Effectively strengthen and improve the quality of medical services, public **** the quality of health services and the quality of maternal and child health work, better implementation of scientific, safe management, prevention and reduction of medical accidents, to ensure that people are safe to go to the doctor. Below by me to share with you the guarantee of medical safety responsibility, welcome to read.
Medical Safety Guarantee Responsibility 1
Hospital: - Section - in the medical service activities, will strictly abide by the "Chinese People's Republic of China *** and the State Practitioners Law" and the relevant state laws and regulations and the State Council.
I. Medical personnel in medical activities in one of the following behaviors:
(a) medical personnel in the practice of activities, violation of higher administrative departments and hospital rules and regulations or technical operation norms, resulting in serious consequences;
(b) due to irresponsible delays in the rescue of critical patients and diagnosis and treatment, resulting in serious consequences;
(c) resulting in a Medical liability accidents;
(D) without personal diagnosis, investigation, signing the diagnosis, treatment, epidemiology and other documents or documents related to birth, death and other certificates;
(E) concealment, forgery or unauthorized destruction of medical documents and related documents;
(F) the use of unauthorized use of drugs, disinfectant preparations and medical equipment;
(viii) without the consent of the patient or his family members, experimental clinical medical treatment of patients:
(ix) the disclosure of the patient's privacy, which caused serious consequences;
(x) use of their positions to solicit, illegally accept the patient's belongings or gain other improper interests;
(x) use their positions to solicit, illegally accept the patient's belongings or make other improper gains Benefits;
(xi) natural disasters, epidemics of infectious diseases, sudden deaths and injuries and other serious threat to people's lives and health emergencies, do not comply with the higher administrative departments to dispatch:
(xii) medical malpractice or infectious disease outbreaks are found, the patient is suspected of injuries or unnatural deaths, and do not report the provisions;
(xiii) medical personnel in the medical, medical, medical, medical and health care services;
(xiii) medical personnel in the medical, medical and health care services;
(xiv (M) medical personnel in the medical, preventive, health care work, fraud, negligence, abuse of power, favoritism and malpractice caused by the consequences.
Second, the staff of the health administration and logistics staff in the medical, preventive, health care, logistics services in the work of falsehoods, dereliction of duty, abuse of power, favoritism and fraud resulting in the consequences;
Third, the details of the punishment: the violation of the above acts of personnel according to the severity of the circumstances of the appropriate penalties as follows.
(a) the person directly responsible for the seriousness of the case constitutes a crime, according to the law to investigate criminal responsibility;
(b) the damage caused to the patient, resulting in the loss of the hospital's social and economic benefits, according to the person directly responsible for the direct responsibility, indirectly responsible for the person, the person responsible for the management of the person (Note: the person responsible for the management of the director of each department and/or head nurse) to give the appropriate financial penalties;
(c) Occurrence of medical errors, does not constitute a medical incident, will be linked to the evaluation of titles, the last elimination, advanced selection, and impose certain financial penalties;
(d) the occurrence of more complaints about the department or individual, will be linked to the selection of the quality of medical care, the last elimination, the advanced selection;
Fourth, the details of the financial penalties:
The occurrence of a medical dispute resulting in hospitals have made after among the compensation
(Department) - to ensure: in the engagement of medical service activities, to obey the supervision; if not to achieve the quality of medical safety of the first article (a) to (13) and the second article, I am willing to assume all the legal responsibility arising from this, and accept the third to the fourth article of the corresponding penalties. This agreement in duplicate, the head of the unit, the head of the department, the person responsible for the department, each sign a copy of the head of the department to the hospital to sign, the employee to the head of the department and the head of the hospital to sign, the agreement is effective from the date of signing.
