In order to further improve the quality of diagnosis and treatment in our hospital, continuously improve diagnosis and treatment, and implement the quality management and quality control at the hospital and department levels? To ensure the quality and safety of medical care, this system is hereby formulated.
I. Sound quality management organization at the hospital and department level.
(a) hospital-level quality management by the hospital quality and safety management committee is responsible for, under the quality control section. Quality control section responsibilities are:
1, under the leadership of the Committee on the hospital's medical quality management supervision, inspection, guidance.
2, according to the relevant laws, regulations and standards in conjunction with the actual situation of the hospital, revise and improve the quality standards of the hospital, and the hospital's medical quality to carry out comprehensive supervision, inspection and evaluation, and promote the continuous improvement of medical quality.
3, inspection and guidance to the medical quality management team to develop practical quality management program, the implementation of medical quality management objectives, plans, evaluation of the effectiveness of rewards and punishments.
4, to carry out quality awareness of medical staff education. Pre-service training for new employees and advanced training, internship personnel, quality management education, risk awareness prevention and legal knowledge training.
5, regularly analyze and discuss medical quality issues. Timely feedback to the committee and the relevant hospital leaders, put forward specific measures and suggestions to improve medical quality, and put forward opinions on revising and improving management regulations.
6, according to the situation in due course to convene a monthly meeting of the director of the department or the quality control of the regular meetings. In the event of special circumstances can be convened temporarily to study the problem and summarize the work.
7, save the relevant quality control records and minutes of the meeting