Chapter 579 tackle key problems and operate on the operating room of the emergency department
"Hello Dean Bai! What are your instructions? ”
Maintaining respect for leaders is a must.
"Haha, the instructions can't be discussed. Xiao Zhou, there is something I need to talk to you about. ”
Vice Dean Bai's attitude towards him was quite friendly.
There are no eternal enemies in the world, only eternal interests.
Zhou Can and Vice Dean Bai used to be tense and had a very stiff quarrel. Who would have thought that the two would become close friends a few years later.
"Speak!"
Zhou Can secretly wondered, what was going on in the morning?
"Didn't I discuss with Dean Ye last time to get you a position in the quality control department? We recommended your information two months ago, and now the initial inspection period has passed. It is currently in the most critical stage of final review. There is basically no problem with Ling's conditions, and the internal support rate is okay, the key is that Qin Yuanzhu does not speak, and this matter can only be determined. I helped you find out about this yesterday, and the competition is fierce, and you are likely to be selected at most about forty percent. You have to find a way to help you live up to Qin Yuan. ”
Vice Dean Bai must have found someone to drink last night.
This kind of drinking game is definitely more advanced.
The participants are all important leaders in the hospital and relevant leaders of the competent authorities.
In this kind of drinking game, he can take Zhou Can's affairs to heart, which is very valuable.
"Thank you, thank you so much. After so much effort for my business, I don't even know how to repay you! ”
Zhou Can expressed his gratitude again and again.
"Don't be polite with me! Can you enter the quality control department, the key is the Qin Yuan to help there, do you understand what I mean? ”
Although Vice President Bai is the vice president and the deputy head of the quality control department, he is only a deputy after all.
Qin Yuanzhu is also a leader, and in terms of status, he is actually lower than him, the vice president of administration.
However, each leader of the hospital has a clear division of responsibilities and powers, and each is in charge of one acre and three points of land.
If you are not in charge, even the vice president will not be able to intervene.
At present, Tuya Hospital is still an old-fashioned management system, with only one hospital assistant, lack of effective checks and balances, and the real power of Qin hospital assistant is very large.
"Understood! I know! I'll figure it out! ”
Zhou Can's mind was already thinking about how to be active in the Qin Courtyard.
I'm afraid this is not a small problem.
The main reason is that he is not familiar with Qin Yuanzhu, and if people press this matter and do not express their position, it is very revealing.
After being the deputy head of the operating room for so long, Zhou Can also has a little more understanding of management matters.
Vice President Bai and Vice President Ye both recommended Zhou Can to enter the quality control department, and listening to Vice President Bai, there were far more people who supported Zhou Can than the two of them. This undoubtedly brought a lot of pressure to Qin Yuanzhu.
It is not good to discourage the public, and I don't want Zhou Can to enter the quality control department, so this matter can only be suppressed.
Procrastination works well in many situations.
As for why Qin Yuanzhu did not agree to let Zhou Can enter the quality control department, it was mainly due to personal interests.
Everyone wants to install their cronies, or at least people close to them.
Zhou Can only overturned the previous assistant two years ago, and Qin was polite to him on the surface, but he was very jealous in his heart.
What if something angers Zhou Can and overthrows him over?
Out of self-protection and other interests, he must keep Zhou Can out of the safest.
If Qin Yuanzhu wants to train one of his distant relatives, students, and trustworthy people, the quota must be reserved for these people.
Therefore, this matter directly asked Qin Yuan for help, and the effect was minimal.
Unless Zhou Can showed his loyalty to the Qin Yuan and was willing to be an obedient 'slave' to others, people would not consider it at all.
If you really do this, you will lose your dignity and backbone.
Zhou Can's part-time job in the quality control department is for better development in the future, not to turn himself into a minion.
In the future, he has the ambition to compete for the dean.
Before ending the call, Vice President Bai also specially advised, "You kid don't give cash directly, send literature and entertainment, cigarettes, alcohol, and tea, now that you are so strict, no one will accept these gifts on the surface." And if you do this, it will only backfire, making Qin Yuanzhu look down on you and feel that your character is problematic. ”
The law is strict, and it is illegal to give or accept bribes.
Gift-giving is becoming more and more strategic and skillful.
"Understood."
Zhou Can didn't even think about sending money to play.
After ending the call with Vice Dean Bai, he began to secretly wonder how to get Qin Yuanzhu to nod and agree?
