1, patients who cannot be diagnosed and treated due to limited technical and equipment conditions in the hospital shall be contacted with the hospital in advance with the consent of the attending physician, the director of the department and the medical department, the business dean or the dean on duty, and can be transferred only after obtaining the consent. 2 patients with confirmed or highly suspected infectious diseases should be transferred to designated hospitals for treatment according to relevant regulations, and mental patients should be transferred to psychiatric hospitals for treatment. In principle, other patients with non-special diseases should be transferred to the Chinese medicine hospital affiliated to Luzhou Medical College, and the transfer of patients or their families to other higher-level hospitals should be signed and approved. 3. The transfer department should correctly assess the risks of patients in the process of transfer and record them truthfully in the course record. Do a good job of informing, talking and signing with patients or their families (guardians). If it is estimated that the patient may aggravate his illness or die on the way to the hospital, he should stay in the hospital for treatment and be transferred to another hospital after his condition is stable or dangerous. 4. When the patient is transferred, the attending physician should sign the Notice of Patient Transfer, write the discharge record or brief introduction of the illness, and transfer with the patient. When transferring to another hospital, it will be transported by the ambulance of the superior hospital, and escorted by the ambulance and medical staff of our hospital in case of emergency. 5. If the patient or his family members propose automatic transfer, the attending physician shall truthfully record it in the course record, and the patient or his family members shall write the words "require automatic discharge" in the course record and sign it. The transfer procedure is solved by the patient's family members themselves, and it is treated as automatic discharge. The hospital will not send ambulances and medical staff to escort. 6. If the patient is in critical condition and his family members propose to be discharged automatically, the attending physician should record it truthfully in the course record, and the patient himself or his family members should write the words "give up treatment and ask for automatic discharge" in the course record and sign it. Automatic discharge, the hospital does not send ambulances and medical staff to accompany (except for medical disputes, lonely elderly and other special circumstances). 7, under special circumstances, the need to transfer critically ill patients or dead patients home, put forward by the attending physician, department director agreed, and reported to the medical department or hospital director on duty, business dean or dean on duty for approval, sign the notice of patient transfer, can be transferred by hospital ambulance, in principle, do not send medical personnel to escort. 8. The dispatched ambulance is coordinated by the emergency department, and the transfer of patients in obstetrics and gynecology is escorted by medical staff in obstetrics and gynecology. In principle, the transfer of hospitalized patients in other departments is escorted by the medical staff in their departments, and emergency can be escorted by the emergency department.
legal ground
"Interim Measures for Technical Appraisal of Medical Accidents" Article 36 The expert appraisal team shall comprehensively analyze the role of medical negligence in the consequences of medical accidents, the patient's original disease status and other factors to determine the degree of responsibility for medical negligence. The degree of responsibility for medical negligence in medical accidents can be divided into: (1) complete responsibility, which means that the damage consequences of medical accidents are completely caused by medical negligence.
(2) The main responsibility means that the damage consequences of medical accidents are mainly caused by medical negligence, and other factors play a secondary role. (3) Secondary liability means that the damage consequences of medical accidents are mainly caused by other factors, and medical negligence plays a secondary role. (4) Minor liability means that most of the damage consequences of medical accidents are caused by other factors, and medical negligence plays a secondary role.