临床科室医院感染管理质控标准.pdf

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1、positiposition-relatedon-related consumconsumption of civil servantsption of civil servants has been swept by fihas been swept by fi nance,consumer,regardless of cost,extravagance anance,consumer,regardless of cost,extravagance a nd wnd waste in thaste in th e civile civil service position-relateser

2、vice position-relate d consumptid consumpti on,aon,abuse,corruptibuse,corrupti on aon andnd embezzlement,embezzlement,corruption is important.Tcorruption is important.T hen,under the conditihen,under the conditi ons of market economons of market econom y,y,how to reform the existing civilhow to refo

3、rm the existing civil duty consumptiduty consumpti on maon management,explores anagement,explores a source tosource to prevent aprevent andnd curb tcurb the post consumptihe post consumpti onon corruption way,icorruption way,is currently a major is currently a major i ssue facedssue faced by honest

4、wby honest work.ork.Recently,I conducted research on tRecently,I conducted research on t his issuehis issue,this,this problproblem onem on some humblesome humble opiopinions.nions.First,the existiFirst,the existi ng public servants duty consumption the maing public servants duty consumption the main

5、 problemsn problems seen from the investigation and reasons,in reseen from the investigation and reasons,in re cent years,cent years,publicpublic servants servants duty consumptiduty consumpti onon caused by tcaused by the abusehe abuses and not as and not a person of integritperson of integrit y,is

6、y,is oneone of the majorof the major problproblems in tems in t he party inhe party in GoverGovernment,itsnment,its operation oroperation order have ader have a negative effectnegative effect on the on the party and Goverparty and Gover nmentnment organs,organs,seriously damaging the imageseriously

7、damaging the image of the party aof the party a nd the Governd the Gover nment,nment,undermining tundermining t he relationshiphe relationship betweebetween party and the masses,effect,n party and the masses,effect,opeopeningning up aup and end economiconomic construction.From I County in rec constr

8、uction.From I County in re cent yearscent years of governaof governancence situation sesituation see,positionse,positions coconsumnsumption iption in the prn the produceoduced of two not phed of two not phe nomenomenon rendering four a features:a inon rendering four a features:a i s positions consum

9、ptis positions consumpti on syon system lost hastem lost has due of bis due of bi ndinding,right is greater tng,right is greater t han rhan rules,aules,and right ind right is greater than mets greater than met hod of phenomenon morehod of phenomenon more highlighighlight;II iht;II is in positis in p

10、ositionsons consumption in the Cameraconsumption in the CameraObscuraObscura operation,operation,using terms,will positions consumptiusing terms,will positions consumpti on ion into hanto has personal consumption,wills personal consumption,will corcorporate points tporate points t o intoo into perso

11、nalpersonal poipoints to,makes positints to,makes positi ons consumption in some aspectons consumption in some aspect s has is has into positinto positions enjoy and self-dealingons enjoy and self-dealing of means;of means;three is to positithree is to positi onsons consumption for name,fraud,false

12、impersonatconsumption for name,fraud,false impersonat or,Trend of negative corruptionor,Trend of negative corruption phephenomenomena such as corruption ana such as corruption a nd mnd misapprisappropriatiopriation;four palaon;four palaces,follces,follow the fashion,rivalries,waow the fashion,rivalr

13、ies,wa steful,and post consumption became a symbol of showisteful,and post consumption became a symbol of showing off their individual capacities.Cang off their individual capacities.Ca usedused by public servants duty consumption of many two phenomenon in wby public servants duty consumption of man

14、y two phenomenon in which pehich peoplople reflect thee reflect the biggest problems arebiggest problems are:(a)the official car pr:(a)the official car pr oblems.Mainly in three aoblems.Mainly in three a spespects:cts:one ione is the larger buses the larger buse s cost expenditure.Accordis cost expe

15、nditure.Accordi ngng to statistics,until November 2003,XX County townshito statistics,until November 2003,XX County township Departmep Department bus 159 cars,wnt bus 159 cars,w hich dehich department owpartment owns tns the bus 145 vehe bus 145 vehiclehicles,and showes,and showe d an id an increanc

16、reasing trend.Fising trend.Fi nancial expenancial expensesnses cost per bus per year to 35,000 yuacost per bus per year to 35,000 yua n,and in fact everyn,and in fact every cost up to 50,000 ycost up to 50,000 y uan.Suan.Some units also hiring temporary drivers aome units also hiring temporary drive

17、rs a nd exnd expenditurependiture on wages aon wages andnd subsidiesubsidies.Neces.Necessary to keep assary to keep a car,but also decar,but also de pependandants,leadints,leadi ng to larger expeng to larger expe nses.Second,gongnses.Second,gong chechesiyongsiyong breedbreed unhealthy tendeunhealthy

18、 tende ncies.Some people belincies.Some people beli eve that now someeve that now some bus driversbus drivers use oneuse one-third,one-t-third,one-t hird leading privatehird leading private oneone-third-third useused for official purposes.Some publid for official purposes.Some publi c servac servant

