All kinds of medical safety responsibilities 1
Hospital: All departments will strictly abide by the Law of People's Republic of China (PRC) on Medical Practitioners, relevant national laws and regulations, and relevant hospital rules and regulations to ensure the safety of their medical activities.
First, medical personnel have one of the following acts in medical activities:
(a) medical personnel in the practice activities, in violation of the higher administrative departments and hospital rules and regulations or technical operation norms, resulting in serious consequences;
(two) due to irresponsible delay in the rescue and diagnosis and treatment of critically ill patients, resulting in serious consequences;
(3) Causing a medical accident;
(4) Signing a certificate of diagnosis, treatment and epidemiology or a certificate of birth or death without personal examination and investigation;
(5) Concealing, forging or destroying medical documents and related documents without authorization;
(six) the use of unapproved drugs, disinfectants and medical devices;
(seven) do not use narcotic drugs, toxic drugs for medical use, psychotropic drugs and radioactive drugs in accordance with the provisions;
(eight) experimental clinical treatment of patients without the consent of patients or their families;
(nine) the disclosure of patient privacy, causing serious consequences;
(10) taking advantage of his position to ask for or illegally accept patients' property or seek other illegitimate interests;
(eleven) in the event of natural disasters, infectious diseases, sudden heavy casualties and other emergencies that seriously threaten people's lives and health, they do not obey the orders of the superior administrative department;
(twelve) the occurrence of medical accidents or the discovery of infectious diseases, suspected injury to patients or abnormal death, not according to the provisions of the report;
(thirteen) medical personnel in medical treatment, prevention and health care work, fraud, dereliction of duty, abuse of power, corruption and other consequences.
Second, the health administrative department staff and logistics staff in medical treatment, prevention, health care, logistics services, fraud, dereliction of duty, abuse of power, corruption, resulting in consequences;
Three. Details of punishment: Those who violate the above-mentioned acts will be given the following punishment according to the seriousness of the case.
(a) the person directly responsible, if the circumstances are serious enough to constitute a crime, shall be investigated for criminal responsibility according to law;
(2) If the patient is damaged and the social and economic benefits of the hospital are lost, the corresponding economic penalties shall be given according to the direct responsible person, the indirect responsible person and the management responsible person (note: the management responsible person is the director of each department and/or the head nurse);
(three) the occurrence of medical errors, which do not constitute a medical accident, will be linked to the evaluation of professional titles, the elimination of the last place, and the advanced selection, and will be given certain economic penalties;
(four) departments or individuals with more complaints will be linked to the selection of medical quality, the last elimination and the advanced selection;
Four, economic punishment rules:
Detailed rules of economic punishment for the responsible persons of departments and management who make compensation for medical disputes in hospitals: the person directly responsible shall bear 5-8% of the compensation amount; The person who is indirectly responsible shall bear 3-5% of the compensation amount; The person in charge of management shall bear the compensation amount of 1-3%.
(department)-guarantee: obey supervision in medical service activities; If I fail to meet Article 1 (1) to (13) and Article 2 of Medical Quality and Safety, I am willing to bear all legal responsibilities arising therefrom and accept the corresponding penalties in Articles 3 to 4. This agreement is made in duplicate, with the person in charge of the unit, the person in charge of the department and the person in charge of the department holding one copy respectively. Department heads should sign with hospitals, and employees should sign with department heads and hospitals. This agreement shall come into force as of the date of signing.
Person in charge of hospital: hospital (seal)
Head of department: (signature)
Time; Year month day to year month day.
All kinds of medical safety responsibility book II
In order to make the medical staff in the hospital firmly establish the idea of "patient-centered", saving lives and serving the people wholeheartedly, strengthen the awareness of quality, medical safety and occupational risks, eliminate medical hidden dangers and put an end to medical errors and accidents. "According to the spirit of the Regulations on Handling Medical Accidents and the Law on Medical Practitioners, the medical safety responsibility book is formulated as follows:
First, all departments should establish and improve the rules and regulations with the post responsibility system as the core, and conscientiously implement the three-level doctor rounds system and the operation grading management system. Work according to the provisions of the hospital's quality service and promised service, and act according to the rules, and offenders will be prosecuted.
Second, all kinds of medical staff at all levels should pay attention to medical ethics, conscientiously perform their duties, stick to their posts, do not do private affairs during working hours, and do not engage in anything other than medical activities. If accidents, mistakes and disputes occur due to violation, the parties concerned shall bear all the responsibilities.
