JCI国际医院管理标准(第四版).ppt

Governance, Leadership, and Direction (GLD)政府、领导和指南 GLD.1 Governance responsibilities and accountabilities are described in bylaws, policies and procedures, or similar documents that guide how they are to be carried out. GLD.2 A senior manager or director is responsible for operating the organization and complying with applicable laws and regulations. GLD.3 The organization’s leaders are identified and are collectively responsible for defining the organization’s mission and creating the plans and policies needed to fulfill the mission. GLD.4 Medical, nursing, and other leaders of clinical services plan and implement an effective organizational structure to support their responsibilities and authority. GLD.5 One or more qualified individuals provide direction for each department or service in the organization. GLD.6 The organization establishes a framework for ethical management that ensures that patient care is provided within business, financial, ethical, and legal norms and that protects patients and their rights. Governance, Leadership, and Direction (GLD)政府、领导和指南 GLD.1 政府责任与职责表述为制度、政策和程序，或明确如何贯彻实施类似文件。 GLD.2 高管或主管对医院运行负责，并遵守适用法律和法规。 GLD.3 医院领导人确定，并集体负责制定医院使命,创建实现使命所需要的规划和政策。 GLD.4 医疗、护理及其他临床服务的领导者计划并执行有效的组织结构，支持其责任和权威。 GLD.5 一个或多个有资质的人员对医院的每个科室或服务提供指导。 GLD.6 保证为患者提供的治疗符合商业、金融、伦理、法律规范，并保护患者和他们的权利。 Facility Management and Safety (FMS)设施管理和安全 FMS.1 The organization complies with relevant laws, regulations, and facility inspection requirements. FMS.2 The organization develops and maintains a written plan(s) describing the processes to manage risks to patients, families, visitors, and staff. FMS.3 One or more qualified individuals oversee the planning and implementation of the program to manage the risks in the care environment. FMS.4 The organization plans and implements a program to provide a safe and secure physical environment. FMS.5 The organization has a plan for the inventory, handling, storage, and use of hazardous materials and the co