开阳光正医院开阳光正医院内科全程医疗质量管理与持续改进1、内科医疗质量管理小组及工作职责............................................................................32、内科质控管理小组及工作职责..............................................................................43、内科医疗安全管理小组及工作职责......................................................................54、内科抢救管理小组及工作职责..............................................................................65、内科护理质量管理小组及工作职责......................................................................76、内科医院感染管理小组及工作职责......................................................................87、内科病案质量管理小组及工作职责......................................................................98、内科药事管理小组工作制度及职责.................................................................109、内科输血管理小组工作制度及职责.................................................................1210、医疗事故争议处理的有关规定..........................................................................1411、医疗差错事故的防范及管理措施......................................................................1812、重大医疗纠纷预警机制及应急预案..................................................................2213、医疗纠纷及投诉接待处理程序及制度..............................................................2414、医疗技术风险预案..............................................................................................2815、POCT血糖仪的质量管理.....................................................................................3016、医疗质量管理方案..............................................................................................3417、医疗质量管理与持续改进方案..........................................................................3518、医疗质量管理小组工作制度..............................................................................3719、医疗质量责任追究制度......................................................................................3820、危重病人抢救管理制度......................................................................................3921、新开展有创操作报批制度................................................................................3922、医疗差错、事故登记报告、处理制度..............................................................4023、医院感染控制制度..............................................................................................4124、医疗核心制度落实情况......................................................................................42一、首诊负责制度...............................................................................................42二、三级医师查房制度.......................................................................................43三、分级护理制度...............................................................................................44四、疑难危重病例讨论制度...............................................................................46五、会诊制度.......................................................................................................47六、危重病人抢救制度.......................................................................................49七、手术分级制度..........................