20 17 implementation plan of special rectification activities for medical safety:
In order to further guarantee medical quality, guard against medical safety risks, and earnestly safeguard people's health and life safety, according to the requirements of "Work Plan of Jiangsu Province's Medical Safety Special Rectification Activities" (Su Weichuan [20 1 7]1No.), it is decided to carry out medical safety in the whole city for a period of1month after research. The "Wuxi medical safety special rectification work plan" is hereby printed and distributed to you, and all units are requested to refine the implementation plan, strengthen organization and leadership, and seriously organize the implementation to ensure the effectiveness of the special rectification activities.
If you encounter problems in the activity, please contact the Municipal Health and Family Planning Commission in time. Wuxi Health and Family Planning Commission
2065438+February 24, 2007
Work plan of Wuxi medical safety special rectification activities
In order to further strengthen the medical quality management of medical institutions in the city, prevent medical safety risks, eliminate medical safety hidden dangers, and earnestly safeguard people's health and life safety, this scheme is formulated according to the work plan of Jiangsu Province's medical safety special rectification activities and the actual situation of our city.
I. Work objectives
By carrying out special rectification activities on medical safety, we will unify our thinking and raise our awareness, and promote all medical institutions in the city to further enhance their awareness of medical safety and risk prevention, improve the medical safety and risk management system, strengthen medical safety management measures, gradually establish and improve the medical safety and risk management system and long-term working mechanism, establish and improve the medical safety supervision mechanism, and earnestly safeguard people's health and life safety.
Second, the object scope
All medical institutions in the city, focusing on secondary and above hospitals (including non-public hospitals).
Third, the task requirements
(1) Fully raise awareness and implement the main responsibility. With the continuous advancement of deepening the reform of the medical and health system, the total amount of medical services has shown a trend of rapid growth year by year, and the efficiency of medical services has been continuously improved. While trying to meet the people's growing demand for medical services, the hidden dangers of medical safety risks are also increasing, and the situation is becoming increasingly severe. Local health and family planning administrative departments and medical institutions should fully understand the importance of doing a good job in medical safety management under the new situation and earnestly enhance their sense of responsibility and urgency. As the first person in charge of medical safety management, the main person in charge of medical institutions should further implement the main responsibility, strengthen organizational leadership, establish and improve the relevant organizational structure of medical safety management in their own institutions, formulate and strictly implement various medical quality and safety management systems and post responsibilities of personnel at all levels, and firmly establish the bottom line thinking and? Red line? Consciousness, eliminate fluky psychology, paralysis and lax mood, straighten out the working mechanism, carefully arrange the deployment, and conscientiously do a good job in medical safety management.
(two) to strengthen the system construction, to ensure the implementation in place. All medical institutions should refine and strictly abide by the 18 core system of medical quality and safety in accordance with the requirements of the Measures for the Administration of Medical Quality and other related documents, and establish relevant systems for information collection, recording and reporting of medical quality (safety) adverse events in their own institutions as the basic work for medical institutions to continuously improve medical quality and safety. Establish and improve the medical safety evaluation and supervision system, make full use of information technology to strengthen daily management and supervision and inspection, and ensure that all institutional measures are put in place.
(3) Strengthen risk management and eliminate potential safety hazards. All medical institutions should establish and improve their own medical safety and risk management systems, improve the relevant work systems, emergency plans and work processes for medical safety management and risk prevention, highlight perinatal safety, perioperative safety, invasive operation, critical value reporting and laboratory safety risk management, and eliminate potential safety hazards in time. We should conscientiously implement the relevant systems and norms of hospital infection management, establish a safety risk monitoring and management mechanism for key departments and links of hospital infection, and take active and effective intervention measures for the problems found. It is necessary to strengthen the supervision of clinical application of drugs and medical devices, strengthen the monitoring of safety information such as adverse events, and do a good job in the reporting and disposal of adverse events of drugs and medical devices.