Three, doctors at all levels of patient rounds records or orders must be clearly shown in the course record, signed by the superior doctors; All kinds of medical records must be true and complete in content, accurate in description, scientific and orderly in analysis, clear in time, strictly controlled by the department director, and medical records with important defects are not allowed to be filed. Relevant personnel of the department and the management personnel of the medical record room should strengthen the management of the current medical records and archived medical records to prevent loss, omission, alteration, forgery and destruction. Without the approval of the medical department or the competent dean, the medical records shall not be seconded, extracted or copied. Otherwise, in case of dispute, the parties shall bear all the responsibilities.
Four, strictly implement the "medical technology operating rules", any department or individual shall not be arbitrarily simplified or changed. General diagnosis and treatment technology Before the operation, the purpose and significance of the operation and the possible reactions and side effects during the operation should be explained to the patients and their families. Before implementing complex and traumatic diagnosis and treatment technology for critically ill patients or important organs, patients or their families should explain the necessity, complexity and danger, agree to check and sign. In violation of the operating rules, without informing the patients or their families, accidents, errors and disputes caused by the above circumstances shall be borne by the parties concerned.
Five, the rescue of critically ill patients must be timely, the treatment measures must be effective, and oral handover must be carried out before going to bed. Consultation, difficult problems and discussion on the death records of critical, urgent and serious patients must be completed within the time specified by the hospital and written records should be issued. Keep abreast of the condition changes or possible complications of critically ill patients, explain and record them to their families in time, and sign the course record when necessary. The director shall regularly check and organize the implementation. Otherwise, the accidents, mistakes and disputes caused by this shall be investigated for the direct responsibility of the parties and the leadership responsibility of the department head.
Six, some special examination (including CT, MRI, etc.). ), special treatment (including the application of expensive drugs, etc. ), when the medical expenses are high, it should be explained to the patients' families in time to obtain the cooperation of their families and reduce the occurrence of medical disputes.
Seven, all major operations and departments to carry out new business, new technology, important organ removal and other operations, must be signed by the director in accordance with the provisions, reported to the medical department, the director of the approval before implementation; If an emergency operation is performed without the presence of family members and related personnel or under other special circumstances, it should be reported to the director of the department, the medical department or the chief attendant. Operate after being approved by the authorized person. Otherwise, the parties and departments shall bear all the responsibilities for accidents, errors and disputes.
Eight, each department to rescue equipment, instruments and drugs do special custody, regular inspection, timely maintenance, to ensure that can meet the needs of patients at any time. If accidents and disputes are caused by insufficient rescue equipment and medicines, the parties and departments shall take full responsibility.
Nine, new employees shall not enter the department without pre-job training. All departments should pay special attention to the continuing learning, business training and management of new employees. After examination by the department, if you are competent for the work alone, the application will be written by the department and approved by the medical department, and you can enjoy the right to prescription and be on duty alone. In case of difficult problems, you should report to the superior doctor in time. Otherwise, if accidents, mistakes or disputes are caused, the superior doctors and department directors should bear certain responsibilities in addition to the direct responsibility of the parties concerned.
Ten, all kinds of surgical resection of the tissue, should be promptly sent to pathological examination, a clear diagnosis, preoperative conversation should be detailed and comprehensive, all kinds of complications and risk factors should be explained clearly, and perform the signing procedures. If you need to change the operation mode during the operation, you must ask the director of the department for instructions, and then talk to the patient's family, and the conversation must be signed. Five tests should be done before blood transfusion, and the blood transfusion consent form should be signed. Otherwise, in case of accidents, mistakes and disputes, the parties shall bear the main responsibility.
Eleven, departments must strengthen the management of practice, practice writing all kinds of medical documents, the teaching teacher must carefully review and modify the signature or make supplementary records, its participation in surgery or various diagnosis and treatment operations, must be approved by the teaching teacher and on-site guidance; The instructor is not allowed to replace the students on duty at will. If any mistake, accident or dispute is caused by violation of regulations, the teaching teacher or doctor on duty who is directly responsible shall be investigated first.
Twelve, outpatient and ward doctors responsible for inspection, diagnosis, consultation, disposal, medical record writing, career change. After the critically ill patient arrives at the hospital, the attending physician must start treatment within 5 minutes and report to the superior physician quickly; Critical patients need to be admitted to hospital, and they must be accompanied by medical staff on the way. Departments shall not refuse patients for any reason. If there is any violation, resulting in errors and accidents, the parties shall bear all the responsibilities.
Thirteen, the implementation of protective medical system, for some serious or incurable diseases, should be strictly confidential for patients, in order to reduce the mental burden of patients, to prevent accidents. However, family members and units should truthfully reflect the condition and prognosis. The patient's privacy shall be kept strictly confidential and shall not be disclosed at will; For disputes between other departments or personnel, the relevant medical personnel shall not disclose the truth to patients or their families at will and prematurely, so as to avoid the expansion and complexity of the dispute, otherwise the parties will be held accountable.
