Article 13 of the health care system at all levels of the health care system.
Article 13 of the health care administration at all levels and medical institutions should establish and improve the training and assessment system of medical quality management personnel, give full play to the role of professionals in the management of medical quality. Chapter III of the medical quality assurance Article 14 of the medical institutions should strengthen the professional ethics education of medical personnel, carry forward the humanitarian spirit of saving lives, adhere to the "patient-centered", respect for the rights of patients, and fulfill the prevention and treatment of disease, saving lives, protecting people's health sacred duties. Article 15 of the medical staff should abide by professional ethics, conscientiously comply with the relevant laws and regulations on medical quality management, norms, standards and the provisions of the institution's medical quality management system, standardize the clinical diagnosis and treatment behavior, to protect the quality of medical care and medical safety. Article 16 of the medical institutions should be registered in accordance with the approved diagnosis and treatment subjects practice. Health professionals to carry out diagnostic and therapeutic activities should be qualified to practice according to law, medical institutions should be equipped with human resources to meet the needs of clinical work. Medical institutions should be in accordance with relevant laws and regulations, norms, standards, the use of approved drugs, medical equipment, supplies to carry out diagnostic and treatment activities. Medical institutions to carry out medical technology should be compatible with its functional tasks and technical capabilities, in accordance with the relevant provisions of the state on medical technology and surgical management, to strengthen the management of the clinical application of medical technology. Article 17 of the medical institutions and their medical staff should follow the clinical diagnosis and treatment guidelines, clinical technical specifications, industry standards and clinical paths and other relevant requirements to carry out diagnostic and therapeutic work, and strictly comply with the core system of medical quality and safety, so that a reasonable examination, rational use of medication, reasonable treatment. Article 18 of the medical institutions should strengthen the construction of the pharmacy department and pharmaceutical quality management, enhance the ability of clinical pharmacy services, the implementation of the clinical pharmacist system, the role of pharmacists in the prescription audit, prescription review, pharmacological monitoring and other rational drug management. Clinical diagnosis, prevention and treatment of disease medication should follow the principle of safe, effective, economical and rational use of drugs, respect for the patient's right to information on the use of drugs. Article 19 of the medical institutions should strengthen the quality of care management, improve and implement nursing-related work systems, technical specifications and nursing guidelines; strengthen the nursing team construction, innovative management methods, and continuously improve the quality of care. Article 20 of the medical institutions should strengthen the quality management of medical technology departments, the establishment of a quality management system covering the whole process of inspection and testing, strengthen the indoor quality control, with a good job of inter-room quality evaluation, and promote the mutual recognition of clinical inspection and test results. Article 21 of the medical institutions should improve the emergency management system, standardize the quality of emergency management, strengthen the emergency professionals and technical force, optimize the emergency service process, to ensure the quality of emergency medical care and medical safety, and the quality of emergency work as an important part of the assessment of the department and medical personnel. Article 22 of the medical institutions should strengthen the management of hospital infection, strict implementation of disinfection and isolation, hand hygiene, the rational use of antimicrobial drugs and hospital infection monitoring regulations, the establishment of hospital infection risk monitoring, early warning, and multi-sectoral collaborative intervention mechanism, to carry out hospital infection prevention and control of knowledge training and education, and the strict implementation of the outbreak of hospital infection reporting system. Article 23 medical institutions should strengthen the quality management of medical records, establish and implement the quality management system of medical records to ensure that medical records are written objectively, truthfully, accurately, timely, complete and standardized. Article 24 The medical institutions and their medical staff to carry out diagnostic and treatment activities, should follow the principle of informed consent of patients, respect for the patient's right to self-determination and the right to privacy, and confidentiality of the patient's privacy. Article 25 of the medical institutions to carry out medical services in Chinese medicine, should be consistent with the state on Chinese medicine diagnosis and treatment, technology, medicine and other relevant provisions of the management, to strengthen the quality of Chinese medicine management. Chapter IV Continuous Improvement of Medical Quality Article 26 of the medical institutions should establish the organization's full participation, covering the entire process of clinical diagnosis and treatment services, medical quality management and control system. Medical institutions should be in strict accordance with the health planning and administrative departments and quality control organizations on medical quality management and control of the work of the relevant requirements, and actively cooperate with the quality control organizations to carry out their work, and promote the continuous improvement of medical quality. Medical institutions should be in accordance with the relevant requirements, to the health planning administrative departments or quality control organizations to timely and accurately report the institution's medical quality and safety related