I. The interventional diagnostic technology referred to in this system is a minimally invasive treatment using modern high-tech means, i.e., under the guidance of medical imaging equipment, special catheters, guide wires and other precision instruments are introduced into the human body to diagnose and locally treat lesions in the body.
The interventional diagnostic techniques referred to in this system are the interventional diagnostic techniques approved by the health administrative department above the provincial level.
Three, engaged in interventional diagnosis and treatment of basic requirements for technical personnel
(A) interventional diagnosis and treatment of physician qualification requirements
1, to obtain the "Physician Certificate of Practice", the scope of practice for the internal medicine specialty, surgical specialty and diagnostic imaging and radiotherapy professional physicians.
2. 5 years of cardiovascular medicine, 3 years of comprehensive intervention, neurosurgery and other related specialties, 3 years of clinical experience, with senior resident (3 years of work or 2 years after graduation from graduate school) or attending physician or above (including attending physician) professional and technical qualifications.
3, to be engaged in interventional diagnostic techniques of physicians need to be recognized by the higher health administrative department of the interventional diagnostic techniques of the training base of the systematic training and assessment of qualified.
(2) other relevant health professionals and technicians
interventional diagnostic technology through the systematic training and assessment of relevant specialties.
Four, interventional diagnostic technology authorization management
Hospital staff engaged in interventional diagnostic technology operations to implement the authorization system, without obtaining authorization from the hospital shall not be engaged in interventional diagnostic technology related work. Physicians interventional diagnosis and treatment technology can not exceed the hospital's interventional diagnosis and treatment technology authority.
(a) interventional diagnostic technology authorization management organization
1, the hospital science and technology committee for the hospital physician interventional diagnostic technology operation authority to grant the final review department.
2, the Department of Medical Services is responsible for compliance with the Ministry of Health and the relevant provisions of the competent administrative departments of health, interventional diagnostic and therapeutic techniques for physicians to operate the authority of the audit; from time to time to monitor the implementation of the situation.
3, the quality and safety management team of the interventional diagnosis and treatment department is responsible for the assessment of the business ability of the physicians and the preliminary determination of the interventional diagnosis and treatment technology operation authority.
(2) physicians interventional diagnostic technology operation authority declaration, audit, granting procedures
1, individual physician application
Department of physicians according to the organization of the individual business ability to apply, declare and personal health technology qualifications, employed technical positions, training qualifications and work capacity corresponding to the interventional diagnostic technology operation authority.
2, the department of quality and safety management team review opinion
Department of quality and safety management team combined with the applicant's basic situation, the level of business capacity, the applicant physician to conduct a comprehensive assessment, fill out the "interventionalist business capacity evaluation form," the director of the Department of Confirmed, along with the Department of "physician interventional diagnostic and therapeutic technology operating privileges form," reported to the Department of Medical Services.
3, hospital approval
Medical department of the physician interventional diagnosis and treatment technology operation authority for review, meet the conditions of authorization to the hospital science and technology committee for approval and authorization.
4, through the hospital "OA system" will be interventional diagnosis and treatment technology operation authority of physicians hospital-wide publicity, into the physician technical file management.
(C) the implementation of dynamic management, timely adjustment of physician interventional diagnostic and therapeutic technology operating privileges
Hospital interventional diagnostic and therapeutic technology according to the appointment of professional and technical qualifications of physicians and appointment of the years of change and professional and technical level of the status of the promotion of interventional diagnostic and therapeutic technology operating privileges of the annual organization of the physician interventional diagnostic and therapeutic technology operating privileges of the declaration, review and award work. Intervention department every year on the department of physician business ability assessment, the original assessment results to the medical department as an important basis for adjusting the physician intervention diagnosis and treatment technology operation authority. Interventional diagnosis and treatment technology operation complication rate exceeds the prescribed standards of physicians, will cancel or reduce its operating privileges. For overstepping, unauthorized to carry out unauthorized or health administrative department explicitly request to immediately stop, abolish or prohibited to carry out the project and other violations, do not grant or cancel the interventional diagnostic and therapeutic technology operation authority, causing serious consequences of cancellation of its interventional diagnostic and therapeutic technology operation qualification. For physicians who have been demoted for various reasons, the Medical Department shall immediately adjust their interventional diagnosis and treatment technology operation privileges, and notify the relevant departments of the adjustment results in a timely manner. Degraded treatment of physicians, can be re-declared after the expiration of the period of degradation of this type of diagnostic and therapeutic techniques operating privileges, by the department of "quality and safety management team", the Department of Medical Services, the Hospital Science and Technology Committee to determine whether to restore the interventional diagnostic and therapeutic techniques operating privileges after rigorous assessment.