(four) focus on management to ensure the safety of patients. All medical institutions should further strengthen the safety risk management of key departments, key links and key operations, and increase the standardized management and risk prevention of delivery rooms, neonatal rooms, operating rooms, outpatient and emergency departments, intensive care units, hemodialysis rooms, endoscopic clinics, hyperbaric oxygen treatment rooms, intravenous infusion distribution centers, disinfection supply rooms, intervention rooms, stomatology, Chinese medicine clinics and other departments and departments. Seriously implement the disinfection and isolation system, strictly standardize clinical operation, abide by aseptic operation procedures, and minimize the occurrence of hospital infection. It is necessary to implement the relevant requirements of the Law on the Prevention and Control of Infectious Diseases, strengthen the identification, monitoring and control of key infectious diseases such as AIDS, hepatitis B and hepatitis C, especially for patients involved in invasive operations with large scope and complicated process, as well as patients involved in clinical diagnosis and treatment operations involving body fluid contact between different individuals, strengthen the identification and management of relevant infectious diseases, take corresponding disinfection and isolation measures in time for infectious diseases found, and resolutely put an end to the spread of diseases caused by iatrogenic factors.
(5) Strengthen education and training to create a safety culture. All medical institutions should intensify publicity and training, focus on enhancing the medical safety awareness and risk prevention awareness of hospital staff, especially medical staff, organize training and education for all staff, focus on safety education and risk management of new medical staff, trainees and re-employed personnel, and strengthen? Miki? Training, strengthening? Three strict? Education, constantly improve the clinical service ability and technical level of medical staff, and create a good cultural atmosphere in which everyone attaches importance to medical safety and everyone implements medical safety.
(six) to fulfill regulatory responsibilities and strengthen supervision. Local health and family planning administrative departments should, in accordance with the principle of territorial management, strengthen the guidance and supervision of medical safety management and risk prevention of medical institutions within their jurisdiction, further improve the medical safety supervision mechanism, increase supervision, and earnestly perform their supervisory duties. It is necessary to establish an accountability mechanism for medical safety. Medical institutions and related personnel who neglect medical safety management, have major medical safety hazards, or have major medical safety incidents should be dealt with severely, and the responsibilities of relevant management personnel should be investigated again to ensure strict accountability and accountability.
Fourth, organize the implementation.
(1) organization deployment stage (February 10? February 23). The Municipal Health and Family Planning Commission has formulated the work plan of Wuxi medical safety special rectification activities, defined the work objectives, key tasks, implementation steps and responsibility requirements, and deployed various rectification activities in the city. In accordance with the requirements of the work plan, the local health and family planning administrative departments refine the implementation plan, organize medical institutions within their jurisdiction to comprehensively carry out medical safety risk investigation, and carry out special rectification to ensure mobilization, deployment and implementation at all levels.
(2) self-examination and self-correction stage (February 13? February 28). According to the Notice on Self-examination and Self-correction of Nosocomial Infection issued by the Municipal Health and Family Planning Commission on February 13 and the requirements of this plan, all medical institutions held special deployment meetings to clarify the tasks and objectives, implement the division of responsibilities, and comprehensively sort out and investigate all aspects of medical safety management to achieve full coverage and no dead ends. The problems found are managed by the medical department. Unified filing and sales number management? It is necessary to formulate rectification plans one by one, determine the completion time of rectification, and rectify the problems in verification one by one. To find particularly important events and problems, it is necessary to timely analyze and report them to the administrative department of health and family planning in the jurisdiction step by step, take effective measures to eliminate hidden dangers in time, and earnestly safeguard the health and life safety of patients.
(3) supervision and spot check stage (March 1? 10 days). Local health and family planning administrative departments should supervise and inspect the implementation of special rectification activities of medical institutions in their respective jurisdictions, and timely submit special major events and problems found in supervision to the Municipal Health and Family Planning Commission, promptly guide and urge medical institutions to take effective measures to eliminate hidden dangers; For major medical safety incidents that have occurred, efforts should be made to deal with them, and the responsibilities of the persons directly responsible for the incidents and related persons should be strictly investigated; In particular, it is necessary to intensify the investigation of prior responsibilities, investigate and punish medical institutions that violate relevant laws, regulations and system norms and have major medical safety risks in accordance with the law, promptly and strictly, and resolutely prevent and contain medical quality and safety incidents before they occur. The Municipal Health and Family Planning Commission will conduct spot checks on the special rectification activities of all localities and medical institutions, and the results of spot checks will be included in the year-end assessment.
