Article 1 of quality and safety commitment is to further strengthen hospital management, so that medical staff in the whole hospital can firmly establish the idea of "patient-centered" saving lives and serving the people wholeheartedly, strengthen their awareness of quality, excellent service, medical safety and occupational risks, eliminate medical safety hazards, put an end to medical accidents, improve medical quality, improve service quality and ensure medical safety. According to the Regulations on the Handling of Medical Accidents, the Law of People's Republic of China (PRC) on Medical Practitioners, the Regulations on the Management of Nurses, the Implementation Plan and Inspection Rules of Hospital Management Year and the relevant documents of our hospital's two-level management system, the Commitment on Medical Quality, Medical Safety and Excellent Service is formulated. Details are as follows:
First, take the department as the unit, and the director of the department as the first person responsible for medical safety. We should conscientiously perform our duties, establish and improve various rules and regulations centered on the post responsibility system, and do a good job in the quality management of our undergraduate course in strict accordance with the overall requirements of the hospital. Accidents and disputes caused by violation of regulations shall be borne by the parties concerned.
Second, strengthen the implementation of various rules and regulations, especially the implementation of the core system. Those who can't strictly abide by it should be trained to be laid off. Those responsible for delaying the rescue and treatment of patients and causing medical accidents and disputes should be dealt with severely in accordance with relevant regulations, and the heads of their departments should be held jointly and severally liable.
Third, medical staff should strictly abide by laws, regulations and technical operation norms, strictly perform the responsibility system of first diagnosis, inquire about medical history in detail, carefully examine patients, scientifically formulate diagnosis, treatment and nursing plans, closely observe the changes of illness, truthfully inform patients and their families, and strictly abide by patients' privacy. Before implementing medical treatment, prevention and health care measures and signing relevant medical certificates, you must personally check and investigate, and fill in medical documents in time according to regulations, and you must not conceal, forge or destroy medical documents and.
Data, shall not issue a medical certificate that has nothing to do with their own scope of practice or does not meet the category of practice.
Four, medical personnel at all levels must engage in professional activities with a scientific attitude, to achieve scientific diagnosis and reasonable treatment, adhere to the principle of inspection and reasonable treatment.
Five, must be in strict accordance with the requirements of our hospital 20xx version of the medical record writing guide writing emergency and inpatient medical records, writing content should be true and complete, accurate analysis, scientific and orderly, timely and clear records. Single disease, dominant disease, key disease must be written in accordance with the requirements of integrated traditional Chinese and western medicine medical records (medical records must have the content of traditional Chinese medicine, and the records of superior doctors' rounds must reflect the guidance of traditional Chinese medicine diagnosis and treatment). Actively carry out the pilot work of clinical pathway, implement the implementation plan of clinical pathway in our hospital, and carefully write the clinical pathway table. The director of the department and the quality controller should strictly control, and the medical records with serious defects are not allowed to leave the department.
Six, timely communication between doctors and patients, strict implementation of the doctor-patient communication system. Every communication should be recorded in the medical record in detail (including the time and place of communication, the names of medical staff, patients and their families, the specific content of communication, and the results of communication), and the patients and their families should be required to sign their opinions, and both doctors and patients should sign them; When communicating with doctors and patients, we should try our best to use ways and languages that are easy for patients and their families to accept. Investigate all the responsibilities of the parties who violate the rules.
Seven, resolutely implement the consultation system. In case of difficult, critical and unidentified cases, please consult outside the hospital in time and apply for consultation as soon as possible. Emergency consultation must be on call, and no one can postpone it for any reason. Door (emergency) diagnosis and rescue must be carried out in accordance with the door (emergency) diagnosis and rescue process. If the patient's condition changes, gets worse or has an accident (such as respiratory and cardiac arrest), he should be rescued on the spot, promptly notify the emergency department and relevant departments to participate in the rescue, and be escorted to the emergency department by medical staff for further treatment and observation when conditions permit. People who need hospitalization should be in stable condition.
