Medical malpractice liability commitment should be how to write

Medical malpractice liability commitment letter should be how to write? The idea of service, strengthen the quality consciousness, quality service consciousness, medical safety consciousness, occupational risk consciousness, eliminate medical safety hazards, eliminate medical accidents, improve the quality of medical care, improve the quality of service, to ensure medical safety. According to the "Regulations on the Treatment of Medical Accidents", "People's Republic of China *** and the State Practicing Physicians Law", "Nurses Regulations" and "Hospital Management Year Activity Implementation Program and Inspection Rules", combined with the hospital section of the hospital two-level management system of the relevant documents, specially formulated commitment to quality of medical care, medical safety, quality service. Specific content is as follows: 1, department as a unit, the section chief 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 section. Whoever violates the rules and regulations leading to accidents and disputes, the person concerned shall bear full responsibility. 2, to strengthen the implementation of the rules and regulations, especially the implementation of the core system. For those who can not strictly follow the implementation of the personnel to be laid off for training, for the delay in the patient's rescue and treatment, resulting in medical accidents, disputes responsible person in accordance with the relevant provisions of the seriousness of treatment, to pursue the person in charge of his department of joint and several responsibility. 3, the medical staff should strictly abide by laws, regulations and technical specifications, strict implementation of the system of responsibility for the first diagnosis, detailed questioning of medical history, 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 truthfully informed and strictly abide by the privacy of the patient, in the implementation of medical, preventive, health care measures and the signing of the relevant medical certificates before the document must be in person to diagnosis, investigation, and according to the provisions of the timely completion of medical documents, shall not be hidden, preventive, health care measures and sign the relevant medical certificates. Fill in the medical documents, shall not conceal, falsify, destroy medical documents and related information, shall not issue medical certificates that have nothing to do with their own scope of practice or are not in line with the type of practice. 4. Medical personnel at all levels must engage in practice in a scientific manner, achieve scientific diagnosis and rational treatment, and adhere to the principle that all patients should be examined and treated rationally. 5, must be strictly in accordance with the hospital's 2010 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 combined Chinese and Western medical records (there must be Chinese medicine content in the medical records, and the records of the superior doctor's check-up must reflect the contents of Chinese medicine diagnosis and treatment guidance). Actively carry out the pilot work of clinical pathway, implement the clinical pathway implementation program of the hospital, and carefully write clinical pathway forms. The head of the department and the quality control officer should strictly check and not allow the medical records with serious defects to be discharged from the department. 6, 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 the communication), and require the patients and their families to sign the comments and signatures of both the doctor and the patient; in the communication between the doctor and the patient, the patient and his family should be used as far as possible in a way that is easy to accept and understand the language. Violation of the full responsibility of the parties involved. 7, resolutely implement the consultation system. In all cases of difficult, serious, critical and diagnosis of unknown 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 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 arrest), it should be resuscitated on the spot, and timely notification of the emergency department and the relevant departments to participate in the resuscitation quickly in the event of condition permits the healthcare personnel accompanied by the immediate escort to the emergency department for further treatment and observation; those who need hospitalization should be hospitalized in accordance with the Emergency Department. Those who need to be hospitalized should be accompanied by medical staff after the condition is stabilized and escorted to the comprehensive ICU ward or relevant departments; 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. After the admission of acute and critical patients, the receiving physician should immediately carry out rescue treatment, must be given within 5 minutes to dispose of, establish 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 work of resuscitation and treatment. 8、Strengthen the management of perioperative patients, conscientiously implement the surgical grading management system and surgical safety verification system, carefully complete the pre-operative, intra-operative and post-operative surgical safety verification and surgical risk assessment, starting from filling out the surgical notification form, and do a good job of double-checking of surgical patients' identification and surgical site identification, especially for the comatose patients, the acutely critically ill, the elderly, and the children, to implement the management of the wristbands. Strengthen the management of the safety of the position of surgical patients, and prevent the secondary injury of patients caused by improper position. Removed tissues, organs should be viewed by the patient's family members to send to the pathology examination, and do a good job of handing over the registration. 9, where the department to carry out new business, new technologies and major surgery, must be signed by the director of the required report to the medical section, 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 section and the general duty, approved by the authorized person to carry out the operation, but the content of the conversation before the operation should be detailed, comprehensive, a variety of complications and risk factors to be clearly explained, and to fulfill the signature procedure; the department should carry out the operation, and to carry out the signature procedure; and to prevent improper positioning of the patient to prevent secondary injuries. The authorization should be given by the authorized person, but the preoperative conversation should be detailed and comprehensive, and all kinds of complications and risk factors should be explained clearly, and the signature procedure should be fulfilled. 10、Conscientiously implement the checking system. Medical, nursing and technical personnel should conscientiously implement various checking systems, medical advice, prescriptions, medicines, surgery, blood transfusion, collection of specimens and the issuance of a variety of reports should be in accordance with the relevant provisions of the serious checking, to ensure accuracy, to ensure the safety of patients; pharmacy staff in the drug dispensing, should be conscientious implementation of the "four checking ten right" system; nursing staff should do a good "three checking ten right" system. Nursing staff should make good "three checks and ten pairs", visit the ward in time, carefully observe the condition, accurately reflect the patient's condition to the physician, especially in the rescue of patients, the implementation of the doctor's verbal instructions, the nurses must be repeated, after confirming that there is no error in the implementation, and to retain all the medicines during the resuscitation of empty bottles in the rescue end of the checking and registration before destroying. The person concerned is fully responsible for any violation.　　