My medical skills add experience

Chapter 588 The Department of Gastroenterology is Dead, Participate in the Investigation
"If you want to understand the scope of work of the quality control department, you 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 division between medical staff and clinical departments. The coach, how to operate the specific clinic behavior and how to improve the service quality will be taught by the medical department to the medical staff in the clinical department."

This is the first time Zhou Can has heard of such an argument.

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

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

I used to only know that the quality control department is very powerful, and it is extremely strict like the king of heaven.

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

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

In terms of levels, there is no question of who is bigger and who is smaller in the medical department and the quality control department.

But in actual operation, the power of the quality control department is obviously much greater than that of the medical department.

It is only now that I understand that its power is greater than that of the medical department, not because the department itself is of a higher rank.It's because of Niu B, a member of the quality control department.

The biggest head of the medical department is the chief of the medical department.

Let's look at the members of the quality control department. The director and the leader of the first team is Yuanzhu Qin.

If Dean Zhu is not too busy, the director may even be appointed by Dean Zhu himself.

Even so, Assistant Qin's rank is one level higher than 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, who can crush the medical department to death if they are pulled out.

From Qin Yuanzhu's words, it is not difficult to hear that every member of the first team of the quality control department should not be a small person.

Zhou Can was able to squeeze into this first group, and he will have the opportunity to meet other group members in his work and expand his network of contacts.And because I know all the big shots in the hospital, these contacts will be very useful.

"Remember, the quality control department is not a housekeeper. We must carry out our work properly. The clinical departments are hostile to us. If we go to a certain department to check it three times a day, it will be easy to force them to rebel. So our quality control When carrying out work everywhere, we must pay attention to methods and methods. We must be lenient and strict.”

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

"We focus on these types of investigations. The patient died during the diagnosis and treatment, the patient died within a short period of time after the operation, and more than three patients complained to the same doctor within a short period of time..."

"clear."

Zhou Can nodded in agreement.

"The work of the quality control department is generally carried out in a sporadic manner. Wherever there is a problem, you will fight there. You are a doctor in a clinical department, and generally you will not be allowed to go to work alone. If there is a need for preliminary identification of medical responsibility, Or the diagnosis and treatment of key patients, you may be transferred to support at any time. I know that your usual work is already very busy, do you really not think about taking a part-time job in the political department after a few years?"

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

Ask Zhou Can for his opinion again in a caring tone.

"Don't think about it. You trust me so much, so naturally you don't want to live up to your high expectations. I'm young anyway, so I can persist if I grit my teeth."

With great difficulty, Zhou Can found this position with the help of the two vice presidents, so naturally he refused to give up.

"Okay then, go and do your work! I will call you if there is a task."

Yuanzhu Qin stopped persuading him.

……

Back in the emergency department, the hospital announced his new appointment.

Director Lou, Deputy Director Han and others expressed their congratulations to Zhou Can.

It is a great thing for the emergency department that someone in the department works in the quality control department.

It's easy for someone in the court to be an official.

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

The colleagues in the operating room clamored for Zhou Can to treat him. Naturally, such a big happy event should be celebrated.

Zhou Can couldn't refuse.

This is also an opportunity to build a good relationship with everyone.

He set up two tables in the hotel and invited all the medical staff in the operating room to eat.Some people need to be on duty, and there is no way to go, Zhou Can ordered a sumptuous takeaway for them.

Back home at night, Su Qianqian was very happy to learn that he had been promoted.

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

Connected in a daze.

"Hello!"

"Doctor Zhou, come to the gastroenterology department of the hospital quickly. A patient died suddenly, and I need you to come and take a look."

The voice was that of Assistant Qin Yuanzhu.

Shocked, Zhou Can got up quickly, put on his clothes and ran to the hospital.

This is the first time he has participated in the handling of death incidents since he became a member of the quality control department.

No matter what the reason is, if a patient dies in the hospital, it needs to be reported to the medical department in time.

Life comes first, especially in hospitals.

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

But what the medical department said doesn't count. At this time, people from the quality control department must be invited to participate in the appraisal.

What if the referee can't get there?

