Effectively strengthen and improve the quality of medical services, public **** the quality of health services and the quality of maternal and child health work, better implementation of scientific, standardized, safe management, prevention and reduction of medical accidents, to ensure that the people are safe to seek medical treatment. Here is what I bring to you medical safety responsibility, welcome to read reference, let's take a look!
A variety of medical safety responsibility (a)
First, the establishment of medical quality and medical safety management team leader: Long xx deputy leader: Peng xx Chen xx members: the entire hospital in the post of health and technical personnel
Second, according to the actual work of the various business and technical positions, each health care provider should always put the Medical quality and safety in the first place, strict operating procedures, skilled technical business, each to perform their duties, service enthusiasm, diagnosis and treatment of clear, division of labor, to prevent the occurrence of medical errors.
Third, abide by the discipline and regulations, adhere to the workstation, the implementation of 24-hour duty system, the specific time operation by the groups agreed and reported to the President agreed, the hospital mass emergency medical treatment, to be on call, for special cases and more injured, the whole hospital to collaborate. Timely treatment, if necessary, referral.
Fourth, the medical diagnosis and treatment work to implement the first responsibility system, serious cases and difficult cases, to carry out physician consultation, the strict implementation of the three-stage system, morning and evening shifts to know, medical and nursing collaboration, accurate diagnosis and treatment, skilled care, reduce the suffering of patients.
Fifth, the pharmacy, pharmacy staff to comply with the prescription issued by the physician, accurately dispensing every prescription, strict quality control of drugs, Chinese and Western drugs, highly toxic drugs to implement the counter, transfer custody, registration, accurate pricing, skillful operation, enthusiastic service.
Six, not according to the procedures and individuals in the diagnosis and treatment work due to irresponsibility and medical accidents and errors, the compensation costs incurred by the parties concerned to bear 40% of the costs incurred, the parties concerned 30% of the department, 30% of the hospital, the proportion of the bearer, and timely report to the County Health Bureau and the relevant departments directly in charge of the legal and criminal responsibility to be borne by the competent authorities from the higher level of treatment. The program will be implemented in the following year.
This program is set up two copies, the hospital and employees each one.
The legal representative of the unit signed:
The members of the business group signed:
Various medical safety responsibility (two)
In order to further strengthen the safety of the hospital, establish safety awareness, improve the quality of medical care, to prevent the occurrence of medical accidents, medical disputes, and to provide the masses with quality and safe medical services, combined with the hospital's safety and security, the hospital has been able to provide a safe and safe medical service. Safe medical services, combined with the actual hospital and pharmacy staff signed the "2009 Medical Safety Target Management Responsibility".
First, respect the patient's personality and rights, treat the patient regardless of ethnicity, gender, occupation, status, property status, equal treatment. For patients to keep medical secrets to implement protective examination, not cold patients, for patients to protect privacy and secrets. Patients should be warmly received, not difficult patients, if the work and patients quarrel, abusive patients, according to the internal management system of the hospital to implement the penalties.
Second, because of the violation of operating procedures caused by major medical errors in accordance with the rules of internal management for the pending treatment, and compensation for certain economic losses. Medical errors, according to its nature to be compensated or pending treatment.
Third, to strengthen the "three basics" training, the hospital organization lectures should be more than 90% of the participation rate, "three basics" exams throughout the year not less than six, 100% pass rate, a failure to deduct 20 yuan, three failures at their own expense to study.
Fourth, care for the instrument, regular maintenance and repair, to ensure that the utilization rate of more than 95%, such as maintenance, poor storage caused by damage to the instrument at the price of compensation.
V. Grade A film requirements up to 40%, the waste rate of 3%. X-ray diagnostic report writing rate of more than 95% of the regular rate of X-ray diagnostic compliance rate of more than 85%, the report of an inaccurate deduction of 20 yuan, send the wrong report deduction of 20 yuan. In case of medical malpractice, according to the nature of the error, they will be deducted from the bonus or wait for the post to be dealt with respectively. The report should be sent in a timely manner, the hospitalization department
report sent down to the departments.
Six, in addition to the radiology chest film, lumbar vertebrae film, abdominal film to stay in the archives, limb fracture film, skull film, and so on all other to the patient, are not allowed to charge a deposit for any reason, and make a good borrowing registration.
VII, abide by the rules and regulations, strictly prohibit private charges and human fees, violators are subject to a five-fold fine.
VIII, this certificate of responsibility in duplicate, the end of the year assessment of the accounts, the assessment results and the current year's priority, promotion of titles linked to the date of signing the effective implementation.
Party A: (signature)?
Party B: (signature)?
