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, safe management, prevention and reduction of medical accidents, to ensure that the people are safe to seek medical treatment. Below by me to share with you a variety of medical safety responsibility, welcome to read.
A variety of medical safety responsibility letter 1
Hospital: - Section - in the medical service activities, will strictly abide by the "Chinese People's Republic of China *** and the State Practitioners Law" and the relevant national laws and regulations and the State's laws and regulations and the State's laws and regulations.
I. Medical personnel in medical activities in one of the following behaviors:
(a) medical personnel in practice, violation of the higher administrative departments and hospital rules and regulations or technical operation norms, resulting in serious consequences;
(b) due to irresponsible delays in the rescue of critical patients and diagnosis and treatment, resulting in serious consequences;
(c) resulting in a Medical liability accidents;
(D) without personal diagnosis, investigation, signing the diagnosis, treatment, epidemiology and other documents or documents related to birth, death and other certificates;
(E) concealment, forgery or unauthorized destruction of medical documents and related documents;
(F) the use of unauthorized use of drugs, disinfectant preparations and medical equipment;
(viii) without the consent of the patient or his family members, experimental clinical medical treatment of patients:
(ix) disclosure of the patient's privacy, which caused serious consequences;
(j) use of their positions to solicit or illegally accept the patient's belongings or other improper interests;
(k) use of their position, soliciting, illegally accepting patients' belongings or gaining Benefits;
(xi) natural disasters, epidemics of infectious diseases, sudden deaths and injuries and other serious threat to people's lives and health emergencies, do not comply with the higher administrative departments to dispatch:
(xii) medical malpractice or infectious disease outbreaks are found, the patient is suspected of injuries or unnatural deaths, and do not report the provisions;
(xiii) medical personnel in the medical, medical, medical, medical and health care services;
(xiii) medical personnel in the medical, medical and health care services;
(xiv (M) medical personnel in the medical, preventive, health care work, fraud, negligence, abuse of power, favoritism and malpractice caused by the consequences.
Second, the staff of the health administration and logistics staff in the medical, preventive, health care, logistics services in the work of falsehoods, dereliction of duty, abuse of power, favoritism and fraud resulting in the consequences;
Third, the details of the punishment: the violation of the above acts of personnel according to the severity of the circumstances of the appropriate penalties as follows.
(a) the person directly responsible for the seriousness of the case constitutes a crime, according to the law to investigate criminal responsibility;
(b) the damage caused to the patient, resulting in the loss of the hospital's social and economic benefits, according to the person directly responsible for the direct responsibility, indirectly responsible for the person, the person responsible for the management of the person (Note: the person responsible for the management of the director of each department and/or head nurse) to give the appropriate financial penalties;
(c) Occurrence of medical errors, does not constitute a medical incident, will be linked to the evaluation of titles, the last elimination, advanced selection, and impose certain financial penalties;
(d) the occurrence of more complaints about the department or individual, will be linked to the selection of the quality of medical care, the last elimination, the advanced selection;
Fourth, the details of the financial penalties:
The occurrence of a medical dispute resulting in hospitals have made after among the compensation
(Department) - to ensure: in the engagement of medical service activities, to obey the supervision; if not to achieve the quality of medical care and safety of the first article (a) to (xiii) and the second article, I am willing to bear all the legal responsibility arising from this, and accept the third to the fourth article of the corresponding penalties. This agreement in duplicate, the head of the unit, the head of the department, the person responsible for the department, each sign a copy of the head of the department to the hospital, the employee to the head of the department and the head of the hospital to sign, the agreement is effective from the date of signing.
Head of the hospital: hospital (seal)
Head of the department: (signature)
Time; year month to month
Various medical safety of the responsibility of the letter 2
In order to make the whole hospital medical staff firmly establish "patient-centered "to save lives, wholeheartedly serve the people's ideology, strengthen the quality consciousness, medical safety consciousness, occupational risk consciousness, eliminate medical hazards, to eliminate medical errors, 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, not to do private work in the post time, and not to engage in any thing other than medical activities. Where the violation of the accident, error, disputes occur, the parties bear full responsibility.
Third, all levels of physician's examination records or instructions must be clearly and unambiguously shown in the medical record, signed by the superior physician; all kinds of medical records must be written in a true and complete content, accurate description, scientific and orderly analysis, 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 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 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.
