医疗质量理复习题.doc

沈阳医学院沈洲医院 医疗质量管理相关知识考试复习题 第一部分 医疗核心制度 1、病人首先就诊的科室为首诊科室，接诊医师为首诊医师。首诊医师对患者的检查、诊断、治疗、抢救、转院和转科等工作负责。首诊医师必须详细询问病史，进行体格检查、必要的辅助检查和处理，并认真记录病历。对诊断明确的患者应积极治疗或提出处理意见；对诊断尚未明确的患者应在对症治疗的同时，应及时请上级医师或有关科室医师会诊。建立三级医师治疗体系，实行主任医师（或副主任医师、科主任）、主治医师和住院医师三级医师查房制度。 住院医师对所管患者实行早晚查房讨论内容包括：诊断及其依据；手术适应证；手术方式、要点及注意事项；手术可能发生的危险、意外、并发症及其预防措施；是否履行了手术同意书签字手续（需本院主管医师负责谈话签字）；麻醉方式的选择，手术室的配合要求；术后注意事项，患者思想情况与要求等；检查术前各项准备工作的完成情况。溶媒的选择：部分头孢类抗生素的水溶液在pH值6-7时最稳定，酸性或碱性水溶液中均可加速其水解，葡萄糖注射液pH为3.2～5.5，且葡萄糖是一种具有还原性的糖，选用葡萄糖做溶媒能促进β-内酰胺类抗生素水解，故不宜选用。应选用0.9％氯化钠注射液或复方氯化钠注射液，尽量在短时间(50～60min)内注射完。溶媒量要适量，例如对头孢类药物过敏患者在针对G+选用克林霉素时，说明书有明确规定每600mg用100—200ml；针对G-选用氨曲南时，说明书明确规定每1g至少加入100ml生理盐水或葡萄糖注射液中。 for examination and approval, to return part or all of the loan in advance. 5.8 contract contract specific requirements: first, the borrower and other clients; Second, loan person double charge and other parties signed a contract with the borrower and agent signature of contract; Third, customers signed loan contract, contract of natural person, must be checked and fingerprinted by himself, you may not use personal name instead be signed, shall not authorize others to sign; Four, the pledgor, mortgagor due to special reasons not to sign the contract, may authorize others to sign the contract and retained after the notary notarized power of Attorney (parties abroad, outside the territory of China sent or delivered by a power of attorney shall be certified by the notary public of the country, and certified by the Embassy or Consulate in the country). Agent required to audit mandates are clear, the content is complete (a power of Attorney sample record form five), whether the expiration date within PART_STORE_00102). Rule2 2nd set of goods was moved to the 2nd from the left the cage inside the vehicle Click on smart properties of oriented window screen to the right of [login rule] the period of validity, and audit the original identity card of the authorized person, and keep copies. Contracts sig