Accompanied by medical staff and escorted to the comprehensive icu ward or related department ward; Each department shall not refuse the patient to see a doctor for any reason, and report to the medical department, outpatient office and other relevant departments. After the critically ill patient is admitted to the hospital, the attending physician should treat him immediately, complete the treatment within 5 minutes, establish venous access, and report to the superior doctor in time. The attending physician or (and) the director of the department must immediately check the patient and guide the rescue and treatment work.
Eight, strengthen the perioperative patient management, conscientiously implement the grading management system and the surgical safety verification system, and conscientiously complete the preoperative, intraoperative and postoperative surgical safety verification and surgical risk assessment. From the beginning of filling in the operation notice, do a good job of double inspection of the surgical patient identification and surgical site identification, especially for coma patients, critically ill patients, the elderly and children. Strengthen the safety management of surgical patients' posture to prevent patients from causing secondary injuries due to improper posture. The tissues and organs taken out during the operation should be handed over to the patient's family for pathological examination, and the handover registration should be made.
Nine, each department to carry out new business, new technology and major surgery, must be in accordance with the provisions, signed by the medical department director, director, approved before implementation; Such as emergency surgery patients, in the absence of family members and related personnel and other special circumstances, should report to the director of the department, the medical department and the total value monitor, and implement the operation after approval by the authorized person, but the preoperative conversation should be detailed and comprehensive, and all kinds of complications and risk factors should be explained clearly, and the signing procedures should be fulfilled; If it is necessary to change the operation mode during the operation, it is necessary to ask the director of the department, and inform and explain to the patient's family again, and it is necessary to perform the signing procedures.
Ten, seriously implement the inspection system. Medical, nursing and technical personnel should conscientiously implement various inspection systems. Doctors' orders, prescriptions, medicines, surgery, blood transfusion, specimen collection and various reports issued should be carefully checked in accordance with relevant regulations to ensure accuracy and patient safety. Pharmacists should conscientiously implement the system of "four checks and ten pairs" when dispensing drugs; Nurses should do a good job of "three checks and ten pairs", patrol the ward in time, carefully observe the condition and accurately reflect the patient's situation to the doctor.
Especially when rescuing patients, the nurse must repeat the doctor's oral orders, and keep all the empty medicine bottles in the process of rescue, which can be destroyed after the rescue. Violators shall be fully responsible by the parties concerned.
Provide nursing measures for patients according to the grading nursing system. Patrol in time as required, observe the changes of the condition, notify the doctor at the first time, and give treatment measures according to the doctor's advice. Emphasize the patient's range of activities, and critically ill patients are not allowed to get out of bed; First-class nursing patients can move in the ward; Secondary and tertiary nursing patients can move in the ward.
Eleven, the department must strengthen the management of training and interns, training and interns must be in accordance with the requirements of the relevant provisions under the personal guidance of the teaching teacher to write medical documents, participate in surgery and various diagnosis and treatment operations, the teaching teacher shall not arbitrarily replace the training and interns on duty, and offenders shall be held fully responsible. All departments should pay special attention to the continuing learning, business training and management of new employees. If it is really competent for the work alone, the application shall be made by the department where it belongs, and it will be on duty alone after being approved by the Medical Department. In addition to the direct responsibility of the parties, the superior doctors and department directors should bear the main responsibility for the offenders.
Twelve, each department to rescue equipment, instruments and drugs do special custody, regular inspection, timely maintenance, and make records, to ensure the needs of patients. Accidents and disputes caused by inadequate rescue equipment, medicines and other rescue items shall be borne by the parties concerned.
Thirteen, in the event of a dispute between doctors and patients, the relevant departments should properly keep a copy of the original data such as needles, residual liquid and blood products. , sealed medical records (no one may alter, exchange, destroy or lose them), and shall not cover up or conceal them, and report to the medical department in time. Disputes arising from other departments or personnel shall not be disclosed to patients and their families at will and prematurely, so as to avoid the expansion and complication of disputes, and offenders shall be held accountable according to the seriousness of the case.
Fourteen, all kinds of hospital staff should support each other, unite and help each other, do not undermine each other, do not provoke the doctor-patient relationship, and do not expose different opinions or contradictions to patients and their families. Otherwise, the resulting disputes will be handled by inspection, suspension, administrative sanctions, etc. It depends on the situation and consequences.