VII, where major surgery and the department to carry out new business, new technologies, important organs such as resection 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 to the director of the Department of Medical Services or the Chief Duty Officer report. 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 personnel 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 be strictly implemented anesthesia operating procedures and asepsis system, to ensure that the integrity of surgical instruments and equipment, the occurrence of failures in a timely manner to repair the violation of anesthesiology operating procedures and caused by accidents, errors, disputes, the parties involved in the investigation of the full responsibility.
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 chief (signature):
Date:
Various medical safety of the responsibility of the letter 3
20_ is the management of the year of the health center, in order to effectively strengthen and improve the quality of medical services, public *** quality of health services and the quality of maternal and child health work, better implementation of scientific, standardized, safe management, prevent and reduce the occurrence of medical accidents, to ensure that the people's safe access to health care, according to the relevant documents of the Health Bureau, combined with the actual situation of our hospital, especially the development of 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, 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:
A variety of medical safety of the responsibility of the letter 4
Medical safety precautionary plan: to strengthen the leadership, standardize the management of the prevention of medical accidents to provide an organizational guarantee, the Department of Medical Services as the hospital Medical service quality monitoring department, responsible for accepting patients' complaints about medical services and provide them with consulting services, responsible for the day-to-day management of medical quality and medical personnel's continuing education and training, and do a good job of signing the medical safety responsibility once every two years. The party and the group strengthen the leadership, standardize the management, and provide organizational guarantee for the prevention of medical accidents.
1, the medical department for the hospital medical service quality monitoring department, responsible for accepting patients' complaints about medical services and provide them with consulting services, is responsible for the daily management of medical quality and medical personnel's continuing education and training, and do a good job once every two years, the signing of the responsibility of medical safety. Party and league organizations are responsible for the professional ethics education of medical personnel, each department has its own responsibilities, mutual coordination and cooperation, *** with the work of preventing medical accidents.
2, strengthen training, know the law and abide by the law, to prevent medical accidents to provide legal support
The hospital in order to improve the awareness of medical safety of all staff, every six months to carry out a medical safety theme of educational activities. And held twice a year hospital-wide safety education conference, held quarterly safety medical meeting, the hospital staff for medical and health management knowledge, laws, regulations, departmental rules and diagnosis and care norms, routine training and medical service professional ethics education, so that all staff know in medical activities strictly abide by the laws, regulations, rules and regulations, operating routines, and abide by the professional ethics of health care services, and effectively prevent the occurrence of medical accidents. The medical accident occurred.
3, strengthen the study, standardize the service, to prevent medical accidents to provide systematic assurance
In order to continuously improve the quality of medical care in the hospital, to protect the medical safety, medical staff to continue to strengthen the business learning, improve their own business level and diagnosis and treatment skills. The hospital will hold regular three basic training and assessment, and encourage medical staff to participate in continuing medical education and academic education, and strive to improve the overall quality of all medical staff. In medical services, they should standardize their services, strictly implement the hospital's green channel system and medical record writing system, strictly prohibit the alteration, falsification, concealment and destruction of medical record information, and properly keep medical record information according to the regulations, and implement the medical safety system and the registration and reporting system for defects, accidents and disputes. In the course of medical activities, medical personnel shall truthfully inform patients of their conditions, medical measures and medical risks, and answer inquiries in a timely manner, but pay attention to ways and means to avoid adverse effects on patients. In case of medical disputes, patients and their families should be provided with photocopies or copies of medical records in accordance with regulations. Thus, to prevent the occurrence of medical malpractice, reduce the damage of medical malpractice.
4, sound organization, supervision and inspection, in order to prevent medical errors to provide scientific decision-making
In order to improve the quality of medical care to the implementation of the work, the hospital to adjust and improve the quality of clinical medical management team, nursing quality management team, medical quality management team, hospital infection management committee, safe medical team, medical instrumentation management team, the hospital pharmacy management committee, the hospital Science and Technology Management Committee, Clinical Blood Management Committee and other quality control organizations and various rescue organizations. Each group should be under the unified leadership of the President, actively carry out activities, regular meetings and inspections, give full play to their respective functions, find good experience Promote in a timely manner, found that there is a problem with timely feedback and rectification, for the medical work to provide reliable information for the prevention of medical accidents to provide a scientific basis for decision-making.
Gulou Public Security Bureau Antai Police Station Yu Shan Community Police Office
_ April 22, 2007
Various medical safety of the responsibility of the letter 5
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 medical care, medical safety. The person in charge of each department is 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 organization of the examination and assessment pass rate must be up to 95% or more.
Fourth, the full implementation of the rules and regulations, strict compliance with technical procedures, 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 accountability 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:
20___Year_Month_Day
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