***人民医院规章制度汇编（医务、护理、院感、医技分册）***人民医院目 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..................................................
