Xiy dung vin hoa ct Iugne 3] 3] [D2 _[D2. Phing naia co sv ob khfe phue @) oaa [ine eh ney iad ng a 31 5 Iona PAY dime Bf tg bo eho, ph ch aro y Khoa vn ih 1 5 -2 Jed giai phip kc pve [p23 [we higa cfc bign php phong nga & gm thibu cic wr cb y 5] 5| non [D2 [Bio dim xkedinh chinh xde ngubi ben Kh cong clp dich vw ql i [D2.5 [Phong nga nguy co newt bénh bi rut ng al [D3_[D3. Dénh gid do iuimg, hop ti vi cdi in chit tugng (@) [ba 1 [és ad chink xc thy rang va cng b8 cng Khai chit ong 1 i +1 Toga vien [D3.2 [Bo tuéng va gidm sit ci tién chat lngng bénh vign 4] 4| a3 [Ho te voi co quan quin Ij wong vige xy dyng ebng ey, tién A | lar, bio céo hoot déng qu I chat iegng bénh vien IE [PHANE. TIBU CHI DAC THU CHUYEN KHOA fer [EL Tit chi sin Koo, ahi hoo ip dung eho benh vgn do Khoa es khoa Sin, Nhi vi bénhvign chuyén Khoa Sén, Nhi (4) fers Bight eg tcc cn se sa oe vaso 7 | ria [Beak vigo tye hig or hogt Gag uy thOng we Ke sin 71 71 2 [in rade sin, rong ki sinh va sau sinh Tria [Bah igo tuygn tray, ep hun va thy hank Oe mudi con 1 1 ning sta me theo hate. din cia BOY t& vi UNICEF [ES [Beh vign thie lip hg thing tb chic chim s6e nhi Kho q a 1172812019 I, BANG TONG HP KET QUA CHUNG Sc KET QUA CHUNG cana THEO MU ets Sn PHAN A. HUONG DEN NGUOI BENH (19) jojo [6 [13 [fo {3.68 fio JAI. Chi din, dén tigp, hutmg din, cdp ctu nguoi benh © jo jo [3 [3 [o |350 |e |A2. Diéu kign co so vat chat phyc vy nguoi bénh (6) jo jo fo |s [fo |400|s ak maton chimera SOG a GE |A4. Quyén va Igi ich ciia ngudi benh (6) jojo |2 fe fo [3.67 Jo PHAN B. PHAT TRIEN NGUON NHAN LUC BENH VIEN 4) jo [fo [3 |s_ [3 [soo fia [BI. $6 hegng va co efu nhin Iye bénh vign Gy loo [tp lo ber b [B2. Chit long nguén nhan Ic G) jojo jo [2 fi fa33|3 }B3. Ché d6 dai ngd va digu kign, moi truémg lim vige (4) jojo fo [3 fi |a2s fa Bi Link io aries Co PHAN C. HOAT DONG CHUYEN MON G5) jo fi fie fiz fi [asi fs Anna ity var ean cho feo eo (onal soba) oof ose |C3. Ung dung céng nghé théng tin (2) (diém x2) jo jo jo fi fi [aso fz {C4. Phong ngita va kiém soat nhiém khuan (6) jo fi j2 fo (333 \6 JCS. Nang lire thyc hign ky thuait chuyén man (5) (diém x2) jojo [3 [2 |o [340 [5s oo igi dg vi chan o mo a ope fo— leon [C7. Ning ie thus hign chim se dinh dating vi we chE 3) loo 2 lo ~faa0 fs cS Clips Oh pf fos (C9. Quan ly cung img va sir dung thude (6) jo jo fs fi fo [si7fe clo. Nahin isin net Co oO |PHAN D. HOAT DONG CAI TIEN CHAT LUONG (11) jo jo |s |e fo [sss tn [D1. Thigt lfp hé thong va cai tign chat luong (3) o jo ft bb fo perp [D2. Phng ngtia ele sy © kine phue (5) oo [3 2 Jo [340 |5 [D3. Banh gid, do lung, hop tic va cai tién chat Iugng (3) jojo ft 2 fo f3e7 fs PHAN E. TIEU CHI BAC THU CHUYEN KHOA jojo fo [4 lo [400 fa ataMinesunaneiesa a == fb fb pp koh s12si2019 IL. TOM TAT CONG VIEC KIEM TRA BENH VIEN Thuy doc Quyét dish think lp doin kiém ta - Thximg dod quén trigt va phn eng nhigm vy cho ede thinh vién cy thé nbur sau: 1. Bs. DS Thi My: Kiém tra - Phin C Muc