Fifteen, medical records related documents to fill in the personnel authority and time limit:
(1) outpatient (emergency) consultation medical records, fill in the consultation;
(2) The admission record should be completed within 24 hours after the patient is admitted to the hospital;
(3) Record the first course of the disease, which is completed within 8 hours of the patient's admission;
(4) Record the course of disease, with at least 1 time per day for severe cases; Record 1 severe illness for at least 2 days; The patient was stable for at least 3 days and recorded 1 time;
(5) the attending physician's first visit record, within 24 hours of the patient's admission;
(6) The handover record shall be completed within 8 hours after the succession;
(7) Transfer-out records shall be completed before being transferred out of the department (except in case of emergency);
(8) Handover records shall be completed within 24 hours after handover;
(9) Stage summary, at least 1 time per month;
(10) Complete preoperative summary and discussion before treatment.
(1 1) The operation record shall be completed by the operator within 24 hours after operation, and shall be reviewed and signed by the operator under special circumstances;
(12) Visit records before and after anesthesia, which were completed before and after anesthesia;
(13) The first course after operation was recorded immediately by the operator or a helper;
(14) Record the course of disease on the third day after operation, at least once a day, and the patient rounds should be recorded by the operator or superior doctors;
(15) The invasive operation was recorded and completed immediately after the operation;
Letter of Commitment on Quality and Safety Chapter II In order to effectively protect people's health and life safety, let consumers eat safe edible oil, further standardize the competition order in the edible oil market, strengthen industry self-discipline, create an environment of joint management, establish a unified, open and competitive edible oil market system, and promote the prosperity and development of the edible oil market, our company made the following commitments:
1. Strictly abide by the product quality law, the food safety law, the measures for the administration of food safety in the circulation field and other laws and regulations, earnestly fulfill the obligations of food quality and safety, assume the corresponding commodity quality responsibilities, and actively accept the supervision of government functional departments, consumers and society.
Second, conscientiously fulfill the requirements of food quality and safety market access, ensure the quality of edible oil meets the requirements of relevant product standards and hygiene standards in accordance with relevant laws and regulations, national standards and industry standards, and never sell unqualified edible oil.
The third is to conscientiously implement the system of claiming certificates and tickets, ensure that the purchased edible oil is legal and qualified, ensure that fake and shoddy edible oil is not sold, and never sell edible oil from illegal sources, especially waste oil.
Fourth, strengthen industry self-discipline, consciously safeguard the order of market economy, and put an end to illegal acts such as one-sided pursuit of profits, neglect of the quality and safety of edible oil, adulteration, taking the fake as the real, and shoddy.
Commitment unit:
Time:
In order to implement the Interim Provisions of the provincial government on the implementation of the main responsibility of production safety of production and business units, I, as a post, assume the responsibility of safety management for the safety work of this post according to the requirements of laws and regulations on production safety. In strict accordance with the division of work and the responsibilities of this post, I will seriously study the Law on Work Safety, the Interim Provisions on Implementing the Responsibility of the Production and Business Units for Work Safety, the Interim Provisions on the Investigation and Management of Hidden Dangers of Work Safety Accidents and other relevant laws and regulations, as well as the company's various safety management systems and safety operation procedures, and make a solemn commitment to the safety work within the scope of this post as follows:
First, strictly abide by the company's various safety management systems and operating procedures, and consciously accept the safety management and requirements of superiors to ensure that no safety accidents occur.
Second, earnestly perform the safety duties of this position.
Three, support the superior safety management work, actively cooperate with the safety inspection, timely rectification of security risks, put an end to accidents.
Four, according to the post safety self-inspection content, do a good job of safety self-inspection, and actively eliminate unsafe factors.
Five, seriously study the national laws and regulations on safety in production and the company's various safety management systems, constantly improve the level of safety knowledge, and consciously abide by various safety management systems and safety operation procedures.
Six, conscientiously sum up the experience of safety work, put forward reasonable suggestions in time, and improve the safety management of this department.
