The rounds competition in the Department of Difficult and Critical Care of the Third Hospital of Changsha City was successfully held

Case reports from the Eighth Ward of the Department of Neurology.

Red Net Moment, January 19 (Correspondent Zhao Rong) After half a year of meticulous preparations, on the afternoon of January 12, the final of the round-up competition in the department of difficult and critical care of the Third Hospital of Changsha City officially kicked off. Deng Changhui, member of the Party Committee and vice president, gave on-site guidance, and more than 100 directors of various departments, nurses and medical staff of the hospital observed the competition.

In order to enrich the connotation construction of various clinical specialties in the hospital and comprehensively improve the diagnosis and treatment capacity of clinical difficult and critical cases, in June 2021, the Third Hospital of Changsha Organized a Rounds Competition in the Department of Difficult and Critical Diseases in the whole hospital. The preliminary round adopts the tour system, 30 clinical departments dig deep into the connotation of the case, deeply analyze the relevant professional knowledge and the progress of diagnosis and treatment at home and abroad, and carry out a comprehensive competition of "rounds level, humanistic care, hospital infection prevention and control, and medical and nursing cooperation" around the core problems of solving the "doubts and difficulties" in the process of patient diagnosis and treatment; the jury composed of medical and nursing experts from the departments of internal medicine, surgery and critical care medicine refers to the "Evaluation Standards for Internal Rounds in the Department of Difficult and Critical Care of Changsha Third Hospital (2021 Second Edition Trial)". After the observation of the lower departments, scoring and evaluation were carried out, and the two departments with the highest scores were selected to enter the finals.

At the final scene, the two departments with the highest scores in the preliminary round, the fifth ward of the Department of Respiratory and Critical Care Medicine and the eighth ward of the Department of Neurology, competed in the final competition. The two departments respectively took "finding the cause of deep vein thrombosis" and "clarifying the cause of headache and the next step of diagnosis and treatment" as the "problem" lead, and steadily advanced the four links of "pre-round preparation, pre-bed rounds, discussion and analysis, and summary decision-making"; the department director guided the team members to think deeply and systematically and discuss deeply and systematically through meticulous and comprehensive consultation, skilled and standardized physical examination and case characteristic induction, and interpretation of examination and test results, unveiled layers of doubts, and opened up "thrombosis (hyperhythymic cysteinemia)". Venous sinus thrombosis (superior sagittal sinus)" diagnostic veil.

The rounds competition in the department of difficult and critical care is the final battle of a series of job ability competitions such as the "three basics" competition and the evaluation of medical records. Deng Changhui said that the competition well demonstrated the professional level and professional value of medical staff using scientific and evidence-based thinking to solve clinical difficult and critical disease problems, and hoped that all departments would use the internal benign competition platform to promote teaching and competition to promote medical treatment, and further consolidate the basic clinical skills.

The hospital will take the competition for rounds in the department of difficult and critical care as the starting point, focus on improving the quality and level of rounds of clinical medical staff in the hospital, improve the ability of hospitals to treat difficult and critical cases, promote the implementation of the core system of medical quality and safety, ensure medical quality and patient safety, and continuously improve the patient's sense of medical experience. According to reports, the video of this competition will be made into the first series of the hospital's 2022 "Medical Quality and Safety - Core System" for the medical staff of the hospital to learn.