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2022年年医疗质量管理制度年医疗质量管理制度规定 .pdf

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1、2018年医疗质量管理制度_2018年医疗质量管理制度规定为预防医疗事故的发生，医院必须把医疗质量放在首位。下面小编为大家整理了有关2018 年医疗质量管理制度的范文，希望对大家有帮助。2018 年医疗质量管理制度篇 1 第一章总则第一条为加强医疗质量管理，规范医疗服务行为，保障医疗安全，根据有关法律法规，制定本办法。第二条本办法适用于各级卫生计生行政部门以及各级各类医疗机构医疗质量管理工作。第三条国家卫生计生委负责全国医疗机构医疗质量管理工作。县级以上地方卫生计生行政部门负责本行政区域内医疗机构医疗质量管理工作。国家中医药管理局和军队卫生主管部门分别在职责范围内负责中医和军队医疗机构医疗质

2、量管理工作。第四条医疗质量管理是医疗管理的核心，各级各类医疗机构是医疗质量管理的第一责任主体，应当全面加强医疗质量管理，持续改进医疗质量，保障医疗安全。第五条医疗质量管理应当充分发挥卫生行业组织的作用，各级卫生计生行政部门应当为卫生行业组织参与医疗质量管理创造条件。第二章组织机构和职责第六条国家卫生计生委负责组织或者委托专业机构、行业组织(以下称专业机构)制订医疗质量管理相关制度、规范、标准和指南，指导地方各级卫生计生行政部门和医疗机构开展医疗质量管理与控制工作。省级卫生计生行政部门可以根据本地区实际，制订行政区域医疗质量管理相关制度、规范和具体实施方案。县级以上地方卫生计生行

3、政部门在职责范围内负责监督、指导医疗机构落实医疗质量管理有关规章制度。第七条国家卫生计生委建立国家医疗质量管理与控制体系，完善医疗质量控制与持续改进的制度和工作机制。各级卫生计生行政部门组建或者指定各级、各专业医疗质量控制组织(以下称质控组织)落实医疗质量管理与控制的有关工作要求。第八条国家级各专业质控组织在国家卫生计生委指导下，负责制订全国统一的质控指标、标准和质量管理要求，收集、分析医疗质量数据，定期发布质控信息。省级和有条件的地市级卫生计生行政部门组建相应级别、专业的质控组织，开展医疗质量管理与控制工作。第九条医疗机构医疗质量管理实行院、科两级责任制。医疗机构主要负责人是本机构医疗质量管

4、理的第一责任人;临床科室以及药学、护理、医技等部门(以下称业务科室)主要负责人是本科室医疗质量管理的第一责任人。第十条医疗机构应当成立医疗质量管理专门部门，负责本机构的医疗质量管理工作。二级以上的医院、妇幼保健院以及专科疾病防治机构(以下称二级以上医院)应当设立医疗质量管理委员会。医疗质量管理委员会主任由医疗机构主要负责人担任，委员由医疗管理、质文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3

5、文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:C

6、C7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U1

7、0A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1

8、HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N

9、6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4

10、ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R

11、9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3量控制、护理、医院感染管理、医学工程、信息、后勤等相关职能部门负责人以及相关临床、药学、医技等科室负责人组成，指定或者成立专门部门具体负责日常管理工作。其他医疗机构应当设立医疗质量管理工作小组或者指定专(兼)职人员，负责医疗质量具体管理工作。第十一条医疗机构医疗质量管理委员会的主要职责是：(一)按照国家医疗质量管理的有关要求，制订本机构医疗质量管理制度并组织实施;(二)组织开展本机构医疗质量监测、预警、分析、考核、评

12、估以及反馈工作，定期发布本机构质量管理信息;(三)制订本机构医疗质量持续改进计划、实施方案并组织实施;(四)制订本机构临床新技术引进和医疗技术临床应用管理相关工作制度并组织实施;(五)建立本机构医务人员医疗质量管理相关法律、法规、规章制度、技术规范的培训制度，制订培训计划并监督实施;(六)落实省级以上卫生计生行政部门规定的其他内容。第十二条二级以上医院各业务科室应当成立本科室医疗质量管理工作小组，组长由科室主要负责人担任，指定专人负责日常具体工作。医疗质量管理工作小组主要职责是：(一)贯彻执行医疗质量管理相关的法律、法规、规章、规范性文件和本科室医疗质

13、量管理制度;(二)制订本科室年度质量控制实施方案，组织开展科室医疗质量管理与控制工作;(三)制订本科室医疗质量持续改进计划和具体文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O

14、6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM

15、3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K

16、10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档

17、编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7

18、Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A

19、8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3落实措施;(四)定期对科室医疗质量进行分

20、析和评估，对医疗质量薄弱环节提出整改措施并组织实施;(五)对本科室医务人员进行医疗质量管理相关法律、法规、规章制度、技术规范、标准、诊疗常规及指南的培训和宣传教育;(六)按照有关要求报送本科室医疗质量管理相关信息。第十三条各级卫生计生行政部门和医疗机构应当建立健全医疗质量管理人员的培养和考核制度，充分发挥专业人员在医疗质量管理工作中的作用。第三章医疗质量保障第十四条医疗机构应当加强医务人员职业道德教育，发扬救死扶伤的人道主义精神，坚持“以患者为中心”，尊重患者权利，履行防病治病、救死扶伤、保护人民健康的神圣职责。第十五条医务人员应当恪守职业道德，认真遵守医疗质量管理相关法律法规、规范、标准和本

