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1、医疗质量检查分析、归纳总结、反馈为进一步加强医疗质量和医疗安全的经管，提高医疗质量，确保医疗安全，本月我院对各科室医疗质量和医疗安全进行了检查和分析，总体上看，医务人员的医疗质量和医疗安全意识明显增强，医疗技术水平逐步提高。但是在检查中也发现了许多问题。本月主要对住院病历进行了检查，现将分析情况通报如下：一、存在的问题：1、个别病历首页填写存在缺项及误填：如出院情况与出院小结中的疗结果不相符、确诊日期与大病历确诊日期填写不一致、过敏药物漏填、患者身份证号漏填、病理诊断、损伤、中毒因素漏填等。2、现病史相关阴性鉴别症状描写不全，系统回顾未填写，体格检查中对一些阳性体征漏填或阳性体征与专科情况描写
2、不一致。大病历首页缺乏患者签名认可。确诊诊断、补充诊断不及时。3、首次病程记录中体格检查内容繁琐，重点不突出；诊断依据不充分鉴别诊断不规范（如：初步诊断脑出血与脑出血相鉴别、颅内感染颅内感染相鉴别等）。辅助检查分析不全，使用抗生素依据不足。到目前为止病程记录中仍出现相互拷贝，内容类同的现象。4、三级医师查房记录不全，只体现了二级查房，缺少主治医师查房记录或者缺少住院医师查房记录。上级医师查房记录存在缺陷（对于诊断依据的分析没有重点突出，缺乏特征性，而是简单的复制现病史及体格检查，缺乏对鉴别诊断的分析意见）。5、上级审核把关不严，仍有上级医师未审阅大病历或只签名不审阅手签名不及时的现象，长期医嘱
3、、临时医嘱上级医师未及时手签名。6、运行病历除存在上述情况外，还普遍存在：病历、首程及病程记录书写完毕不能及时打印出来，所以病历夹中看不到纸质病历，或者打印出来的病历无医师的手签名，要等到出院时才补签字。另外病程记录不能及时书写，有缺漏现象。二、整改措施1、加强科内医务人员对病历书写基本规范、首诊负责制、三级查房制度、会诊制度、危重病人抢救制度、疑难病例讨论制度等的学习。2、加强科内病历三级质控力度，加强三级医师责任意识，各负其责，层层把关，提高病历书写质量。3、上级医师应加强审核、指导工作，不要把质控病历流于形式，要认真审阅并修改后方可签名，才能提高病历质量。医务科 2017年 11 月 1
4、6 日文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 Z
5、U1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S
6、10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9
7、 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G
8、8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文
9、档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4
10、I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2
11、L1 ZU1M4I8Y10T7医疗质量检查分析、归纳总结、反馈为进一步加强医疗质量和医疗安全的经管，提高医疗质量，确保医疗安全，本月我院对各科室医疗质量和医疗安全进行了检查和分析，总体上看，医务人员的医疗质量和医疗安全意识明显增强，医疗技术水平逐步提高。但是在检查中也发现了许多问题。现将分析情况通报如下：一、存在的问题：1、电子处方书写不规范。不能很好地按照处方经管办法的要求认真书写处方。主要表现为缺少诊断、性别、年龄、用药剂量超过规定的量或一次用药剂量不够、诊断与用药不相符的情况等，如颈椎病使用稳心颗粒、高血压使用开塞露、胆囊炎使用酚酞片等情况。2、抗菌药物使用不合理。不合格的原因为外科手术
12、病人预防性用药时间过长，超过 24 小时或 48 小时，治疗用药选择药物没有做培养和药敏实验，而是习惯性用药，没有用药分析等。3、医师不能如期进行各类谈话记录、并能认真记录及双方签名。如病情谈话记录不及时，委托书没有患者或家属签字等。二、整改措施：1、严格按照处方经管办法的要求,认真书写医疗文书。内容要真实、完整、条理清晰，不得随意涂改。处方一律用规范的中文或英文名称书写。工程填写齐全。药品要用通用名，不允许超过5 种药物，文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10
13、T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU
14、1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S1
15、0L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9
16、HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8
17、Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档
18、编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I
19、8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7而且要注意配伍禁忌等认真执行“合理检查、合理用药、合理治疗”三合理规范。2、应按照抗菌药物临床应用指导原则合理使用抗生素，避免发生滥用抗生素的现象，
20、坚持抗生素分级使用。3、及时书写各类谈话记录并能认真记录和签名。医务科 2017年 12 月 23 日文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2
21、L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ1
22、0L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G
23、10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:
24、CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y1
25、0T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 Z
26、U1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S
27、10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7医疗质量检查分析、归纳总结、反馈一、存在的问题：1、部门规章制度及核心制度掌握不充分大部分医务人员都能如期进行核心制度、部门规章制度的学习，但学习掌握情况不好，知晓率不高，所以执行的也不到位。2、科室之间沟通、协调不到位医技科室与临床科室相互沟通、协调不到位，患者的报告单不能及时出具，影响患者的治疗，影响临床缩短住院天数的要求，部分医师报告单描写不规范，诊断不全面、字迹不清，难以辨认。3、传染病卡填写不完整患者家庭住址填写不具体，报告单位填写不明确，个别门诊坐诊医师，对
28、有传染病患者初次来我院就诊时，日志中病人基本信息填写不全或未填写，造成传染病无法上报。二、整改措施：1、严格执行各项医疗制度。针对以上存在的问题及安全隐患，医院重申逐级负责制。切实抓好医疗质量。特别是首诊负责制、三级医查房制度、危重患抢救制度、病历书写基本规范与经管制度以及请示汇报制度等。2、加强业务学习，强化法制观念,进一步提高医务人员的业务水平和自我保护意识、加强医患沟通。认真执行我院的工作流程，即患者就诊时首诊医生完全负责。对于急诊病人更是如此。医疗服务是一个高文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ
29、10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4
30、G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码
31、:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y
32、10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1
33、ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4
34、S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T
35、9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7技术、高风险，往往难于预测结果的行业，由于体制的原因，媒体不公正甚至抹黑式的炒作，以及医疗事故举证倒置等
36、客观原因，给我们医护人员带来了很大的身心上的压力。我院非常理解我们医护人员的疾苦,率先提出“减压式经管”，即只要医务人员按规章制度办事，诊疗过程符合医疗常规，其结果由医院承担。医务科 2017年 01 月 21 日文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9
37、 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G
38、8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文
39、档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4
40、I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2
41、L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ1
42、0L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G
43、10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7医疗质量检查分析、归纳总结、反馈为了进一步加强医疗质量，规范医疗行为，消除安全隐患，保障患者就医安全，我院坚持“以病人为中心，以提高医疗质量为主题”的要求，严格每一项医疗操作，在全院职工的共同努力下，本月我院各项工作均取得了较好的成绩，没有出现一起医疗纠纷及医疗事故，但在医疗安全上还存在一定的隐患问题。一、存在的问题：1、仍有投诉服务态度欠佳的情况。在工作期间
44、部分人员脱岗、串岗、交接班时间岗位无人、值班离岗现象，引起病人的不满；而且不能妥善处理病人，有相互推诿的现象。值班医生对住院病人经管敷衍了事，或者说病人不是我管的,等管你的医生来了再说。2、治愈率不是太高。医师对病情评估制度执行不到位，病情评估内涵不到位，缺乏描述病情的转归、诊疗技术方案的调整、下一步采取治疗措施等内容。3、上级医生查房记录不详。缺少主治医师查房记录或者缺少住院医师查房记录。上级医师查房记录存在缺陷对于诊断依据的分析没有重点突出，缺乏特征性，而是简单的复制现病史及体格检查，缺乏对鉴别诊断的分析意见。二、整改措施：1、医护人员要有良好的职业道德,诚实守信。加强医患沟通，要学会文档
45、编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I
46、8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L
47、1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10
48、L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G1
49、0T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:C
50、D9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10T7文档编码:CD9G8Z4G10T9 HJ10L4S10L2L1 ZU1M4I8Y10