Surgical grading management system

Chapter I General Provisions

Article 1 In order to strengthen the management of surgical grading in medical institutions, improve the quality of medical care, safeguard medical safety, and protect the legitimate rights and interests of patients, based on the "Chinese People's Republic of China*** and the State Practicing Physicians Law", "Regulations on the Administration of Medical Institutions", "Regulations on the Handling of Medical Accidents", "Regulations on the Administration of Clinical Application of Medical Technology" and other related Laws, regulations, rules and normative documents, the formulation of these measures.

Second the surgery referred to in these measures refers to the medical institutions and their medical staff to use surgical instruments in the human body local operation, in order to remove diseased tissues, repair damage, transplantation of tissues or organs, alleviate pain, improve the function of the body or morphology of the diagnostic or therapeutic measures for the purpose.

Article 3 of the medical institutions to implement surgical grading management system. Surgery grading management catalog is formulated separately by the Ministry of Health.

Article IV of this approach applies to all levels and types of medical institutions surgical management.

Article 5 of the Ministry of Health is responsible for the supervision and management of medical institutions nationwide surgical classification and management work.

Local health administrative departments at or above the county level are responsible for the supervision and management of surgical classification and management of medical institutions in their administrative regions.

Chapter II surgical classification and authorization management

Article VI of the medical institutions should establish and improve the institution's surgical classification management work system, the medical department is responsible for the daily supervision and management work.

Article VII according to the different degrees of risk and difficulty, surgery is divided into four levels:

The first level of surgery refers to the lower risk, the process of simple, technically difficult ordinary surgery;

The second level of surgery refers to a certain level of risk, the process of complexity of the general, with a certain degree of technical difficulty of the surgery;

The third level of surgery refers to the risk of a higher, more complex process, difficulty major surgery;

A level IV surgery is a major surgery with high risk, complexity of process, and difficulty.

Article VIII of the medical institutions shall carry out surgery consistent with the level of the institution and the registered diagnostic and therapeutic subjects.

Article 9 of the third-level hospitals can carry out all levels of surgery, focusing on the third and fourth level of surgery.

Article 10 second-level hospitals focus on second and third-level surgery. As a regional medical center of the second level hospitals with the necessary conditions to carry out level A surgery (including space, personnel, equipment, etc.), approved by the provincial health administrative department, you can carry out some of the fourth level of surgery. Registered with the diagnosis and treatment of intensive care medicine subjects of Grade 2A general hospitals, such as the development of its diagnosis and treatment of subjects appropriate to the fourth level of surgical procedures, should be submitted to the provincial health administrative department to apply for approval before carrying out.

Article 11 of the first-class hospitals (including health centers) can carry out first-degree surgery. With anesthesiology set up, and has a good performance of the emergency rescue equipment of the first-class general hospitals, such as to carry out its diagnostic and treatment subjects compatible with the second level of surgical procedures, should be issued to the "medical institutions license" of the administrative department of health to apply for approval and record to the prefectural and municipal level of the administrative department of health before they can be carried out.

Article XII of community health centers, health service stations, primary and secondary school health care, outpatient clinics, clinics, health clinics (room), infirmary, etc., in addition to the implementation of emergency surgical haemostasis to save the patient's life or small wounds, and other provincial administrative departments of health have clearly stipulated the project, are not allowed to carry out a level and above the level of the surgical procedure.

Article 13 elective surgery patients, if the need for general anesthesia (including basic anesthesia) or the need for blood transfusion surgery, the level of its surgical level up one level. If the anesthesia preassessment (ASA) level III (including level III) or above and general anesthesia support is required, the surgery shall be performed in a tertiary hospital or a level IIA hospital approved by the health administrative department to carry out some of the level IV surgical items.

Article 14 medical institutions shall establish and improve the surgical access system and approval process to ensure the continuous improvement of medical quality.

Article XV of the medical institutions should be based on the type of surgery, professional characteristics, the actual physician was appointed to the professional and technical positions and surgical skills, after the expert group of clinical application of the ability to technical audit, granting physicians the appropriate surgical authority.

Article XVI of the medical institutions shall regularly evaluate the technical ability of physicians, timely adjustment of the physician's surgical privileges, and into the physician's technical file management.

Article XVII of the medical institutions to carry out surgery involving the third and second category of medical technology projects, should be in accordance with the requirements of the corresponding medical technology audit standards for reporting.

Article XVIII of the need for non-registered physicians to implement or participate in the operation, should be in accordance with the Ministry of Health and the relevant provisions of the region.

Article 21 of the second-level general hospitals registered with the Department of Intensive Care Medicine treatment subjects, in case of acute and critical patients in need of emergency surgery to save their lives, can carry out level IV surgery, and do the following:

(a) consciously safeguard the legitimate rights and interests of patients, and conscientiously fulfill the procedures related to informed consent;

(b) ask the higher level of hospitals to carry out emergency consultation;

(iii) within 24 hours after the end of the operation, file a record with the practice registration authority of the hospital.

Chapter III Supervision and Administration

Article 22 of the medical institutions in one of the following circumstances, the health administrative department shall not be registered medical technology; has been granted registration, shall promptly revoke the registration of medical technology:

(a) beyond the scope of the registered diagnostic and therapeutic subjects;

(b) failed to pass the surgical project expert group clinical application of the ability to technical audit

(d) although through the audit, but due to changes in personnel, equipment and space no longer have the conditions to carry out a particular operation.

Article 23 of the medical institutions in one of the following circumstances, the health administrative department shall immediately order its correction; causing serious consequences, according to the law to investigate the medical institutions and the person directly responsible for the responsibility of the main person in charge:

(a) to carry out the health administrative department to abolish or prohibit surgical procedures;

(b) without the access of the administrative department of health to carry out the second category of medical technology and the third category of surgery and the third category of medical technology in the surgical program;

(C) unauthorized to carry out the administrative department of health expressly required to immediately stop the surgical program;

(D) unauthorized to carry out should be declared and allowed to carry out other surgical programs;

(E) violation of the administrative department of health of the other relevant provisions.