In the ever-changing modern society, the responsibility book is becoming more and more important to people. Signing the responsibility book can effectively strengthen the responsibility and clarify the goal direction. So what kind of responsibility is effective? The following is my collection of medical target management responsibility, for reference only, I hope it will help you.
Medical target management responsibility book 1 In order to strengthen medical quality management, standardize medical service behavior, reduce medical disputes, put an end to medical accidents and ensure medical safety, the hospital signed a 20xx medical safety management responsibility book with various departments:
First, departments should organize all staff to conscientiously study and implement the Tort Liability Law of People's Republic of China (PRC), the Law of People's Republic of China (PRC) on Medical Practitioners, the Regulations on Handling Medical Accidents, the Regulations on the Administration of Medical Institutions and other laws and regulations, and constantly enhance the legal awareness of medical personnel. Make every medical staff learn, understand and abide by the law and practice medicine according to law.
Second, earnestly implement the post responsibility system of all kinds of personnel at all levels and strictly abide by the operating procedures; Medical staff must stick to their posts, ensure that all kinds of medical facilities and equipment are in normal standby state, make a good reserve of first-aid drugs, protective supplies, disinfection supplies and other related equipment, and ensure that personnel and the environment are in good condition, and can make house calls and respond to emergencies at any time.
Third, strictly standardize the operation process of diagnosis and treatment technology, and standardize various technical operations in strict accordance with the "Detailed Rules for the Implementation of Evaluation Standards for General Hospitals in Hubei Province (Trial)"; Conscientiously implement the core systems such as the first-visit physician responsibility system, the duty and handover system, the "three checks and seven pairs" system, and the pre-operation and post-operation discussion system of difficult and critical medical records, and carefully write and save all kinds of medical documents to provide a comprehensive and effective legal basis for dealing with possible medical tort liability.
Fourth, standardize the occupation, do not exceed the scope of occupation, do not accept patients, be on call in hospital emergency, cooperate with the whole hospital, and refer patients in time when necessary.
Five, strengthen the communication between doctors and patients, pay attention to the art of conversation, optimize the relationship between doctors and patients, earnestly fulfill the obligation to inform, and respect the patient's right to know. Improve the doctor-patient communication system and the fee communication system, fully implement the clear price tag of medical fees, and fill in all kinds of informed consent forms completely, truly, popularly, accurately and legally.
Five, strengthen the professional ethics education of medical staff, establish noble medical ethics, resolutely put an end to "red envelopes", "kickbacks", "billing commission" and other violations, and truly achieve reasonable inspection, rational use of drugs, and charging according to regulations.
Six, establish and improve the medical quality and safety management system, implement the responsibility system and accountability system at all levels. Establish a three-level medical safety responsibility system for hospitals, departments and individuals, conscientiously implement the contents of the safety responsibility book, and truly implement various safety management systems and measures.
Seven, medical safety work should be "four catches" and "three misses", that is, focusing on key departments, focusing on key people, focusing on accident signs and hidden dangers; Don't let go of the problems that have not been identified, the parties that have not been handled in place, and the preventive measures that have not been implemented.
Eight, the director of the department is the first person responsible for the medical safety work of this department, and every employee should be directly responsible for the medical safety work of this position, insisting on "who is in charge and who is responsible; Who is on the job, who is responsible; Who dereliction of duty, who bear the responsibility "principle, establish a strict accountability system, conscientiously implement the provisions of medical safety accountability and punishment. Form a good atmosphere in which everyone stresses safety, everyone values safety and everyone keeps safety, and operate according to the law and implement it according to the rules.
Nine, the occurrence of medical accidents or medical disputes, identified as medical accidents by the superior medical accident appraisal institutions, in addition to the insurance company compensation, the remaining 70% shall be borne by the department or individual, 30% shall be borne by the hospital. At the same time, it is linked with the annual assessment and evaluation of departments and individuals.
X this agreement is made in duplicate, one for each party, and shall come into effect as of the date of signing. Valid for one year.
Hospital (seal):
Department:
Signature of representative:
Signature:
20xx year month day
20xx year month day
The medical target management responsibility book 2 aims 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 operating rules, without informing patients or their families, accidents, errors and disputes caused by the above circumstances shall be fully 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:
Medical target management responsibility book 3 medical safety, the hospital signed a 20xxXX medical safety management responsibility book with each department:
First, departments should organize all staff to conscientiously study and implement the Tort Liability Law of People's Republic of China (PRC), the Law of People's Republic of China (PRC) on Medical Practitioners, the Regulations on Handling Medical Accidents, the Regulations on the Administration of Medical Institutions and other laws and regulations, and constantly enhance the legal awareness of medical personnel. Make every medical staff learn, understand and abide by the law and practice medicine according to law.
Second, earnestly implement the post responsibility system of all kinds of personnel at all levels and strictly abide by the operating procedures; Medical staff must stick to their posts, ensure that all kinds of medical facilities and equipment are in normal standby state, make a good reserve of first-aid drugs, protective supplies, disinfection supplies and other related equipment, and ensure that personnel and the environment are in good condition, and can make house calls and respond to emergencies at any time.
Third, strictly standardize the operation process of diagnosis and treatment technology, and standardize various technical operations in strict accordance with the "Detailed Rules for the Implementation of Evaluation Standards for General Hospitals in Hubei Province (Trial)"; Conscientiously implement the core systems such as the first-visit physician responsibility system, the duty and handover system, the "three checks and seven pairs" system, and the pre-operation and post-operation discussion system of difficult and critical medical records, and carefully write and save all kinds of medical documents to provide a comprehensive and effective legal basis for dealing with possible medical tort liability.
