This doctor is already middle-aged, and he's only just started practicing medicine.

Chapter 242 Report!

The treatment of elective diseases in the emergency department differs from that in specialized departments. The quality of treatment in specialized departments may require comprehensive quantitative indicators.

The reputation of patients and their families can also be fabricated through other means.

The data from the emergency room is brutal and real.

Birth and death are easy to count, and so are the causes of death.

……

Lu Cheng is meticulously perfecting his daily outpatient medical records and routine inpatient medical records, striving to identify and fill any gaps.

Hospitals are special institutions with frequent inspections, but when higher-level leaders come to inspect, medical records for the past month must be prepared.

Of course, if the inspection is not strict, it is sufficient to handle the medical records on the shelf properly.

In other words, discharge medical records must be organized and filed immediately and put into the archives, after which they can be removed from the scope of inspection.

Leaders don't usually go into the archives to check medical records; that's how the rules usually work.

This time, everyone's approach was the same.

Associate professors like Xiao Zhaoxi and Tian Zhiliang, who weren't required to be on duty, weren't idle either.

In addition to discharge medical records, the emergency department also has handwritten death discussion records, hospital-wide consultation discussion records, difficult case discussion records, monthly ward round records, etc., which need to be checked and filled in by associate professors such as Tian Zhiliang.

So, the office naturally became a scene of papers flying everywhere, and drinks, coffee, and late-night snacks laid out all at once.

Xiao Zhaoxi also stayed with everyone through the ordeal: "All medical records, including all three levels of signatures and all three levels of ward rounds, must be fully documented and printed out for me to sign promptly."

"Tian Zhiliang, Dai Jinzhong, you two are teaching secretaries, responsible for the training and management of interns, so the records of internship supervision must also be improved."

"besides……"

It was around 2 a.m., and after several hours of intense work, the surgical team's busy schedule was finally coming to an end.

Deng Duanmou stood up, twisting his hips and stretching his waist to loosen his joints, rubbing his face and joking, "Director Zhu, a genius has joined our group. I think things might not be so easy from now on."

Zhu Yuanzhou's hand ached from filling in the handwritten records: "I've been filling in the records for almost five months. The last time I filled in these records was in July of last year."

"Xiao Lu, do you have a constitution that attracts trouble?"

Lu Cheng also joked, "Director Zhu, everyone used to say the same thing. When I was in my residency training, the nurses and interns in the department were all very well-behaved."

"That's possible..."

After nodding, Zhu Yuanzhou suddenly asked, "Deng Duanmou, are you done? That's perfect, come over here and help me write this."

Deng Duanmou didn't even have time to escape to the bathroom before Zhu Yuanzhou conscripted him.

Associate senior officials and leaders have this kind of authority.

As long as you don't do nothing at all, you can give orders to your subordinates without being blamed.

After a while, Lu Cheng was also pulled aside to complete some handwritten notes.

Many hands make light work. Half an hour later, almost all the surgeons had gone to their respective rest rooms to sleep.

After all, surgeons don't care that much about medical records. Even if they receive a notice for a random check, they just give it a perfunctory answer. In contrast, I heard that the internal medicine department was busy until 5 a.m.

……

January 26th, Tuesday, the 1th day of the twelfth lunar month. Lu Cheng only needed to work the night shift in the emergency room today.

Lu Cheng was in the department all morning, and around nine o'clock, he was woken up by Xiao Zhaoxi and others.

After washing up, Lu Cheng saw the hospital's administrative staff leading their leaders down to the emergency department.

I heard that this inspection of the emergency department was just a pretext. Since the leaders of the Health Commission were already there, they decided to visit several other departments as well.

Anyway, they just need to look at the documents and medical records, and they do it quickly.

Therefore, quite a few departments worked overtime with Lu Cheng and others last night.

Lu Cheng and the others were in the doctor's office. Those who needed to help write medical orders did so, those who were on duty did so as usual, and those who needed to change dressings went to change dressings.

Around 10 a.m., the group finally arrived at the emergency department!
Xiao Zhaoxi and the head nurse went forward to greet them with smiles.

He politely began by greeting people: "Director Chen, Dean Jia, Dean Yao, Director Chen, welcome, thank you for your hard work."

