JCI医院评审标准(第四版).pptxVIP

JOINT?COMMISSION?INTERNATIONAL?ACCREDITATION?STANDARDS?FOR?HOSPITALS,?4TH?EDITION 美国医疗机构评审国际联合委员会 （第四版） （2011年1月1日起执行）2021/7/4Section?I:? Patient-Centered?Standards 患者中心标准International?Patient?Safety?Goals?(IPSG)国际患者安全目标Access?to?Care?and?Continuity?of?Care?(ACC)医疗护理途径及连续性Patient?and?Family?Rights?(PFR)患者及其家属权益Assessment?of?Patients?(AOP)患者评估Care?of?Patients?(COP)患者的医疗护理Anesthesia?and?Surgical?Care?(ASC)麻醉及外科医疗护理Medication?Management?and?Use?(MMU)药品管理和使用Patient?and?Family?Education?(PFE) 患者及其家属教育2021/7/4International?Patient?Safety?Goals?(IPSG)国际患者安全目标IPSG.1?Identify?Patients?CorrectlyIPSG.2?Improve?Effective?CommunicationIPSG.3?Improve?the?Safety?of?High-Alert?MedicationsIPSG.4?Ensure?Correct-Site,?Correct-Procedure,?Correct-Patient?SurgeryIPSG.5?Reduce?the?Risk?of?Health?Care–Associated?InfectionsIPSG.6?Reduce?the?Risk?of?Patient?Harm?Resulting?from?Falls 2021/7/4International?Patient?Safety?Goals?(IPSG)国际患者安全目标IPSG.1?正确辨认患者 IPSG.2?有效地改进沟通 IPSG.3?改进高敏感性疗程的安全性IPSG.4?保证正确部位，正确做法，正确患者手术IPSG.5?减少相关医疗风险IPSG.6?减少患者摔倒发生伤害的风险 2021/7/4Access?to?Care?and?Continuity?of?Care?(ACC)医疗护理途径及连续性ACC.1?Patients?are?admitted?to?receive?inpatient?care?or?registered?for?outpatient?services?based?on?their ? identified?health?care ? needs and?the?organization’s?mission?and?resources. ACC.2?The?organization?designs?and?carries?out?processes?to?provide?continuity?of?patient?care?services?in the?organization?and?coordination?among?health?care?practitioners.ACC.3?There?is?a?policy?guiding?the?referral?or?discharge?of?patients. ACC.4?Patients?are?transferred?to?other?organizations?based?on?status?and?the?need?to?meet?their?continuing care?needs. ACC.5?The?process?for?referring,?transferring,?or?discharging?patients,?both?inpatients?and?outpatients, includes?planning?to?meet?the?patients?transportation?needs. 2021/7/4Access?to?Care?and?Continuity?of?Care?(ACC)医疗护理途径及连续性ACC.1?根据患者治疗需求和医院使命及资源，决定患者住院治疗或门诊治疗ACC.2?在医院科室和医护人员间制定并实施相互协调的程序，为患者提供连续的医疗服务ACC.3?指导患者转诊或出院的制度明确ACC.4?根据病情和需要，为让患者得到持续治疗，有患