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1***医院传染病管理报告制度、职责及流程2目录一、传染病管理报告制度公共卫生科工作制度················································4传染病疫情管理制度················································6传染病疫情报告制度················································7传染病疫情报告流程················································9传染病疫情报告卡工作流程图········································10传染病疫情信息网络直报制度········································11传染病登记核对自查制度············································13传染病疫情自查制度················································14传染病漏报检查制度················································15违反传染病防治法责任追究制度······································16传染病疫情报告奖惩制度············································17重大传染病误报责任追究制度········································18传染病法规知识培训制度············································19医院门诊日志登记规范··············································19门诊医生传染病疫情报告制度········································20住院病人传染病疫情报告制度········································21检验科疫情管理和报告制度··········································22传染病病例登记和转诊制度··········································23突发公共卫生事件管理制度··········································24传染病预检分诊制度················································26疾病报告管理信息系统安全管理规定··································27艾滋病疫情报告规范················································28结核病登记报告、转诊管理制度······································30二、各种职责公共卫生科职责·················································31传染病疫情管理领导小组职责··················323公共卫生科科长职责··············································33传染病管理人员工作职责········································34健康教育工作人员职责··········································35预防接种室工作人员职责·········································35传染病疫情网络直报员工作职责···································36腹泻门诊工作人员职责·············································38发热门诊医师工作职责·············································39三、各种流程预检分诊流程·····················································40传染病就诊转诊流程···············································41传染病报告卡传递流程·············································42突发公共卫生事件报告信息传递流程·······························43传染病诊断会诊工作流程···········································44死亡病例传染病排查工作流程······································45感染疾病科呼吸道感染诊疗流程····································46感染疾病科发热患者诊治流程·····································47发热病人就诊流程··················································48感染疾病科肠道疾病诊疗流程·····································49感染性疾病病人就诊流程···········································50传染病等异常事件处理流程·········································51手足口病就诊流程·················································52附：中华人民共和国传染病报告卡··································534公共卫生科工作制度1、做好传染病防治的各项工作，严格按照《传染病防治法》、《突发公共卫生事件与传染病疫情监测信息报告管理办法》相关要求开展传染病疫情监测及突发公共卫生事件的登记与报告工作，确保网络直报系统灵敏畅通。