Fujian: It should be controlled within 12 days that the tertiary hospital is average in hospital on days
Fujian: It should be controlled within 12 days that the tertiary hospital is average in hospital on days
Southeast the bulletin news ' Reporter Chen YiPing) For shorten, in hospital day equally effectively, tertiary average hospital number should be limited to 12 days in hospital in the future. The department of public health of the province made" Fujian provincial hospital will appraise the main point in 2010 " recently, and announced to the whole province yesterday, in order to accept citizens supervise. The one that merited attention is, the department of public health of the province proposes clearly, carry out the operation to verify safely strictly, the preventing operation patient, operation position and skill type makes a mistake. Meanwhile, when " main point " still requires the patient to leave hospital, closing waiting time can't exceed 10 minutes. Forbid the medical worker Take " covert payment " , " commission " Carry out national medicines, medical consumptive material pricing policy and medical service price project expenses standard strictly, it is forbidden to set up charging item except national regulation without authorization, forbid decomposing the project, charging and charging repeatedly in the light of the project, especially strengthen the charge guarding ward and operating room to the serious disease to supervise. Content storehouse except carry out strictly the intersection of Fujian Province and medical the intersection of service price and the intersection of database and code, every " " China does not have relation " The project code " ,hospital information system can't carry on relation charge. Disclose charging item and standard to the society. Pass many ways, such as electronic touch-sensitive screen, electronic display screen, announcement column, price-list,etc. in the prominent position, price and normal medical service item price, daily medicines and price of the main medical consumptive material of health authority of announcement. Rigorously enforce the list system on day of the execution cost, provide the statement of expense made in unison by the department of public health of the province for patient. When the patient leaves hospital, offer in hospital the expenses gather the list. Launch the medical service charge and check oneself correcting, go on to the charge situation checking and notifying in inside every quarter, inspection result and medical ethics are checked and rated and combined together, deal with the haphazard charging act strictly. Forbid the medical worker to take " The covert payment " , " commission " . Medical worker's income can't be linked with the medical service charge directly. Forbid the hospital to assign the index of creating income to department or individual. Ban the department and hire out the unlawful practice of contracting, holding and deducting a percentage only etc. firmly. The ��-Ultrasound room will dispose the reader hospital of two generations of ID cards and dispose the second generation of ID card to verify the reader in the gynaecology and obstetrics, ��-Ultrasound room, record the file in order to set up. Implement and stop the gestation operation, real name that gave birth in hospital to check with the pregnancy period supersound registering and born in the reporting system of the death. Install the electronic watch-dog in outdoor Ultrasonography B of medical organization above county level. Launch newborn child's illness and sift checking according to the regulation. Launch neonate suffocate, recover, train regularly, guarantee each neonate born scene have one grasp neonate, suffocate, recover the intersection of hygiene and present technical staff. The tertiary hospital is average in hospital on days can't exceed 12 days In order to standardize the behavior of making a diagnosis, shorten average in hospital day, control the medical expenses, " the main point " stipulate every hospital must shorten, in hospital day equally, tertiary average hospital number should be limited to 12 days in hospital. Every medical organization should arrange at the service window of the clinic in elasticity according to the out patient's quantity, the window of registering, drawing prices, charging, getting it filled, collecting blood, checking and examining etc. should implement the dynamic daily schedule, will lengthen the clinic if necessary and register the time of making a diagnosis; Can offer the simple and easy clinic service to the simple subsequent visit patient; The main department of tertiary hospital should implement the open clinic (namely open clinic on weekend and festivals or holidays) of the whole year according to out patient's situation ,Open clinic,etc. at night. Leaving hospital and settling account to wait for be unable to exceed 10 minutes Should have special messengers who protect and is seen to critical patient and patient having difficulty getting about off and admitted to hospital, go through formalities of leaving hospital in time, leave hospital and close waiting time and does not exceed 10 minutes. Emergency call should offer service facilities such as the seat, drinking water, wheelchair,etc. to patient on the door. Offer to patient, go to a doctor consultation, lead the intersection of person who examine and handy service for the people also, public place put up the decorum term, carry out one, examine responsibility system and ask for the first time strictly ' Tell) Responsibility system. Improve a patient and complain that handles the system, accept, deal with patient's appeal in time. Establish the police service room to cooperate with the medical dispute to be mediated in medical safety management, every hospital of our province will carry out and check the system strictly, will discern patient's identity accurately; Carry out the procedure communicating effectively among medical worker in special circumstances strictly, carry out the doctor's order correctly; Carry out the operation to verify safely strictly, the preventing operation patient, operation position and skill type makes a mistake; Carry out the operation hygiene norm strictly, implement the hospital and infect the basic demand that is controlled; Improve and use medicine safely; It is clinical to set up " The critical value " Reporting system; Take precautions against and reduce the patient falls, accidental events such as the bed,etc. of falling happen; Take precautions against and reduce patients and press the sore and take place; Report safe medical treatment voluntarily ' Bad) Incident. In addition, every hospital will also set up great medical negligent act and malpractice to take precautions against and handle the prediction scheme, set up the early warning mechanism of medical risk, reporting in time, analysis, dealing with great medical negligent act and malpractice. According to health authority's request, establish police service room and doctors and patients' dispute to mediate the room, participate in the medical liability insurance actively, and cooperate with the medical dispute to be mediated and organized doing relevant jobs well actively. Unreasonable to use medicine department and doctor should register and notify every hospital of the whole province must make clinical supervision, guidance, evaluation system and measure of using medicine rationally, especially antibacterial medicine, malignant tumour assist the therapeutic medicine etc.; Medicine thing administrative department and medical quality administrative department of the hospital appraise rational administration at least every quarter, register and notify to unreasonable department and doctor which use the medicine, are notified department and doctor should rectify and improve and feedback in time; Should get in touch department, doctor's administration situation and department's performance, examine and check and rate and combine together with medical worker's medical ethics with the doctor regularly. New agricultural catalogue of using medicine jointly and project catalogue of making a diagnosis, control the use of medicines, high value consumptive material and costly medicines outside the catalogue strictly. Set up the quality of blood transfusion and control the system in the whole journey, grasp indication of blood transfusion strictly, science, using the blood rationally. Carry out the technological operation regulation of blood transfusion, the scheme of making, controlling blood transfusion to infect strictly, improve blood transfusion reacts and blood transfusion is infected with in the registration, report and investigation system of disease.
|
No comments:
Post a Comment