Specifically, it includes the following contents:
A, clinical departments
1, doctor's advice, prescription or treatment, should check the patient's name, gender, bed number, hospitalization number (outpatient number).
2. Carry out "three checks and seven pairs" when executing the doctor's advice: check after placing the medicine; Check before taking medicine, injection and disposal; Check after taking medicine and injection. Check the bed number, name, drug name, dosage, concentration, time and usage.
3. Check the quality, label, expiration date and batch number when counting drugs and before use. If it does not meet the requirements, it shall not be used.
4, pay attention to ask whether there is a history of allergies before medication; The use of toxic, anesthetic and drama-limiting drugs should be checked repeatedly; Intravenous administration should pay attention to whether there is deterioration, whether there is looseness or crack in the bottle mouth; When giving a variety of drugs, we should pay attention to the incompatibility.
5, before blood transfusion, need to be checked by two people, after correct, before input; Pay attention to observation during blood transfusion to ensure safety.
Second, the operating room
1, pick up the patient, and check the subject, bed number, name, sex, diagnosis, operation name and preoperative medication.
2, before the operation, must check the name, diagnosis, surgical site, anesthesia method and anesthesia medication.
3, where the body cavity or deep tissue surgery, before the operation to count all the dressings and instruments and suture.
Third, pharmacies.
1, when formulating, check the prescription content, drug dosage and compatibility contraindications.
2, hair medicine, check the drug name, specifications, dosage, usage and prescription content is consistent; Check whether the label (medicine bag) is consistent with the prescription; Check whether the drug has deteriorated or not, and whether it has exceeded the validity period; Check the name and age, and explain the usage and precautions.
Fourth, the blood bank
1, blood group identification and cross matching test, two people should "double check and double sign" at work, and one person should do it again at work.
2, blood, blood * * * check the subject, ward, bed number, name, blood type, cross matching test results, blood bottle number, blood collection date, blood quality.
V. Clinical laboratory
1, when taking samples, check the patient, bed number, name and inspection purpose.
2, when collecting specimens, check the subjects, name, gender, number, specimen quantity and quality.
3, check, check whether reagents, items, inspection list is consistent with the specimen.
4. After the inspection, the purpose and result of the inspection.
5, send a report, check the client, ward.
Six, pathology department
1, check the unit, name, sex, serial number, specimen and stationary liquid when collecting specimens.
2, production, check the specimen number, type, slice number and quality.
3, diagnosis, examination number, specimen types, clinical diagnosis, pathological diagnosis.
4, send a report, check the unit.
Seven. radiology department
1, check the subject, ward, name, age, film number, location and purpose.
2, treatment, check the subject, ward, name, location, condition, time, angle, dose.
3, send a report, check the client, ward.
Eight, physical therapy and acupuncture room
1, various treatments, check subjects, wards, names, locations, types, dosage, time and skin.
2, low frequency processing, and check the polarity, current, frequency.
3, high frequency processing, and check the body surface, body surface for metal anomalies.
4. Before acupuncture treatment, check the quantity and quality of needles. When taking needles, check the number of needles and see if there are any broken needles.
Nine, supply room
1. When preparing the set, please check the name, quantity, quality and cleanliness.
2. Please check the name and disinfection date when sending the set.
3. When collecting sets, check the quantity, quality and cleaning.
X. special examination room
(ECG, EEG, ultrasound, basal metabolism, etc.). )
1, inspection object, bed number, name, gender and inspection purpose.
2, diagnosis, check the name, number, clinical diagnosis, test results.
3. Check the departments and wards when sending the report.
Other departments should also formulate the system of checking the work of undergraduate course room according to the above requirements.
Extended data:
Ministry of Health: Hospitals need to strictly implement the inspection system to prevent surgical errors.
BEIJING, Feb. 5 (Xinhua)-The Ministry of Health today issued "Several Opinions on Improving Service Management of Public Hospitals to Facilitate People's Medical Treatment", requiring public hospitals to implement patient safety objectives, promote continuous improvement of medical quality, strictly implement the check-up system, improve the accuracy of medical staff in identifying patients, and prevent surgical patients, surgical sites and surgical errors.
The "Opinions" pointed out that all public hospitals should implement patient safety goals and promote continuous improvement of medical quality. Hospitals should strengthen medical quality and safety management, carry out continuous improvement of medical quality, and support China Hospital Association to carry out annual patient safety target activities in hospitals across the country. Implement patient safety objectives and protect the safety of patients, medical staff and other people who come to the hospital.
The "Opinions" require that in actual diagnosis and treatment operations, public hospitals should strictly implement the verification system to improve the accuracy of medical personnel's identification of patients and prevent errors in surgical patients, surgical sites and surgical procedures; Implement the clinical pharmacist system and prescription review system to improve the level of drug treatment and ensure the safety of patients' medication.
The Opinions emphasize that it is necessary to improve the communication between medical staff, correctly and effectively implement medical orders, implement hospital infection control and clinical laboratory "critical value" reporting system, and prevent medical safety incidents.
Patient safety is a serious global public health problem.
Shortboard needs institutional guarantee
China's medical service system serves nearly 654.38+0.4 billion people, and produces nearly 8 billion medical treatments every year. Therefore, how to ensure and evaluate the quality and security of our system is very important.
"The quality of medical care has always been a big problem. Our slogan is that patient safety is always the first. Medical quality must first serve the safety of patients. " Zhang Zongjiu, director of the Medical Administration and Hospital Authority of the National Health and Family Planning Commission, said.
In 2002, health authorities required medical staff to control risks and residual risks (unknown risks). "Shortboards need institutional guarantees. At present, we still adhere to the check-up system, consultation system and three-level system. When some grassroots capabilities are insufficient, telemedicine and counterpart support will be adopted to make up for shortcomings and ensure quality. "
Status quo of nursing in tertiary hospitals
The core system of nursing is not perfect. In the first-class hospitals, 30% did not establish and improve the ward round system, 50% had the shift system, 70% had the graded nursing system, 70% had the rescue system for critically ill patients, and 95% had the consultation system for critically ill patients. The job responsibilities of all kinds of nursing staff at all levels have been partially implemented or not.
Need to weigh the trust and responsibility of patients for their own drug infusion.
It is not uncommon for patients to ask for infusion with their own medicine in the community hospital at their doorstep. From the perspective of convenience, it is difficult for community hospitals to refuse, which is also the embodiment of patients' trust in community hospitals. However, who will bear the responsibility in case of an accident during infusion? ?
At present, there is no explicit provision that medical institutions can refuse patients to bring their own medicine infusion, but this has become an established rule in the medical industry, with the aim of preventing medical accidents. In the process of treatment, medical institutions should be responsible for medical accidents caused by prescription and drug quality, and basically each family is responsible for its own drugs and diagnosis and treatment. How can community hospitals ensure the safety of patients and minimize medical risks? The author suggests the following. ?
Make an emergency plan to deal with possible accidents during infusion. Even if the source of the medicine brought by the patient from the other hospital is legal, a written agreement with similar legal consequences has been signed. However, if there is an accident during infusion, doctors should still uphold the humanitarian principle and safeguard the health of patients, that is, three inspections and seven pairs should be carried out during medication, and patients should be closely observed after medication, and the patients should be rescued as soon as possible in case of critical illness and transferred to hospital in time. ?
China network inspection system
China News Network-Ministry of Health: Hospitals need to strictly implement the check system to prevent surgical errors.
People's Network-Patient safety is a serious global public health problem.
Baidu encyclopedia-first-class hospital
Health News Network-Patients need to weigh their trust and responsibility for drug infusion.