Implementation and reporting of patient safety system in ultrasound department

Management system of ultrasound report card issuance

I. For patients who need to do ultrasound examination, the receiving or managing doctor should fill in the application form, and the ultrasonographer should read the application form in detail before the examination to find out whether the patient is ready according to the requirements, and the critically ill patients should be escorted by the medical staff or examined by the bedside during the examination, and the examination requiring an appointment should be explained in detail about the precautions and notes, and patients suffering from infectious diseases should be arranged for the last examination after examination. Patients with infectious diseases should be arranged for the final examination, and instruments and utensils should be strictly sterilized after the examination.

Two, timely and accurate report of the results of the examination, encountered difficulties should be contacted with the clinician, *** with the study of the solution.

Three, the report should carefully check the name, gender, age and other general items, strictly check the content of the report, whether there are errors, whether there are omissions, and then sign the full name.

Four, the report should be handed over to the patient and his family, if necessary, signed by the patient and his family can be issued.

V. All kinds of examination records should be kept and archived, and can only be loaned out after approval and/or registration by the Medical Department.

Ultrasound follow-up system

I. Monthly case follow-up, chaired by the director of the Department.

Second, after the follow-up visit requires a comprehensive record, including imaging diagnosis, diagnosis and treatment,

final diagnosis and other content.

Three, the follow-up scope includes confirmed cases, suspected cases.

Four, follow up before the case should be carefully prepared, write follow-up notes, diagnosis of the total

Conclusion of experience, lessons learned, and improve the level of diagnosis.

V. Do a good job of follow-up records and statistics.