In the era of continuous progress, our use of commitment letters is increasing day by day, and the contents of different commitment letters are likewise different. Do you know the format of commitment letter? The following is my carefully organized quality commitment letter 3, I hope to be able to help you.
Quality Commitment Part 1In order to further strengthen the hospital management, so that the hospital medical staff firmly establish the "patient-centered" to save lives, wholeheartedly for the people's service ideas, strengthen the quality consciousness, quality service consciousness, medical safety consciousness, occupational risk consciousness, eliminate medical safety hazards, to eliminate medical accidents, improve medical quality, improve the quality of service, and to eliminate medical accidents. The company is also committed to improving the quality of medical care, improving the quality of service, and ensuring medical safety. According to the "Regulations on the Treatment of Medical Accidents", "People's Republic of China *** and the State Practitioners Law", "Nurses Regulations" and "Hospital Management Year Activity Implementation Program and Inspection Rules", combined with the hospital department two-level management system of the hospital's relevant documents, especially the development of medical quality, medical safety, quality service commitment. Specific content is as follows:
First, the department as a unit, the director of the department as the first person responsible for medical safety, to effectively fulfill their duties, to establish and improve the job responsibility system as the center of the rules and regulations, strictly in accordance with the overall requirements of the hospital to do a good job in the quality management of the department. Any violation of the rules leading to accidents and disputes, the parties involved should bear full responsibility.
Second, to strengthen the implementation of the rules and regulations, especially the implementation of the core system. For those who can not strictly comply with the implementation of the personnel to be laid off and training, for the delay in the patient's resuscitation and treatment of the time, resulting in medical accidents, disputes, the responsible person in accordance with the relevant provisions of the seriousness of treatment, to pursue the person in charge of their departments and joint responsibility.
Third, the medical staff should strictly abide by the laws, regulations and technical specifications, and strictly fulfill the responsibility of the first diagnosis, detailed history inquiries, careful examination of the patient, the scientific development of diagnosis and treatment and care programs, close observation of changes in the condition of the patient and his family and truthfully inform the patient's privacy and strictly abide by the patient, in the implementation of medical, preventive, health care measures and the signing of the relevant medical certificates before the document must be diagnosed and investigated in person, And in accordance with the provisions of the timely completion of medical documents, shall not conceal, forge, destroy medical documents and related
information, shall not issue their own scope of practice is not related to or incompatible with the type of practice of medical documents.
Fourth, medical personnel at all levels must be engaged in the practice of science, scientific diagnosis, rational treatment, and adhere to the principle of inspection, rational treatment.
Fifth, must be strictly in accordance with the hospital 20xx version of the "Medical Record Writing Guide" requirements of writing outpatient emergency and inpatient medical records, writing content should be true and complete, accurate, scientific and orderly analysis, record timely and clear. The medical records of single diseases, dominant diseases and key diseases must be written in accordance with the requirements of Chinese and Western medicine (there must be Chinese medicine content in the medical records, and Chinese medicine diagnosis and treatment guidance must be reflected in the records of the superior doctor's checkups). Actively carry out the pilot work of clinical pathway, implement the clinical pathway implementation program of the hospital, and carefully write the clinical pathway form. The director of the department, the quality control officer to strictly check, do not allow serious defects in the medical records out of the department.
Sixth, timely doctor-patient communication, strict implementation of the doctor-patient communication system. Each communication should be recorded in detail in the medical record (including the time and place of communication, the names of participating medical personnel, patients and their families, the specific content of the communication, the results of communication), and require the patient and his family to sign the comments and signatures of the doctor and the patient; in the communication between the doctor and the patient, should be used as far as possible, the patient and his family are easy to accept the way and understand the language. Violation of the full responsibility of the parties involved.
Seven, resolutely implement the consultation system. In all cases of difficult, heavy, critical and diagnostic cases, all timely consultation outside the hospital, consultation to apply early. Emergency consultation must be on call, no one shall delay for any reason. Outpatient (emergency) resuscitation must be carried out in accordance with the outpatient (emergency) resuscitation process, the patient in the outpatient clinic or in the medical and technical departments for examination or to be diagnosed, to be examined, if there is a change in the condition of the disease, aggravation or sudden accidents (such as respiratory cardiac arrest), should be rescued on the spot, and timely notification of the emergency department and the relevant departments to participate in the rapid resuscitation in the case of condition permitting the medical personnel accompanied by immediate escort to the emergency department for further treatment Observation; those who need to be hospitalized should be accompanied by medical staff to be escorted to the integrated ICU ward or relevant departments after their condition is stabilized
The department shall not refuse to accept the patient for any reason, and at the same time, report to the medical department, outpatient clinic office and other relevant departments. Emergency critical patients admitted to the hospital, the receiving physician should immediately rescue treatment, must be given within five minutes to dispose of, the establishment of intravenous access, and quickly report to the superior physician, the attending physician or (and) the section chief must immediately view the patient, to guide the rescue treatment work.