Head of the hospital: hospital (seal)
Head of the department: (Signature)
Time: year month to month
Medical safety guarantee responsibility letter 2
To further implement the "strengthening medical safety, improve medical quality Clearly define the responsibilities and work objectives, and implement the medical safety work responsibility system to the person. According to the hospital's deployment, combined with the actual situation of our hospital, special signing of medical safety work target responsibility:
I. Party A has the following obligations and rights to Party B:
(a) Party A has to communicate to Party B in a timely manner to the higher party committees and governments, the competent departments of health and hospitals on medical safety work policy, requirements, the obligation of the specific objectives (in written form);
(ii) Party A in accordance with the rules and regulations formulated by the hospital for Party B's work to provide the necessary material basis and technical support obligations;
(C) Party A in accordance with the provisions of the hospital to help Party B to solve the practical difficulties in the work of the obligation;
(D) Party A has a clear responsibility for the Party's obligation to the target, and have to carry out a regular or occasional assessment of the Party B's work and according to the results of the evaluation to be (d) Party A has the obligation to specify the responsibility target for Party B, and has the right to assess Party B's work on a regular or irregular basis, and to reward and punish Party B according to the assessment results;
(e) Party A has the right to give temporary instructions to Party B at any time.
Second, Party B in the medical safety tasks and goals:
(a) Party B in the work of strict compliance with the hospital's rules and regulations, such as: the first physician responsibility system, the first question system, the discussion of patients with emergencies and critical illnesses system, consultation system, referral system, the system of medical writing, checking system, business learning system, duty and shift system, etc.
(B) Party B should be held regularly in the hospital and outpatient clinics related personnel medical safety work and medical knowledge lectures, to convey the higher party committees and governments, health departments and hospitals on medical safety guidelines, policies and related measures, and conscientiously implement the hospital's medical safety management system, diagnostic and treatment techniques and operating procedures and medical safety measures;
(C) in the Party's leading and (C) under the leadership and guidance of Party A, conscientiously do a good job in the hospital medical safety inspection, and assist the "integration" office to improve the outpatient medical safety work, timely inspection of the work, to eliminate all types of medical hazards, to ensure medical safety. At any time to the hospital leadership to report on the inspection;
(d) timely completion of the Party arranged temporary directive work.
Third, rewards and penalties:
(a) according to the hospital requirements section chiefs to come up with 200.00 yuan per month as a risk deposit, such as the department is caused by man-made causes of medical medical disputes, medical errors, medical accidents, the hospital will deduct the section chiefs 200.00 yuan _ December as a penalty; such as the occurrence of no medical medical disputes, medical errors, medical accidents, the hospital will be given 200.00 yuan to the section chiefs. The hospital will give the department director 200.00 yuan _ December _ 2 as a reward.
(b) according to the hospital regulations are caused by man-made medical medical disputes, medical errors, medical malpractice medical compensation, the parties concerned to bear the compensation of 5-20%, and the director of the department for 200.00 yuan _ 12 months as a penalty;
(c) on the unexplained failure to complete the party arranged by the behavior of a variety of temporary directive work, according to the situation will be given ( ) penalties.
(d) Party B's failure to complete the tasks and objectives in the work of medical safety, according to the situation will be given ( ) punishment.
This target responsibility letter is in triplicate, and Party A, Party B and the supervisory party will each keep one copy.
Party A:
Party B:
Supervisory party:
Year month
Medical safety guarantee responsibility letter 3
20_ is the year of the management of the health center, in order to effectively strengthen and improve the quality of medical services, the quality of the public **** health service quality and the quality of maternal and child health work , better implementation of scientific, standardized, safe management, prevent and reduce the occurrence of medical accidents, to ensure the safety of the people's access to health care, according to the relevant documents of the Health Bureau, combined with the actual situation of our hospitals, especially the development of health care quality and medical safety management program and signed a letter of responsibility.
First, the establishment of medical quality and medical safety management team
Leader: Zhang Jianhua
Deputy Leader: Yin Xiaojian Wu Gang
Members: outpatient health care technicians on duty
Second, according to the actual work of the business and technical positions, each health care personnel should always put the quality of medical care and safety in the first place, strict operating procedures, skilled technical operations, the quality of medical care and safety, the quality of medical care and safety. Operating procedures, skilled technical business, each to fulfill their duties, service enthusiasm, diagnosis and treatment of clear, division of labor, to prevent the occurrence of medical errors.
