"In order to understand the scope of work of the quality control department, we must first understand what we do. The hospital has two departments for the control of medical quality, namely the medical department and the quality control department. The medical department is equivalent to the coach of the medical staff and the clinical department, and the medical department teaches the medical staff of the clinical department how to operate the specific behavior of the clinic and how to improve the quality of service. ”

This is the first time Zhou Can has heard of this kind of argument.

However, if you think about it carefully, the medical department is really a bit like a coach, not only helping the clinical department to deal with doctor-patient disputes, but also putting forward specific requirements in clinical operations to guide medical staff to operate in compliance.

"Our quality control department is equivalent to a referee, and we can judge and score each clinical department and even down to the diagnosis and treatment of each patient. In the process of diagnosis, whether the examination items prescribed are comprehensive, whether the medication is reasonable, whether the surgical operation is compliant, whether the quality of surgery and treatment are up to standard, etc., can be judged. The members of our first group include core members of medical management, nursing, hospital infection management, medical engineering, information, logistics, medical technology, pharmacy and other departments. ”

In the past, I only knew that the quality control department was very powerful, and it was very wide like the king of heaven.

And when the clinical department is punished, it is honest every time.

Now knowing that the members of the first team of the quality control department are composed of so many core members of departments and departments, Zhou Can finally understands why the quality control department is so good.

In terms of level, there is no question of who is big or small between the medical department and the quality control department.

In practice, however, the authority of the Quality Control Division is significantly greater than that of the Medical Division.

Only now do I understand that its power is greater than that of the medical department, not the level of the department itself. Rather, it is because of Niu B, a member of the quality control department.

The Chief of the Medical Section is the Chief of the Medical Section.

Looking at the members of the quality control department, the director and the leader of the first team is Qin Yuanzhu.

If it weren't for Dean Zhu, who was too busy, Dean Zhu might even be the director himself.

Even so, Qin Yuanzhu's level was one level higher than that of Section Chief Xin of the Medical Department.

Then among the members of the quality control department, there are hospital-level leaders such as Vice President Bai and Vice President Ye, and any one of them can crush the medical department to death.

It is not difficult to hear from Qin Yuanzhu's words that every member of the first group of the quality control department should not be a small person.

Zhou Can was able to squeeze into this first group, and later had the opportunity to meet other group members and expand his network in the future. And because I know all the bigwigs in the hospital, these connections will be very useful.

"Remember, the quality control department is not a housekeeper. We must carry out our work appropriately, the clinical department is already hostile to us, if we go to a certain department to check it three times a day, it is easy to force people to rebel. Therefore, we must pay attention to the methods and ways of our quality control department to carry out our work. There must be a degree of leniency. ”

After Qin Yuanzhu officially absorbed Zhou Can into the quality control department, he began to teach him some precautions in his work.

"We focus on these categories, the patient dies in the diagnosis and treatment, the patient dies within a short period of time after surgery, and more than three patients complain about the same doctor in a short period of time......"

"Understood."

Zhou Can nodded in agreement.

"The work of the quality control department is generally a piecemeal operation, and where there is a problem, it will fight there. If you are a doctor in a clinical department, you will not be asked to work alone, and you may be transferred to support at any time if you need to make a preliminary identification of medical responsibilities or the diagnosis and treatment of key patients. I know that my usual work is already very busy, do I really no longer think about taking a part-time job in the political department for a few years? ”

At the end of the conversation, Qin Yuanzhu still did not give up.

Asked Zhou Can's opinion again in a caring tone.

"Don't think about it, you trust me so much, naturally I can't live up to your high expectations. I'm young anyway, and I can still hold on to it if I grit my teeth. ”

Zhou Can finally got this position with the help of the two vice presidents, and naturally refused to give up.

"Alright, go ahead and get busy with you! There is a task that will call you to let you know. ”

Qin Yuanzhu no longer persuaded more.

……

Back in the emergency department, the hospital had already sent out an announcement of his new appointment.

Director Lou, Deputy Director Han and others congratulated Zhou Can.

Having someone in the department working in the quality control department is a great thing for the emergency department.

There are people in the DPRK and China who are officials and it is easy to do things.

Although Dr. Xu didn't say anything, he could see that he was also very happy.

The colleagues in the operating room were clamoring for Zhou Can to treat him, such a big happy event, naturally he should celebrate.

Zhou Can couldn't refuse.

It's also an opportunity to build relationships with everyone.

He set up two tables in the hotel and invited all the medical staff in the operating room to eat. Someone needed to be on duty and couldn't go, so Zhou Can ordered them a sumptuous takeout.

When he returned home in the evening, Su Qianqian was very happy to learn that he had been promoted.

In the middle of the night, Zhou Can was woken up by the ringtone of his mobile phone.

Confused on.

"Hey, hello!"

"Doctor Zhou, hurry up and come to the gastroenterology department of the hospital, there is a patient who died suddenly and needs you to come and see."

Listening to the voice is Qin Yuanzhu's voice.

Zhou Can was excited, quickly got out of bed, put on his clothes and ran to the hospital.

This was the first time he had been involved in dealing with a fatality since he became a member of the Quality Control Division.

Regardless of the cause, the death of a patient in the hospital needs to be reported to the medical department in a timely manner.

Life comes first, especially in hospitals.

The medical department is the coach of the clinical department, and after receiving the notification of the patient's death, it will send someone to fix various materials and evidence as soon as possible. And a preliminary investigation into the cause of the incident was conducted.