19、s,especiants,especially leadilly leading officials motng officials mot oring,oring,cars for private purposes,vicars for private purposes,vi olating tolating t he self-disciplihe self-discipli ne regulatine regulations,and even leaons,and even lea d to traffic accid to traffic acci dentdents.Accordis

20、.According to statisting to statisti cs from related decs from related de partments,partments,since 2004,thesince 2004,the correcorrect investigation in our County serves nect investigation in our County serves ne arly 30 cars forarly 30 cars for private purprivate purposes,poses,only the first half

21、 of thionly the first half of thi s year,cars for private purposess year,cars for private purposes oror临床科室医院感染管理质控标准临床科室医院感染管理质控标准(200(200 分分)项目组织管理制度落实（15 分）考核标准及内容1、建立临床科室医院感染管理小组,小组成员包括：科主任、护士长、监控医生（主治或主治医生以上）、监控护士（护师或护师以上)；每个病区必须有 1 名监控医生和监控护士；小组成员不在岗 3 个月以上应更换人员，并上报院感科2、科室医院感染管理小组人员履行工作职责,做好院感

22、科反馈问题整改,针对本科室专业特点，开展医院感染防控工作。对本科室存在的问题进行讨论、分析及持续改进，并有记录。3、医务人员掌握本科室感染管理制度，能准确回答院感相关问题。4、院感相关资料齐全，包括:院感期刊、院感学习记录、发放的院感资料等教育培训（20 分）1、全院性培训应按院感科要求安排医务人员参加，并将培训内容传达科室每一位医务人员。5科室未派人参加培训扣当月科室院感质控分，人员未到 1 人次扣 1 分、迟到1030 分钟，一人扣 2 分。2、听课人员须签到,禁止多签和代签。3、新职工岗前培训不得少于 3 学时，在职医务人员每年不少于 4 学时。4、科室组织培训每季度一次.555多签或代

23、签 1 人次扣 1 分未参加培训扣 5 分科室培训缺 1 次扣 2 分，学习记录不真424反馈问题未整改扣 2 分至少每季度一次讨论、分析、改进会议,未进行讨论、分析及改进扣 2 分不能准确回答，1 人次扣 2 分资料缺 1 项扣 2 分分值4扣分标准小组成员不符合要求扣 4 分扣分原因得分医院感染监测1、发现医院感染流行或暴发趋势、新发特殊感染病例应立即上报院感科,5(20）2、出现泛耐药菌感染病例时,立即上报院感科。3 天内补报。科室医院感染率应8、漏报率15%、清洁手术切口感33、医院感染病例确诊 24 小时内上报,项目齐全；接到漏报病例反馈表后，5实扣 2 分迟报或瞒报扣除当月所有院感

24、质控分。未报告 1 例扣 3 分漏报 1 份扣 5 分,错报 1 份扣 5 分，监控指标每上升 0。5%扣 5 分.可以倒leaders drivileaders driving a vehing a vehicle acle acciccidentdent caused by rcaused by road aoad acciccidents,dents,1,1 people killed1,1 people killed andand direct edirect economiconomic losses amountic losses amounti ng to more than 1

25、00,000 yng to more than 100,000 y uan.Thiruan.Third,higd,high efficiency and lowh efficiency and low costcost of the bus.Surveyof the bus.Survey s show that,ts show that,t he operating costshe operating costs of taxis for the 8200/.Is a fundameof taxis for the 8200/.Is a fundame ntal printal priorit

26、y of the reform,it is a difficult prority of the reform,it is a difficult pr oblem toblem that must behat must be solvesolved in the reformd in the reform proceprocess.ss.Clearly,the post consumptiClearly,the post consumpti on averages ton averages three yearshree years before as abefore as a base a

27、base and finend fine-tuned-tuned on the basion the basis of thiss of this singlesingle practipractices mustces must be improvebe improve d.Imd.Improvements tprovements to adhere to thro adhere to thr ee priee princinciples:first,under the existiples:first,under the existi ng polng policy pricy provi

28、siovisions aons apprpproveoved for publicd for public servants duty consumptiservants duty consumpti on staon standarndards,calds,calibration,isibration,is not contrary tonot contrary to polipolicy.Secy.Second,acond,accordiccording to the lng to the local fiocal financial situatinancial situation ao

29、n andnd peoplespeoples sustaisustainability,nability,public servants duty consumption standards approved,botpublic servants duty consumption standards approved,both financial reah financial rea ch,ach,andnd people papeople passissing through.Tng through.T hird,ahird,accordiccording to theng to the o

30、perationaoperational neel needs of civds of civil servantil servants responsibls responsibl e for authorizee for authorize d publicd public servants servants duty consumptiduty consumpti on staon standarndards,ds,bothboth high ahigh and lnd low positiow positions,ons,but albut also the natureso the

31、nature of the work aof the work a nd tnd the worklhe workload.oad.In reform of method ShaIn reform of method Sha ng,approveng,approved civild civil servantsservants positions consumptipositions consumpti on staon standard tndard to big unified,ao big unified,a nd small dind small di spersespersed su