The Department of Gastroenterology has a deep relationship with Zhou Can. He was trained in the Department of Gastroenterology for a long time.

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

When he rushed to the Department of Gastroenterology, the atmosphere was very serious.

The family members were deeply saddened, and there were two male family members whose faces were full of anger.

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

Reasonable family members will call the hearse to take the body to the funeral home as required by the hospital.

Difficult family members will be violent.

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

At night, there are very few medical staff on duty, and it will be more difficult to deal with the death of a patient.

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

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

"Let me introduce to you, this is Director Ju Shiman of the Nursing Department, and this is Director Liu Shiqiu of the Hospital Infection Office. Director Liu once worked in internal medicine and has rich clinical experience in internal medicine." After introducing their identities Afterwards, Assistant Qin looked at Zhou Can. "This is Dr. Zhou Can from the emergency department, the deputy head of the operating room."

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

"The patient suddenly vomited a lot of blood, convulsed, and died half an hour ago. You are invited to come here because the family members have doubts about the quality of the hospital. The three of you will check the care and treatment of the patient during hospitalization. As for the patient's If the family members are not convinced by the specific cause of death, they can apply for a forensic examination."

Yuanzhu Qin explained the general situation.

Death is the most important thing, and generally few family members are willing to take the step of forensic identification.Because applying for forensic identification requires an autopsy of the corpse.

Moreover, large courtyards like Tuya are generally inextricably linked with appraisal institutions.

Unless there is an obvious major fault, the result of the appraisal will generally be more beneficial to the hospital.

Whether it is for maintaining the current stable medical environment or for other interests, accreditation agencies are usually friendly to hospitals.

The patient's body has not been restrained for the time being, because it died suddenly in the middle of the night, and the nurses and mortuary workers have rested.

I guess it will take a while to get over there.

Zhou Can discovered that the patient had a catheter inserted, indicating that he had received special treatment before he died.

At this moment, Director Shang from the Department of Gastroenterology also rushed to the scene.

The doctor in charge of the patient should have also come, but because the family members were more emotional, they did not choose to show up.

This is understandable.

Out of the protection of the doctors involved, the hospital will not allow the doctors to easily meet with their family members.Even if there is a negotiation, the medical department will take the lead in negotiating with the family members.

It can be seen that the patient's abdomen is high and bulging, but the body shape is abnormally thin.

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

If the belly bulges so high, it is either flatulence, or the stool cannot pass.

"The three of you have almost understood the situation, so go to the conference room to participate in the discussion." Assistant Qin greeted.

"clear."

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

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

Many things cannot be discussed in front of the family members. The doctors discuss behind closed doors.Then, the medical department, which is specialized in resolving doctor-patient disputes, came forward to communicate with the family members.

The nurse who collected the corpse came soon, and someone persuaded the family members to leave, and put the corpse into a bag first.

Because of disputes, grooming was basically not done.

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

The patient who died was young and should not be older than 40 years old.I don't know if there are any wives and children. Anyway, there is no middle-aged woman who is crying very sad.

Only an old lady with white hair was crying.

An old man was holding her by the side.

Should be husband and wife.

The faces of the two have a certain similarity with the deceased, and they are likely to be the parents of the deceased.

The white-haired man sent the black-haired man, the scene was quite uncomfortable to watch.

Zhou Can took off his gloves, threw them into the trash can, and walked to the meeting room.

Assistant Qin is the person with the highest status in the meeting room, sitting on the main seat, and the deputy chief of the medical department is sitting next to him.

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

Basically, they are now being investigated by the leaders of the administrative department, and they are assigned to the medical department and the quality control department to find out the cause of the patient's death and clarify the division of responsibilities.

"Have you three finished the investigation?"

Assistant Qin invited Zhou Can and the others to sit over.

"It's almost done."

The three of them sat in the vacant seats to the left of Assistant Qin.

This is also the first time Zhou Can faces Director Shang and others from the perspective of an administrative leader.

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

Assistant Qin asked Director Ju Shiman of the Nursing Department.

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

Her words made Director Shang and the others opposite face change slightly.

(End of this chapter)