C10. Nghién eit khoa hoe 2. Bs ‘Neguyén Menh Ha - Phan D: Tir Di ~ D3 Myc D1. Thiét lip he thing va xay dung, trién khai ké hoach edi tién chat lugng Mye D2. Phong ngtra fe sist, ova cich Khe phue Mue D3. Dinh ai, do hrbng, hop tc va eli in chi gmp >, Be, Te THES Ping Thi Thanh Kiém rab ligu: Nhin sp ting hop, Co cfu che béah ign ~ Phin B: Te I~ Ba Myc DI Sé lug vaca cfu nn Ive Bish vgn Myc B2. Chit lng nguén ive Myc B3. Che dt ng vidi kin 9 oon vign - Phin C: Me Cl. An ninh, tty va an toin ehdy nd Muc C3, Ung dung eng ‘ghé thong tin 3. CN. Hoéng Héng Tu, CN Nguyén Thi Kiéu Hong - Kiem tra s6 liu Hoat dng tai chin: Phag A. ca 56 vat chit phuc vy ngudi bénh Myc Ad. Quyén va loi ich cila ngudi bénh 4, Ds. Luong Thi ‘Thy Vinh - Kiém tras igukiém ké thu6e trong bénhvien Muc C9. Quin ly eung img va sé dung thade 5 Be Chie $H6ng Phuong, Bs Pham Man Céng, Bs Liu Biah Manh Kigm tra: Quy ché chuyén mon Phin A: Mue Al. Chr sie: ln ip hung din, cdp ctu ngudi binh Mue A3. Diu kin chim s6e ngudi bénh Phin C: Myc C2 Quin i Ho og bénh én Mue CS. Chat lnomg lim sing Mue C8. Chit lugng xét nghiém. 6. CN Nguyén Thj Binh, CN Nguyés Th Hoa, CN Nguyén Thi Thu Ha, Kiém tra Myc C4, C6, C7 C4, Phong ngia va kiém soit nhiém Khudn! C6. Host dng itu crdng vi chim sc ngudi oh C7, Dinh ding vit che. Phin E.Tiu hl de th chuyé Khon El. Ta ond sn los E. Tidu chi ni hoa. - Kho sth ing nguti bgnh va nin ven y Ket qu Hit tr: 96 ugg as ht Sp dng: 8383 ti chi. 1due p dng so vr 83 tu ci 100 phn trim - Tang 6 idm cin vc teas ap ding: « Diém trng bin chung ea cic tu chi: - Két qu chung chi theo mie: Mie I: 0 ehiém 00.00 phda oss hate 2:1 TC chiém 1,2 phn tim Mic 3: 30 TC dat 36,14 phn trim Mite 4: 48 TC dot 57,83 phin tim Mie 5:4 TC: de 4,82 phin trim IV. BIEU DO CAC KHiA CANH CHAT LUQNG BENH VIEN a. Biéu dd chung cho 5 phan (tir phin A dén phin E) HUONG BEN NGUOI BENH (19) TiBU CHI CHUYEN KHOA (4) PHAT TRIEN NHAN LUC (14) CAITIEN CHAT LUONG (@) HOAT BONG CHUYEN MON (36) +b. Biéu dé riéng cho phan A (tir Al dén Ad) AN. Chi din-Sintibpshutng dln-cép ecu ngudi bioh 6) Ad. Quydn va igi ich ‘eda ngudi ben (8) 2. Dibu kién co 96 vat endt hye vy nguai benh (6) ‘AB. MBi trudng cham s6¢ ngudi bénh (2) + ©. Biéu dé riéng cho phan B (tir B1 dén B4) 81. Sé lyong va co cdurnhin te BE vidn (3) BS. Linh dso béa ign) 23> 2 chittuong nbn andn ioe @) 3. Ché 60a ng va iu hid, ml rwtng Lam vide (4) ing cho phan C (tir C1 aén C10) CCA An inh ety vd an ton chy nb (2) 10. Noh edi hoa oe (2) (C2. Quin Reo béa dn 2) +d. Biéu ad (C3. Quan by cung ting va si dung thabe (6) (£8. Chétiuang xt nghiém (2) CA. Ping ngva v8 dm soat nh khudn (6) CT. Nang he ve ign ham see dinh dng va atch) SS ie es tc hit, 8, Heat ing cu ding vacham s6enquai bin) © ¢. Biéu dé rigng cho phan D (tir DI dén D3) OF. That ip hé tng x8 xy dung, tin kat kké hoach c&i tién chat lung (3) 3 Banh gd. trong, nop te 12. Phing nga ede ea st seb "ei Ubn erat ong (3) vd cdch ae phe @) IV. DOAN KIEM TRA