医院医疗风险管理方案(2012年)

各个公司可以自行设计各种单据，并将单据内容与结果列示在“实验过程中使用的表格”中，可以注明单据设计人与单据使用效果。SafetySupervisionBureauoftheparty'smasslineeducationalpracticereformprogramtopromotetheimplementationoftherectification,establishanewsystemtowork,inaccordancewiththerequirementsofthecountyPartycommittee,CountySafetySupervisionBureauleadershipcheckoutthefourwindsthereareproblems,makethefollowingimplementationoftherectificationprogram.First,theguidingideologyandbasicprinciplesof(a)guidethought:theparty'seighteen,theeighteensessionofthesecond,theThirdPlenarySessionofthespiritasaguide,conscientiouslyimplementthespiritofgeneralsecretaryXiJinping'simportantspeechseries,instrictaccordancewiththelookinthemirror,dressup,washbath,curetreatment,thegeneralrequirements,focusonmaintainingtheparty'sadvancednatureandpurity,closelylinkedtothepeopleandpragmaticcleanthemainAndlookinthemirror,dressup,washbath,curetreatment,thegeneralrequirementsoffocustosolvethefourwindsissue,thepriorityamongprioritiesrectificationasfirmlyputthefourwinds,thesystemconstructionisthefundamentalstrategyofthecomprehensivewipeouttherootcause,inordertopromotetheimplementationoftherectificationandtheestablishmentoftheworktoensurethateducationalpracticefromstarttofinish,goodtodogood,credibility,benefitthemasses,promotethesustainedandhealthydevelopmentoftheworkofproductionsafetyscience(two).Basicprinciples:1,adeepunderstandingofthebasicprinciplesofcarryingouttheparty'smasslineeducationalpractice:oneisthecentraladheretopositiveeducation,twoistoinsistoncriticismandselfcriticismThree,adheretothepragmatic,fouristoadheretoguidance,adheretotheleadership.Thefiveis2,combinedwiththeactualworkoftheunit,oneistoadheretotheleadership.Theoneresponsible,startfromthepartyandamemberoftheteamtotakethelead,thefirstchangequickly,reallychangerealchange,undertheaboverate,establishabenchmark.Thetwoistoinsistonfocusingonthefourwinds.Ingeneraltherectificationatthesametime,focusingonremediationfourwindsproblemisnottoletgo,toseizethepeoplemostobjectionable,reflectthemostintensefocusonsolvingaproblem,arenovation,acrucialone.Thethreeistoadherestrictlyfrom铅山精神病医院医疗风险管理方案在医疗行为的全过程中，医疗风险无处不在。医务人员、患者、医院管理人员、患者家属、涉及医疗行为的各类人员都可能成为医疗风险的责任人或受害者。为了避免医疗风险的发生，提高医疗质量，减少医疗纠纷，改善医院管理，特制订我院医疗风险管理规定。一、指导原则医务人员是医疗风险防范的重要责任人，要对可能发生的风险具有预见性，注意发现医疗流程管理中的漏洞和缺陷，关注高风险环节，力求控制。对于不可控风险，要权衡利弊，降低风险。难以避免的风险，一定要向患者交代清楚，征得患者同意后方可实施。二、医疗风险管理制度1、院长是全院医疗风险管理工作的第一责任者，院长承担主管业务的风险管理责任，各科室主任承担所属科室的医疗风险管理责任。2、医院各科室员工均有权，也有义务提出全院、科室和岗位工作中的各种医疗风险隐患，规避、控制、上报风险，提出改进措施，保证医疗工作的安全和质量。3、医院医疗质量与安全管理委员会、科级质量与安全管理小组负责医疗风险管理工作，通过院科两级管理，定期对医疗风险现状调查、选题、设立目标、原因分析、制定对策、组织实施、效果检查和持续改进措施八大步骤开展日常风险管理工作。各个公司可以自行设计各种单据，并将单据内容与结果列示在“实验过程中使用的表格”中，可以注明单据设计人与单据使用效果。SafetySupervisionBureauoftheparty'smasslineeducationalpracticereformprogramtopromotetheimplementationoftherectification,establishanewsystemtowork,inaccordancewiththerequirementsofthecountyPartycommittee,CountySafetySupervisionBureauleadershipcheckoutthefourwindsthereareproblems,makethefollowingimplementationoftherectificationprogram.First,theguidingideologyandbasicprinciplesof(a)guidethought:theparty'seighteen,theeighteensessionofthesecond,theThirdPlenarySessionofthespiritasaguide,conscientiouslyimplementthespiritofgeneralsecretaryXiJinping'simportantspeechseries,instrictaccordancewiththelookinthemirror,dressup,washbath,curetreatment,thegeneralrequirements,focusonmaintainingtheparty'sadvancednatureandpurity,closelylinkedtothepeopleandpragmaticcleanthemainAndlookinthemirror,dressup,washbath,curetreatment,thegeneralrequirementsoffocustosolvethefourwindsissue,thepriorityamongprioritiesrectificationasfirmlyputthefourwinds,thesystemconstructionisthefundamentalstrategyofthecomprehensivewipeouttherootcause,inordertopromotetheimplementationoftherectificationandtheestablishmentoftheworktoensurethateducationalpracticefromstarttofinish,goodtodogood,credibility,benefitthemasses,promotethesustainedandhealthydevelopmentoftheworkofproductionsafetyscience(two).Basicprinciples:1,adeepunderstandingofthebasicprinciplesofcarryingouttheparty'smasslineeducationalpractice:oneisthecentraladheretopositiveeducation,twoistoinsistoncriticismandselfcriticismThree,adheretothepragmatic,fouristoadheretoguidance,adheretotheleadership.Thefiveis2,combinedwiththeactualworkoftheunit,oneistoadheretotheleadership.Theoneresponsible,startfromthepartyandamemberoftheteamtotakethelead,thefirstchangequickly,reallychangerealchange,undertheaboverate,establishabenchmark.Thetwoistoinsistonfocusingonthefourwinds.Ingeneraltherectificationatthesametime,focusingonremediationfourwindsproblemisnottoletgo,toseizethepeoplemostobjectionable,reflectthemostintensefocusonsolvingaproblem,arenovation,acrucialone.Thethreeistoadherestrictlyfrom4、院科两级各质量与安全管理组织认真开展医疗风险管理专项整治活动，每月结合实际工作，对风险因素从发生概率及导致后果的严重性方面进行讨论、分析，并记录在案。5、科级质量与安全管理小组每月进行现有的操作规章、流程指南的学习，避免可预测的医疗风险。6、科级质量与安全管理小组每月一次或一旦发现新的医疗风险因素，即时召开专题会，查找、研讨、分析并寻找有效解决方法。各科可自行解决者自行解决，若需医院协调，则上报至门诊办公室（门诊科室）或医政科（病房科室）。在每月活动中，查找出的风险、隐患，科内首先提出处理意见，并在科内或病区内尽可能广泛地征求员工的意见，选择最优方案落实，并将所采取的措施通报科内。7、院长每半年对医疗质量与安全管理委员会活动记录进行检查，医疗质量与安全管理委员会每季度对科级质量与安全小组活动记录