data information. Medical institutions should be skilled in the use of medical quality management tools to carry out medical quality management and self-evaluation, according to the health planning and health administrative departments or quality control organizations issued by the quality control indicators and standards to improve the quality of health care management of the relevant indicator system, timely collection of relevant information, the formation of the institution's medical quality basic data. Article 27 of the medical institutions should strengthen the clinical specialty service capacity building, pay attention to the synergistic development of specialties, the development of specialty construction and development planning and organization and implementation, the implementation of "patient-centered, disease as a chain" multidisciplinary diagnostic and treatment model. Strengthen continuing medical education, pay attention to talent training, clinical technology innovative research and transformation of achievements, improve the clinical service capacity and level of specialties. Article 28 of the medical institutions should strengthen the quality management and control of single disease, the establishment of the organization's single disease management index system, the development of single disease medical quality reference standards, and promote the quality of health care management. Article 29 medical institutions should develop satisfaction monitoring indicators and continuous improvement, regular patient and staff satisfaction monitoring, and strive to improve the patient experience and staff practice feeling. Article 30 of the medical institutions should carry out the whole process of cost precision management, strengthen cost accounting, process control, detail management and quantitative analysis, and constantly optimize the input-output ratio, and strive to improve the efficiency of medical resources. Article 31 of the medical institutions shall carry out on-site inspections and spot checks of the medical quality management of the departments, the establishment of the organization's medical quality internal publicity system, the completion of the key indicators of medical quality of the departments to be the internal publicity. Medical institutions should regularly carry out health care management laws and regulations, hospital management system, medical quality management and control methods, professional and technical specifications and other related content training and assessment. The medical institutions should be the department of medical quality management as the department head of the comprehensive target assessment and appointment, promotion, evaluation and praise of the important indicators. Medical institutions should be the department and medical staff of medical quality management as a regular assessment of physicians, promotion, and department and medical personnel performance appraisal of the important basis. Article 32 of the medical institutions should strengthen the electronic medical records based on the construction of the hospital information platform, improve the standardization of hospital information technology work, so that information technology work to meet the needs of medical quality management and control, make full use of information technology means to carry out medical quality management and control. Establish and improve the information management system of medical institutions to ensure information security. Article 33 of the medical institutions should assess the implementation of the requirements of medical quality management of the institution, the collection of medical quality information for timely analysis and feedback, early warning of medical quality problems and medical safety risks, the existence of problems in a timely manner to take effective interventions and assess the effectiveness of the intervention, to promote the continuous improvement of medical quality. Chapter V medical safety risk prevention Article 34 of the State to establish the medical quality (safety) adverse event reporting system, encouraging medical institutions and medical personnel to take the initiative to report clinical diagnosis and treatment process of adverse events, and promote the information **** enjoy and continuous improvement. Medical institutions should establish medical quality (safety) adverse event information collection, recording and reporting system, and as a medical institution to continuously improve the quality of health care is an important foundation work. Article 35 of the medical institutions shall establish an adverse drug reaction, drug damage and medical device adverse event monitoring and reporting system, and in accordance with relevant state regulations to the relevant departments. Article 36 medical institutions should improve the awareness of medical safety, establish a medical safety and risk management system, improve medical safety management related work systems, emergency plans and workflow, strengthen the quality of medical key departments and key links of safety and risk management, the implementation of patient safety objectives. Medical institutions should improve the awareness of risk prevention, establish and improve the relevant systems, the use of medical liability insurance, medical accident insurance and other forms of risk sharing, to protect the legitimate rights and interests of doctors and patients. Develop a plan to prevent and deal with medical disputes, prevent and reduce the occurrence of medical disputes. Improve the management of complaints, timely resolution and proper handling of medical disputes. Chapter VI Supervision and Administration Article 37 of the local health planning and administrative departments at or above the county level is responsible for the supervision and inspection of medical quality management of medical institutions in the administrative region. Medical institutions shall cooperate, shall not refuse, hinder or conceal the relevant information. Article 38 The local health care administrative departments above the county level shall establish a medical quality management assessment system for medical institutions, can be based on the local situation, the organization or entrusted to a professional organization, the use of information technology means to carry out third-party assessment work, regularly