Seven, efforts to improve the safe working environment, wear and use labor protection articles in accordance with the provisions.
Eight, earnestly fulfill the promise, to ensure the "safe production commitment" work effect.
Nine, for this post in violation of the safety management system and safety accidents, voluntarily assume corresponding responsibilities and accept punishment. In case of major accidents, bear legal responsibilities according to relevant laws and regulations.
Signature of the promisor:
date month year
If our company wins the bid, we will organize the construction in strict accordance with the contract and make the following commitments:
1. The construction quality of doors and windows has reached GB/T8478―20xx aluminum alloy doors, GB/T8479―20xx aluminum alloy doors and windows, GB50300―20xx unified standards for construction quality acceptance of architectural engineering, and GB502 10―20xx specifications for construction quality acceptance of architectural decoration engineering.
2. The quality grade is qualified.
3. If the unqualified project is not completed, our unit will compensate Party A for all the economic losses caused thereby.
4, the project production and installation time limit for a project to cooperate with the progress of civil engineering.
5. Planned construction period: the production and installation period of this project is coordinated with the progress of civil engineering, and the date of window frame entry is coordinated with Party A according to the actual situation.
6. We will pay a penalty of 1‰ of the total contract price for each day of delay in our production and installation period. If the construction period of production and installation is delayed due to Party A's reasons and force majeure, the construction period will be postponed accordingly.
7, put an end to serious injuries and fatal accidents.
Commitment unit:
Legal representative:
Date: xx, xx, XX, XX
As a foreman (team leader) of Xiangguang Copper, I know the importance of the safety management foundation of the workshop (team), which is directly related to the safety production of the company and the personal safety of employees. There are many dangerous factors in smelting production, and a little carelessness will cause equipment damage or casualties. In order to ensure the personal safety of employees and the stable operation of the production system, I solemnly promise to strictly perform the following duties and obligations in my work:
1, strictly abide by the national laws and regulations and the company's various safety rules and regulations and safety management regulations, and actively organize the employees of this team to participate in the company's various safety activities.
2, organize employees to carry out safety education and business skills training, and strive to improve their safety awareness and business technology level.
3. Consciously abide by the safety production management system at work, so as to achieve "no illegal command, no illegal operation and no violation of labor discipline".
4. Supervise the workers to wear and use labor protection articles correctly, and maintain the safety protection facilities of each post as required.
5. Be familiar with the operation procedures of the security team, master the operation skills, understand the risk factors existing in the operation of the team, and do a good job in risk assessment.
6, actively organize team members to carry out accident hidden danger self-examination and carry out rectification work.
7, found production safety accidents, timely report to the superior, and actively participate in accident emergency rescue work, obey the superior command in the rescue.
8. Strengthen communication with employees, keep abreast of employees' ideological trends, mobilize employees' enthusiasm, and enable employees to exert their greatest potential in their own jobs.
Commitment: Wang xx, Li xx, Zhang xx.
Commitment time: 20xx 65438+ 10 month 1.
Quality and safety commitment letter 6 Dear residents,
Thank you for purchasing our newly-built commercial house.
In order to safeguard your legitimate rights and interests, our company has made the following quality assurance and commitment to the house with a building area of square meters purchased by the residents on the first floor of Building Road Community 1:
1. conforms to the residential building standards and relevant regulations of Shandong province.
Two, through the city or county (county) quality supervision department verification, the quality of the project was rated as a level.
Three, through the completion of the city and county real estate development and management departments, residential (group) supporting facilities up to standard, with new residential delivery permit conditions.
Four. Under normal use, our company will undertake the maintenance responsibility of the following items within the warranty period from the date of delivery free of charge:
1, the house is waterproof for 5 years;
2, metope, kitchen, bathroom floor, basement, pipeline leakage 1 year;
3, metope, ceiling plaster layer falls off 1 year;
4. The ground sags and cracks, and a large area of sand blows 1 year;
5. Cracking of doors and windows and hardware damage 1 year;
6. The pipeline is blocked for 2 months;
7, heating and cooling systems and equipment 2 heating period or cooling period;
8, sanitary ware 1 year;
9. Electrical piping for 2 years;
10, water pipe installation and decoration works for 2 years;
1 1. Under the condition of reasonable use, the foundation and main structure shall bear the warranty responsibility according to the design life specified in relevant national codes.