Third, abide by the discipline and regulations, adhere to the workplace, the implementation of 24-hour duty system, the specific time operation agreed by the groups and reported to the President agreed, the hospital mass emergency medical treatment, to be on call, for special cases and more injured, outpatient clinic to collaborate. Timely treatment, if necessary, referral.
Fourth, the medical diagnosis and treatment work to implement the first responsibility system, serious cases and difficult cases, to carry out physician consultation, the strict implementation of the three-stage check-up system, morning and evening shifts to know, medical and nursing collaboration, accurate diagnosis and treatment, skilled care, reduce the suffering of patients.
Fifth, the pharmacy, pharmacy staff to comply with the prescription issued by the physician, accurately dispensing every prescription, strict quality control of drugs, Chinese and Western drugs, highly toxic drugs to implement the counter, transfer custody, registration, accurate pricing, skillful operation, enthusiastic service.
Six, not according to the procedures and individuals in the diagnosis and treatment work due to irresponsibility and medical accidents and errors, the compensation costs incurred by the parties concerned to bear 40% of the costs incurred, the parties concerned 30% of the department, 30% of the hospital, the proportion of the bearer, and timely report to the County Health Bureau and the relevant departments directly in charge of the legal and criminal responsibility to be borne by the competent authorities from the higher level of treatment.
This program is set up two copies, the hospital and employees each one.
The legal representative of the unit signed:
Members of the business group signed:
Medical Safety Guarantee Responsibility 4
In order to make the whole hospital medical staff firmly establish the "patient-centered", to save lives and help the injured, and wholeheartedly for the people to serve the idea, strengthen the quality consciousness, and strengthen the quality of service, and to ensure that the hospital's medical personnel can provide the best services for the people. The idea of serving the people, strengthening the awareness of quality, medical safety, occupational risk awareness, eliminating medical hazards, eliminating medical errors, accidents". According to the hospital quality service, the provisions of the commitment to service work, to do things according to the rules, violation of the rules must be investigated.
Second, all types of medical personnel at all levels should pay attention to the cultivation of medical ethics, conscientiously fulfill their duties, and adhere to their posts, not to do private work in the post time, not to engage in any thing other than medical activities. Where the violation of the accident, error, disputes occur, the parties bear full responsibility.
Third, all levels of physician's examination records or instructions must be clearly and unambiguously shown in the medical record, signed by the superior physician; all kinds of medical records must be written in a true and complete content, accurate description, scientific and orderly analysis, timely and clear records, the head of the department should be strictly check, do not allow important flaws in the medical records filed. The relevant personnel of the department and the management of the case room should strengthen the management of the current medical records and archived medical records to prevent loss, omission, alteration, forgery and destruction. Medical records shall not be borrowed, excerpted or copied without the approval of the medical department or the dean in charge. Otherwise, cause disputes, the parties should be fully responsible.
Fourth, the strict implementation of the "medical technology operating procedures", any department or individual shall not be arbitrarily simplified or changed. General diagnostic and therapeutic technology before the operation, to patients and their families to explain the purpose of the operation, the significance of the operation and the operation of the possible reactions and side effects; for critically ill patients or in the vital organs of the complex traumatic diagnostic and therapeutic technology before the operation, should be explained to the patients or their families the necessity of the complexity and the dangers of agreeing to check the signatures as evidence. Violation of the operating procedures and did not tell the patient or his family when the above situation caused by accidents, errors, disputes, should be held responsible for all the parties involved.