V. Management of interventional diagnostic techniques
Interventional diagnostic techniques are strictly managed in accordance with the relevant systems of surgery and invasive operations, with specific reference to the hospital's "pre-operative discussion system", "perioperative management system", "surgical classification management system", "surgical safety verification system", "surgical risk assessment system" and other relevant systems.
(1) Strictly abide by the operation standard of interventional diagnostic and treatment technology and diagnostic and treatment guidelines, comprehensively judge the treatment measures according to the patient's condition, available treatment options, the patient's affordability and other factors, treat the patient according to the disease, rational treatment, and strictly grasp the indications and contraindications of interventional diagnostic and treatment technology.
(2) before the implementation of interventional diagnostic techniques, must be decided by two (of which at least one is an associate physician) or more professional and technical qualifications of the physician, the operator by the clinical application of interventional diagnostic techniques with the ability to serve as a physician of the hospital, and after the operation of the development of a reasonable treatment and management program.
(3) Before the implementation of interventional diagnostic techniques, patients and their families should be informed of the purpose of the procedure, the risks of the procedure, the use of high-value consumables, postoperative precautions, possible complications and preventive measures, and sign an informed consent form.
(4) interventional diagnostic technology departments must develop complications and other emergency treatment of emergency plans and procedures, the physician in charge should be involved in the entire process of interventional diagnosis and treatment, closely observe the patient's condition changes, and interventional diagnostic technology with the implementation of the physician to fully prepare for the corresponding first aid, and to effectively safeguard the patient's medical safety.
(E) to establish and improve the follow-up system after intervention, regular follow-up, records.
(F) hospitals and departments should be regularly interventional diagnostic technology clinical application capacity evaluation, including case selection, surgical success rate, serious complications, deaths, medical accidents, postoperative patient management, patient survival quality, follow-up and quality of medical records, etc., and, if necessary, the implementation of the re-authorization, to ensure that the quality of interventional diagnostic technology to continue to improve.
(VII) Other management requirements
1, the intervention operating room is responsible for the registration of interventional diagnostic and treatment programs, including the name of diagnostic and treatment techniques, technical categories, operating physicians.
2, the establishment of interventional diagnostic equipment purchase, use of registration system. Must be used by the drug supervision and management department for approval, the hospital unified procurement of interventional diagnostic and treatment technology equipment, equipment shall not seek improper advantage. In the interventional diagnosis and treatment of patients hospitalized in the medical record part of the surgical record, retain the interventional diagnosis and treatment of equipment bar code or other qualified documents to ensure that the source of the equipment can be traced. Shall not be illegal to reuse disposable interventional diagnostic equipment.
3, the imaging department to develop the management of the instrument, the use and routine maintenance of the relevant provisions of the regular maintenance and repair of equipment, equipment, etc. with reference to the implementation of the relevant provisions of the equipment department of the hospital.
4, the intervention operating room into the hospital infection management monitoring scope, in accordance with the relevant systems of hospital infection management strict management.
5, in accordance with the hospital's radiation protection and safety management and other related regulations, standardize personnel health maintenance, environmental protection, radiological diagnosis and treatment quality and radiation safety and security work.
6, interventional diagnosis and treatment staff should participate in the relevant continuing medical education each year, to strengthen the training and learning.
7. Strictly implement the national price, financial policy, in accordance with the provisions of the charges.
8, interventional surgery is responsible for monitoring the implementation of interventional diagnostic techniques, found in violation of the provisions of this behavior should be promptly reported to the Department of Medical Services; the Department of Medical Services will be supervised from time to time.
9.