DANH GIA CHUNG VE CHAT LUQNG BENH VIEN Bint vidn dy dime quy hogc phat wid tng th, KE hoach host ng nln, KE och dio go, DAT Bain nin tye j Ban hn dy acdc quy ch: in chi cos, quy chi chi gu ni bp, quy eh xét ken thing, x vi pam i th i e. Bish vitn dS kign tin Hoi ding QL-CL, T6 QLCL, Mang hii QLCL, Cic ban chuyén tréch tong QLCL bent vin. T6 chi hop Hiding, Td, Meng hud vi cdc ban chuyen rich thee dine cus dink BE my die do, KE hoach ei dn nog mc tiguehi CLBV, KH nim, KI uy, KH Gy ch fi, phin Jcdng wich nhigm cu thé. | Cac khoa di ty xay dng 8 én, Ké hogch ea | Co sé vit chit, khuén vién ben vignsach dep. - Bim bio ché dd chinh sich tien Iuomg, ché dai ng6 cho nhin vién | Nauti bénh vio vign dave dén tip va hudng din ey the | Thue higntét cng tic dink dung, Bidu ding, kiém sodt nim Kh ge lp ké hogch chim se. Thee hignquy trinh ky tht chuyén man theo ding danh mye vi phn tun, tch eye tén kal cde dich wp ky tnuat mi nang cao cht lzong kh bnk, chia ben 5 it dima rude hot dong hia qu chus cao, dim bio cung ig tude dy dy, si dung tude tong di hyp Ny. - Bio dim xée dinh chinb xée ngudi bgah khi cung edp dich vu. | Quin ly 5t co sid liga va thong tiny | Trién Khai vin bin ca ef clip quan ly Tyo dmg mi satng lim vgs tch eve cho nn vign yt | Nhnvien y tf duge tip hun ning cao kY nding ting xt, i moi phong eich | Duy tt va phi rien ben vig cha Newbi Binh di rnb tri duge nim mot ng mtgiuong, dim bio cu sd vat cht phyc vy ngui béah 5 dim bio quyén vi Ig ich eda ngudi gah chit hegng cp khoa, phone 1. Toan bp ngudi bénh cham sée ep IL Hb so bah in dave quan dng guy dnb, kh, gi, kt, tt 8 so Bgah dn, sp xdp koa he. Bao [quan va tira tri ho so bénh dn tir vong ding quy dink, Tgp akin v nr thong tn phin inh qua dung dy néng kp td Bao diem anh nin wt ti bgoh vem | Ket qua ko sith long nguei bank 72.034 'V. DOAN KIEM TRA DANH GIA VE UU DIEM CUA BENH VIEN ; Binh ie dug iy dmg Whdng wang, dm bo anh ~apdh- Gp, BU wy ce Whoa jing a aap sinh, png chi cho mgd bgah tong doi day tien ght. - Da niy dung quy hoach phat triénténg thé, ké hoach dio tg, phittrién nguén nhin luc, ké hoach host dong | Day mand img dng cng neh ting tn rong qin diéu hd chuyén mda nghigp vy. if kal tse dy ani dung ca hace in cht gg bea vie i dy dung bing ib ldinh wid cai tg chat huang chi tit eu thé : Hugg dn eée khoa phong to chic trién Khai cdi tién chit lwgng bénh vign, Hing qui t8chitekiém tra, din in d9 wim Khai thy ign, xéc inh nhing vin dé tn tide tim wi pip khce ne, J Trong nim di phi itn 25 dich vw ky hudt agctiewe aten Khai nghign ca khoa hoe vi ing dung vaothye tf host dng ei ti chit lugng bénh vito, trién kha de tai nghign ciru vé hogt dng cai tién chét luo, | Cé phn cong can bg trae cip edu theo quy din | Neudi bénh duge hurdng din tin tinh chu dio, ¢6 diy di ‘trang thiét bj va phuong tign cap cir ngudi bénh; cb éhogch tng ewig edn b8 vi b6 tr hing Kh Kh gut ; | HO so bénb dn durgc quan ly ding quy dinh e6 kho, gid ké, td Iu trit hd so bénh