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1、医院医疗质量检查通报通 报医院质量检查情况通 报各科室：为全面加强医院医疗质量管理工作，提高医疗质量，保障医疗安全，医务科于年11月27日下午对各科室医疗质量工作进行了督导检查，现将检查情况通报如下：一、检查标准按照医疗质量检查考核标准及评分表进行检查。对各辅检科室、功能科等科室进行了质量检查，检查内容包括科室管理、医疗质量与安全、医疗文书、服务质量等。 二、存在问题1、年11月公共卫生科在xxx院长带领下对各科传染病上报情况进行了督导检查，放射科、CT室、皮肤科门诊病房、小儿科门诊病房、内一科门诊病房均没发现迟报漏报现象，本月收到传染病报告卡：乙类X例（肺结核X例）、丙类X例（腮腺炎X例）、
2、其它X例，共计X例。2、在各辅检科室抽查辅检申请单中发现：X线、CT、MRI、B超、心电图、胃镜等申请单中病史、诊断、申请检查部位无书写或书写不完整，内科、门诊完成较好，外科差。3、现架病历进行督导检查通报如下：五外科：患者姓名住院号病历质量检查情况病历书写人病历质控员XXXXX缺病程X次林林一外科：患者姓名住院号病历质量检查情况病历书写人病历质控员患者姓名住院号病历质量检查情况病历书写人病历质控员科：患者姓名住院号病历质量检查情况病历书写人病历质控员二外科：患者姓名住院号病历质量检查情况病历书写人病历质控员另：二内、三内、儿科、三外、XXXXX科室病历完善较好。4、归档病历抽查检查：截止年1
3、1月27日14时，档案室未收到10月份归档病历如下：（份）科室一内未交数XX归档病历抽查检查发现如下：住院号：0214536 患者姓名：张茂玲 病史陈述者应详细（子女），无病情陈述者签名时间。 病案首页、主治医师、质控医师均未签名。 XXXXXXXXXXXXXXXXXXXXXXXXX。三、整改措施1、持续改进措施及时填写，质控员及时督导完善归档病历。2、认真学习对照医疗文书书写规范完成现架病历。3、下周四检查发现本周检查有这次没完成的病历对照院内规章制度处罚。希望各科室针对存在的问题对号入座，认真整改，医务科将定期检查及不定期抽查，对整改不到位的科室及个人给予通报、处罚。年11月27日结束语！
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