"Medical management handbook" details of the medical work of the hospital and medical work process related legal interpretation, can help the hospital medical staff, clinicians to better carry out the work, and to know the clinical medical staff according to the law practice. Physicians according to the requirements of collecting medical, physical examination, laboratory to do a detailed record, in the diagnosis of definite patients should be treated or hospitalized for the diagnosis is not clear; the patient should be timely please superior doctors consultation or invite the relevant department physician consultation, after diagnosis is relevant departments to treatment.
The first part of medical management system the first rounds system second section of the first diagnosis responsibility system third section three rounds system section fourth physicians work, shift, the shift system section fifth critically ill shift system sixth day rescue work system in section seventh cases discussion system section eighth medical check system section ninth medical record writing system tenth section of new technology the new project examination and approval system, the eleventh section medical access system in section twelfth outpatient and emergency system of thirteenth day prescription standardized system section fourteenth orders system section fifteenth at admission and discharge system sixteenth section, seventeenth section transfer transfer system of two hospitalized patients, pipe system eighteenth day consultation system nineteenth implementation of the relevant provisions of the diagnosis and treatment of technical operation twentieth operation management the twenty-first section operation system and high risk of invasive operation grading and classification management measures twenty-second day operation system twenty-third section joint prosthesis and endovascular interventional treatment for the management system of the twenty-fourth day intervention operation room management section twenty-fifth anesthesia visiting system twenty-sixth ICU management system of twenty-seventh day clinical transfusion system section twenty-eighth antimicrobial agents Standard clinical use and management of twenty-ninth single disease quality management and control scheme of section thirtieth and section thirty-first of medical quality management assessment system of medical record management system in hospital medical record room thirty-second day thirty-third day hospital complaint handling system in section thirty-fourth medical personnel violations publicity system in section thirty-fifth medical accident prevention and treatment plans for thirty-sixth day medical defect management system and the medical dispute reception, processing system...... The second part medical department work instructions third appendix
The first part of section second of medical management system first diagnosis responsibility (1) first diagnosis responsibility refers to the first doctor (the first doctor) of the patients, especially the system of urgent, critically ill patients, diagnosis, treatment, inspection consultation, transfer, transfer, responsible for the work. (2) according to the requirements of collecting medical physicians, physical examination, laboratory to do a detailed record, in the diagnosis of definite patients should be treated or hospitalized for the diagnosis is not clear; the patient should be timely please superior doctors consultation or invite the relevant department physician consultation, after diagnosis to relevant departments for. (3) in the case of critically ill patients need rescue, the first doctor should first rescue and report to related medical team. The physician, department director should be presided over the rescue work, shall not be any reason to delay and prevarication. (4) for the diagnosis of clear hospitalized acute, critically ill patients, must be admitted, if the conditions needed to transfer, according to the referral system. (5) the admissions of patients, need consultation and referral, the first doctor should write medical records, check and then ask the relevant department consultation or to the diagnosis and treatment of the relevant departments. (6) on the non implementation of first diagnosis responsibility medical errors, accident, medical dispute, the parties according to the relevant provisions of the physician. The third section three rounds system 1 Department Director, director, deputy chief physician rounds system department deputy chief physician rounds 1-2 times a week, should be attending, resident, nurses, physicians, interns and related personnel to participate in. (1) rounds include examine and decide, in critically ill patients with acute, difficult patients and the new hospital diagnosis and treatment planning, decide on the major operation and the special inspection, the new treatment and in full consultation. (2) sample orders, medical records, nursing quality, defects are found, correct mistakes, to guide practice, constantly improve the level of medical. (3) using typical, special medical records, regular teaching, improve the teaching level. (4) for the patients, should ask themselves the treatment situation and the change of disease, understanding of life and the general situation, and the thorough examination. (5) to listen at all levels of doctors, nurses on nursing work and management, propose solutions to problems or suggestions, so as to improve the management of office work.
"Medical management handbook" published by the Zhejiang University press.
Medical Science @ 2017