Year and month
Various medical safety responsibility (three)
In order to make the whole hospital medical personnel firmly establish "patient-centered", save lives and help the injured, wholeheartedly for the people's service idea, to strengthen the awareness of quality, medical safety, occupational risk consciousness, to eliminate medical hazards, and to strengthen the quality and safety of medical services, to strengthen the quality and safety of medical services. The medical malpractice regulations have been adopted to ensure that the medical staff of the hospital firmly establish the "patient-centered" idea of saving lives and serving the people with all sincerity. The first is to establish and improve the post responsibility system as the center of the rules and regulations. According to the hospital quality service, the provisions of the commitment to service work, to do things according to the rules, violation of the rules must be investigated.
Second, all levels and types of medical personnel should pay attention to the cultivation of medical ethics, conscientiously fulfill their duties, and adhere to their posts, do not do private work in the post time, and do not engage in any thing other than medical activities. Where the violation of accidents, errors, disputes occur, the parties bear full responsibility.
Third, physicians at all levels of the examination records or instructions must be clearly and unambiguously shown in the medical record, signed by the superior physician approval; all kinds of medical records must be written in a true and complete content, accurate description, analysis of the scientific and orderly, timely and clear records, the head of the department should be strictly check, do not allow important flaws in the medical records filed. The relevant personnel of the department and the management of the case room should strengthen the management of the current medical records and archived medical records to prevent loss, omission, alteration, forgery and destruction. Medical records shall not be borrowed, excerpted or copied without the approval of the medical department or the dean in charge. Otherwise, cause disputes, the parties should be fully responsible.
Fourth, the strict implementation of the "medical technology operating procedures", any department or individual shall not be arbitrarily simplified or changed. General diagnostic and therapeutic technology before the operation, to patients and their families to explain the purpose of the operation, the significance of the operation and the operation of the possible reactions and side effects; for critically ill patients or in the vital organs of the complex traumatic diagnostic and therapeutic technology before the operation, should be explained to the patients or their families the necessity of the complexity and the dangers of agreeing to check the signatures as evidence. Violation of the operating procedures and did not tell the patient or his family when the above situation caused by accidents, errors, disputes, should be held responsible for all the parties involved.
Fifth, the rescue of critically ill patients must be timely, effective treatment measures, the shift handover must be bedside verbal handover. Critical, emergency, serious patients consultation, difficult and death case discussion, must be completed within the time specified by the hospital and issued a written record. Changes in the condition of critically ill patients or possible complications should be well understood, and should be promptly explained and recorded to the patient's family, and the patient's family should be required to sign in the record of the course of the illness if necessary. The head of the department should regularly check and organize the implementation. Otherwise, as a result of accidents, errors, disputes, in addition to the direct responsibility of the parties involved, but also to pursue the leadership of the head of the department.
Sixth, some special tests (including CT, MRI, etc.), special treatment (including the application of expensive drugs, etc.) when the medical cost is high, should be explained to the patient's family in a timely manner to obtain the cooperation of the family to reduce the occurrence of medical disputes.
Seven, where major surgery and the department to carry out new business, new technologies, important organ removal and other surgery, must be signed by the director of the regulations reported to the Medical Department, the president in charge of the implementation of the approval; such as the implementation of emergency surgery and the presence of no family members and relations or other special circumstances, should be reported to the director of the Department of Medical Services or the Chief Duty Officer. Surgery shall be performed only after the approval of the authorized person. Otherwise, causing accidents, errors, disputes, the parties involved and the department should bear full responsibility.
VIII, each department should be rescue equipment, instruments and medicines to do special custody, frequent inspection, timely maintenance, to ensure that at any time to meet the needs of the rescue of patients. If accidents and disputes are caused by the lack of rescue equipment and medicines in place, the parties involved and the department should be held fully responsible.
IX, the new staff shall not enter the department without pre-service training. The department of the new staff should grasp the continuing learning, business training and management, by the department of the assessment, really can work alone, the department wrote an application, the Medical Department approved, the party enjoys the right to enjoy the prescription alone on duty, in the event of difficult problems, should be reported to the superior physician *** with the treatment. Otherwise, causing accidents, errors, disputes, in addition to the direct responsibility of the parties involved, the superior physician and the director of the department should also bear some responsibility.
Ten, a variety of post-surgical resection of tissue, should be sent to the pathology in a timely manner, a clear diagnosis, preoperative conversation should be detailed, comprehensive, a variety of complications and risk factors should be clearly explained, and to fulfill the signature procedure. If there is a need to change the operation mode during the operation, the chief of the department should be asked for instructions, and then the patient's family should be talked to again, and the content of the talk should be signed. Five examinations should be done before blood transfusion, and the consent form for blood transfusion should fulfill the signing procedure. Otherwise, causing accidents, errors and disputes, the parties involved should bear the main responsibility.
