Target management responsibility of medical

The goal of medical management responsibility letter

In the ever-changing modern society, the responsibility letter is more and more important to people, signing the responsibility letter can effectively strengthen and responsibility, clear goal direction. So what kind of responsibility letter is effective? The following is my collection of medical target management responsibility letter, just for reference, I hope to be able to help you.

Medical target management responsibility letter 1

In order to strengthen the management of medical quality, standardize the behavior of medical services, reduce medical disputes, put an end to medical accidents, to ensure medical safety, hospitals and departments signed a medical safety management responsibility letter in 20xx:

A department should organize all staff to study and implement the "Chinese People's **** and the State of Torts Liability Law," "Chinese People's *** and State Practitioners Law," "Regulations on the Handling of Medical Accidents," "Regulations on the Administration of Medical Institutions" and other laws and regulations, and constantly enhance the legal awareness of medical personnel. So that every medical staff to learn the law, understand the law, abide by the law, according to the law to practice medicine.

Second, the conscientious implementation of all levels and types of personnel job responsibility system, strict compliance with operating procedures; medical personnel must adhere to their workstations, to ensure that all types of medical facilities and equipment in a normal standby state, to do a good job first aid medicines, protective supplies, disinfection supplies and other related equipment reserves, to ensure that the personnel, the environment is in a good state, able to at any time to go out to the clinic, should be diagnosed and to deal with emergencies.

Third, strict standardization of diagnostic and treatment technology operating procedures, in strict accordance with the "Hubei Provincial General Hospital Accreditation Criteria Implementation Rules (for trial implementation)" standardize the technical operation; conscientious implementation of the core system, such as the first doctor is responsible for the system, on duty, shift handover system, the "three checks and seven pairs of" system, preoperative, postoperative and difficult, critical medical records The company's main goal is to provide a comprehensive and effective legal basis for responding to possible medical infringement liabilities by carefully writing and preserving all kinds of medical documents.

Fourth, to standardize the occupation, not over the scope of occupation, not serial admission of patients, but the hospital emergency medical treatment to do on call, the whole hospital collaboration, if necessary, timely referral.

Fifth, strengthen the doctor-patient communication, talk about the art of conversation, optimize the doctor-patient relationship, conscientiously fulfill the obligation to inform, respect the patient's right to know. Improve the communication and conversation system between doctors and patients, family members, the fee communication system, the full implementation of the medical fee marked price, a variety of informed consent to fill out a complete, true, common, accurate and legal.

Fifth, to strengthen the professional ethics education of medical personnel, to establish a noble medical ethics, resolutely put an end to the "red packets", "kickbacks", "billing commission" and other disciplinary actions. The company's main goal is to ensure that the company's products and services are reasonably priced, and to ensure that the company's products and services are reasonably priced.

Sixth, the establishment of a sound medical quality and safety management system, the implementation of responsibility and accountability system. The establishment of hospitals, departments, individual three-level medical safety responsibility system, seriously implement the content of the safety responsibility, one level to grasp one level, one level to bring one level, really put the safety management system and measures into practice.

Seven, the medical safety work to do "four grasp" "three do not spare", that is, grasp the key section, grasp the key people, grasp the beginning of the accident, grasp the accident hidden danger; the problem is not investigated clearly do not spare, the parties involved are not dealt with in place do not spare, the precautionary measures have not been implemented. Implementation is not forgiven.

eight, the director of the medical safety of the room first person responsible for the work of medical safety, each employee should be directly responsible for the post of medical safety work, adhere to the "who is in charge of who is responsible; who is in charge of who is responsible for who is responsible for who is in charge of who is in charge of who is in dereliction of duty who is responsible for the principle of establishing a rigorous system of accountability for the conscientious implementation of the responsibility of the responsibility for medical safety. Penalties. The formation of everyone to talk about safety, everyone heavy safety, everyone to protect the safety of a good atmosphere, according to the law, according to the implementation of the chapter.

IX, such as medical malpractice or medical disputes, by the higher medical malpractice appraisal organization identified as medical malpractice, excluding the insurance company compensation, the remaining 70% by the department or individual responsibility, 30% by the hospital. At the same time with the annual assessment of the department and individual, evaluation, evaluation, and prioritization linked.

X. This agreement is in duplicate, each side of a copy, effective from the date of signing. Valid for one year.

Hospital (seal):

Section:

Signed on behalf of:

Signature:

20xx Months

Medical target management responsibility 2

In order to make the whole hospital medical staff to firmly establish the "patient-oriented", "save lives and help the sick", "patient-oriented", "patient-oriented", "patient-oriented", "patient-oriented", "patient-oriented", "patient-oriented", "patient-friendly", "patient-friendly", "patient-friendly", "patient-friendly", "patient-friendly", and "patient-friendly". ", save lives and help the injured, wholeheartedly serve the people's ideology, strengthen the awareness of quality, medical safety, occupational risk awareness, eliminate medical hazards, to eliminate medical errors and accidents". 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 work positions, do not do private work at work time, and do not engage in any thing other than medical activities. Anyone who violates and causes accidents, errors, disputes, 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 the record of the patient's medical history 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 department head responsibility.

Sixth, some special tests (including CT, MRI, etc.), special treatment (including the application of expensive drugs, etc.) when the medical cost is higher, 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 be signed. Otherwise, causing accidents, errors and disputes, the parties involved should be primarily responsible.

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 surgery or various 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 mouth of the patient 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.