2、根据国家有关法规和条例，建立和健全医院疫情管理和报告制度突发公共卫生事件管理制度，组织制定各项疾病预防工作计划，并组织实施。3、每年组织传染病防治法律法规，传染病防治知识和技能的培训。4、做好医院传染病疫情管理和报告工作，负责全院传染病报告卡的接收、审核、上报、订正（查重）工作，定期检查、指导和督促各科室做好医院疫情管理和报告以及死亡病例报告工作。5、每天及时审卡填报内容，保证内容完整；对甲类和按甲类管理的传染病以及某些特殊病例可及时对病人进行调查，在不能排除的情况下，及时向疾病预防控制机构和本院领导报告疫情；对于首诊结核病、乙肝及时报卡，多次入院就诊的病人，经过调查，排除重复上报的可能，及时上报。6、每月末查阅全院本月的门诊日志、出入院登记、出院病历、放射科检查结果及检验科检验结果，发现漏报及时补报。7、每月在全院通报上月疫情报告情况（包括疫情动态，迟报、漏报的检查结果，并做出惩罚通告）。8、做好全院疫情报告工作，接到疫情报告卡后按规定时限通过国家5传染病疫情监测信息系统进行网络报告。9、认真做好上级卫生行政部门对医院的疫情管理和报告的检查工作，配合疾病预防控制部门搞好疫情调查和标本采集工作。10、认真做好医院生物安全和实验室管理工作。11、认真完成上级卫生行政部门下达的公共卫生工作任务。12、承担我院新生儿两苗接种的计划免疫工作，不断完善接种室的建设与管理。13、做好死亡报告卡录入工作。6传染病疫情管理制度1、疫情管理人员收到传染病卡并进行审核，对有疑问的卡片或填写不规范的卡片要及时向填写人员查询、核对，准确无误后及时将疫情信息进行网络直报，并做好登记。2、对已报告的传染病卡片，当诊断变更、死亡或误报时要及时做出订正报告，并重新填写传染病报告卡，卡片类别订正项，并注明原报告病名。3、发现本年度内漏报的传染病病例，应及时补报。4、对甲类传染病和按照甲类管理的乙类传染病病人、疑似病人和病原携带者，其他传染病和不明原因的疾病暴发、少见传染病和本地已消除的传染病的报告信息，立即上报院领导和当地疾病控制机构，经疾病控制机构确认后，按照法定时限通过网络报告信息。5、疫情分析资料要及时向主管领导报告，使主管领导及时掌握动态。6、传染病报告记录资料要保存3年，网络直报的疫情信息和相关资料定期导出，制成电子文档双重备份。7、传染病疫情管理相关资料分类归档保存。8、疫情管理人员未经许可，不得转让或泄露信息报告系统操作账号和密码，密码要一个月更换一次。9、对疫情信息资料做好保密工作，不得泄密。7传染病疫情报告制度为了进一步加强传染病疫情报告管理，提高报告的效率和质量，为疾病预防控制提供及时、准确的监测信息，依据《中华人民共和国传染病防治法》等相关法律法规和规章，制定本制度。1、本院为法定传染病责任报告单位，本院执行职务的医务人员均为责任报告人。2、本院执行职务的医务人员，在诊疗过程中发现法定传染病，按要求规范填写传染病报告卡，传染病登记簿，并及时通知疫情报告人员。3、报告病种：甲类传染病：鼠疫、霍乱乙类传染病：传染性非典型肺炎、艾滋病、病毒性肝炎、脊髓灰质炎、人高致病性禽流感、甲型H1N1型流感、麻疹、流行性出血热、狂犬病、流行性乙型脑炎、登革热、炭疽、细菌性和阿米巴性痢疾、肺结核、伤寒和副伤寒、流行脑脊髓膜炎、百日咳、白喉、新生儿破伤风、猩红热、布鲁氏菌病、淋病、梅毒、钩端螺旋体病、血吸虫病、疟疾。丙类传染病：流行性感冒、流行性腮腺炎、风疹、急性出血性结膜炎、麻风病、流行性和地方斑疹伤寒、黑热病、包虫病、丝虫病，除霍乱、细菌性痢疾和阿米巴痢疾、伤寒和副伤寒以外的感染性腹泻病、手足口病。卫生部决定列入乙类、丙类传染病管理的其他传染病。4、由公共卫生科负责全院传染病的收集、审核、上报、订正和查重工作，并定期进行疫情资料分析。5、责任报告人发现甲类传染病和乙类传染病中的肺炭疽、传染性非8典型肺炎、脊髓灰质炎、高致病性禽流感的病人，发现其他传染病和不明原因疾病暴发时，应于2小时内以最快的方式向当地区级疾病预防控制机构报告。对其他乙、丙类传染病病人、疑似病人和病原携带者在诊断后，应于24小时内进行网络报告。其他符合突发公共卫生事件报告标准的传染病暴发疫情，应于2小时内以最快的方式向当地区级疾病预防控制机构报告。6、医院各门诊分别建立传染病登记簿、门诊日志，肠道门诊设立肠道门诊日志，对各类传染病予以详细登记，并填报传染病报告卡，及时上报公共卫生科。临床各科室要建立出入院登记薄，传染病登记簿，对本科所有入院传染病病人进行详细登记，按照规定填卡及时上报。实验室应根据化验结果，对所有传染病或疑似传染病的患者进行疫情报告。7、对报告病人诊断变更、病人死亡或填卡错误时，应及时进行订正报告，卡片类别选择订正项，并注明原报告病名。发现漏报的传染病，应及时补报。8、传染病报告卡应使用钢笔填写，内容完整、准确、规范，字迹清楚。9、本院任何人员不得瞒报、漏报、谎报或授意他人隐瞒、谎报疫情。9传染病疫情报告流程1、门诊诊室、临床科室、检验科、放射科等有关科室接诊传染病患者时，首先进行登记，填写传染病报告卡，然后做好处置工作。2、疫情管理员及时对上报的传染病报告卡，进行核对，对错项、漏项、逻辑错误的及时给予指正。3、责任疫情报告人发现甲类传染病和乙类传染病中的肺炭疽、传染性非典型肺炎、脊髓灰质炎高致病性禽流感的病人或疑似病人时，应立即填卡上报公共卫生科，网络直报员接到报告后以最快的方式向当地疾病预防控制机构报告，当专家组确诊后将传染病报告卡通过网络报告。发现其