XI, the department must strengthen the management of internship training personnel, internship training students to write a variety of medical documents, the teacher must carefully review and modify the signature recognition or supplemental records, its participation in the operation or diagnostic and therapeutic operations, must be taught by the teacher agreed to and on-site guidance; teacher shall not be allowed to teach internship training personnel instead of on duty, if there is a violation of the error caused by the accident, the accident,
The teacher shall not let the trainee replace the duty, if any violation causes error, accident, dispute, the teacher or the doctor on duty as the direct responsible person shall be pursued first.
XII, outpatient and ward first physician to receive the patient's examination, diagnosis, consultation, treatment, medical record writing, transfer are responsible. Emergency and critical patients to the hospital, the receiving physician must start within five minutes to dispose of, and quickly report to the superior physician; critical patients need to be admitted to the hospital, transfer on the way must be accompanied by medical staff, the department shall not be any reason to refuse to accept the patient. If there is a violation, causing errors, accidents, the parties should be held fully responsible.
xiii, the implementation of protective medical system, for some serious or currently incurable diseases, should be strictly confidential to patients, in order to alleviate the mental burden of patients, to prevent accidents. However, family members and organizations should truthfully reflect their conditions and prognosis. The patient's privacy should be strictly confidential, shall not be arbitrarily disclosed; other departments or personnel disputes, the relevant medical staff shall not be the true picture of the arbitrary, premature disclosure to the patient or the family, in order to avoid disputes to expand, complicate, or will be held accountable for the responsibility of the parties involved.
XIV, all types of hospital staff to support each other, unity and assistance, not to tear each other down, not to pull the right and wrong between doctors and patients, if the patient's mouth to achieve the purpose of retaliation against individuals, creating medical disputes. Otherwise, with this medical disputes, the parties involved should be involved in the whole process of dispute handling, and depending on the circumstances and consequences, to give inspection, suspension, administrative sanctions and other treatment.
XV, to strengthen the management of anesthesiology, the surgery of various departments should strictly implement the anesthesia operating procedures and asepsis system, to ensure that the integrity of surgical instruments and equipment, failure to timely repair, violation of the anesthesia operating procedures caused by accidents, errors, disputes, and hold the parties accountable for all the responsibilities.
Sixteen, seriously implement the hospital general duty and medical and surgical second-line duty system. Duty personnel should adhere to the workstation, on call, and actively participate in or coordinate the rescue of patients, treatment, major disasters, accidents batch casualties and emergencies, must be promptly reported to the next level without delay, or cause accidents, disputes should be held responsible for the full responsibility of the personnel on duty.
seventeen, medical, nursing, technical staff to seriously implement a variety of checking system, medical advice, prescriptions, medicines, surgery, blood transfusion, the collection of specimens, as well as the issuance of various types of reports, etc., according to the requirements of the careful checking, in order to achieve accuracy, to ensure that the patient's safety. Nursing staff should make three checks and seven checks, strictly implement medical instructions, frequently visit the wards, carefully observe the condition and write nursing records. Timely and accurately reflect the patient's condition to the physician changes in the patient's serious and responsible, or cause accidents, errors, disputes, the parties should be held fully responsible.
18, once the dispute occurred, the department should properly retain a copy of the original information, such as syringes, residual fluids, blood products, etc., medical records sealed and submitted. No one shall alter, switch, destroy or lose. Violators will be dealt with seriously depending on the circumstances.
nineteen, the strict implementation of patient admission and discharge indications, reasonable triage of patients, prohibit interdisciplinary admission of patients or small diseases, the strict implementation of the transfer system and two-way referral system.
The above nineteen provisions, each department to seriously discuss the implementation of the director of the department and the dean signed to show responsibility.
The hospital leadership (signature): Section: Section Director (signature):
Date: Date:
Various medical safety responsibility (four)
First, we must attach great importance to the quality of medical care, medical safety management, and effectively strengthen the management of health care institutions to improve the quality of health care, medical safety. The person in charge of each department is the person responsible for the management of medical quality and medical safety.
Second, to standardize the management of clinical diagnosis and treatment services, seriously implement the core system of medical quality, medical safety, the implementation of medical records, prescription writing norms, to ensure the quality of medical documents.
Third, to strengthen the quality of basic medical and nursing care, strengthen the three basics, three strict training, the annual organization of health care personnel business learning, business training no less than 10 times, no less than 2 times the study of laws and regulations, health care personnel to participate in the "three basics" theoretical examination at least once a quarter, the Health Bureau organized the examination of the pass rate must be up to 95% or more.
