院长日记:B超是我胸口的痛

2015-03-06 doge 医学界

我胸口的痛 虽然一妇婴在进行很多的流程再造来改善我们的服务,提升大家的就医体验,但是依然还是存在不少问题,其中大家投诉最多,最不满意的是我们的超声科。不满主要集中在以下几个方面:预约时间太长,预约到了在候诊时等待时间太久,医生和接待人员服务态度差,还有内部人员带人插队。 大家的投诉多了,我觉得有必要做一个说明。其实,我们内部对此事也十分重视,院长,副院长,党委书记,党委副书记都从不同的角度在介入,

我胸口的痛

虽然一妇婴在进行很多的流程再造来改善我们的服务,提升大家的就医体验,但是依然还是存在不少问题,其中大家投诉最多,最不满意的是我们的超声科。不满主要集中在以下几个方面:预约时间太长,预约到了在候诊时等待时间太久,医生和接待人员服务态度差,还有内部人员带人插队。

大家的投诉多了,我觉得有必要做一个说明。其实,我们内部对此事也十分重视,院长,副院长,党委书记,党委副书记都从不同的角度在介入,协调督促指导科室的整改。

我们自找麻烦

造成这种状态的原因有很多,其中一个原因是我们为了患者体验,牺牲了效率,除了大超声部门以外,在胎儿医学部、生殖中心、早孕中心、特需门诊等部门安排了专门的超声。这么做对于专科和专病的患者来讲,效率明显提高,但是另外一方面又导致了大超声室的排队和大家的不满。其实要想从根本上解决这一问题,必须增加更多的超声医生。

让我们体谅一下超声的同事

目前我们三个院区,超声医生只有22个,我们的超声房间和机器多于医生,近期还有好几位医生怀孕生孩子,1位医生离职。她们平均每天要做很多病人,包括很多的产科大畸形筛查,工作压力是远远超过其他医院的同行,如果有胎儿结构缺陷没有发现,还要面临打官司的风险。我们还是要本着将心比心的原则体谅她们的辛苦和压力,但是这些困难绝对不应该成为态度不好的借口!流程继续要优化,效率依然要提高,态度还是要改善。

我们正在改变

医院正在把超声科的质量和服务的改善作为一个重要项目来推进,我会亲自主持这个服务流程再造项目,目标是真正做到一切以患者为中心。我们会设计相应的超声医生评估体系,医疗质量和服务态度的评估结果将会决定医生的绩效收入、职称晋升和岗位聘任,请大家关注我们的改变,也欢迎大家一起来参与这项活动,既欢迎吐槽,也欢迎表扬。我们正在招聘更多的超声医生,欢迎各位为我们推荐来自于三级医院的优秀妇产科超声医生(其实现在全中国全上海最缺的就是超声医生),也欢迎自荐!有了更多的医生,超声的问题才可能从根本上解决。

原始出处:

上海市第一妇婴保健院院长 段涛医生 院长日记之B超是我胸口的痛.新浪微博 2015年3月4日

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  1. [GetPortalCommentsPageByObjectIdResponse(id=151026, encodeId=1dd71510262a, content=很好,不错,以后会多学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Tue Oct 25 08:07:30 CST 2016, time=2016-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=18551, encodeId=f9181855110, content=说的好,然后呢?, beContent=null, objectType=article, channel=null, level=null, likeNumber=124, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLBzoPY0a1ZQrECBF90v8AkFiaxRlNpGj1mLzD1B7ibnyBjmDEjiauBSDpOw6w4tI7YxmjdWaIW0SXL4/0, createdBy=35951605658, createdName=等你一年又一年, createdTime=Fri Mar 20 00:32:00 CST 2015, time=2015-03-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1618670, encodeId=ce0e16186e074, content=<a href='/topic/show?id=232f3859c9' target=_blank style='color:#2F92EE;'>#B超#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3859, encryptionId=232f3859c9, topicName=B超)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c57019929498, createdName=ms7524819409032184, createdTime=Sun Mar 08 02:10:00 CST 2015, time=2015-03-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=17871, encodeId=95181e871da, content=赶快改行学超声吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=drhqh240, createdTime=Sat Mar 07 15:29:00 CST 2015, time=2015-03-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=17841, encodeId=6e8c1e84120, content=要求医生都是神仙!却不给香火!, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=hbwang006, createdTime=Fri Mar 06 19:30:00 CST 2015, time=2015-03-06, status=1, ipAttribution=)]
    2016-10-25 李东泽

