神经内2科科室质量安全工作制度.docVIP

神经内Ⅱ科科室质量与安全工作制度 为落实我院医疗核心制度，确保提高我科医疗质量和安全，保证病历书写的内涵质量及医疗指标的完成，特制度神经内科科室质量与安全工作制度。 一、科主任负责医疗质量与安全管理工作，落实“医疗质量与安全管理”内容要求，建立科室质量与安全管理小组，体现全面医疗质量与安全管理，做到医疗质量与安全管理的持续改进。 二、落实医疗质量和医疗安全核心制度（十四项核心制度）。 加强科室病案质量的的监督及管理。 三、监管抗菌药物的使用，定期(按月)评价抗菌药物的使用指标的情况，及时整改不合理抗菌药物的使用。 四、加强科室质量关键过程流程管理（包括单病种及临床路径的管理，输血管理，住院三十天病人的管理，疑难，危重，死亡病人的管理）。 五、加强住院医师的培训，定期考核。 六、每周培训神经病学最新诊疗指南，规范全科诊疗及操作。 七、加强“三基三严”训练，不断提高医护技术质量 八、严格执行新技术，新项目准入管理制度。 九、及时上报科室不良事件，严禁漏报。 十、严格遵守及执行知情告知制度。 十一、落实脑脊液置换二类技术分级管理，神经微创及介入手术分级管理制度,规定各级医师的技术及手术权限。 十二、加强全员质量安全与教育培训，转变质量和安全意识。 神经内Ⅱ科 神经内2科室质量与安全管理小组成员 组长：程谦涛 成员: 蒋苏莉 程冠亮 王焱峰 邵爱燕 淮安市第一人民医院神经内2科科室质量与安全管理小组成员分工图 conferences, learned superiors policies; reports, you can learn to deal with problems, art, just wanted to learn, to learn at any time. To continuously expand the scope of the study. The complexity and comprehensiveness of our work, decided to not only do we want to be professionals, or if generalists, to dabble in different areas of knowledge. Mastery of knowledge not only to have knowledge to rational analysis. This on requirements we, not only to learning national of route, and approach, and policy, also to learning national of legal, and regulations; not only to with political theory armed mind, also to with economic theory guide work; not only to read history, also to read history; not only to absorption SM of mirror, also to gets is of road; not only to from local learn, also to to outside learn; not only to to books learn, also to field study learn. 　　Therefore, I would encourage you, and more to the outside world when I have time to take a look at, take a stroll, outside developments, learn other peoples development approach, and then come back to guide our work. Second, we must think. Learning without thought to overshadow, thinking without learning is perilous. We want to foster the character of advancing with the t