Fourth, the full implementation of the rules and regulations, strict compliance with technical procedures, the strict implementation of the post responsibility system, the development of medical incident prevention and treatment plan, strict implementation of the medical incident reporting system and medical incident accountability system.
Fifth, to strengthen the quality of medical care, medical safety supervision, increase the implementation of the core system of inspection, strengthen the quality of surgery, outpatient quality and prone to medical malpractice positions and links in the supervision and management.
Six, to standardize the disinfection, sterilization, isolation and medical waste management, effective prevention and control of hospital infections, the person in charge of each department to personally grasp, improve the organization of hospital infection management, equipped with full-time staff, a clear task force, the implementation of the responsibility system, the hospital infection management of all the work to the letter.
Seven, to strengthen the emergency, first aid management, the strict implementation of emergency, first aid work system, to ensure that ensure emergency, first aid equipment, facilities, vehicles are in a state of readiness.
VIII, the content of this responsibility into the comprehensive goal assessment content, and as an important basis for the annual evaluation of excellence, the responsibility for the cause
leading to medical accidents or major medical disputes, resulting in a bad influence, in accordance with relevant provisions of the main person in charge of the responsibility.
Dean: Individual:
201x-1-1
Various medical safety responsibility (five)
In order to further implement the "strengthening of medical safety, improve the quality of medical care" and "whoever is in charge, whoever is responsible. The work responsibility system is implemented to the person. According to the hospital's deployment, combined with the actual situation of our hospital, special signing of the medical safety work objectives and responsibilities:
I. Party A has the following obligations and rights to Party B:
(a) Party A has to Party B to timely convey the higher party committee and government, the competent departments of health and the hospital's obligations on the work of medical safety policies, requirements, specific objectives (text form);
(b) Party A in accordance with the rules and regulations formulated by the hospital for Party B's work to provide the necessary material basis and technical support obligations;
(C) Party A in accordance with the provisions of the hospital to help Party B to solve the practical difficulties in the work of the obligation;
(D) Party A has a clear responsibility for the Party's obligation to the target, and have to carry out a regular or occasional assessment of the Party B's work and according to the results of the assessment to be (d) Party A has the obligation to specify the responsibility target for Party B, and has the right to assess Party B's work on a regular or irregular basis, and to reward and punish Party B according to the assessment results;
(e) Party A has the right to give temporary instructions to Party B at any time.
Second, Party B in the medical safety tasks and goals:
(a) Party B in the work of strict compliance with the hospital's rules and regulations, such as: the first physician responsibility system, the first question system, the discussion of patients with emergencies and critical illnesses system, consultation system, referral system, the system of medical writing, checking system, business learning system, duty and shift system, etc.;
(B) Party B shall regularly convene the hospital and outpatient department related personnel medical safety work and medical knowledge lectures, convey the higher party committees and governments, health departments and hospitals on medical safety work guidelines, policies and related measures, and conscientiously implement the hospital's medical safety management system, diagnostic and treatment technology operating procedures and medical safety measures;
(C) in the Party's leading and (C) under the leadership and guidance of Party A, conscientiously do a good job in the hospital medical safety inspection, and assist the "integration" office to improve the outpatient medical safety work, timely inspection of the work, to eliminate all types of medical hazards, to ensure medical safety. At any time to the hospital leadership to report on the inspection;
(d) timely completion of the temporary directive work arranged by the Party.
Third, rewards and penalties:
(a) according to the hospital requirements of the section director to come up with 200.00 yuan per month as a risk deposit, such as the department is caused by man-made reasons for the occurrence of medical and medical disputes, medical errors, medical accidents, the hospital will deduct the section director of 200.00 yuan * 12 months as a penalty; such as the occurrence of no medical and medical disputes, medical errors, medical accidents, the hospital will give 200.00 yuan to the section director as a penalty; if there is no medical and medical disputes, medical errors, medical accidents. The hospital will give the department director 200.00 yuan * 12 months * 2 as a reward.
(b) According to the hospital regulations are caused by man-made medical medical disputes, medical errors, medical accidents occurring medical compensation, the parties concerned to bear the compensation of 5-20%, and the section director for 200.00 yuan * 12 months as a penalty;
(c) on the unexplained failure to complete the party arranged by the behavior of a variety of temporary directive work, according to the situation will be given () penalties.
(d) Party B's failure to complete the tasks and objectives in the work of medical safety, according to the situation will be given () punishment.
This target responsibility letter is in triplicate, and Party A, Party B and the supervisory party will each keep one copy.
Party A:
Party B:
Supervisory party: