各级医师手术资格准入制度.pdf

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1、学习文档 仅供参考邳州市中医院医师手术资格准入与授权管理制度与程序为明确各级医师手术的权限，加强各级医师的手术管理，确保手术的安全和质量，保障医院医疗质量和医疗安全，根据医疗机构管理条例、中华人民共和国执业医师法，参照有关资料，结合医院实际情况，制定本制度。一、手术分级手术指各类手术介入、腔镜诊疗等有创操作项目。依据其技术难度、复杂性和风险程度，分为四级：甲类手术：手术操作过程复杂，手术技术难度大，高风险的各种手术。乙类手术：手术过程较复杂，手术技术有一定难度，中等风险的各种重大手术。3.二级(丙类)手术：手术过程不复杂，手术技术难度不大低风险的各种中等手术。丁类手术：手术术式简单，手术技术难

2、度低的普通常见小手术。注：介入、腔镜手术根据其技术的复杂性分别列入各类手术中。二、医师分级一住院医师1.低年资：从事住院医师工作3 年以内,或硕士生毕业，从事住院医师 2 年以内者。学习文档 仅供参考2.高年资：从事住院医师工作3 年以上，或硕士生毕业取得执业医师资格，并从事住院医师2 年以上者。博士生从事临床工作一年以上。二主治医师1.低年资：担任主治医师3 年以内，或临床博士生毕业2 年以内者。2.高年资：担任主治医师3 年以上，或临床博士生毕业2 年以上者。三副主任医师1.低年资：担任副主任医师3 年以内，或博士后从事临床工作2 年以上者。2.高年资：担任副主任医师3 年以上者。四主任医

3、师三、医师手术范围一低年资住院医师：在上级医师指导下，可主持一级丁类手术；二高年资住院医师：在熟练掌握一级丁类手术手术的基础上，在上级医师临场指导下可逐步开展二级丙类手术；三低年资主治医师：可主持二级丙类手术，在上级医师临场指导下，逐步开展三级乙类手术；四高年资主治医师：可主持二级丙类及部分三级乙类手术；五低年资副主任医师：可主持三级乙类手术，在上级医师临场指导下，逐步开展四级甲类手术；文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J

4、10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3

5、U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6

6、F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7

7、T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编

8、码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R

9、3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A

10、2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10学习文档 仅供参考六高年资副主任医师：可主持三级乙类手术及部分四级甲类手术，在上级医师临场指导下或根据实际情况可主持新技术、新项目手术及科研项目手术；七主任医师或医院认可的副主任医师：可主持四级甲类手术以及一般新技术、新项目手术或经主管部门批准的高风险科研项目手术；八能担当该级别手术者，可以担当其该级别手术以下等级的手术；原则上不能担当高于该级别的手术。四、手术医师的准入与授

11、权原则医师在依法取得医师执业资格，执业地点注册在邳州市中医院，方有资格进行各类手术。医院按照手术分级分类管理制度，根据医师的技术资质医师、主治医师、副主任医师、主任医师及其实际能力水平，确定该医师所能实施和承担的相应手术级别，授权后方可从事手术操作。手术资格实行动态管理，医务科每年组织一次对医师技术能力的再评价与再授权，再授权必须依照医师实际能力提升而变动，不能仅随职称晋升而变动。五、手术医师资格准入与授权审批一申请条件执业医师单独进行手术前，需在上级医师或具有该项手术资格医师的指导下成功完成该级手术5 例经历，手术操作标准，器械及设备使用熟练，方可提出准入申请。二审批程序申请者向所在科室提出

12、书面申请，填写手术资格准入审批表，由科室医疗质量管理小组对其进行考核，做出综合评价，报医务部审核，经医院学术委员会评审，分管医院审批。文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10

13、T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4

14、 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7

15、N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T1

16、0文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:

17、CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A

18、1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10学习文档 仅供参考医师根据个人技术

19、职称及工作能力提出申请，填写手术医师资格准入审批表附件1，包括一般情况、拟申请的资质等级和手术级别、申请理由包括个人能力、手术级别及手术例次、科室意见、医务科意见、学术委员会意见。申请时间为每年的6 月。科室医疗质量管理小组结合申请者基本情况、实际技术操作水平、围手术期管理、医德医风、患者投诉和纠纷发生情况，初步认定其手术级别，由科室主任签字确认。医务科根据科室意见，结合日常医疗质量检查情况，考核其包括沟通能力、术前准备、手术技能熟练程度、无菌操作、手术并发症等方面，提出同意开展手术级别的意见，交医院学术委员会审批。4.审批后的手术医师审批表由医务科复印下发专业科室和麻醉科执行，原件由医务部存

20、档。三考虑到人才梯队建设和后备力量培养问题，对无主任医师的专业，科室可根据副主任医师技术水平状况，选择一位可以完成主任医师手术范围的副主任医师承担主任医师工作，并报医务科审核后，交医院学术委员会审批；假设选择不出，不可超范围开展此类手术。六、手术医师资质准入与授权管理一科主任安排手术时应按手术准入制安排手术人员，由麻醉科负责监督执行，不符合手术准入资格的医师进行手术，麻醉科有权拒绝接受手术，产生的后果由相关科室和当事医师负责。擅自越权超范围手术的，予以警告、责令停止手术，造成不良后果的，文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1

21、I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 H

22、S6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T

23、7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4

24、ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N

25、9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10

26、文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:C

27、B9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10学习文档 仅供参考自负一切责任包括经济责任，并予以手术资级降级处理。假设麻醉科监管不力，造成违规事件发生，由麻醉科和相应责任人负责。二医院手术分级目录根据学科发展，不断补充完善和修订。原则上每两年调整一次手术分级标准。医务科定期对手术医师资格进行调整，并将调整后的审批表及时送

28、交麻醉科及专业科室。三报告制度手术中出现异常情况，主刀医师不能继续胜任手术时，应及时要向上级医师报告，如不请示上级医师所造成的后果由手术医师负责。手术发生意外，手术医师应及时处理，并立即向上级医师和科主任报告，上级医师和科主任要积极参与处理，严重情况应及时报告医务部，由医务科组织相关科室会诊处理。四特殊情况的处理：1.急诊手术需紧急抢救患者生命情况时，在上级医生暂时不能到场主持期间，值班医生在不违背上级医生口头指示的前提下，可以超越被审定的手术范围；而上级医师应在接到报告后尽快参加手术。2.外院进修学习后拟开展的手术，建议邀请外院专家指导下进行。3.拟开展的新技术新业务，须按照医院有关新技术新

29、业务管理规定，经医院伦理委员会审批通过，由科室成立手术专家组方可实施。4.高风险的新技术、新项目由医院上报江苏省卫计委审批。必要时由江苏省卫计委托指定的学术团体论证、并经医院学术委员会评审同意后方能在医院实施。文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3

30、U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6

31、F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7

32、T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编

33、码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R

34、3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A

35、2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J

36、10T7D3U4 ZR6F7N9B7T10学习文档 仅供参考五对发生医源性“非计划再次手术”，延迟半年授权；年内发生两起及以上手术严重并发症的，或手术技术事故，给予相应责任人手术资格降级3 至 6 个月的处理。六手术资格降级者在降级期满后，同时其在上级医师指导下作为术者完成原级别手术例数5 例；该级手术操作及治疗过程中无严重并发症及手术技术事故时，可由本人申请，科室考核上报审批后，方可获得该级手术资质再次准入。程序同以上申报程序。七、特殊项目准入管理:卫生行政部门对手术资格准入、分级管理有规定的，按卫生行政部门规定执行。八、监督管理：1.医务科履行管理、监督、检查职责；手术医师资格分级授权进行

37、准入和授权动态管理；3.不定期检查执行情况，其检查结果将纳入医疗质量考核项目中；4.对违反本标准超权限手术的科室和责任人一经查实，将追究科室负责人的责任，并按照医院的相关规定处理；由此引发的医疗纠纷，违规人员个人承担相应的法律和经济赔偿责任。文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A

38、1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2

39、HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10

40、T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4

41、 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7

42、N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T1

43、0文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:

44、CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10学习文档 仅供参考附件：手术医生资格准入申请表年月日医师性别科 室工作时间最高学历专 业现 职 称晋升现职称时间目前手术级别拟申请手术级别申请理由：申请人：科室讨论意见：科主任：年月日医务科意见：主任：年月日学术委员会主任：年月日文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J1

45、0T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U

46、4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F

47、7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T

48、10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码

49、:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3

50、A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2 HS6J10T7D3U4 ZR6F7N9B7T10文档编码:CB9R3A1I2A2