an, stip xép khoa hoc, Bio avin law ut hd so Béah inte vong ding guy di | New ben di tr nb tr dupe mim mot minh mt ging, 6 dy i cet. dbugivimg, nha vg sin sah Ging te diéu dung, chim s6e ngudi bgnh vi cng tic kim soit ain in rien Keg dig co ta | Khoa Kitm sodtnhiem khusin 6 the hign ef bin phip phing aga chi dng theo ding Iss Cit i Lng sau ny the hign dodge vaso san Ki upg rave du vo va chit tat ng db a Bam bio nhin le Khoa Due cho céc vi tr vge lim, esd vit ch, trang thietb dy di |; Bam bio cung img thude day dit phuc vw cng te khim chita bénb, ké don chi ‘inh va sir dung thude pha hap. i trén kai thy hig SS trong bah vig | Xiy dung va gidm sit vige man thh phae d3 dibu ty tgi ede Khoa. | Trong nim 66 cai tién ddi mdi trong khém bénh, chita bénh, chin dodn va diéu tej phi hop, thye hign ding auy ehéchuyen mon. i Noi Bea nat duve nim moe ng mt ging, duge np vin phi thud gi ng ki, nnh bac, cOng kha gi dich wy Khim chia bh day di, tai vi et d® quan sit. Phang vé sinh sach oe |. Két qua sia ‘i ctia bénh vign chinh xc véi doin kiém tra dinh gid cia So Y 18, Gime tigu chi 6 me 2 so vi nim 2017 VI. DOAN KIEM TRA DANH GIA VE NAUQC DIEM, VAN DE TON TAL F Ci me ban nnn ce vn bn sii BE an, KE hoach chan ci WB, Khoa ho, - Kéhogch ea iba chit hzgng cia bénh vign mot sb gi phip chua cathe, Mots ti ainb, 12018, | Phan chi chua duge duy syreé y khoa chua thuimg xuyén, Jchin, chwa due can thigp dinh durtmg. Chwa khio sit dénh ‘sia vige cung cp ché a9 ain phi hop voi bénh cho ngudi bean ng tie dge Kim sing va thing tn thadechua dupe chi trong, | Ha so binh in ei chp so si, eh vie eu th | Trién khai 5S 6 m6t s6 Khoa, chua thye hign trong toan bénh vign, iam | tigu ehi mae 2, gid 2 tiéu chi mize 3, ting 5 tiéu chi & mite 4, gidm 2 tigu chi & mirc 2 so vi nlm [Lah dao khoa Dinh dung chua cétrinh d sau dai hge. Nguéi bénh suy dinh dung ning chua duge hoi tri dn| y VII. DOAN KIEM TRA DE XUAT CAC VAN DE UU TIEN CAN CAITIEN | Bah vign cin dia ra chs iti phap elf ifn nim Khe phye ols Gn Ol | Tlag eving hot dng cia HG: déng tude vi dtu debit a thong tin thuBe vl dug lim sing | Quan tim tye hign bio eo sed ykhoa, tive hign phn ich nguyén ahi vy 06 y kis Ning cao chit luang hd so bea rua |- Quan ti ning cao chit lvgng ban hinh cic vin bin nhw D8 in, ké hogeh, IVIL. ¥ KIEN PHAN HOI CUA BENH VIEN VE KET QUA KIEM TRA |: Nhat tri di nhin xét, dinh gid vi ket qua cia Don kigm tra IX. KET LUAN CUA TRUONG DOAN KIEM TRA [Quan tim dio tg0 nguén nhin ye, dio tao lai. Prac mata vgn Xank sach ep, ni vé sinh sah, di m6i phng cic hung ti sw hl ong ngudi ba, Boh win lax dimg KE hogch vl dir oe gi php oy Ec a cH Iugng Blah vga ln Ee ge ei tn a, phn du nim 2020 khng cin teu chi & me 2, gm cdc tu eh mde 3, tng ode ee chp gg [Pat trén dich va Kj thu chuyen su glip nut din duge hung lok dich way SE mang. TRUONG DOAN KIEM TRA THU KY DOAN GIAM DOC BENA VIEN (5 tén) Gen) (sitén vi dng dw) x Nga. yy

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