32、itad suita ble,that mble,that m ost positionsost positions consumpticonsumptionon projeproject should act should a ccorccording toding to polipolicy prcy providesovides proposed unified staproposed unified sta ndarndard,consider to rad,consider to ra nks,anks,and units and units and the work tasknd

33、the work task of differencesof differences sex,unified of standardsex,unified of standard shoulshould has eld has elasticastic of andof and dynamicdynamic of,makes regions,and unitof,makes regions,and unit s in impls in implementatementat ion unified staion unified standarndard Shi had Shi has must

34、of flexibls must of flexibl e disposal right;e disposal right;but sibut sincence set of standard must after financialset of standard must after financial,and audit,se,and audit,se ctor audit approvedctor audit approved Hou to implemeHou to impleme ntation.(C)reform package.Publintation.(C)reform pac

35、kage.Publi c servac servants dutynts dutyconsumpticonsumption elaon elasticity of consumptisticity of consumpti on to limit consumption to limit consumpti on,ton,turniurning mess intng mess int o kitcheo kitchen after dinner,folln after dinner,follow the civil servant with aow the civil servant with

36、 a how thow to useo use personal title subsidiepersonal title subsidie s,or how to mas,or how to ma nage a personal dutynage a personal duty consumconsumptionption useuse of subsidieof subsidies.Therefore,we must estas.Therefore,we must esta blish and perfect witblish and perfect wit h publih public

37、 servantc servants duty consums duty consum ption mption monetizationetization reform support of the series of goveron reform support of the series of gover nance systemsnance systems such as the civil service examinatisuch as the civil service examinati onon of responsiof responsibilitbility,system

38、,low fault iy,system,low fault i nvestigation system,the renvestigation system,the re port saiport said.Whiled.While other measures to keeother measures to kee p up.p up.DiscipliDiscipline inspene inspection and supervisiction and supervisi onon organs,financial,auditing departmentsorgans,financial,

39、auditing departmentsshoulshould strengthen supervid strengthen supervi sion and inspesion and inspe ctionction of public servants duty consumption monetization reform progress,to strengtof public servants duty consumption monetization reform progress,to strengthen then the reform of public servants

40、duty consumption monetization system,measurehe reform of public servants duty consumption monetization system,measures to devels to develop aop and mnd monitor tonitor the implemehe impleme ntationntation of inspectiof inspection,on,not consumption as renot consumption as re quirequired,evend,even s

41、hiftingshifting consumerconsumer behavibehavior to stop,serior to stop,seri ous caseous cases to deals to deal with.Twith.Three idehree ideas,publias,public servac servants dutynts duty consumconsumption mption monetizationetization reform of politics,the eon reform of politics,the e conomy and the

42、deepeconomy and the deepe ningning of the reform,puof the reform,pu blicblic servants servants duty consumptiduty consumpti on ason as somewsomewhere betwhere between a reform also demeen a reform also dem onstrated its importaonstrated its importa nce andnce and urgency.Firurgency.First of all,civi

43、l servants est of all,civil servants e spespecially party acially party a nd Governmend Governme nt leaders ant leaders andnd public servants duty consumption there arepublic servants duty consumption there arebig drawbig drawbacks.NPC debacks.NPC deputieputies and CPPCC members as and CPPCC members

44、 a nd the broand the broad massed masses are concernes are concerne d about.Sed about.Secondlcondly,they,thepositiposition-relatedon-related consumconsumption of civil servantsption of civil servants has been swept by fihas been swept by fi nance,consumer,regardless of cost,extravagance anance,consu

45、mer,regardless of cost,extravagance a nd wnd waste in the civilaste in the civil service position-relateservice position-relate d consumptid consumpti on,aon,abuse,corruptibuse,corrupti on aon andnd embezzlement,embezzlement,corruption is important.Tcorruption is important.T hen,under the conditihen

46、,under the conditi ons of market economy,ons of market economy,how to reform the existing civilhow to reform the existing civilduty consumptiduty consumpti on maon management,explores anagement,explores a source tosource to prevent aprevent andnd curb tcurb the post consumptihe post consumpti onon c

47、orruption way,icorruption way,is currently a major is currently a major i ssue facedssue faced by honest wby honest work.ork.Recently,I conducted research on tRecently,I conducted research on t his issuehis issue,this,this problproblem onem on some humblesome humble opiopinions.nions.First,the exist

48、iFirst,the existi ng public servants duty consumption the maing public servants duty consumption the main problemsn problems seen from the investigation and reasons,in reseen from the investigation and reasons,in recent years,cent years,publicpublic servants servants duty consumptiduty consumpti ono

49、n caused by tcaused by the abusehe abuses and not as and not a person of integritperson of integrit y,isy,is oneone of the majorof the major problproblems in tems in t he party inhe party in GoverGovernment,itsnment,its operation oroperation order have ader have a negative effectnegative effect on t

50、he on the party and Goverparty and Gover nmentnment organs,organs,seriously damaging the imageseriously damaging the imageof the party aof the party a nd the Governd the Gover nment,nment,undermining tundermining t he relationshiphe relationship betweebetween party and the masses,effect,n party and