宁洱县人民医院诊疗技术资格许可授权考评领导小组及管理办法 下载本文

In 2016 County Economic workshop Shang of speech comrade are: this county economic workshop of main task is, full implement implementation Central, and provincial, and municipal economic workshop and province party main leaders seminar spirit, recalled summary results, analysis judge situation, arrangements deployment new annual focus work task, mobilization County upper and lower further grasp new normal, implementation new concept, temper new style, show new as, struggled to advance County economic social transformation upgrade science development. Following, told four a aspects ofproblem: a, and full certainly results, effective firm transformation upgrade of confidence and determination 2015, face macroeconomic down pressure continued increased of severe situation and difficult heavy of reform development task, County upper and lower tight at Central and provinces series major decision deployment, firmly grasp stability in the seeking into total tone, activeadapted economic development new normal, focused focus field, full work storming, County economic social development rendering out contrarian to good, and stability in the has into, and more points breakthrough, and Overall a good trend. One is closely linked to the transformation and upgrading of the global, comprehensive economic power significantly. Accurately gauge the macro situation and based on real comprehensive plan, strongly promote the sustained and healthy development of economy and society. Project support capacity increased significantly. Adhere to the inside and outside simultaneously, build, implementation of national and provincial investment of 625 million Yuan, for State one or two, three, four or five specific bond funds and local replacement bond funds of 554 million Yuan, for the starting year of key construction projects has laid a solid foundation. In particular the national circular economy demonstration counties and .two State-level pilot project ofecological demonstration County project platforms settled in jingchuan, Zhu Jia Jian construction of the reservoir began, handicap reservoirs, Liu Lihe reservoir preparat4ion work goes well, take solid steps for comprehensive utilization of water resources; city gas station to speed up implementation of the project, I became the County's first West-East gas pipeline project in the surrounding area benefit from the County, major projects supported increased significantly. Overall well-off society constantly consolidate 254the basis. Battle victory industrial development as the primary task of the well-off, fruit production suitable for full coverage of the target will be realized, vegetable industry development area extending, farming aquaculture changes the momentum of the show, \se + base + farmers\hey gradually introduced measures significantly strengthen standardized management, industry constantly consolidate the basis and enriching. Investment attraction results continue to expand. Adhere to the soft environment of excellence and improve the environment are equally宁洱县人民医院诊疗技术资格许可授权

考评领导小组及管理办法

为规范诊疗技术的管理,加强医疗技术和人员资质的准入;减少安全隐患,提高医疗质量。降低医疗风险,保障患者医疗安全。根据《中华人民共和国执业医师法》、《医疗技术临床应用管理办法》、《医院工作制度与人员岗位职责》等法律法规,结合医院实际情况,特制定此制度。

一、组织领导: 成立医院资格许可授权考评领导小组,由院长任组长,副院长和医务科长任副组长,临床科室主任为组员的领导小组。

组 长:副组长:

高宇

欧阳立菊 李晶 范云

组 员: 郭峰 詹世斌 韦林 李琼芬 赵俊勇 李克 袁建忠 张文明 自天来 罗顺强 曾克聪 陈寅玲 王琼

资格许可授权考评领导小组下设医疗质量与安全管理委员会,负责全院诊疗技术项目的资质准入审批与管理,办公室设在医务科。

二、诊疗技术资格许可授权领导小组职责

1、依据法律法规和规章制度,从确保医疗质量与医患安全出发,认真分析所评诊疗项目内容,全面权衡全院设施

In 2016 County Economic workshop Shang of speech comrade are: this county economic workshop of main task is, full implement implementation Central, and provincial, and municipal economic workshop and province party main leaders seminar spirit, recalled summary results, analysis judge situation, arrangements deployment new annual focus work task, mobilization County upper and lower further grasp new normal, implementation new concept, temper new style, show new as, struggled to advance County economic social transformation upgrade science development. Following, told four a aspects of problem: a, and full certainly results, effective firm transformation upgrade of confidence and determination 2015, face macroeconomic down pressure continued increased of severe situation and difficult heavy of reform development task, County upper and lower tight at Central and provinces series major decision deployment, firmly grasp stability in the seeking into total tone, activeadapted economic development new normal, focused focus field, full work storming, County economic social development rendering out contrarian to good, and stability in the has into, and more points breakthrough, and Overall a good trend. One is closely linked to the transformation and upgrading of the global, comprehensive economic power significantly. Accurately gauge the macro situation and based on real comprehensive plan, strongly promote the sustained and healthy development of economy and society. Project support capacity increased significantly. Adhere to the inside and outside simultaneously, build, implementation of national and provincial investment of 625 million Yuan, for State one or two, three, four or five specific bond funds and local replacement bond funds of 554 million Yuan, for the starting year of key construction projects has laid a solid foundation. In particular the national circular economy demonstration counties and .two State-level pilot project ofecological demonstration County project platforms settled in jingchuan, Zhu Jia Jian construction of the reservoir began, handicap reservoirs, Liu Lihe reservoir preparat4ion work goes well, take solid steps for comprehensive utilization of water resources; city gas station to speed up implementation of the project, I became the County's first West-East gas pipeline project in the surrounding area benefit from the County, major projects supported increased significantly. Overall well-off society constantly consolidate 254the basis. Battle victory industrial development as the primary task of the well-off, fruit production suitable for full coverage of the target will be realized, vegetable industry development area extending, farming aquaculture changes the momentum of the show, \se + base + farmers\hey gradually introduced measures significantly strengthen standardized management, industry constantly consolidate the basis and enriching. Investment attraction results continue to expand. Adhere to the soft environment of excellence and improve the environment are equally条件,能否开展。