Provide nursing care measures for patients in accordance with the hierarchical nursing care system. Make timely rounds as required, observe changes in condition, notify the doctor at the first time, and give therapeutic measures in accordance with the doctor's instructions. Emphasize the scope of patient activities, critical care patients may not leave the bed activities; primary care patients can be in the room activities; second and third level of care patients can be in the hospital area activities. 11, the department must strengthen the management of further training, internship personnel, further training, internship personnel must be in accordance with the requirements of the relevant provisions of the personal guidance of the teacher in writing medical documents, to participate in surgery and various diagnostic and therapeutic operations, the teacher shall not be allowed to teach the teacher to further training, internship personnel instead of on duty, violation of the responsibility of the person responsible for the responsibility of the full responsibility. Departments of the new personnel should grasp the continuing learning, business training and management, really can work alone, the department to apply, approved by the Medical Department before the individual on duty, violators in addition to the direct responsibility of the parties involved in the investigation, the superior physician and the chief of the department should be held primarily responsible. 12, each department should be rescue equipment, instruments and medicines to do special custody, frequent inspection, timely maintenance, and make a record to ensure that the needs of the rescue of patients. Accidents and disputes caused by the lack of resuscitation equipment, drugs and other resuscitation items shall be the full responsibility of the parties concerned. 13. Once a doctor-patient dispute occurs, the department concerned shall properly keep a copy of the original information, such as syringes, residual fluids, blood products, etc., and seal the medical records (no one shall alter, switch, destroy or lose them), shall not cover up or conceal them, and shall report them to the Department of Medical Science in a timely manner. Disputes occurring in other departments or personnel, the truth shall not be disclosed to the patients and their families arbitrarily and prematurely to avoid the expansion and complication of the disputes, and violators shall be held accountable depending on the severity of the case. 14, all kinds of staff in the hospital to support each other, unity and assistance, not to tear each other down, not to pull the right and wrong between doctors and patients, and not to expose each other's different opinions or contradictions in front of patients and their families. Otherwise, depending on the circumstances and consequences of the disputes caused by this, the parties involved will be given an examination, suspension, administrative sanctions and other treatments. 15, the relevant documents in the medical record to complete the authority of the person 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 record, the patient was admitted to the hospital within 8 hours to complete; (4) the course of the record, the critically ill at least once a day to record; the critically ill at least 2 days to record a record; the condition of the stabilization of the record at least 3 days to record a record; (5) the attending physician first check-up records, depending on the circumstances and consequences of the inspection, suspension, administrative and other treatment of the person concerned. Attending physician's first room visit record, completed within 24 hours of the patient's admission; (6) take over the record, completed within 8 hours after taking over the shift; (7) transfer out of the record, completed before transferring out of the department (except for emergencies); (8) transfer to the record, completed within 24 hours after transferring in; (9) stage summary, at least 1 time per month; (10) preoperative summary, pre-operation discussion, completed by the attending physician before surgery; (11) surgical records (11) Surgical record, completed by the surgeon within 24 hours after surgery, in special cases, the first assistant to complete the surgeon's signature; (12) Anesthesia preoperative and postoperative visit records, anesthesia preoperative and postoperative completed; (13) First postoperative course record, completed immediately after surgery by the surgeon or the first assistant; (14) Postoperative course record for the next 3 days, at least once a day, with a record of the surgeon's or the supervisor's checkup; (15) Invasive operation records, completed immediately after the completion of operations; (16) Invasive operation records, completed immediately after the completion of operations; (17) Invasive operation records, completed immediately after the completion of operations; (18) Invasive operation records, completed immediately after the completion of operations (16) consultation records, routine completed within 48 hours, emergency consultation 10 minutes to the scene, completed immediately; (17) difficult case discussion records, completed immediately by the attending physician, the supervising physician review and sign; (18) discharge (death) records, the patient was discharged (death) completed within 24 hours; (19) death case discussion records, the patient's death was completed within one week; (20) resuscitation Oral medical advice, immediately after the end of the resuscitation record; (21) resuscitation records, the end of the resuscitation record within six hours after the fact of additional records; (22) surgical safety verification records, anesthesia before the implementation of the start of the operation and the patient to leave the room before completion. In accordance with the above requirements, the functional departments will inspect the clinical departments from time to time, and the inspection results will be incorporated into the hospital's performance appraisal in real time. For the above commitment, I consciously abide by, if any violation, I am willing to take responsibility. This commitment is effective from the date of signature. The head of the department and the dean of the signature, personal and departmental signature to show responsibility. This statement of responsibility is valid for 3 years from the date of signature. Dean: Section: Chief of Section: Chief Nurse: Deputy Director: Physician: Nurse There is no standardized form of undertaking for medical malpractice liability in the legal system, and such undertakings are basically formulated by the medical institutions themselves. Medical personnel should take this commitment as their own work as a guideline, if the medical staff can be in accordance with the medical malpractice liability commitment to fulfill their work, can certainly greatly reduce the occurrence of medical errors.