21、机构医疗质量管理制度的规定，规范临床诊疗行为，保障医疗质量和医疗安全。第十六条医疗机构应当按照核准登记的诊疗科目执业。卫生技术人员开展诊疗活动应当依法取得执业资质,医疗机构人力资源配备应当满足临床工作需要。医疗机构应当按照有关法律法规、规范、标准要求，使用经批准的药品、医疗器械、耗材开展诊疗活动。医疗机构开展医疗技术应当与其功能任务和技术能力相适应，按照国家关于医疗技术和手术管理有关规定，加强医疗技术临床应用管理。第十七条医疗机构及其医务人员应当遵循临床文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4

22、 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2

23、R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T

24、3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:

25、CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U

26、10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1

27、 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4

28、N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3诊疗指南、临床技术操作规范、行业标准和临床路径等有关要求开展诊疗工作，严格遵守医疗质量安全核心制度，做到合理检查、合理用药、合理治疗。第十八条医疗机构应当加强药学部门建设和药事质量管理，提升临床药学服务能力，推行临床药师制，发挥药师在处方审核、处方点评、药学监护等合理用药管理方面的作用。临床诊断、预防和治疗疾

29、病用药应当遵循安全、有效、经济的合理用药原则，尊重患者对药品使用的知情权。第十九条医疗机构应当加强护理质量管理，完善并实施护理相关工作制度、技术规范和护理指南;加强护理队伍建设，创新管理方法，持续改善护理质量。第二十条医疗机构应当加强医技科室的质量管理，建立覆盖检查、检验全过程的质量管理制度，加强室内质量控制，配合做好室间质量评价工作，促进临床检查检验结果互认。第二十一条医疗机构应当完善门急诊管理制度，规范门急诊质量管理，加强门急诊专业人员和技术力量配备，优化门急诊服务流程，保证门急诊医疗质量和医疗安全，并把门急诊工作质量作为考核科室和医务人员的重要内容。第二十二条医疗机构应当加强医院感染管理

30、，严格执行消毒隔离、手卫生、抗菌药物合理使用和医院感染监测等规定，建立医院感染的风险监测、预警以及多部门协同干预机制，开展医院感染防控知识的培训和教育，严格执行医院感染暴发报告制度。第二十三条医疗机文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3

31、I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K1

32、0T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编

33、码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z

34、7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8

35、I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4

36、I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6

37、H4 ZM3I2R9K10T3构应当加强病历质量管理，建立并实施病历质量管理制度，保障病历书写客观、真实、准确、及时、完整、规范。第二十四条医疗机构及其医务人员开展诊疗活动，应当遵循患者知情同意原则，尊重患者的自主选择权和隐私权，并对患者的隐私保密。第二十五条医疗机构开展中医医疗服务，应当符合国家关于中医诊疗、技术、药事等管理的有关规定，加强中医医疗质量管理。第四章医疗质量持续改进第二十六条医疗机构应当建立本机构全员参与、覆盖临床诊疗服务全过程的医疗质量管理与控制工作制度。医疗机构应当严格按照卫生计生行政部门和质控组织关于医疗质量管理控制工作的有关要求，积极配合质控组织开展工作，促进医疗质量持

38、续改进。医疗机构应当按照有关要求，向卫生计生行政部门或者质控组织及时、准确地报送本机构医疗质量安全相关数据信息。医疗机构应当熟练运用医疗质量管理工具开展医疗质量管理与自我评价，根据卫生计生行政部门或者质控组织发布的质控指标和标准完善本机构医疗质量管理相关指标体系，及时收集相关信息，形成本机构医疗质量基础数据。第二十七条医疗机构应当加强临床专科服务能力建设，重视专科协同发展，制订专科建设发展规划并组织实施，推行“以患者为中心、以疾病为链条”的多学科诊疗模式。加强继续医学教育，重视人才培养、临床技术创新性研究和成果转化，提高专科文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2

39、R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T

40、3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:

41、CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U

42、10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1

43、 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4

44、N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4

45、 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3临床服务能力与水平。第二十八条医疗机构应当加强单病种质量管理与控制工作，建立本机构单病种管理的指标体系，制订单病种医疗质量参考标准，促进医疗质量精细化管理。第二十九条医疗机构应当制订满意度监测指标并不断完善，定期开展患者和员工满意度监测，

46、努力改善患者就医体验和员工执业感受。第三十条医疗机构应当开展全过程成本精确管理，加强成本核算、过程控制、细节管理和量化分析，不断优化投入产出比，努力提高医疗资源利用效率。第三十一条医疗机构应当对各科室医疗质量管理情况进行现场检查和抽查，建立本机构医疗质量内部公示制度，对各科室医疗质量关键指标的完成情况予以内部公示。医疗机构应当定期对医疗卫生技术人员开展医疗卫生管理法律法规、医院管理制度、医疗质量管理与控制方法、专业技术规范等相关内容的培训和考核。医疗机构应当将科室医疗质量管理情况作为科室负责人综合目标考核以及聘任、晋升、评先评优的重要指标。医疗机构应当将科室和医务人员医疗质量管理情况作为医师定

47、期考核、晋升以及科室和医务人员绩效考核的重要依据。第三十二条医疗机构应当强化基于电子病历的医院信息平台建设，提高医院信息化工作的规范化水平，使信息化工作满足医疗质量管理与控制需要，充分利用信息化手段开展医疗质量管理与控制。建立完善医疗机构信息管理制度，保障文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码

48、:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7

49、U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I

50、1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I4N6O6H4 ZM3I2R9K10T3文档编码:CC7Z7U10A8I1 HX4I

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