12, a heating flue; Blowing holes for two months.
13, the toilets, rooms and external walls with waterproof requirements shall be impervious for 5 years. The date when the lessee signs the Acceptance Certificate of Commercial House Handover is the date of delivery of the house and the date when this guarantee is signed. The warranty period of the house is calculated from the date of signing this guarantee. Quality problems caused by improper use or unauthorized decoration by residents are not within the maintenance scope of our company.
5. After the residents move in, we will directly or entrust the property management company to give a timely reply and properly handle the letters, visits and complaints about the housing quality. If we are not satisfied with the service staff's work, we can complain to the company and we will deal with it in time.
Six, the reply to the time limit for household repair and processing, see the relevant provisions of the residential property management or see the attached page.
7. If there is any dispute about our company's reply or handling, we can apply to the local construction engineering quality supervision station for coordination according to the Construction Engineering Quality Management Measures [1993] No.29 of the Ministry of Construction and other relevant laws and policies;
Involving the quality of residential facilities, according to the "Regulations on the Management of Urban Real Estate Development in Shandong Province" and other relevant laws and policies, apply to the local real estate development management office for coordination. If there are still differences on the coordination opinions, they may apply to the local arbitration commission for arbitration or settle them through the people's court.
Where the quality problems of residential projects have not been solved for a long time, residents can complain to the project quality supervision station; Where the quality of residential facilities has not been resolved for a long time, you can complain to the real estate development management department.
Eight, identified by qualified professional departments at or above the municipal level, where the quality of foundation and main structure is unqualified and can not be repaired, it will be returned or replaced.
Nine. Other contents that the company is willing to commit (see attached page).
X. This letter of guarantee, as an annex to the commercial housing sales contract, is a legal document for real estate development enterprises to bear the quality responsibility for the commercial housing sold, and has the same legal effect as the sales contract; The user shall keep it properly and shall not forge or alter it. Our aim is to provide residents with a good living environment and good after-sales service, so that the majority of residents are comfortable and satisfied.
In order to ensure the safety of commodity consumption, prevent fake and shoddy commodities from entering the circulation field, and strive to create a safe, orderly and honest consumption environment, as the first responsible person (legal representative or operator) of commodity quality and safety, he is mainly responsible for the quality and safety of the commodities he operates, and makes the following commitments:
1, do not sell fake and shoddy, unqualified and "three noes" goods, and do not make misleading false propaganda.
2. Do not sell commodities that have not been inspected, tested and quarantined, and commodities that have not obtained the national industrial product production license and have no QS mark and 3C certification.
3. Strictly abide by the product quality law, Decree No.503 of the State Council, Decree No.305 of the provincial government and other laws and regulations, consciously accept the supervision and management of the industrial and commercial departments, consciously accept the supervision of the society and consumers, and be honest and trustworthy, operate according to law, and abide by the law.
4. Establish and implement commodity quality acceptance, purchase and sale account and ticket application system, and establish paste account. Strictly control the quality of incoming goods, and resolutely do not purchase goods from illegal channels.
5, establish and implement the commodity quality management system, regularly check the quality of goods for sale and inventory, timely clean up the "three noes" goods.
Goods without QS mark and 3C certification. Bulk commodities must be filed with the industrial and commercial departments.
6. Establish and implement the delisting system for unqualified commodities. If unqualified goods are found, stop selling immediately and take measures such as destruction to deal with them. Publicize the goods that have been sold in the business premises and seriously endanger personal safety, and make an announcement in the news media, and be responsible for recalling and destroying unqualified goods.
7. Market start-up units strengthen the management of the operators entering the market, sign a letter of commitment on the quality and safety of goods with the operators entering the market, and publish unqualified goods and illegal business information in a prominent position in the market to ensure the quality and safety of the goods entering the market.
8. In case of violation of the above commitments, the industrial and commercial departments will take the initiative to deal with it according to law.
Commitment: (signature):
Date, year and month