1. Due to the limited technical and equipment conditions of the hospital, patients who cannot be diagnosed and treated should be proposed by the treating doctor, agreed by the department director, and approved by the medical department, business dean or on-duty dean, and should contact the transfer in advance. Contact the hospital and obtain consent before transferring. 2. Patients with confirmed or highly suspected infectious diseases should be transferred to designated hospitals for treatment in accordance with relevant regulations, and mental patients should be transferred to mental hospitals for treatment. In principle, patients with other non-special diseases will be transferred to the Hospital of Traditional Chinese Medicine Affiliated to Luzhou Medical College. Patients or family members who request to be transferred to other higher-level hospitals must sign for approval. 3. The department transferring out of the department should correctly assess the risk of the patient during transfer and record it truthfully in the course record. Do a good job of informing, talking and signing with the patient or family member (guardian). If it is estimated that the patient's condition may worsen or die during the transfer, he should be kept in the hospital for treatment until his condition is stable or the danger has passed before being transferred. 4. When the patient is transferred to another hospital, the treating doctor shall sign a notification letter of patient transfer, write a discharge record or a brief introduction to the patient's condition, and transfer it with the patient. When transferring, the ambulance shall be transferred by the superior hospital. In an emergency, the ambulance and medical staff of our hospital shall transfer the patient. escort. 5. If the patient or his family members request automatic transfer, the treating doctor should record the facts truthfully in the course record, and the patient or his family member should write and sign the words "request for automatic discharge" in the course record. The transfer procedures will be handled by the patient's family members themselves. According to the automatic discharge process, the hospital will not send ambulances and medical staff to escort. 6. If the patient's condition is critical and the family members request voluntary discharge, the treating physician should record the facts truthfully in the disease course record, and the patient or his family member should write and sign the words "give up treatment and request automatic discharge" in the disease course record. Automatic discharge, the hospital will not send ambulances and medical staff to escort (except for special circumstances such as medical disputes and lonely elderly people). 7. Under special circumstances, if hospitalized critically ill patients or deceased patients need to be transferred home, the request shall be made by the treating doctor, agreed by the department director, and reported to the medical department or hospital on-duty dean, business dean or on-duty dean for approval, and a patient transfer notification letter shall be signed. They can only be transferred by hospital ambulance. In principle, no medical personnel will be sent to escort the patient during the transfer. 8. The dispatch of ambulances is coordinated by the emergency department. All patients transferred to the obstetrics and gynecology department are escorted by medical staff from the obstetrics and gynecology department. In principle, inpatient transfers from other departments are escorted by the medical staff of the respective departments. In emergencies, they can be escorted by the emergency department. Article 36 of the "Interim Regulations on Technical Appraisal of Medical Accidents" Article 36 The expert appraisal team shall comprehensively analyze the role of medical negligence in causing damage to medical accidents, the patient's original disease status and other factors, and determine the degree of responsibility for medical negligence. The degree of liability for medical negligence in medical accidents is divided into: (1) Full liability, which means that the damage caused by the medical accident is entirely caused by medical negligence. (2) Primary liability refers to the fact that the consequences of medical accident damage are mainly caused by medical negligence, and other factors play a secondary role. (3) Secondary liability means that the consequences of medical accident damage are mainly caused by other factors, and medical negligence plays a secondary role. (4) Slight liability means that most of the damage caused by medical accidents is caused by other factors, and medical negligence plays a minor role. Legal basis: Article 36 of the "Interim Measures for Technical Appraisal of Medical Accidents": The expert appraisal team shall comprehensively analyze the role of medical negligence in causing damage to medical accidents, the patient's original disease status and other factors, and determine the degree of responsibility for medical negligence. . The degree of liability for medical negligence in medical accidents is divided into: (1) Full liability, which means that the damage caused by the medical accident is entirely caused by medical negligence. (2) Primary liability refers to the fact that the consequences of medical accident damage are mainly caused by medical negligence, and other factors play a secondary role. (3) Secondary liability means that the consequences of medical accident damage are mainly caused by other factors, and medical negligence plays a secondary role. (4) Slight liability means that most of the damage caused by medical accidents is caused by other factors, and medical negligence plays a minor role.