Fourth, standardize the occupation, do not exceed the scope of occupation, do not accept patients, be on call in hospital emergency, cooperate with the whole hospital, and refer patients in time when necessary.
Five, strengthen the communication between doctors and patients, pay attention to the art of conversation, optimize the relationship between doctors and patients, earnestly fulfill the obligation to inform, and respect the patient's right to know. Improve the doctor-patient communication system and the fee communication system, fully implement the clear price tag of medical fees, and fill in all kinds of informed consent forms completely, truly, popularly, accurately and legally.
Five, strengthen the professional ethics education of medical staff, establish noble medical ethics, resolutely put an end to "red envelopes", "kickbacks", "billing commission" and other violations, and truly achieve reasonable inspection, rational use of drugs, and charging according to regulations.
Six, establish and improve the medical quality and safety management system, implement the responsibility system and accountability system at all levels. Establish a three-level medical safety responsibility system for hospitals, departments and individuals, conscientiously implement the contents of the safety responsibility book, and truly implement various safety management systems and measures.
Seven, medical safety work should be "four catches" and "three misses", that is, focusing on key departments, focusing on key people, focusing on accident signs and hidden dangers; Don't let go of the problems that have not been identified, the parties that have not been handled in place, and the preventive measures that have not been implemented.
Eight, the director of the department is the first person responsible for the medical safety work of this department, and every employee should be directly responsible for the medical safety work of this position, insisting on "who is in charge and who is responsible; Who is on the job, who is responsible; Who dereliction of duty, who bear the responsibility "principle, establish a strict accountability system, conscientiously implement the provisions of medical safety accountability and punishment. Form a good atmosphere in which everyone stresses safety, everyone values safety and everyone keeps safety, and operate according to the law and implement it according to the rules.
Nine, the occurrence of medical accidents or medical disputes, identified as medical accidents by the superior medical accident appraisal institutions, in addition to the insurance company compensation, the remaining 70% shall be borne by the department or individual, 30% shall be borne by the hospital. At the same time, it is linked with the annual assessment and evaluation of departments and individuals.
X this agreement is made in duplicate, one for each party, and shall come into effect as of the date of signing. Valid for one year.
Hospital (seal):
Department:
20xx year month day
Signature of representative:
Signature:
20xx year month day
Medical target management responsibility book 4 20xxXX 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 care, 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:
In order to further strengthen the management of medical quality and safety, prevent and reduce the occurrence of medical disputes and accidents, according to the spirit of superior medical quality management and the actual situation of our hospital, the medical safety responsibility book of our hospital is formulated:
A, medical staff should abide by the rules and regulations centered on the core system, seriously according to the provisions of the hospital quality service, commitment to service, according to the rules, violations will be prosecuted, all accidents and disputes caused by violations, the parties bear full responsibility.
Second, the doctor's rounds or doctor's orders in the course of the disease must be clearly displayed, and all kinds of medical records must be true and complete, and the records should be timely and clear. Medical record managers should strengthen the management of existing medical records and archived medical records to prevent loss, omission, alteration, forgery and destruction. Without the approval of the dean, the medical records shall not be seconded, extracted or copied, otherwise the parties shall take full responsibility for the disputes caused.
Three, to fulfill the obligation to inform, special inspection and treatment must explain its necessity, complexity and danger to patients or their families, and can be carried out only after the consent of the inspection and signature. For critically ill patients, a referral proposal should be written in time and signed by family members. The patient's privacy shall be kept strictly confidential and shall not be disclosed.
Four, the staff should support each other, unite and help each other, not to undermine each other, nor to provoke the relationship between doctors and patients, through the mouth of patients to achieve the purpose of revenge on individuals, creating medical disputes.
5. Doctors are forbidden to leave their posts without the approval of the dean. Anyone who goes out without permission will be regarded as absenteeism. If medical disputes and medical accidents are caused by resignation, I will be responsible, and the hospital will not bear any responsibility, and the parties will be held accountable.
Six, nursing staff should do three check seven pairs, strictly implement the doctor's advice, often patrol the ward, carefully observe the condition, write nursing records, timely and accurately reflect the patient's condition changes to the doctor, be enthusiastic about the patient, be meticulous about the work, do a good job in the health of each ward, and provide a good medical environment for the patient. Don't leave your post during duty, and receive and deal with patients in time.
Seven, earnestly implement the dean on duty system, the dean of the 24-hour duty system, to ensure the smooth flow of telephone, timely arrange and deal with emergencies. In addition to the normal day shift, members of all departments should implement the general duty system outside the normal class, and should stick to their posts and be on call during the duty period. Adhere to the responsibility system of first diagnosis, do a good job in emergency reception, organize medical personnel to carry out emergency rescue, do a good job in the management of inpatients, do a good job in the nursing of inpatients after working as nurses at night, maintain the cleanliness of the hospital, answer the 120 dispatching telephone, and do a good job in the safety and security of the hospital. Major disasters and emergencies should be handled in time and reported step by step without delay, otherwise the personnel on duty will take full responsibility for the accidents and disputes caused.
Eight, such as the occurrence of medical disputes, the parties should be handled according to the "medical accident prevention and treatment plan" and "medical dispute complaint handling system". For those who are mainly responsible, the performance pay (bonus part) will be suspended for half a year, and for those who are solely responsible, the performance pay will be suspended for the whole year, and the losses caused thereby will be borne. Those who violate the criminal law will be dealt with according to the relevant provisions of laws and regulations.
Nine, pharmaceutical personnel strictly implement the check system, and is responsible for supervising the rationality and errors of doctors' prescriptions.
Ten, the above provisions, I hope you will seriously discuss the implementation, and the staff of the whole hospital will sign with the dean to show their responsibility.
Person in charge of the unit: (signature)
Employee: (signature)
;