When your supervisor comes to inspect your work, it's to encourage your improvement!
The team leader was Chen Xiuhua, the office director of the Medical Administration and Management Section of the State Health Commission. Chen Xiuhua also happened to know Xiao Zhaoxi: "Director Xiao, we have received orders from above to conduct a routine inspection."

"After all, the quality of medical care is the most fundamental and important thing!"

"Let's put everything else aside for now and just go through the motions," Chen Xiuhua said directly.

With a single glance from Xiao Zhaoxi, Lu Cheng and the others quickly sorted and placed the medical records and documents on the table.

There are internal medicine doctors and surgeons.

Chen Xiuhua and others were also reviewing the medical records as usual.

Accompanying Chen Xiuhua this time were two vice presidents of the hospital, Director Chen Zhong and Deputy Director Peng Jianfei of the Medical Affairs Department, and Director Tan Hongdong of the Quality Control Department.

Although Chen Xiuhua and others work in administration, they have reviewed medical records extensively and have become familiar with the procedures, so they can spot any discrepancies in the medical records.

Of course, the main force was Tan Hongdong from the Quality Control Department of our hospital.

Tan Hongdong did not cover up for the surgery department, but immediately pointed out: "Director Xiao, you come from an internal medicine background. Although you are currently in surgery, these medical records still need to be standardized."

"Look at these, they just gloss over it in one sentence. Something like anti-inflammatory, analgesic, and anti-swelling treatments."

"None of the information, such as the type of drug, name of the drug, dosage, or method of use, is recorded in the medical record."

"The most standard usage should be, for example, cefuroxime 0.75g IV drip every 8 hours..."

Xiao Zhaoxi replied habitually, "Okay, okay, that's exactly what I instructed, but the people below always say they're too busy."

"That's how it's stated in the doctor's orders."

Tan Hongdong scratched his head and joked, "Surgeons usually have these kinds of habits. They're always so cheeky, they just agree verbally but rarely correct their behavior."

"I'm just too busy. I'm either busy performing surgeries, busy with emergency care, or I'm on rotation."

Yao Xin, the vice president of surgery who accompanied the inspection, also chimed in, "Sir, the time allotted for writing medical records in surgery is relatively fragmented. If there are many surgeries scheduled, it's not certain that we can handle such detailed work."

"However, we will definitely strengthen supervision in the future and strive to standardize medical record writing."

"You guys," Yao Xin's attitude in helping to explain was genuine, but Yao Xin's manipulation was also real.

After all, Yao Xin is a leader, and when he writes medical records, he writes them in the same way, simplifying them as much as possible.

But after becoming a leader, he expected his subordinates to write medical records even better than those written by internal medicine doctors.

These are the kinds of problems that can be found in surgical medical records.

Surgical records and other documents, unless there is an error in the surgical procedure, are usually undetectable by administrative staff, let alone leaders of the Health Commission.

Actually, this isn't what these leaders care about most.

After pretending for a while, Chen Xiuhua and the others picked up the handwritten record book of death case discussions.

Xiao Zhaoxi only became slightly nervous after seeing this.

This inspection was purposeful and was announced in advance.

Chen Xiuhua and others slowly looked through some handwritten materials.

Peng Jianfei, deputy director of the medical affairs department of our hospital, took a moment to say, "Director Zeng, look, the completion rate of your internal medicine medical records is much better."

“For each medication, not only the dosage and method of use are detailed, but the specific reasons are also explained in such detail, practicality and accuracy.”

“If this is taken out, even if a medical dispute arises, it will be based on tangible evidence.”

"The swelling has subsided after it appeared. We need to determine which indicators are elevated to consider the underlying cause and then administer medication accordingly."

“This is the right approach…” Peng Jianfei instructed Xiao Zhaoxi in a lecturing tone.

Xiao Zhaoxi nodded: "Yes, Director Peng, that's how medical records should be written."

"Did you hear that?" Xiao Zhaoxi scolded Lu Cheng and the others.

Those who need to cooperate should still cooperate. If no problems are found after an inspection, then the leader is incompetent.

Find a few minor issues on your end, and everyone can just get by.

No one objected.