But what the medical department said didn't count, at this time, we had to ask someone from the quality control department to participate in the identification.

What if the referee doesn't get it?

The Department of Gastroenterology has a deep relationship with Zhou Can, and he has been training in the Department of Gastroenterology for a long time.

Unexpectedly, the first time he participated in the identification of the cause of death after entering the quality control department was the Department of Gastroenterology.

When he arrived at the gastroenterology department, the atmosphere was very serious.

The family members were grief-stricken, and two male family members had angry faces on their faces.

After the death of a patient, most of the family members do not have a good face.

Reasonable family members will ask the hearse to pull the body to the funeral home according to the requirements of the hospital.

The more difficult family members will make a lot of trouble.

It is even possible to smash the hospital on the spot and beat up the medical staff.

In the evening, there are few medical staff on duty, and it will be more difficult to deal with the patient after death.

There is only one deputy chief in the medical department, which is already considered a very high level.

A total of four people came to the quality control department, Qin Yuanzhu, and two people who didn't know each other, a man and a woman.

"Let me introduce to you, this is Director Ju Shiyan of the Nursing Department, and this is Director Liu Shiqiu of the Hospital's Infection Office. Director Liu has worked in internal medicine and has rich clinical experience in internal medicine. After introducing the identities of the two, Qin Yuanzhu looked at Zhou Can. This is Dr. Zhou Can of the emergency department, the deputy head of the operating room. ”

At present, Zhou Can can only take the position of the clinical department, and it seems that he is only the deputy leader of the operating room.

"The patient suddenly vomited a lot of blood half an hour ago, had convulsions, and died after resuscitation. I asked you to come here because the family has doubts about the quality of the hospital. The three of you will review the patient's care and treatment during their stay in the hospital. As for the specific cause of death of the patient, if the family is not convinced, they can apply for a forensic evaluation. ”

Qin Yuanzhu explained the general situation.

Death is a major occurrence, and few family members are generally willing to take the step of forensic examination. An autopsy is required to apply for a forensic examination.

Moreover, compounds like Tuya are generally inextricably linked with appraisal agencies.

Unless there is obvious gross fault, the results of the appraisal will generally be more favorable to the hospital.

Whether it is for the sake of maintaining the stability of the current medical environment or for other interests, the accreditation body is usually more friendly to the hospital.

The patient's body has not been collected for the time being, because it died suddenly in the middle of the night, and the nurses and corpse collectors are resting.

It is estimated that it will take a little time to rush over and deal with it.

Zhou Can found that the patient had a urinary catheter inserted, indicating that he had undergone special treatment before he died.

At this time, Director Shang of the Department of Gastroenterology also arrived at the scene.

The patient's attending physician should have also come, but due to the emotional excitement of the family, he did not choose to show up.

It's understandable.

Out of the protection of the doctor concerned, the hospital will not allow the doctor to meet with the family easily. Even if there is a consultation, the Medical Affairs Division will take the lead in consulting with the family.

The patient's abdomen can be seen to be high and bulging, but the body is unusually thin.

First of all, the patient is a male, and the possibility of pregnancy is largely ruled out.

If your stomach bulges so high, it's either flatulence or you can't pass stool.

"The three of you know the situation almost well, so let's go to the conference room inside to participate in the discussion." Qin Yuanzhu said hello.

"Understood."

The other two are both veterans with rich work experience, and they understand Qin Yuanzhu's instructions.

Zhou Can is a newcomer, but he is not stupid.

Many things cannot be discussed in front of the family, and the doctors discuss them behind closed doors, and after reaching a conclusion, the leaders give advice on how to deal with them. Then, the medical department, a professional household in resolving doctor-patient disputes, will come forward to communicate with the family to resolve the problem.

The nurse who collected the body soon came, and someone persuaded the family to leave and put the body in a bag first.

Because of disputes, grooming was basically not done.

The family watched from the sidelines and did not allow the body to be moved.

The patient who died was not very old, probably no more than forty years old. I don't know if I have a wife or children, anyway, I didn't see a middle-aged woman crying particularly sad at the scene.

Only an old lady with white hair was crying profusely.

An old man was holding her by the side.

It should be a couple.

The faces of the two have some similarities with the deceased, and they are likely to be the parents of the deceased.

The white-haired man sent the black-haired man, and the scene was still very uncomfortable to watch.

Zhou Can took off his gloves, threw them in the trash, and walked to the conference room.

Qin Yuanzhu was the highest-ranking person in the conference room, sitting on the main seat, and the deputy chief of the medical department was sitting next to him.

Director Shang of the Department of Gastroenterology, as well as three doctors and two nurses, sat alone on the other side.

Basically, these people are now under investigation by the leaders of the administrative department, and the medical department and the quality control department are assigned to clarify the cause of death of the patient and clarify the division of responsibility.

"Have you three finished checking?"

Qin Yuanzhu beckoned Zhou Can and the others to sit over.

"It's almost done."

The three of them sat in the empty seat on the left hand side of Qin Yuanzhu.

This is also the first time that Zhou Can has faced Director Shang and others from the perspective of administrative leadership.

"Director Ju, is there a problem with the patient's care?"

Qin Yuanzhu asked Director Ju Shiyan of the Nursing Department.

"Hmm...... There is basically no major problem with medication, but the catheter may not be done properly. ”

Her words made the faces of Director Shang and the others on the other side change slightly.

(End of chapter)