in the industry to release the results of the assessment. Local health planning administrative departments at the county level and above and quality control organizations at all levels shall focus on strengthening the management and supervision of medical quality of county hospitals, primary care institutions and private medical institutions. Article 39 The National Health and Family Planning Commission relies on the national population health information platform to establish a national medical quality management and control information system to collect, analyze and feedback on the main indicators of national medical quality management information. Provincial health administrative departments should rely on the regional population health information platform, the establishment of the administrative region of the medical quality management and control information system, the administrative region of the medical institutions of medical quality management of information collection, analysis and feedback, evaluation of the quality of medical institutions, and to achieve interoperability with the national medical quality management and control information system. Article 40 of the administrative departments of health at all levels shall establish medical quality management incentives for medical institutions, to take appropriate forms of medical quality management of advanced medical institutions and management personnel to be commended and encouraged, and actively promote advanced experience and practice. Article 41 above the county level, the local health planning administrative department shall establish medical institutions, medical quality management interview system. On the occurrence of major or major medical quality and safety incidents, the existence of serious medical quality and safety risks, or not in accordance with the requirements of the rectification of medical institutions at all levels and types of persons in charge of the interview; on the serious consequences, to be notified, dealt with according to the law, and at the same time reported to the higher level of health care administrative departments for the record. Article 42 of the health care administration at all levels should be the medical quality management of medical institutions and supervision and inspection results into the medical institutions and their main person in charge of the assessment of the key indicators, and with the medical institution verification, hospital accreditation, evaluation and personal performance assessment. Failure of the assessment, depending on the situation of medical institutions and their principals to deal with. Chapter VII Legal Liability Article 43 of the medical institutions to carry out diagnostic and treatment activities beyond the scope of registration, the use of non-health professionals engaged in diagnostic and treatment work, violations of the prohibition or restriction of the clinical application of medical technology, the use of unqualified or unauthorized medicines, medical equipment, consumables, etc. to carry out diagnostic and treatment activities by the local health care administrative departments at or above the county level in accordance with the relevant state laws and regulations. Handling. Article 44 of the medical institutions have one of the following circumstances, by the county level or above, the administrative department of health ordered to make corrections within a specified period of time; overdue, a warning, and impose a fine of 30,000 yuan; public medical institutions responsible for the competent personnel and other directly responsible personnel, shall be given sanctions: (a) the establishment of the medical quality management department or failure to designate a full-time (part-time) personnel responsible for the quality of medical management; (b) the establishment of the medical quality management department or failure to designate a full-time (part-time) personnel responsible for the quality of medical management; (b) failure to establish rules and regulations related to medical quality management; (c) medical quality management system is not implemented or implementation is not in place, resulting in confusion in medical quality management; (d) the occurrence of major medical quality and safety events are hidden and not reported; (e) failure to follow the provisions of the report of medical quality and safety-related information; (f) other Violation of the provisions of this approach. Article 45 of the medical institutions practicing physicians, nurses in the practice of one of the following acts, by the local health planning and administrative departments at or above the county level in accordance with the "Practicing Physicians Law", "Nurses Regulations" and other relevant laws and regulations; constitutes a crime, shall be investigated for criminal responsibility: (a) violation of health laws, regulations, rules and regulations, or technical practices, resulting in serious consequences; (b) violation of health laws, regulations, rules and regulations, or technical operation standards, resulting in serious consequences; (c) failure to report information related to medical quality and safety; (d) other violations of this Measures. (ii) irresponsible delay in the rescue and treatment of patients in acute and critical condition, resulting in serious consequences; (iii) without personal diagnosis and examination, the issuance of test results and related medical documents; (iv) disclosure of patients' privacy, resulting in serious consequences; (v) medical activities do not comply with the principle of informed consent; (vi) violation of the prohibition or restriction of the clinical application of medical technology, non-compliance with the principle of informed consent; (vi) violation of the prohibition or restriction of the clinical application of medical technology, non-compliance with the principle of informed consent; and the criminal responsibility shall be investigated according to the law. Restrictions on the clinical application of medical technology, unqualified or unapproved drugs, medical equipment, consumables and other diagnostic and treatment activities; (vii) other violations of the provisions of these measures. Other health technicians in violation of the provisions of these Measures, in accordance with relevant laws and regulations shall be dealt with.&nbs