《急诊手术管理制度及流程》.docVIP

郧县人民医院 太和郧阳分院 （特）急手术管理制度 急诊收住ICU流程 急危重症抢救质控考核细则 考核内容 扣分标准 院前急救医生应全面询问病史，进行体格检查，查看患者的病历，做出初步诊断 病史询问、体格检查不全，患者诊疗情况未了解，每项扣5分。 院前急救医生及门急诊医生应 认真书写病历，不得漏项。诊断正确. 未书写门诊病历扣5分，漏项扣3分，诊断不正确扣6分。 急会诊应10分钟到位 未按时到达扣5分 需急诊手术的急诊科尽快完成必要的术前检查、配血、术前检查及准备。 未完成每项扣2分 在急诊科抢救的患者，完成必要的监护操作及静脉通道，进行必要的相关检查。 未完成每项扣2分 从急诊科到icu或手术室由急诊科医生、手术医师、护士护送病人。。 有缺陷每人扣5分 Icu患者多系统损害、病情复杂、疑难、危急等应在第一时间举行院内会诊。参加会诊人员应为科主任或主治或主治以上医师。按时到达。 有缺陷每项扣5分 病史采集全面。体格检查全面，病史书写规范，诊断全面、正确。处理及时、科学、有序，不得误诊、漏诊。 有缺陷每项扣5分 icu住院病人，除icu科室查房外，收治科室应每天9:00以前主动查房，查房人员应为科主任或主治或主治以上医师。Icu随时邀请收治科室及相关科室，收治科室及相关科室应随叫随到。 有缺陷每项扣5分 病历书写应当客观、真实、 准确、及时、完整、规范。 有缺陷按《湖北省病历质量考核评分标准（2010）》加倍处罚 麻醉科医生应术前评估病人，选择合适的麻醉方式，术中密切观察、管理病人，术后麻醉医师、手术医师及护士送病人至icu，向icu医师护士交代注意事项 有缺陷每项扣5分 Icu及相关科室应与患者及其家属及时、随时做好沟通，充分告知病情，及时签字。 有缺陷每项扣5分their own conditions to develop the correct road, the maximum to avoid investment risk, gain profit.(three) vigorously promote the brand. To establish brand awareness, awareness of the use of brand, brand value, brand acquisition performance, enhance the competitive strength. Concentrated manpower, careful planning, packaging and publicity of a number of unique, market influence and coverage of the brand, the implementation of key breakthroughs, to enhance the competitive strength, walking business road the competition of alienation and characteristics, the pursuit of stability and development of the market.(four) to promote the integration of resources. To further broaden their horizons, effective integration of resources within the group, the city resources, other industries and regional resources, mutual trust, mutual benefit, seeking win-win principle, in the framework of national policies and regulations, strict inspection and argumentation, legal consultation, examination and approval procedures, strict regulation of economic activities, attract injection the social investment to the industry group, to achieve leveraging the development, ensure that the value of state-owned assets.(five) to strengt