(4) Summarize the rectification stage (March 1 1? 25th). Local health and family planning administrative departments should conscientiously sum up the progress of special rectification activities, carefully find out the outstanding problems and weak links in medical safety management, deeply analyze the reasons, formulate corresponding improvement measures and plans, improve the medical quality and safety system, supervision system and mechanism, accelerate the long-term management of medical quality and safety, and accelerate the construction of comprehensive supervision system.
Local health and family planning administrative departments, directly affiliated medical units, provincial medical and health units in tin, and military hospitals in tin should summarize the work of special rectification activities (including activities, self-examination and self-correction, supervision and inspection, existing problems and rectification measures). ) and March medical safety special rectification activities information summary (see annex 1) and hemodialysis center (room) hospital infection management and rectification information summary (see annex 2). At the same time, all medical institutions are required to make preparations for supervision and inspection by the National Health and Family Planning Commission.
20 17 implementation plan of special rectification activities for medical safety In order to further implement medical quality management measures, further strengthen medical safety management, guard against medical safety risks, and earnestly safeguard people's health and life safety, according to the Notice on Further Strengthening Medical Safety Management and Risk Prevention issued by the State Health Planning Commission and the relevant requirements of the Provincial Health Planning Commission, our city has formulated these measures. Medical safety special rectification activities? The implementation plan is hereby notified as follows.
I. Purpose of the event
With what? Improve medical quality and strengthen medical safety management? Focusing on the key links of medical service quality and medical safety, through effective measures such as search, discussion, training and assessment, we will strengthen safety awareness and responsibility awareness, further standardize medical service behavior, improve medical service quality, and strive to provide safe, effective, convenient and inexpensive medical services for the people.
Second, the implementation steps
(a) publicity stage (February 10? February 15) All counties, districts and medical institutions should mobilize the special medical safety inspection activities, communicate them to every employee, unify their thinking, raise awareness, define objectives, implement measures, and form an overall joint force. Use various forms to publicize and implement? Special rectification of medical safety? The significance of the activity has formed a good atmosphere in which everyone attaches importance to and participates.
(2) Self-taught examination stage (February 16? February 25th) All counties, districts and medical institutions shall, in accordance with the Notice of the National Health and Family Planning Commission on Further Strengthening Medical Safety Management and Risk Prevention and the relevant requirements of this plan, carry out medical safety self-inspection activities, find out the hidden dangers and weak links of medical safety, put forward rectification measures for the problems found, and implement rectification. Conduct a comprehensive inspection of medical safety, especially in key departments such as emergency department, intensive medicine department, neonatal department, blood purification room, operation department, anesthesia department (operating room), pharmacy department, supply room and nursing management. After the self-examination, the medical institutions of counties, districts and municipalities directly under the Central Government shall report the self-examination report to the Medical Administration Department of the Municipal Health Planning Commission before March 5.
(3) Centralized inspection stage (February 26th? March 10) In view of the problems found in the self-examination of various medical institutions and the defects in medical safety work, our commission will organize a centralized inspection. Actively promote successful experiences and commend units and individuals that have made remarkable achievements in the special rectification activities of medical safety.
Three. Related requirements
(1) Strengthen organizational leadership. Is it implemented according to the Measures for the Management of Medical Quality? Two responsibility? What requirements should medical institutions implement? Number one? Responsible, in charge of the leadership, the relevant functional departments are responsible for implementation and supervision. All departments should establish and improve medical quality and medical safety management organizations, so as to ensure the implementation of institutions, personnel, responsibilities and tasks? Four realization? , earnestly do a good job in medical safety special rectification activities.
(2) Strengthen study and raise awareness. It is necessary to firmly establish that medical safety is the lifeline of medical treatment through study, adhere to the concepts of quality first, safety first, life first and people-oriented, make scientific diagnosis and treatment, standardize operations, optimize processes and refine services, serve patients wholeheartedly, carry out in-depth medical safety inspection, and implement management responsibility system at different levels.
(3) Strengthen inspection and supervise implementation. The county and district health planning committees should make overall arrangements for medical institutions within their jurisdiction to carry out special rectification activities for medical safety. All medical institutions should organize self-examination and rectification of medical quality and medical safety, especially in key departments and key links. The problems found in self-examination and supervision should be rectified immediately, and the units and individuals that seriously violate relevant regulations and cause hidden dangers in medical quality and safety should be dealt with seriously.