目录医疗行政制度...................................................................................................................4值班、交接班制度...................................................................................................4请示报告制度...........................................................................................................6疾病诊断证明书制度...............................................................................................8医患沟通制度...........................................................................................................9病情告知、手术和创伤性检查签字制度.............................................................12医师外出会诊管理规定.........................................................................................17新技术、新项目申报审批制度.............................................................................21进修生管理工作规定.............................................................................................24病历书写基本规范.................................................................................................27电子病历基本规范.................................................................................................41病历书写相关问题补充说明.................................................................................47处方管理制度.........................................................................................................48处方点评管理制度.................................................................................................54抗菌药物临床应用的基本原则及分级使用管理办法.........................................59药品不良反应监测管理办法.................................................................................76传染病报告和登记制度.........................................................................................80医院感染病例报告制度.........................................................................................91医院感染暴发事件应急预案.................................................................................93医院感染暴发事件分级.........................................................................................97一般诊疗用品消毒制度.........................................................................................99隔离制度...............................................................................................................101医疗事件防范处理预案.......................................................................................1061医疗事件处理办法...............................................................................................111医疗风险防范和控制管理办法...........................................................................120医疗技术准入管理制度.......................................................................................124医疗技术损害处置预案.......................................................................................127院内突发医疗情况处置方案...............................................................................129手术分级管理制度...............................................................................................131手术医师资质准入制度及审批程序....................................................................