VIII, strengthen the management of perioperative patients, seriously implement the surgical grading management system and surgical safety verification system, seriously complete the preoperative, intraoperative, postoperative surgical safety verification and surgical risk assessment, starting from filling out the surgical notification form, to do a good job in surgical patient identification and surgical site identification double-checking, especially for comatose patients, acutely ill patients, the elderly and children to implement the management of wristbands. Enhance the safety management of surgical patients' position. Strengthen the management of the safety of the position of the surgical patient to prevent secondary injury of the patient caused by improper position. Surgical resection of tissues, organs should be viewed by the patient's family members to be sent to the pathology examination, and do a good job of handing over the registration.
IX, where the department to carry out new business, new technologies and major surgery, must be signed by the director of the department to report to the medical department, the president in charge, approved before implementation; such as emergency surgery patients, in the absence of family members and relations, and other special circumstances, should be reported to the director of the department, the medical department and the general duty report, approved by the authorized person to carry out the operation, but the preoperative talk content to be detailed, comprehensive, various complications and risk factors to be explained clearly and fulfill the However, the preoperative conversation should be detailed and comprehensive, and all kinds of complications and risk factors should be clearly explained, and the signature procedure should be fulfilled.
Ten, seriously implement the checking system. Medical, nursing and technical personnel should conscientiously implement a variety of checking system, doctor's orders, prescriptions, medicines, surgery, blood transfusion, collection of specimens, as well as the issuance of a variety of reports should be in accordance with the relevant provisions of the careful checking, to ensure accuracy, to ensure that the patient's safety; pharmaceutical personnel in the drug dispensing, should be conscientious implementation of the "four checking ten right" system; nursing staff to do a good job. "three check ten right", timely ward visits, carefully observe the condition, accurately reflect the patient's condition to the physician
change, especially in the resuscitation of patients, the implementation of the doctor's verbal instructions, the nurses must be repeated once to confirm that there is no error after the implementation of the rescue, and to retain all the empty bottles of medicines, in the end of the rescue after checking the registration can be destroyed. The empty bottles of all medicines should be kept and checked and registered at the end of resuscitation before being destroyed. The person who violates the law is responsible for all the responsibility.
Provide nursing care for patients according to the hierarchical nursing system. According to the requirements of timely rounds, observation of changes in the condition, the first time to notify the doctor, in accordance with the doctor's orders to give therapeutic measures. Emphasize the scope of patient activities, critical care patients can not leave the bed activities; primary care patients can be in the hospital room activities; second and third level of care patients can be in the hospital area activities.
XI, the department must strengthen the management of training, internship personnel, training, internship personnel must be in accordance with the requirements of the relevant provisions of the teacher under the personal guidance of writing medical documents, to participate in the operation and various diagnostic and therapeutic operations, the teacher shall not be allowed to training, internship instead of duty, violation of the responsibility of the person responsible for the full responsibility. The department of the new staff should grasp the continuing learning, business training and management, can indeed work alone, the department to apply for approval by the Medical Department before the individual on duty, violators in addition to the direct responsibility of the parties involved in the pursuit of the superior physician and the chief of the department to be primarily responsible.
XII, each department should be rescue equipment, instruments and drugs to do special custody, frequent inspection, timely maintenance, and make records to ensure that the need to rescue patients. Due to the rescue equipment, medicines and other rescue items are not in place and cause accidents, disputes, by the parties bear full responsibility.
xiii, doctor-patient disputes occur, the department concerned to properly retain a copy of the original information, such as syringes, residual fluids, blood products, etc., sealed medical records (no one shall not alter, switch, destroy, lose), not cover up or conceal, and promptly reported to the Medical Department. Disputes occurring in other departments or personnel, the truth shall not be arbitrarily and prematurely divulged to the patients and their families, in order to avoid the expansion of disputes, complications, violators depending on the severity of the circumstances of the responsibility of the parties involved.