Fourteen, all kinds of staff in the hospital should support each other, unite and help each other, not to undermine each other, and not to make trouble between doctors and patients. If the patient's mouth is used to achieve the purpose of revenge, medical disputes will arise. Otherwise, if a medical dispute arises from this, the parties concerned shall participate in the whole process of dispute settlement, and be given inspection, suspension, administrative sanctions, etc. depending on the circumstances and consequences.
Fifteen, to strengthen the management of anesthesia, all subjects of surgery should strictly implement the anesthesia operation procedures and aseptic system, to ensure that surgical instruments and equipment are in good condition, timely maintenance of faults, accidents, errors and disputes caused by violation of anesthesia operation procedures, the parties should be held fully responsible.
Sixteen, earnestly implement the system of general duty in hospital and second-line duty in internal medicine and surgery. The personnel on duty should stick to their posts, be on call, actively participate in or coordinate the rescue and treatment of patients, and report major disasters and accidents to the wounded and emergencies step by step without delay, otherwise the personnel on duty will take full responsibility for the accidents and disputes.
17, medical, nursing and technical personnel should conscientiously implement various inspection systems, such as doctor's advice, prescription, taking medicine, operation, blood transfusion, specimen collection and issuance of various reports. Check carefully as required to ensure accuracy and patient safety. Nursing staff should make three checks and seven pairs, strictly follow the doctor's advice, often patrol the ward, carefully observe the condition and write nursing records. Timely and accurately reflect the patient's condition changes to the doctor, and be serious and responsible for the patient, otherwise the parties concerned will bear all the responsibilities for accidents, errors and disputes.
Eighteen, in the event of a dispute, the relevant departments should properly keep a copy of the original data such as needles, residual liquid and blood products. , and hand in the medical records. No one may change, exchange, destroy or lose it. Offenders will be dealt with seriously according to the seriousness of the case.
Nineteen, strictly implement the patient's admission and discharge indications, rationally divert patients, prohibit cross-disciplinary treatment of patients or minor illnesses, and strictly implement the referral system and two-way referral system.
All departments should seriously discuss the implementation of the above 19, and the director of the department should sign with the dean to show his responsibility.
School leader (signature):
Date:
Department:
Director (signature):
Date:
3. All kinds of medical safety responsibilities
20_ year is the year of hospital management. In order to effectively strengthen and improve the quality of medical services, public health services and maternal and child health work, better implement scientific, standardized and safe management, prevent and reduce the occurrence of medical accidents, and ensure the people's safe medical treatment, according to the relevant documents of the Health Bureau and the actual situation of our hospital, we formulated a medical quality and medical safety management plan and signed a letter of responsibility.
The first is to set up a medical quality and medical safety management team.
Team leader: Zhang Jianhua
Deputy Team Leaders: Yin and WU GANG.
Members: On-the-job health technicians in outpatient department.
Second, according to the actual work situation of each technical post, each medical service personnel should always put medical quality and safety in the first place, strictly operate the rules, be skilled in technical business, carry out their duties, be enthusiastic in service, be clear in diagnosis and treatment, and work together to prevent medical accidents.
Three, abide by discipline and rules and regulations, stick to their posts, and implement a 24-hour duty system. The specific time operation shall be agreed by each group and reported to the dean for approval. People in the hospital should be on call for emergency treatment. For special cases and more wounded people, the outpatient department should cooperate. Timely treatment, referral if necessary.
Four, medical diagnosis and treatment work to implement the first diagnosis responsibility system, severe and difficult cases, to consult a doctor, strictly implement the three-level ward round system, morning and evening classes to inform, medical cooperation, with accurate diagnosis and treatment, skilled nursing, to alleviate the pain of patients.
Five, pharmacies, pharmaceutical personnel should be in accordance with the prescriptions prescribed by doctors, accurately allocate each prescription, strictly control the quality of drugs, and the implementation of counters, handover custody and registration of Chinese and Western drugs and highly toxic drugs, so as to achieve accurate pricing, skilled operation and enthusiastic service.
Six, not in accordance with the provisions and individuals in the diagnosis and treatment work due to irresponsible medical accidents and errors, the compensation costs, borne by the proportion of 40% of the costs incurred by the parties, 30% of the departments where the parties are located, and 30% of the hospitals, and promptly report to the county health bureau and the relevant departments directly in charge, and bear legal and criminal responsibilities, handled by the higher authorities.
There are two copies of this plan, one for the hospital and one for the staff.
Signature of legal representative of the unit:
Signature of enterprise group members:
4. All kinds of medical safety responsibilities
Medical safety prevention plan: strengthen leadership, standardize management, and provide organizational guarantee for preventing medical accidents. The Medical Department is the hospital's medical service quality monitoring department, which is responsible for accepting patients' complaints about medical services and providing consulting services, daily management of medical quality and continuing education and training of medical staff, and signing the biennial medical safety responsibility book. The party and delegation strengthen leadership, standardize management, and provide organizational guarantee for preventing medical accidents.