At 10:15, Chen Xiuhua closed the death case discussion logbook she was particularly interested in and said, "Director Xiao, are there any missing or forgotten entries in your death case discussion logs for this month? Or are they all recorded accurately?"

"To me, the thickness this month is much less than the thickness of last month."

Xiao Zhaoxi replied without hesitation: "Director Chen, the death case discussion system is one of the most basic systems in our hospital, and it is absolutely impossible to omit it."

If the records of discussions about death cases are not truthful, regardless of which department discovers it, the entire hospital will have to undergo rectification for a long time, and may even be publicly criticized throughout the province!

The internal handling of that matter is a matter of minutes for the next one or two vice presidents.

The number of births and deaths are the cornerstones of the most basic data for medical institutions, and they must not be manipulated.

Chen Xiuhua nodded: "Director Xiao, has your team analyzed the specific reasons internally?"

Xiao Zhaoxi said, "Director Chen, Dean Yao, to be honest, our emergency department is usually quite busy. Every day we are more concerned about doing a good job in rescue and saving more lives."

“The review of these data was not done in a very thorough manner.”

Chen Xiuhua said, "Director Xiao, you can't just start paying attention to the rescue work this month, can you? This is your fundamental job."

"I also believe that everyone in our emergency department has always been dedicated and responsible."

Xiao Zhaoxi smiled and said, "Of course, Director Chen, we have never dared to slack off."

"So, after receiving feedback from our superiors, our department immediately worked overtime to analyze the data, and the final result we came up with was some minor factors related to the surgical department."

Chen Xiuhua also pretended not to know the specific statistics: "Surgical factors? For example?"

"What I mean is, Director Xiao, if you really have any good ideas, such as tips on shift work or workload allocation, you can write them up in a report and submit them."

"If this could be promoted, it would be a huge thing."

The pancake Chen Xiuhua gave him was very big and round, but Xiao Zhaoxi didn't want to eat it at all and quickly shook his head: "Director Chen, there's no special skill involved, it's just personal ability."

"Speaking of which, I have to thank the leaders of the Health Commission."

"I'm sure you leaders are good at looking at data, so you should be able to see that the number of surgical deaths this month has decreased significantly."

"The reason for this is that when we were selecting talent last year, the leaders of the Health Commission brought us Dr. Lu Cheng."

Chen Xiuhua was not satisfied with this answer: "Director Xiao, are you kidding me?"

It's not that Chen Xiuhua needs this, but that Xiangzhou needs it right now.

Xiao Zhaoxi said, "Director Chen, how could we possibly joke about something like this?"

"If you look more closely, you'll find that the number of patients who died from shock due to arterial trauma this month has decreased by at least a quarter, or about 25 percent of the base number."

"Based on the time of death, it can be deduced that the time coincides with Dr. Lu Cheng's shift."

"To be honest, Director Chen, Dr. Lu Cheng's skill in stopping bleeding is somewhat unbelievable, which is why I said it's all thanks to the leaders."

Chen Xiuhua turned her head and asked, "Who is Dr. Lu Cheng?"

Lu Cheng stepped out from the crowd, his voice calm: "Director Chen. I am Lu Cheng from the Emergency Surgery Department."

"Was Director Xiao pushing you out as a shield?" Chen Xiuhua asked very directly.

Lu Cheng calmly replied, "I wouldn't dare, Director Chen."

Chen Xiuhua's voice was cold and stern: "So you mean to say that your hemostasis skills are superior to those of everyone else in your department? That your personal abilities are above everyone else?"

Lu Cheng, of course, wouldn't be led astray by Chen Xiuhua: "No, Director Chen, other teachers also have their own strengths."

"I have relatively little experience and have not been exposed to many surgeries, so I don't know many surgical procedures. I can only focus on strengthening my basic skills."

"But we dare not neglect the tasks within our purview, such as cleaning, suturing, and hemostasis, which are within our capabilities."

Chen Xiuhua asked, "Is not being lazy enough to be this much better? Can it create a barrier to competence?"

Lu Cheng smiled and said, "Director Chen, thanks to the leaders' help, I am quite good at basic operations. Last year, I even won several first prizes in the provincial microsurgical skills competition."

Lu Cheng's words surprised Xiao Zhaoxi and the others slightly, since the people in the emergency department of the state people's hospital would not meddle in any microsurgical skills competition.

