患者身份识别制度.docVIP

文件名称

Document

文件类别：制度

Documentcategory：Policy

文件编号：

YL-AZ-0001-001

Documentnumber:

YL-AZ-0001-001

患者身份识别制度

PatientIdentificationPolicy

责任部门：医疗部

Responsibledepartment：DepartmentofMedicalServices

首发日期：2014-10-28

Dateestablished：2014-10-28

附件：0个共0页

Appendix：0(0page)

新订日期：2014-10-28

Daterevised：2014-10-28

版本：第1版,6页

VersionVer.1(6pages)

1.标准(Standard)

医院建立和落实制度，以改善病人身份识别的正确性。Thehospitalshouldestablishandimplementthesystemwhichimprovesthecorrectnessofpatientidentification.

2.目的(Purposes)

2.1容易发生病人身份识别错误的情况：包含使用镇静剂、精神错乱、非完全清醒、昏迷、在院内转床、转病房或换位置、失聪、失明、忘记自己身份。Patientsmaybesedated,disoriented,notfullyalert,orcomatose;maychangebeds,rooms,orlocationswithinthehospital;mayhavesensorydisabilities;maynotremembertheiridentity;ormaybesubjecttoothersituationsthatmayleadtoerrorsincorrectidentification.

2.2病人身份识别的目的Thepurposeofpatientidentification

2.2.1可靠的身份识别欲进行医疗服务或处置的病人；Toreliablyidentifythepatientwhowillbetreatedwithmedicaltherapies.

2.2.2医疗服务或处置与此人相符。Themedicalserviceortreatmentiswhatthepatientshouldreceive.

3.范围(Scope)

病人接受处置或治疗时必须进行身份识别，包含：Thepatientreceivingtreatmentortherapyshouldbeidentified,including:

3.1医疗处置包含给药、输血、饮食治疗、放射治疗、手术等。Allofthemedicaltreatments,includingadministeringmedications,blood,orbloodproducts;servingarestricteddiettray;orprovidingradiationtherapyandsurgery.

3.2程序包含置放静脉通道、血液透析等。Theprocedures,suchasinsertionofanintravenouslineorhemodialysis.

3.3诊断程序包含采血、采集标本、执行心导管、放射诊断等。Thediagnosticprocedures,suchastakingbloodandotherspecimensforclinicaltesting,orperformingacardiaccatheterizationordiagnosticradiologyprocedure.

4.定义(Definition)

4.1医疗处置：包含给药、输血、饮食治疗、放射治疗、手术等。Medicaltreatment:administeringmedications,blood,orbloodproducts;servingarestricteddiettray;orprovidingradiationtherapyandsurgery.

4.2程序：包含置放静脉通道(CVC，DoubleLumen，PICC，Hickman)、血液透析等。procedures:includingin