1医疗质量与医疗安全管理制度医教科工作职责..............................................................................................................................2医疗质量管理办法...........................................................................................................................3病历质量管理办法...........................................................................................................................9医疗质量持续改进方案.................................................................................................................15医疗质量管理奖惩办法.................................................................................................................19医疗纠纷防范措施.........................................................................................................................21病历书写规定................................................................................................................................24病案管理制度................................................................................................................................27医疗差错、事故管理制度.............................................................................................................30感染管理科工作职责.....................................................................................................................31院内感染管理制度.........................................................................................................................32医院感染管理实施细则.................................................................................................................34院内感染病例上报制度.................................................................................................................36ICU的医院感染管理制度..............................................................................................................37手术室的医院感染管理制度.........................................................................................................38洗衣房的医院感染管理制度.........................................................................................................40输血科(血库)的医院感染管理制度..............................................................................................41内窥镜室的医院感染管理制度.....................................................................................................42口腔科的医院感染管理制度.........................................................................................................43消毒供应室的医院感染管理制度.................................................................................................44法定传染病管理规定.....................................................................................................................45法定传染病、慢性非传染性疾病报告制度.................................................................................46病区及门、急诊健康教育规范.....................................................................................................47医院各类报卡工作规定.................................................................................................................47检诊制度.............................................................................