However, Yao Xin had heard that someone in the prefecture had won the first prize. At that time, he was not familiar with Lu Cheng, so he did not know that the winner was Lu Cheng.

With so much clinical work to do, who cares about these empty titles? Do you really think it's like in TV dramas, where people in hospitals don't have to do anything and just spend their days dating, getting angry, and bickering?
To put it bluntly, when a colleague's parents die, unless you're very close to them, it's usually just a matter of giving a monetary gift and offering a few words of comfort; there's not much empathy involved.

Sometimes, when things get busy, some people can't even give a gift in time. They can only send it via mobile phone or have someone else bring it.

Vice President Yao Xin immediately said, "Director Chen, Dr. Lu from our prefecture did indeed win first prize in last year's provincial microsurgical skills competition."

"Moreover, it was first prize in multiple tracks. There are certificates and announcements for this."

Chen Xiuhua turned to ask the office members she had brought with her, and they replied in a low voice, "We've heard of such a thing, but it's not people from Jishi, it's people from the counties below."

The Medical Administration Department is only responsible for inspecting medical quality and not for compiling statistics on the rate of excellence and awards. However, such a "bizarre" award did become a topic of conversation for a while.

Yao Xin continued, "Director Chen, this provincial competition for young physicians includes, but is not limited to, associate professors from our prefecture-level city hospitals, as well as associate professors from several Xiangya hospitals."

"The first prize is awarded to the two or three people with the highest scores."

This kind of thing can't be faked, and Lu Cheng can't accept honors indiscriminately.

If someone can win the provincial award, it's only natural that their basic skills surpass those of others at the state hospital.

Of course, after Lu Cheng brought this up, many people in the department looked at him with surprise.

Lu Cheng is a very low-key person, and he has always been honest and well-behaved.

They only do their own job and don't like to show off.

Even though Lu Cheng's undergraduate degree was the best in the department, he only mentioned it casually when someone asked him about it.

"Then? Can these techniques be passed on as experience?" As a leader, Chen Xiuhua actually dislikes people with outstanding individual abilities the most.

What he needs is replicable experience or something else that can bring them more benefits and returns.

Lu Cheng said, "Director Chen, to be honest, I've never been a teacher, but my teacher said that hemostasis is something that depends on individual talent."

"It also requires meticulous work."

“I have been diligently working on the basics ever since I started learning them, and I have persisted for almost ten years. There are no shortcuts.”

Lu Cheng's words were not a lie; he was simply hiding his secret.

ten years!

It's hard to say whether Chen Xiuhua is still in her current position, or whether the current leaders are still in their original positions.

Even then, there's no guarantee you'll be able to learn it; there are also qualification requirements.

What's the point of promoting it then?
Chen Xiuhua sighed inwardly, but as a leader, he absolutely couldn't let the conversation fall flat at this moment: "Well, that's why we still need to have more contact with frontline medical staff."

"Otherwise, we would never have known that Dr. Lu Cheng was such a master."

"Winning first prize in a full-body competition is a rare achievement."

Has our state hospital ever received such an honor before?

Yao Xin and Jia Qidao both shook their heads: "Director Chen, impossible! I've never won one. The highest I've ever won is second prize, and that was only because I was young."

Chen Xiuhua is also a shrewd person: "Then why didn't I hear you mention that Lu Cheng is an outstanding employee or an advanced individual in your department?"

Since these achievements cannot be replicated, but are indeed real achievements, they benefit patients and society.

Yao Xin hurriedly said, "Director Chen, Dr. Lu is a selected talent; he only joined the department this month."

"They haven't given us a chance yet."

"The evaluation of outstanding individuals usually begins in the middle or at the end of the year. You can't evaluate them before they even arrive, can you?"

Chen Xiuhua said, "Dr. Lu is an excellent doctor. Let's all give him a round of applause!"

"We hope that Dr. Lu can continue to uphold your personal abilities and bring more benefits to our people."

"Use your skills diligently to save more patients."

Lu Cheng nodded: "I will definitely do my best..."

"Director Chen, how should the report be written?" someone next to Chen Xiuhua asked in a low voice.

Chen Xiuhua said, "Write it the truth..."

(End of this chapter)