[1] Interim Provisions on Quality Management of Outpatient Clinics in Medical Institutions Article 1 These provisions are formulated in accordance with the relevant laws and regulations such as the Law of the People's Republic of China on Physicians of the People's Republic of China, the Law of the People's Republic of China on Prevention and Control of Infectious Diseases, the Regulations on the Administration of Medical Institutions, and Measures for the Management of Quality of Medical Care, etc., in order to strengthen the management of outpatient clinics of medical institutions and to ensure medical safety. Article 2 The provisions of this article applies to secondary and above outpatient medical institutions (excluding emergency, fever clinic, intestinal clinic, Internet clinic) quality management. Article 3 The outpatient clinic refers to the medical institutions, by the medical staff according to the patient's valid registration voucher to provide disease counseling, prevention, diagnosis, treatment, care, rehabilitation and other medical services. Article IV of the medical institutions should be strictly in accordance with the law, within the scope of practice of the organization to provide relevant outpatient services. Article V outpatient quality management refers to the formation of outpatient quality in accordance with the law and the relevant laws and regulations, the use of modern scientific management methods, outpatient service elements, processes and results of management and control, in order to achieve outpatient quality and continuous improvement of the process. Article 6 outpatient quality management is an important part of the quality management of medical institutions, secondary and above medical institutions should be outpatient quality management into the medical quality management committee system, clearly responsible for the daily management of outpatient departments, the establishment of outpatient quality management system, in accordance with the hospital, departmental responsibility to improve outpatient quality management system, strengthen the day-to-day supervision and inspection, regular collection, analysis, feedback, outpatient quality data. The department has established an outpatient quality management system, improved the outpatient quality management system in accordance with the responsibility system at the hospital and department levels, strengthened the daily supervision and inspection, and regularly collected, analyzed and fed back the outpatient quality data to promote the outpatient quality improvement. Article VII outpatient quality management system refers to the medical institutions in accordance with relevant state laws and regulations and management requirements, medical institutions and their medical staff in outpatient diagnostic and therapeutic activities should be strictly abide by the system. Mainly includes medical staff outpatient management system, source management system, pre-screening system, outpatient medical paperwork management system, multidisciplinary (MDT) outpatient system, special needs outpatient system, outpatient referral system, outpatient surgery management system, as well as outpatient emergency response system. Article VIII of the medical institutions should strengthen the management of medical personnel, according to the classification and characteristics of outpatient patients, reasonable arrangements for the various specialties of different senior doctors; and for regional and seasonal characteristics, combined with the use of the number of dynamic adjustment of the number of outpatient units as well as the number of units to receive visits, a reasonable allocation of outpatient human resources. Article IX medical institutions should implement the patient's real name. In the registration, registration, diagnosis and other aspects of the implementation of the patient's unique identity management. Article 10 The medical institutions should be based on changes in the number of visits to dynamically adjust the number of registration pathway number of inputs to strengthen the number of return and refusal management, the establishment of the return of the number of waiting mechanism to enhance the efficiency of the use of the number of sources. Strengthen the management of appointment booking, provide network, self-service machine, clinic, artificial window and other appointment booking methods. Article 11 of the medical institutions should actively implement the appointment of time, improve the rate of patients to the hospital within 30 minutes, guide patients in an orderly manner, reduce the waiting time in the hospital, reduce the number of people gathered. Article XII of the medical institutions should strictly implement the outpatient first responsible system, before the end of the consultation process or by other physicians, the first physician should be responsible for the patient's examination, diagnosis, treatment, resuscitation and transfer. Article XIII of the outpatient diagnosis and treatment process and disposal measures should follow the diagnostic and treatment standards, clinical guidelines, diagnosis, prevention and treatment measures should follow the principle of safety, standardization, effectiveness and economy. Article 14 The medical institutions should actively promote multidisciplinary (MDT) clinic, MDT clinic by a relatively fixed team of experts at a fixed time and place of clinic. MDT clinic diagnostic and treatment records should include the time of consultation, consultation department, the names of participants and professional and technical positions, the main complaint, the history of the current disease, past history, physical examination, auxiliary test results, the MDT clinic team integrated The MDT clinic team comprehensive diagnosis and treatment of opinions and participate in the discussion of all the physician's signature. Article 15 The medical institutions should strengthen the management of outpatient difficult cases, the establishment of outpatient difficult cases consultation system, to provide outpatient difficult cases consultation services, to ensure that patients receive timely treatment. Article XVI of the medical institutions should be clear registration effective time, the establishment of patients due to test, examination results return to continue to visit the protection mechanism, and rationalize the order of patients to repeat. Article 17 The medical institutions should improve the efficiency of medical technology departments, shorten the test, endoscopy, ultrasound, CT, nuclear magnetic examination of the waiting time for an appointment to encourage the provision of outpatient examination centralized booking, self-help booking, clinic booking and other forms of booking services, conditions can provide one-stop inspection booking service. Article 18 