XIV, all types of hospital staff to support each other, unity and assistance, not to tear each other down, not to pull the right and wrong between doctors and patients, not to mention the different opinions or contradictions between each other in front of patients and their families. Otherwise, depending on the circumstances and consequences of the disputes caused by the parties involved in the examination, suspension, administrative sanctions and other treatments.
Fifteen, the relevant documents in the medical record to complete the authority of the staff and time limit:
(1) outpatient (emergency) medical records, completed at the time of consultation;
(2) admission records, the patient was admitted to the hospital within 24 hours to complete;
(3) the first course of the patient's record, the patient was admitted to the hospital within 8 hours to complete;
(4) course of the record, the patient is critically ill at least 1 time a day; seriously ill at least 2 times a day. (4) Record of the course of the disease, at least once a day in critical condition; at least once every two days in serious condition; at least once every three days in stable condition;
(5) Attending physician's first checkup record, completed within 24 hours of the patient's admission;
(6) Record of the shift change, completed within 8 hours of the shift change;
(7) Record of the transfer of the transfer of the transfer of the transfer of the Department to the Department completed before the transfer of the transfer of the transfer of the transfer of the transfer of the patient's condition to the Department of the transfer of the patient's condition to the Department of the Department of Health and Social Welfare (except for emergencies);
(8) Transfer to Record, completed within 24 hours after transfer;
(9) stage summary, at least once a month;
(10) preoperative summary, preoperative discussion, completed by the attending physician before surgery;
(11) surgical records, completed by the operator within 24 hours after surgery, in special circumstances, by the first assistant to complete the operator's signature;
(12) anesthesia preoperative and postoperative visits (12) Anesthesia preoperative and postoperative visit records, anesthesia preoperative and postoperative completed;
(13) The first postoperative course records, completed immediately after surgery by the operator or an assistant;
(14) Postoperative course records for the first three days, at least once a day, there should be a record of the operator or the supervisor of the physician's room visit;
(15) invasive operation records, the operation completed immediately after completion of the completion of the completion of the operation;
Quality Commitment Part 2A
1, clothing within 7 days from the date of sale, as long as the goods do not affect the re-sale, with a ticket to be returned.
2, clothing returns, commodity prices up, according to the original price of goods, prices down, according to the current price. 3, the following cases are not refundable:
① clothing cut, washed, man-made dismantling or hanging cracks, etc.;
② clothing sold when the label has been marked as "treatment";
③ more than one month after the date of sale of the goods, the goods are not returned. p>
③ more than the return period or no sales receipt.
Second, the following cases of free repair and non-return:
1, clothing open line, free repair;
2, clothing wrinkled, free ironing;
3, sweater small area of balling, de-needling, open line free of charge repair.
Third, the following cases will not be repaired:
1, clothing to change the style;
2, clothing decorative buttons, buttons, etc. Damage or loss due to wear;
3, zipper due to wear improper or self damage;
4, cotton fabrics clothing fading, shrinking, balling;
5, self-washing, ironing improperly caused by the clothing lining Cracking and so on.
Fourth, free service items
Clothing since the sale, free cutting, free locking, free ironing.
Quality Commitment Part 3
Party A, Pingdingshan Yuxiang Real Estate Development Co.
Party B,
Party C, (certified party village committee or street office)
According to the Pingdingshan City Government to further promote the construction of a number of opinions of urban construction, the Pingzheng (20xx) No. 30 document and related laws, regulations, policies. In the spirit of changing the countryside into a city with old houses for new houses, with bungalows, multi-storey for high-rise, in order to change the living conditions and living environment in the countryside, to ensure that every relocated household has a new house to live in, in-situ resettlement `principle', by the three-party negotiation of the A, B, C reached an agreement on the agreement regulations are as follows:
Article 1: Demolition and relocation of the old house renovation status
The place name is Zhanhe District, Yao Menchon Village, C; the address is located at Xinhua District JiaoDian town health center to the west, east of the town government. The demolished house is a bungalow with an area of ( ) square meters, the number of floors of the building ( ), a floor with an area of ( ) square meters, an area of ( ) square meters above the first floor, the residential yard covers an area of ( ) square meters, and the allotment has an area of ( ) square meters (the allotment is a brick-concrete slab house), (except for the temporary construction house).
Article 2: Demolition and relocation of old houses in exchange for new house standards and compensation conditions
1, Party B agreed to Party A on Party B is located in the first article of this agreement, demolition of the old house condition of all the contents of the legal ownership of the old residential house and residential area, agreed to be handed over to the Party by the Party to carry out a unified development of reconstruction and development of the construction of the Party, Party A with the actual volume of the old house and the actual residential base covers an area of the proportion to the Party B replacement of the new building. The new building is replaced by Party B in proportion.
2, the old house for the new house area (1), the main house covers an area of 1:1.3 according to the proportion of the new house, (2), the mansion, including the yard in front of the door according to the measured area, the proportion of the new house for the new house for the new house is 1:1.1.
3, Party B should replace the total area of the new residence ( ) square meters. The difference between the actual area of the new house and the actual area of the new house is more or less and the exceeding part will be calculated according to the market price of the house to be reduced by 15%.
4, the old house demolition compensation for the brick structure cover floor (excluding the main room), 500 yuan per square meter, compensation for the temporary housing and other ancillary housing does not make any compensation.
5, relocation of rental housing subsidies calculated on the basis of the residential main house, per square meter of 8 yuan, according to A, B, both sides of the handover of the old house to move back to the date of the date of calculation, move back to the time of the A party notification shall prevail, the subsidy is payable for six months at a time,.
6 old front house demolition and replacement, (1), the original site remains unchanged, (excluding residential housing), (2), the replacement ratio of the old front house covers an area of 1:1.3 replacement of new houses, replacement of new houses from the first floor of the area from the bottom up replacement. The basement is owned by Party A.
7, Party B should be replaced with a total area of ( ) square meters. If it exceeds the replacement area, it will be paid by Party B according to the market price at that time.
8, the front room design program agreed by A, B, design institute.
9, the demolition of households to and from the moving costs, each household 1600 yuan by Party A compensation.
10, the demolition of the new house for the replacement of the real estate license by Party A is responsible for handling.
Article 3: responsibilities and obligations of both parties
Party A responsibilities and obligations
1, Party A transformed into a high-rise residential.
2 Party A is responsible for the processing of the large house certificate in this neighborhood.
3, Party A undertakes the supporting construction of the district, recreational areas, green space, roads, parking lots, structures, property rooms, carports and other construction
4, after the completion of the district by the party entrusted the property company to carry out the unified management of the district.
Party B responsibilities and obligations
1, according to Pingdingshan city housing demolition and relocation management implementation measures, Chapter III, Article 26, Party B's self-built houses, illegal structures, and other ancillary facilities, in the signing of the agreement within fifteen days of demolition. 2, Party B's water, electricity, heating, property and other related costs, are Party B in the housing vacated to Party A before acceptance of arrears completed.
3, after the house is vacated and accepted by Party A, it is not allowed to move back privately, as well as privately dismantle the house's appendages, doors and windows, and water, electricity, gas facilities, etc., or Party A has the right to deduct from the compensation fee.
4, Party B in the signing of this agreement, should provide Party A with relevant land certification materials, and the provision of relevant materials to make a written commitment, materials issued by Party A separately (receipt receipt).
5, during the construction period, Party B shall not use any reason to obstruct the development and reconstruction of the construction, otherwise Party B shall bear the corresponding legal responsibility and economic losses.
Article IV: the new house delivery standard and residential building positioning and floor confirmation
1, in line with the national quality acceptance norms up to the Road acceptance standards, registered by the project quality supervision department for the record. 2, indoor, gross ground, gross walls, entry steel security doors, plastic windows, no kitchenware, sanitary ware and interior doors, excluding toilet floor waterproofing, kitchen and bathroom reserved water and sewage joints, indoor installation of incandescent lamps.
3, water, electricity, heating, natural gas household interface fees, according to the relevant departments of the cost, paid by Party B, Party A on behalf of the collection.
4, the positioning of the new replacement residential building placement, to be the overall design of the district by Party A, and the village representatives, agreed separately, demolition of residential buildings by Party A whole division to Party B, floor allocation by the village committee or village representatives to implement another program of reasonable allocation to each household in Party B.
Fifth, the residential buildings, the village representatives to implement the program of reasonable allocation to each household.
Article V: Liability for breach of contract
1, the two sides should fulfill the provisions of this agreement and obligations, otherwise regarded as a breach of contract, the defaulting party shall compensate the other party for all the resulting economic losses.
Other
1, the agreement is not complete the Ropeway appropriate A and B signed a supplemental agreement, the supplemental agreement and the original has the same legal effect.
2, this agreement in triplicate, a, b, c, each of the executive a, the date of signing of this agreement shall come into force.
Party A seal
Party A on behalf of the signature
Party B signature crossed
ID card number
Signature of Party C
Month day month day month day
.