1, the medical department is the hospital medical service quality monitoring department, which is responsible for accepting patients' complaints about medical services and providing them with consulting services, daily management of medical quality and continuing education and training of medical staff, and signing the biennial medical safety responsibility book. The Party and the Youth League organizations are responsible for the professional ethics education of medical personnel, and all departments perform their duties, coordinate and cooperate with each other, and undertake the work of preventing medical accidents.
2. Strengthen training, know the law and abide by the law, and provide legal support for preventing medical accidents.
In order to improve the medical safety awareness of all staff, the hospital conducts medical safety education activities once every six months. In addition, hospital-wide sexual safety education meetings are held twice a year, and regular safety medical meetings are held every quarter, to educate hospital employees on medical and health management knowledge, laws and regulations, departmental rules and regulations, medical care norms, routine training and medical service professional ethics, so that all employees can know how to strictly abide by various laws and regulations, rules and regulations and operating norms in medical activities, abide by medical service professional ethics and effectively prevent medical accidents.
3, strengthen learning, standardize services, and provide institutional guarantee for preventing medical accidents.
In order to continuously improve the medical quality of hospitals and ensure medical safety, medical staff should constantly strengthen their professional study and improve their professional level and diagnosis and treatment skills. The hospital will regularly hold "three basics" training and assessment, 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, it is necessary to standardize services, strictly implement the hospital's green channel system and medical record writing system, strictly prohibit altering, forging, concealing or destroying medical records, properly keep medical records according to regulations, and implement the medical safety system and the registration and reporting system for defects, accidents and disputes. In medical activities, medical staff should truthfully inform patients of their illness, medical measures and medical risks, and answer their inquiries in time, but pay attention to ways and means to avoid adverse effects on patients. In case of medical disputes, copies of medical records should be provided to patients and their families as required. So as to prevent the occurrence of medical accidents and reduce the damage of medical accidents.
4, improve the organization, supervision and inspection, to provide scientific decision-making to prevent medical accidents.
In order to improve the medical quality, the hospital has adjusted and improved various quality control organizations and rescue organizations such as clinical medical quality management group, nursing quality management group, medical technology quality management group, hospital infection management committee, safety medical group, medical device management group, hospital pharmacy management committee, hospital science and technology management committee and clinical blood management committee. Under the unified leadership of the president, all groups should actively carry out activities, hold regular meetings and inspections, give full play to their respective functions, promote good experience in time, provide timely feedback and rectification when problems are found, provide reliable information for various medical work, and provide scientific decision-making basis for preventing medical accidents.
Gulou branch bureau of public security antai police station yushan community police affairs room
_ April 22nd
All kinds of medical safety responsibilities 5
First, we attach great importance to medical quality and medical safety management, earnestly strengthen the management of medical institutions, and improve medical quality and medical safety. The head of each department is the head of medical quality and medical safety management.
Two, to standardize the management of clinical diagnosis and treatment services, conscientiously implement the core system of medical quality and medical safety, implement the medical records and prescription writing norms, and ensure the quality of medical documents.
The third is to strengthen the quality of basic medical care and strengthen the training of "three basics" and "three strictness". Every year, medical staff should be organized to study business and training not less than 10 times, and learn laws and regulations not less than 2 times. Medical staff should take at least the "three basics" theoretical examination 1 time every quarter, and the passing rate of the examination organized by the health bureau must reach over 95%.
Four, the full implementation of various rules and regulations, strictly abide by the technical operating rules, strictly implement the post responsibility system, formulate plans for the prevention and treatment of medical accidents, and strictly implement the medical accident reporting system and the medical accident accountability system.
Five, strengthen the supervision of medical quality and medical safety, strengthen the inspection of the implementation of the core system, and strengthen the supervision and management of the quality of surgery, outpatient service and prone to medical accidents.
Six, in order to standardize disinfection, sterilization, isolation and medical waste management, effectively prevent and control hospital infection, the head of each department should personally grasp, improve the hospital infection management organization, equipped with full-time staff, clear tasks, implement the responsibility system, and implement the hospital infection management.
Seven, to strengthen the management of first aid, strictly implement the system of first aid work, to ensure that first aid equipment, facilities and vehicles are on standby.
Eight, the responsibility content into the comprehensive target assessment content, and as an important basis for the annual Pingxian Pingyou, explain the reasons for responsibility.
Causing medical accidents or major medical disputes, resulting in adverse effects, the main person in charge shall be investigated for responsibility in accordance with relevant regulations.
Dean:?
Personal:
20__ _ _ _ _ _ _ _
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