Fifth, the rescue of critically ill patients must be timely, effective treatment measures, the shift handover must be bedside verbal handover. Critical, emergency, serious patients consultation, difficult and death case discussion, must be completed within the time specified by the hospital and issued a written record. Changes in the condition of critically ill patients or possible complications should be well understood, and should be promptly explained and recorded to the patient's family, and the patient's family should be required to sign the record of the patient's medical history if necessary. The head of the department should regularly check and organize the implementation. Otherwise, as a result of accidents, errors, disputes, in addition to the direct responsibility of the parties involved, but also to pursue the leadership of the department head responsibility.
Sixth, some special tests (including ct, mri, etc.), special treatment (including the application of expensive drugs, etc.) when the medical cost is high, should be timely to the patient's family to explain clearly, to obtain the cooperation of the family, to reduce the occurrence of medical disputes.
Seven, where major surgery and the department to carry out new business, new technologies, important organ removal and other surgery, must be signed by the director of the regulations reported to the Medical Department, the president in charge of the implementation of the approval; such as the implementation of emergency surgery and no family members and relations
at the scene or other special circumstances, should be to the director of the Department of Medical Services or the Chief Duty Officer report. After the authorization of the authorized person to carry out surgery. Otherwise, if it causes accidents, errors or disputes, the person concerned and the department shall bear full responsibility.
VIII, each department should be rescue equipment, instruments and medicines to do special custody, frequent inspection, timely maintenance, to ensure that at any time to meet the needs of the rescue of patients. If accidents and disputes are caused by the lack of rescue equipment and medicines in place, the parties involved and the department should be held fully responsible.
IX, the new staff shall not enter the department without pre-service training. The department of the new staff should grasp the continuing learning, business training and management, by the department of the assessment, really can work alone, the department wrote an application, the Medical Department approved, the party enjoys the right to enjoy the prescription alone on duty, in the event of difficult problems, should be reported to the superior physician *** with the treatment. Otherwise, causing accidents, errors, disputes, in addition to the direct responsibility of the parties involved, the superior physician and the director of the department should also bear some responsibility.
Ten, a variety of post-surgical resection of tissue, should be sent to the pathology in a timely manner, a clear diagnosis, preoperative conversation should be detailed, comprehensive, a variety of complications and risk factors should be clearly explained, and to fulfill the signature procedure. If there is a need to change the operation mode during the operation, the chief of the department should be asked for instructions, and then the patient's family should be talked to again, and the content of the talk should be signed. Five examinations should be done before blood transfusion, and the consent form for blood transfusion should fulfill the signing procedure. Otherwise, causing accidents, errors and disputes, the parties involved should be primarily responsible.
XI, the department must strengthen the management of internship training personnel, internship training students to write a variety of medical documents, the teacher must carefully review and modify the signature recognition or supplemental records, its participation in surgery or various diagnostic and therapeutic operations, must be taught by the teacher agreed to and on-site guidance; teacher shall not be allowed to teach internship training personnel instead of on duty, if there is a violation of the error caused by the accident, the accident,
The teacher shall not let the trainee replace the duty, if any violation causes error, accident, dispute, the teacher or the doctor on duty as the direct responsible person shall be pursued first.
XII, outpatient and ward first physician to receive the patient's examination, diagnosis, consultation, treatment, medical record writing, transfer are responsible. Emergency and critical patients to the hospital, the receiving physician must start within five minutes to dispose of, and quickly report to the superior physician; critical patients need to be admitted to the hospital, transfer on the way must be accompanied by medical staff, the department shall not be any reason to refuse to accept the patient. If there is a violation, causing errors, accidents, the parties should be held fully responsible.
xiii, the implementation of protective medical system, for some serious or currently incurable diseases, should be strictly confidential to patients, in order to alleviate the mental burden of patients, to prevent accidents. However, family members and organizations should truthfully reflect their conditions and prognosis. The patient's privacy should be strictly confidential, shall not be arbitrarily disclosed; other departments or personnel disputes, the relevant medical staff shall not be the true picture of the arbitrary, premature disclosure to the patient or the family, in order to avoid disputes to expand, complicate, or will be held accountable for the responsibility of the parties involved.