Hospital leadership (signature):

Date:

Section:

Section director (signature):

Date:

The target management responsibility of medical 3

Medical safety, the hospital has signed a 20xxxxx medical safety management responsibility with the departments:

First, the department should organize all staff to Seriously study and implement the "Chinese People's *** and State Tort Liability Law" "Chinese People's *** and State Practitioners Law", "Regulations on the Treatment of Medical Accidents", "Regulations on the Administration of Medical Institutions" and other laws and regulations, and constantly enhance the legal awareness of medical personnel. So that every medical staff to learn the law, understand the law, abide by the law, practicing medicine according to law.

Sixth, the establishment of a sound medical quality and safety management system, the implementation of responsibility and accountability system. The establishment of hospitals, departments, individual three-level medical safety responsibility system, seriously implement the security responsibility of the letter of `content, one level to grasp one level, one level to bring one level, really put the safety management system and measures into practice.

X. This agreement is in duplicate, each side of a copy, effective from the date of signing. Valid for one year.

Hospital (seal):

Section:

20xx month

Representative signature:

Signature:

20xx month

The target management responsibility of medical 4

20xxXX is the management of the health center year, in order to effectively strengthen and improve the quality of medical services, the public **** Health Quality of service and the quality of maternal and child health work, better implementation of scientific, standardized, safe management, to prevent and reduce the occurrence of medical accidents, to ensure the safety of the people's access to health care, according to the relevant documents of the Health Bureau, combined with the actual situation of our hospital, we have formulated the quality of medical care and medical safety management program and signed a letter of responsibility.

First, the establishment of medical quality and medical safety management team

Leader: Zhang Jianhua

Deputy Leader: Yin Xiaojian Wu Gang

Members: outpatient health care technicians on duty

Second, according to the actual work of the business and technical positions, each health care personnel should always put the quality of medical care and safety in the first place, strict operating procedures, skilled technical operations, the quality of medical care and safety. Operating procedures, skilled technical business, each to fulfill 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 workplace, the implementation of 24-hour duty system, the specific time operation agreed by the groups and reported to the President agreed, the hospital mass emergency medical treatment, to be on call, for special cases and more injured, outpatient clinic 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 check-up 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:

The target management responsibility of medical 5

In order to further strengthen the management of medical quality and safety, to prevent and reduce the occurrence of medical disputes and accidents, according to the higher level of the spirit of the relevant medical quality management, combined with the actual situation of the hospital, the hospital's medical safety responsibility is specially formulated:

A. The medical staff should abide by the core system of medical safety, to prevent and reduce the occurrence of medical disputes and accidents. Medical personnel should comply with the core system as the center of the rules and regulations, and seriously according to the hospital quality service, commitment to service provisions of the work, to do things according to the rules, violation of the rules must be investigated, where the violation of the accident error dispute occurs, the parties bear full responsibility.

Second, each physician's checkup records or instructions must be clearly and unmistakably shown in the course of the disease, a variety of medical records must be written in a true and complete content, record timely and clear. Medical records management personnel to strengthen the management of the current medical records and archived medical records, to prevent loss, omission, alteration, forgery and destruction. Not approved by the dean, may not be borrowed, excerpts, photocopies of medical records, or cause disputes, the parties should be fully responsible.

Third, the fulfillment of the obligation to inform, special examination and treatment must be explained to the patient or family of the necessity, complexity and danger, agree to check the signature before proceeding. Critical patients should be written in a timely manner to transfer the proposal, the family signed the consent. The patient's privacy should be kept strictly confidential and not be disclosed.

Fourth, the staff should support each other, unity and assistance, do not tear each other apart, not to mention the doctor and the patient to sow discord between right and wrong, through the mouth of the patient to achieve revenge for personal purposes, creating medical disputes.

Fifth, the doctor without the approval of the dean is strictly prohibited off duty, without the approval of those who go out privately are regarded as absenteeism, due to off duty caused by medical disputes and medical accidents, the hospital will not assume any responsibility, and to pursue the responsibility of the parties.

Six, the nursing staff to do a good job of three check seven, strict implementation of medical advice, frequent ward visits, careful observation of the condition, writing nursing records, timely and accurate response to the doctor's response to the patient's condition, the patient should be enthusiastic about the service, the work of meticulous, good health of the wards, to provide patients with a good medical environment. During the duty period does not leave the post, timely reception and treatment of patients.

VII, seriously implement the dean of the class system, the dean of the implementation of 24 hours on duty system, to ensure that the phone is open, timely arrangements, dealing with emergencies. In addition to the normal day shift, members of each department to implement the normal shift outside the general duty system, the duty period should adhere to the workstation, on call. Adhere to the implementation of the system of responsibility for the first consultation, responsible for emergency emergency reception work, emergency rescue medical staff organization, management of hospitalized patients, as nursing staff after the night shift inpatient care work, to maintain sanitation and cleanliness of the health hospital, answering 120 scheduling calls, responsible for the security of the health hospital. Major disasters, emergencies should be dealt with in a timely manner and reported to the appropriate level without delay, otherwise caused by accidents, disputes, and to pursue the full responsibility of the staff on duty.

Eight, such as medical disputes, the parties involved should be in accordance with the "Zhirui Township Center Health Hospital medical accident prevention and treatment plan" and and medical disputes complaints handling system to implement the treatment. Responsibility for the main responsibility for the suspension of half a year of performance pay (bonus part), purely responsible for the suspension of performance pay for the whole year, and the burden of the losses caused by the criminal law in accordance with the laws and regulations of the relevant provisions of the treatment.

Nine, the pharmacy staff strictly enforce the checking system, and is responsible for monitoring the rationality of the physician's prescription and error.

X. The above provisions, looking forward to serious discussions on the implementation of the whole hospital staff and the president signed to show responsibility.

unit head: (signature)

unit staff: (signature)

;