2、负责制定诊疗技术项目资格考评标准及复评标准,对考评结果有异议的应由医务科重新抽取专家进行复评,对复评仍有异议者,提交医院质量与安全管理委员会集体讨论。

3、对各科室推荐或选评的医务人员进行全面评估,履行相关考核流程,从工作业绩、医德医风、技术操作等方面进行综合评定;合格后予以从事诊疗技术项目的授权许可,并报医务科备案。

4、对那些开展已终止或中止的诊疗技术项目的技术人员,予以取消授权许可并备案;待重新认定开展后,重新履行授权许可程序,获得授权许可后方可继续开展。

5、定期监督所授权人员开展诊疗技术项目的情况,对于不具备技术能力的人员,予以及时停止授权许可报医务科备案。

6、实施每年一次再授权管理制度,对所授权人员实施分级管理制度。合格人员予以晋级,不合格人员予以降级或停止授权;相关资料报医务科备案。

7、因原则不强,徇私舞弊等未能规范履行授权许可考评制度,导致诊疗技术项目无法正常实施或损害医院及患者利益的,予以取消考评人员资质及授权人员资质,同时按照医院相关规定予以处理;涉及相关法律责任的由当事人自行

In 2016 County Economic workshop Shang of speech comrade are: this county economic workshop of main task is, full implement implementation Central, and provincial, and municipal economic workshop and province party main leaders seminar spirit, recalled summary results, analysis judge situation, arrangements deployment new annual focus work task, mobilization County upper and lower further grasp new normal, implementation new concept, temper new style, show new as, struggled to advance County economic social transformation upgrade science development. Following, told four a aspects of problem: a, and full certainly results, effective firm transformation upgrade of confidence and determination 2015, face macroeconomic down pressure continued increased of severe situation and difficult heavy of reform development task, County upper and lower tight at Central and provinces series major decision deployment, firmly grasp stability in the seeking into total tone, activeadapted economic development new normal, focused focus field, full work storming, County economic social development rendering out contrarian to good, and stability in the has into, and more points breakthrough, and Overall a good trend. One is closely linked to the transformation and upgrading of the global, comprehensive economic power significantly. Accurately gauge the macro situation and based on real comprehensive plan, strongly promote the sustained and healthy development of economy and society. Project support capacity increased significantly. Adhere to the inside and outside simultaneously, build, implementation of national and provincial investment of 625 million Yuan, for State one or two, three, four or five specific bond funds and local replacement bond funds of 554 million Yuan, for the starting year of key construction projects has laid a solid foundation. In particular the national circular economy demonstration counties and .two State-level pilot project ofecological demonstration County project platforms settled in jingchuan, Zhu Jia Jian construction of the reservoir began, handicap reservoirs, Liu Lihe reservoir preparat4ion work goes well, take solid steps for comprehensive utilization of water resources; city gas station to speed up implementation of the project, I became the County's first West-East gas pipeline project in the surrounding area benefit from the County, major projects supported increased significantly. Overall well-off society constantly consolidate 254the basis. Battle victory industrial development as the primary task of the well-off, fruit production suitable for full coverage of the target will be realized, vegetable industry development area extending, farming aquaculture changes the momentum of the show, \se + base + farmers\hey gradually introduced measures significantly strengthen standardized management, industry constantly consolidate the basis and enriching. Investment attraction results continue to expand. Adhere to the soft environment of excellence and improve the environment are equally承担。

三、管理办法:医疗技术分为普通有创诊疗技术和高风险诊疗技术。

㈠、普通有创诊疗操作技术资质审批,普通有创诊疗操作技术指临床常用低风险、操作简单、安全的有创操作。如导尿、胃肠减压、骨髓穿刺、浅表组织活检、B超引导下诊疗性腹穿、胸穿,外周血管穿刺,清创等。取得执业医师资格的医师,在上级医师指导下成功完成一定例数的操作后,经所在科室推荐,医务科和医疗质量与安全管委会审批后予以资质准入。凡在医院学习的实习生、进修生均不得开展普通有创诊疗操作。

㈡、高风险诊疗技术资质审批。

1、各科根据本专业有创诊疗操作技术的复杂性、难度和风险,列出高风险诊疗技术目录,报医务科审核,科室根据学科发展和技术变化,对目录进行定期更新。

2、各专业根据高风险诊疗操作过程的复杂性和技术的难度要求按项目进行资质准入,高风险诊疗操作技术分专业设置准入标准,取得主治医师职称方可提出最低难度的高风险诊疗操作技术项目的准入资质申请;大多项目要求副主任及以上职称方可申请准入资格,申请前必须完成15例以上的一助,和在上级医师或有经验医师指导下成功施行5例;根据相应项目考核达到一定的技术水平,科室同意上报医务