Fourteen, 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, if the patient's mouth to achieve the purpose of retaliation against individuals, creating medical disputes. Otherwise, with this medical disputes, the parties involved should be involved in the whole process of dispute handling, and depending on the circumstances and consequences, to give inspection, suspension, administrative sanctions and other treatment.
XV, to strengthen the management of anesthesiology, the surgery of various departments should strictly implement the anesthesia operating procedures and asepsis system, to ensure that the integrity of surgical instruments and equipment, failure to timely repair, violation of the anesthesia operating procedures caused by accidents, errors, disputes, and hold the parties accountable for all the responsibilities.
Sixteen, seriously implement the hospital general duty and medical and surgical second-line duty system. Duty personnel should adhere to the workstation, on call, and actively participate in or coordinate the rescue of patients, treatment, major disasters, accidents batch casualties and emergencies, must be promptly reported to the next level without delay, or cause accidents, disputes should be held responsible for the full responsibility of the personnel on duty.
seventeen, medical, nursing, technical staff to seriously implement a variety of checking system, medical advice, prescriptions, medicines, surgery, blood transfusion, the collection of specimens, as well as the issuance of various types of reports, etc., according to the requirements of the careful checking, in order to achieve accuracy, to ensure that the patient's safety. Nursing staff should make three checks and seven checks, strictly implement medical instructions, frequently visit the wards, carefully observe the condition and write nursing records. Timely and accurately reflect the patient's condition to the physician changes in the patient's serious and responsible, or cause accidents, errors, disputes, the parties should be held fully responsible.
18, once the dispute occurred, the department should properly retain a copy of the original information, such as syringes, residual fluids, blood products, etc., medical records sealed and submitted. No one shall alter, switch, destroy or lose. The violators will be seriously dealt with depending on the severity of the case.
The above eighteen provisions, each department should seriously discuss the implementation of the head of the department and the dean signed to show responsibility.
Hospital leadership (signature):
Date:
Section:
Section chief (signature):
Date:
Medical safety of the protection of the responsibility of the letter 5
First, we must attach great importance to the quality of medical care, medical safety management, and effectively strengthen the Medical organization management, improve medical quality, medical safety. The person in charge of each department is the person responsible for the management of medical quality and medical safety.
Second, to standardize the management of clinical diagnosis and treatment services, seriously implement the core system of medical quality, medical safety, the implementation of medical records, prescription writing norms, to ensure the quality of medical documents.
Third, to strengthen the quality of basic medical and nursing care, strengthen the three basics, three strict training, the annual organization of health care personnel business learning, business training no less than 10 times, no less than 2 times the study of laws and regulations, health care personnel to participate in the "three basics" theoretical examination at least once a quarter, the Health Bureau organized the examination of the pass rate must be up to 95% or more.
Fourth, the full implementation of the rules and regulations, strict compliance with technical procedures, strict implementation of the post responsibility system, the development of medical incident prevention and treatment plan, strict implementation of the medical incident reporting system and medical incident accountability system.
Fifth, to strengthen the quality of medical care, medical safety supervision, increase the implementation of the core system of inspection, strengthen the quality of surgery, outpatient quality and prone to medical malpractice positions and links in the supervision and management.
Six, to standardize the disinfection, sterilization, isolation and medical waste management, effective prevention and control of hospital infections, the person in charge of each department to personally grasp, improve the organization of hospital infection management, equipped with full-time staff, a clear task force, the implementation of the accountability system, the hospital infection management of all the work to the letter.
VII, to strengthen the emergency, first aid management, strict implementation of emergency, first aid work system, to ensure that ensure emergency, first aid equipment, facilities, vehicles are in a state of reserve.
VIII, the content of this responsibility into the comprehensive goal assessment content, and as an important basis for the annual evaluation of excellence, the reason for the responsibility
leading to medical accidents or major medical disputes, resulting in a bad influence, in accordance with relevant provisions of the main responsible person's responsibility.
Dean:
Individual:
20___Year_Month_Day
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