It doesn't work to ask Qin Yuan for help directly, so what else can be done?
The only person who can influence Qin Yuan's decision-making seems to be Dean Zhu.
As for the secretary at the top of President Zhu, he basically does not care much about these specific affairs, and only focuses on ideological principles.
For now, let's solve the problem of the operating room of the emergency department first.
After answering the phone, Dr. Xu came out of the office just after changing his work clothes.
"Xiao Zhou, it's time to work!"
Zhou Can is now the main force in the emergency department's operating room, and Dr. Xu has entrusted him with many important tertiary surgeries.
"Teacher, there's something I want to discuss with you and Director Lou."
Zhou Can took the opportunity to say.
Dr. Xu took a deep look at Zhou Can.
"It seems that this matter is very important, so I will do it quickly before I enter the operating room."
"Thank you, teacher!"
"What are you doing in a daze, go to Director Lou's office!"
Dr. Xu beckoned to him.
"Okay!"
The master and apprentice knocked on the door of Director Lou's office and walked in.
Fu Chachun, who was sitting in the doctor's office, listened to the conversation between Zhou Can and Dr. Xu.
Immediately, he couldn't help but sneer, and he was even more annoyed with Zhou Can in his heart.
This kid is also too axial, and they all tell him that there is no need to meddle in things, and the patient's toe numbness is not a big deal. If you have to make such a fuss, it won't do anyone any good.
I believe that no matter how much Director Lou values this kid, it is impossible for him to come nonsense.
Fu Chachun saw that the time for work was approaching, and took the tools to the emergency surgery window to sit for a consultation.
In Director Lou's office, Zhou Can and Dr. Xu visited together, which surprised Director Lou.
After beckoning the two to sit down, Director Lou personally made tea for the two.
"Is this what happened?"
What he, the head of the department, is most afraid of is that something bad will happen in the department.
The accidental death of a patient, the disability, the disturbance of the family, etc., every bad thing is enough to make him nervous.
"Xiao Zhou said to me outside just now that he wanted to discuss something with me and you, and I didn't ask in detail because of the tight time."
Dr. Xu replied lightly.
"Every time Xiao Zhou reacts, it's not a trivial matter, let's talk about it, what is it?"
Director Lou asked with a pleasant face.
"Director Lou, teacher, that's the case, I found that there are fewer and fewer 'repeat customers' in our emergency department recently. After investigating, I found that there was a serious decline in the quality of surgery in the emergency department, and there were many worrying problems. This is a return visit questionnaire that I asked Ye Tingting to compile, and at least four of the ten surgeries could not satisfy the patients. Patients have a variety of minor problems after surgery. ”
Zhou Can took out the questionnaire that had been prepared a long time ago.
After Dr. Xu and Director Lou saw it, they were also shocked, perhaps they didn't expect that the emergency department, which was in a good situation, had such a serious problem.
"It's a step too big and it pulls the crotch! The rapid development of the emergency department in the last two years has indeed left some hidden dangers. The quality of the surgery is indeed negligent. ”
Director Lou's face sank like water, and his eyebrows were furrowed like knives.
As an ambitious department head, he never wanted the emergency department to become a fat man because of the rapid development.
With his foresight, he immediately realized that if this matter was not dealt with in time, it would become a major hidden danger.
"The decline in word-of-mouth patients is really worrying. I've noticed it recently, but I didn't expect it to be so serious. If those newcomers are not cultivated, they will not be able to grow quickly. Let's relax the conditions, there is such a serious problem again. Looks like we're going to have to find a way to fix it. ”
Dr. Xu, the main person in charge of the operating room, was also very troubled.
There are dozens of people in the operating room, and it is definitely not as easy to manage as you think.
When the water is clear, there are no fish.
If the management is too strict, it will make the newcomer afraid of surgery and have no chance to practice.
If it is too lenient, the quality of the surgery will be problematic.
"It's not just newcomers who are declining in the quality of surgery, but there are also many old comrades who have a problem with their work mentality."
Zhou Can believes that just focusing on the quality of the newcomer's surgery cannot completely solve the problem.
To grasp it, it should be grasped from the source.
"Be specific!"
Director Lou's gaze looked at Zhou Can.
