In order to standardize the management of high-risk diagnostic and therapeutic technology, strengthen the access of medical technology and personnel qualifications, reduce safety hazards, improve medical quality, reduce medical risks, and safeguard the medical safety of patients, this system has been developed:
I. The scope of authorization for the qualification of high-risk diagnostic and therapeutic technology operations includes all the diagnostic and therapeutic operations of this
Authorization of high-risk diagnostic and treatment techniques includes all practicing physicians and registered nurses. Unauthorized individuals are not allowed to engage in diagnostic and therapeutic operations except in emergency situations with full justification.
II. Surgery, anesthesia, intervention, lumens and other diagnostic and treatment techniques, as well as Class II and III medical technology items are included in the scope of management of high-risk diagnostic and treatment techniques, and the qualification of physicians performing surgery, anesthesia, intervention, lumens and other diagnostic and treatment techniques is authorized on a graded basis.
Three, the organization and management
(a) the hospital science and technology committee for the hospital's high-risk diagnostic and treatment technology operation authority to grant the final review department.
(2) The Department of Medical Services is responsible for compliance with the Ministry of Health and the relevant provisions of the competent administrative departments of the Ministry of Health, high-risk diagnostic and therapeutic techniques for physicians to operate the authority of the audit; from time to time to monitor the implementation of the situation.
(3) The quality and safety management team of the department is responsible for the assessment of the business ability of the physicians and the initial determination of high-risk diagnostic and therapeutic techniques.
Four, operation authority declaration, audit, granting procedures
(a) individual physician application
Departmental organization of physicians in accordance with the ability to apply for personal work, declared and personal health technology qualifications, employed technical positions and engaged in the work of the corresponding technical positions and other qualifications and work capacity corresponding to the diagnostic and therapeutic technology operation authority.
(2) Quality and safety management team assessment
The quality and safety management team of the department combined with the applicant's basic situation, theoretical level and practical skills, etc., the applicant physician to carry out a comprehensive assessment, fill out the "Physician's Business Ability Evaluation Form", the director of the department to confirm, along with the department's "Diagnostic and Treatment Techniques Operation Permission Form" reported to the Ministry of Medical Affairs.
(3) hospital approval
The Ministry of Medical Affairs in accordance with the relevant provisions, combined with the physician's business capacity, complaints and disputes, etc., for a comprehensive assessment, meet the conditions for authorization of the hospital science and technology committee for approval and authorization.
(d) through the hospital "OA system" will be the physician diagnosis and treatment technology operation authority of the hospital, into the physician file management.
Fifth, high-risk diagnostic and treatment technologies to implement tracking management, high-risk diagnostic and treatment technologies to carry out high-risk diagnostic and treatment technologies since the project to carry out the day of the annual high-risk diagnostic and treatment technologies to carry out a summary of the situation.
Sixth, high-risk diagnostic and treatment technology qualification license authorization to implement dynamic management, fill out the "high-risk diagnostic and treatment technology ability to evaluate the form" (developed by the Department of Medical Services) and submit to the Department of Medical Services for the record. Re-evaluation once a year, when the following circumstances, the hospital will cancel or reduce its authority to operate.
(a) Failure to meet the new standards of qualification necessary for the operation of licensing authorization.
(ii) If two or more medical errors or faults occur during the current cycle.
(iii) Significant or repeated violations of operating procedures during the course of the operation.
VII. Personnel conducting high-risk diagnostic and therapeutic technology projects must be authorized before they are eligible for access, and after qualification, unauthorized personnel shall not carry out the corresponding operations.