of the medical institutions should be in accordance with the relevant norms within the prescribed time limit for the issuance of test and inspection reports, and outpatient inspection and test reports issued time for statistics, analysis, according to the actual situation and gradually reduce the report issued time. Medical institutions should promote mutual recognition of test results **** enjoy, improve the efficiency of medical resources, improve the people's medical experience. Article 19 The medical institutions should strengthen the outpatient clinical emergency value management, the development of outpatient emergency value report and treatment process, timely and accurate report and notify the patient to seek timely treatment to protect the patient's medical safety. Article 20 The medical institutions should develop outpatient surgery and invasive diagnosis and treatment of the directory, seriously implement the core system of medical quality and safety, strictly grasp the indications, according to the patient's condition, surgical level, anesthesia, etc., to develop specific pre-operative discussions, surgical safety verification, surgical site identification and other systems and processes to ensure that the outpatient invasive diagnosis and treatment and surgical safety. Outpatient surgical records should include surgery time, surgery name, surgery level, pre-operative diagnosis, post-operative diagnosis, the name of the operator and assistant, anesthesia, surgery, specimen destination. Article 21 The medical institutions should strengthen the capacity of pharmaceutical services, the implementation of outpatient prescription review and comment system, to provide outpatient drug counseling and medication guidance services. Article 22 The medical institutions should strengthen the management of outpatient intravenous infusion therapy, strictly grasp the indications of outpatient intravenous infusion therapy, control the use of outpatient intravenous infusion therapy, close monitoring and timely treatment of outpatient intravenous infusion therapy of adverse reactions. Article 23 medical institutions should strengthen the outpatient medical records and other medical documents management, outpatient medical records and patients with a unique ID associated with outpatient medical records review and quality control work to ensure that the outpatient medical records objective, true, accurate, timely, complete and standardized. Outpatient diagnosis should distinguish between the main diagnosis and other diagnoses. Article 24 The medical institutions should promote the use of outpatient electronic medical records. The use of outpatient electronic medical records, should be used by the health administrative department of the unified diagnosis of diseases, surgical operations code library, in accordance with the "Electronic Medical Record Application Management Specification (Trial)" the relevant provisions of the establishment, recording, modification, use, preservation and management of outpatient electronic medical record information to ensure that the patient's diagnosis and treatment information is complete, continuous and traceable. Article 25 The medical institutions should strengthen outpatient infectious disease pre-screening, triage, disinfection, isolation and occupational protection, the implementation of hand hygiene, environmental cleaning and disinfection and other standard preventive measures. Endoscopy center (room), hemodialysis center (room), outpatient operating room, stomatology and other high-risk departments of hospital infections should be developed and implemented in health care institutions to prevent and control infection-related systems. Article 26 The medical institutions should strengthen the outpatient order management, in accordance with relevant state regulations with appropriate security forces to protect patients and outpatient medical personnel safety. At the same time, to improve the quality of care (safety) adverse event reporting rate, to reduce and avoid accidental injury to patients and medical personnel in the process of diagnosis and treatment. Article 27 The medical institutions should strengthen the management of outpatient emergencies, the establishment of emergency plans, according to the standard equipment and medicines, regular training, drills, strengthen inspections, timely and appropriate treatment of outpatient emergencies. Article 28 The medical institutions should be based on "health care institutions information disclosure management approach" of the provisions of the law, adhere to the legal compliance, true and accurate, convenient and practical, timely and proactive principle, open outpatient medical services, processes, commonly used medicines and the price of major medical consumables and other related information; to strengthen the website, small programs, public number and other maintenance to ensure that the release of information in a timely and accurate manner. Article 29 The medical institutions should be carried out in outpatient text, audio, video and other forms of health education, medical institutions have the conditions to carry out specialized health education courses, delivery of scientific, accurate and practical health information. Article 30 of the medical institutions should create a safe, comfortable, warm, clean environment. Clinic layout is scientific and reasonable, facilities, equipment, safety, construction of barrier-free facilities, clear signs, warnings. Article 31 medical institutions should be in accordance with the average daily outpatient volume of not less than the proportion of the number of outpatient clinic guide or intelligent guide the number of devices, and for mobility-impaired patients to provide medical assistance services. Encouragement of medical institutions in the outpatient social workers and volunteer services. Article 32 The medical institutions should establish satisfaction surveys, analysis, feedback, improvement mechanism, regularly conduct outpatient patient satisfaction surveys to improve the patient experience. Article 33 The medical institutions should strengthen the management of outpatient complaints, open complaints and medical disputes handling channels, do a good job of receiving complaints, analysis, feedback and continuous improvement. Article 34 The management of medical institutions fever clinic, intestinal clinic, Internet clinic in accordance with the relevant provisions of the health administrative department. Article 35 The outpatient unit in this provision refers to the half working day where the medical staff is located during one visit. Article 36 These provisions shall come into force on June 6, 2022. First time accumulating material in Zhihu, make a mark
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^ October 12, 2022 First time accumulating