"For example, yesterday's ward rounds found that some surgical patients had various minor problems. Some of them are not standardized, some are not thorough, and some do not think about the problem from the perspective of the patient's interests at all. It was only a subcutaneous foreign body removal operation, but a hideous wound was made in the patient's thigh area, and the skin flap was damaged like that, and the patient's wound healing period was at least doubled. After healing, it will leave unsightly scars. ”
"Although the scar is on the thigh, I usually wear pants, so it is difficult for others to see. But there will definitely be an impact on the patient's psyche. And that kind of scar is easy to itch and hurt on a rainy day. ”
Zhou Can pointed out the problems found in the ward rounds one by one.
"Yesterday I also detected a more typical case. An inpatient in the first bed of the Emergency Department of Surgery had a parallel digital splitting surgery two days ago. Result: Numbness occurred in the third toe of the left foot after surgery. This operation was done by Dr. Fu, and I called him on the spot to come over and study it together, try to find the cause, and help the patient deal with it. However, Dr. Fu believes that more is better than less, as long as the patient's toes do not develop necrosis and heal well. ”
"I did a further examination and test on the patient this morning, and the toe lost even flexion function. If we obviously find a problem, we still don't deal with it, fool the patient, it's okay, go back to recuperate for a while, and then look at it. It is conceivable that this patient will go from being an iron fan in our hospital to a black powder. In the future, when she met people, she would say that I must not go to Tuya Hospital, it was too dark, and the doctor there had mutilated one of my toes, and tricked me into saying that it was okay. ”
In one breath, tell this typical case and let Dr. Xu and Director Lou think about it.
"I can understand Dr. Fu's position. Today's medical environment is harsh, and the contradictions between doctors and patients are acute, and sometimes they do not do well. It is really chilling that the doctors and nurses are clearly well-intentioned, but they are attacked by their families and patients. It's just that cases like this can be faced correctly and try to come up with a way to help the patient solve the problem and fully protect the interests of both parties. ”
The questions raised by Zhou Can are all just small things at first glance.
However, the negative impact is extremely far-reaching, and its essence is to open the door to the two major interest groups of hospitals and doctors.
Doctors will certainly resist.
and even hatred.
Because this has touched the interests of all doctors in the operating room.
"The one-bed patient must find a way to solve it, and it can't be left alone. We can communicate with the patient and their family members thoroughly, and after obtaining their consent, we can perform a second operation as soon as possible. However, there are also some uncontrollable factors, patients and their families may not be willing to bear the cost of a second operation, and may even think that the hospital is deliberately tossing in this way to make more money. Obviously, one operation can be done, but you have to get it twice. ”
"Also, what if the problem still hasn't been solved after a second operation? At that time, the family and the patient decided that it was a surgical accident and took us to court, and the hospital really had no reason to say. ”
Ms. Lou has extensive experience in handling various doctor-patient disputes.
It is possible to predict many possible bad outcomes.
"In hospitals, kindness is indeed very easy to let down, and almost every medical staff member has a chill growing up. I think the problems mentioned by Xiao Zhou are mainly from the source. It is necessary to establish a reward mechanism to strive to do the operation well in the first time, instead of being careless when the first operation is done, and the problem can be solved by a second operation anyway. ”
Dr. Xu's face was serious and he proposed the first solution.
"Lao Xu is reasonable, it is necessary to start from the source. Just like curing a disease, it is far better to prevent illness than to treat it later. When the time comes, you and Xiao Zhou will discuss a set of specific and feasible reward and punishment systems, which will be submitted to the Medical Affairs Department after I approve it, and it will be implemented immediately after approval. The quality of surgery in the emergency department has reached an alarming level, and rectification is urgent. ”
Director Lou gave guidance on the spot and strongly supported the method proposed by Dr. Xu.
"It's very wise to start from the source, but it's impossible to be watched by someone standing next to the operating table all the time. This will increase the pressure on the surgeon, and it will be difficult to perform during the operation, and even problems may occur. I propose to develop a postoperative scoring mechanism. Each completed surgery is evaluated and scored on multiple criteria, and if the score is lower than the standard value, penalties are imposed. If you are able to maintain a standard score at all times, you will be rewarded. ”
Zhou Can proposed a more specific method on the spot.
"This advice is very good! The selection of the judges is left to Lao Xu. ”
Director Lou's eyes lit up slightly, and he directly agreed to Zhou Can's plan.
The selection criteria of the judges are very strict, and they must have excellent surgical strength and fairness.
(End of chapter)