***人民医院规章制度汇编（医务、护理、院感、医技分册）***人民医院2012年12月目录第一章：医务管理工作制度..............................................................................................................18一、医疗核心制度..............................................................................................................................181、首诊负责制度........................................................................................................................182、三级医师查房制度................................................................................................................183、分级护理制度........................................................................................................................194、术前讨论制度........................................................................................................................205、疑难危重病例讨论制度........................................................................................................216、死亡病例讨论制度................................................................................................................217、危重病人抢救制度................................................................................................................218、医疗查对制度........................................................................................................................219、病历书写制度........................................................................................................................2310、值班、交接班制度..............................................................................................................2511、临床用血管理制度..............................................................................................................2612、会诊制度..............................................................................................................................2813、医疗技术准入制度..............................................................................................................2814、医患沟通制度（试行）......................................................................................................29二、医疗质量管理制度......................................................................................................................331、***人民医院质量管理及持续改进方案...............................................................................332、全程医疗质量控制实施方案................................................................................................403、医疗质量安全事件（隐患）报告制度.................................................................................44附件一：医疗质量安全事件的定义、分类、常见的医疗质量安全事件...............................48附件二：医疗质量安全事件（隐患）登记表...........................................................................50附件三：医疗质量安全事件（隐患）报告表...........................................................................504、住院病历环节质量与时限基本要求.....................................................................................53三、手术质量管理制度......................................................................................................................551、***人民医...