    很好,不错,以后会多学习

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=151026, encodeId=1dd71510262a, content=很好,不错,以后会多学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Tue Oct 25 08:07:30 CST 2016, time=2016-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=18551, encodeId=f9181855110, content=说的好,然后呢?, beContent=null, objectType=article, channel=null, level=null, likeNumber=124, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLBzoPY0a1ZQrECBF90v8AkFiaxRlNpGj1mLzD1B7ibnyBjmDEjiauBSDpOw6w4tI7YxmjdWaIW0SXL4/0, createdBy=35951605658, createdName=等你一年又一年, createdTime=Fri Mar 20 00:32:00 CST 2015, time=2015-03-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1618670, encodeId=ce0e16186e074, content=<a href='/topic/show?id=232f3859c9' target=_blank style='color:#2F92EE;'>#B超#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3859, encryptionId=232f3859c9, topicName=B超)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c57019929498, createdName=ms7524819409032184, createdTime=Sun Mar 08 02:10:00 CST 2015, time=2015-03-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=17871, encodeId=95181e871da, content=赶快改行学超声吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=drhqh240, createdTime=Sat Mar 07 15:29:00 CST 2015, time=2015-03-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=17841, encodeId=6e8c1e84120, content=要求医生都是神仙!却不给香火!, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=hbwang006, createdTime=Fri Mar 06 19:30:00 CST 2015, time=2015-03-06, status=1, ipAttribution=)]
    2015-03-20 等你一年又一年

    说的好,然后呢?

    0

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  4. [GetPortalCommentsPageByObjectIdResponse(id=151026, encodeId=1dd71510262a, content=很好,不错,以后会多学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Tue Oct 25 08:07:30 CST 2016, time=2016-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=18551, encodeId=f9181855110, content=说的好,然后呢?, beContent=null, objectType=article, channel=null, level=null, likeNumber=124, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLBzoPY0a1ZQrECBF90v8AkFiaxRlNpGj1mLzD1B7ibnyBjmDEjiauBSDpOw6w4tI7YxmjdWaIW0SXL4/0, createdBy=35951605658, createdName=等你一年又一年, createdTime=Fri Mar 20 00:32:00 CST 2015, time=2015-03-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1618670, encodeId=ce0e16186e074, content=<a href='/topic/show?id=232f3859c9' target=_blank style='color:#2F92EE;'>#B超#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3859, encryptionId=232f3859c9, topicName=B超)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c57019929498, createdName=ms7524819409032184, createdTime=Sun Mar 08 02:10:00 CST 2015, time=2015-03-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=17871, encodeId=95181e871da, content=赶快改行学超声吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=drhqh240, createdTime=Sat Mar 07 15:29:00 CST 2015, time=2015-03-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=17841, encodeId=6e8c1e84120, content=要求医生都是神仙!却不给香火!, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=hbwang006, createdTime=Fri Mar 06 19:30:00 CST 2015, time=2015-03-06, status=1, ipAttribution=)]
    2015-03-07 drhqh240

    赶快改行学超声吧

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=151026, encodeId=1dd71510262a, content=很好,不错,以后会多学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Tue Oct 25 08:07:30 CST 2016, time=2016-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=18551, encodeId=f9181855110, content=说的好,然后呢?, beContent=null, objectType=article, channel=null, level=null, likeNumber=124, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLBzoPY0a1ZQrECBF90v8AkFiaxRlNpGj1mLzD1B7ibnyBjmDEjiauBSDpOw6w4tI7YxmjdWaIW0SXL4/0, createdBy=35951605658, createdName=等你一年又一年, createdTime=Fri Mar 20 00:32:00 CST 2015, time=2015-03-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1618670, encodeId=ce0e16186e074, content=<a href='/topic/show?id=232f3859c9' target=_blank style='color:#2F92EE;'>#B超#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3859, encryptionId=232f3859c9, topicName=B超)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c57019929498, createdName=ms7524819409032184, createdTime=Sun Mar 08 02:10:00 CST 2015, time=2015-03-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=17871, encodeId=95181e871da, content=赶快改行学超声吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=drhqh240, createdTime=Sat Mar 07 15:29:00 CST 2015, time=2015-03-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=17841, encodeId=6e8c1e84120, content=要求医生都是神仙!却不给香火!, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=hbwang006, createdTime=Fri Mar 06 19:30:00 CST 2015, time=2015-03-06, status=1, ipAttribution=)]
    2015-03-06 hbwang006

    要求医生都是神仙!却不给香火!

    0

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超声波可以说是医生们用得最多的成像测试的方式,不管是胎儿检查,还是对人体器官检查,都会用到超声波。 美国初创企业Butterfly Network刚刚宣布获得 1 亿美金投资,专门用来打造全世界最小的超声波成像设备,其主要构想就是利用手机等小设备去实现超声波成像。公司 CEO Jonathan Rothberg 表示,他的首要目标是打造出足够便宜的成像系统出来,全世界最贫困的角落也能用得起。并且