医院行政查房制度[1]

医院行政查房 制度 关于办公室下班关闭电源制度矿山事故隐患举报和奖励制度制度下载人事管理制度doc盘点制度下载 [1] 滨河医院行政查房制度 一、目的 为了确保医院各项管理工作至上而下及时掌握及改善～不断提高医疗服务质量～ 规范 编程规范下载gsp规范下载钢格栅规范下载警徽规范下载建设厅规范下载 医疗行为～提高医院综合管理水平～制定本制度。 二、定义 医院行政查房是指由院长或副院长带领相关职能科室～对临床科室的医疗、护理、科研、医德医风、劳动纪律、物价政策、行政管理、后勤服务等工作进行全面检查～听取意见～解决问题的一种现场办公形态～是有效的行政管理手段。 三、职责 1、院长办公室负责制定和修订行政查房制度。 2、各科室执行行政查房制度。 3、分管副书记负责监督检查院办该项工作的组织落实情况。 四、 标准 excel标准偏差excel标准偏差函数exl标准差函数国标检验抽样标准表免费下载红头文件格式标准下载 行政查房包括全面行政查房和专项行政查房两种形式。 ,一,全面行政查房 1、全面行政查房工作原则上由院长或其指定的副院长带队～医务科、护理部、预防保健科、院办、服务管理科、门诊部、药剂科等职能后勤部门参加。 2、全面行政查房每月不定期组织一次～院办主任负责每次查房工作的组织和召集。 3、全面行政查房内容 serious, Shen Bo going north to find new underground arrangements, home run, but Shen Decai West or East take up, fill his son's money. Shen Bo in army training for 1 year, that is only 14 years old when he joined the Communist Party of China. On June 4, 1947, when Shen Bo Weir meadow village meetings, as the renegade whistleblowing, transfer was several times that of home returning Corps ambush, threw himself into the river died. In October 1944, Shen Decai took third (or Wei-Chau) sent to the army. Third person, Shen De 各科室服务环境、医务礼仪、科室病人收治情况、科室重点病人情况、科室之间的协调情况、后勤保障供应情况、科室反映的其他需要现场解决的内容。 ,二,专项行政查房 1、专项行政查房是指由副院长轮流主持～每周一个副院长带队,其余副院长不用参与,～职能科室参加的有医务科、护理部、预防保健科、服务管理科、药剂科等～每次对2个临床科室的医疗工作、护理工作、感染控制、病案质量、合理用药和服务管理工作细致检查并进行考核打分～作为三级质控检查的一部分内容。 2、查房时间:专项查房每月组织四次～原则上每周二下午进行。院办要提前将副院长的专项查房时间和受检查的科室排出《专项查房时间表》～让相关人员有所了解。每季度专项查房要对所有临床和医技科室全面覆盖检查一遍。 3、专项查房内容 ?医疗工作检查 A、医疗核心制度落实 B、科室管理 , 运行病历, , 科室业务学习及培训, , 科室各种一级质控 记录 混凝土 养护记录下载土方回填监理旁站记录免费下载集备记录下载集备记录下载集备记录下载 。 C、医疗安全管理 ?护理工作检查 Chau) sent to the army. Third person, Shen De-third (or Weir was several times that of home returning Corps ambush, threw himself into the river died. In October 1944, Shen Decai took ransfed the Communist Party of China. On June 4, 1947, when Shen Bo Weir meadow village meetings, as the renegade whistleblowing, tecai West or East take up, fill his son's money. Shen Bo in army training for 1 year, that is only 14 years old when he joineserious, Shen Bo going north to find new underground arrangements, home run, but Shen D2 A、护理管理 , 急救药械保管使用, , 护理措施落实情况, , 护理记录质量, , 交接班质量, , 医嘱执行情况, , 消毒隔离制度, , 药品、物品保管, , 优质护理示范服务情况, , 整体责任制护理管理工作落实情况。 B、科室管理 , 科室带教工作, , 科室业务学习, , 科室排班合理性, , 护理一级质控记录。 ?行政与服务管理工作检查 A、科室管理 , 病人欠费追讨情况, , 劳动纪律、考勤情况, B、优质服务情况 , 病区整洁情况, , 传达院周会精神情况, serious, Shen Bo going north to find new underground arrangements, home run, but Shen Decai West or East take up, fill his son'第 3 页 共 6 页 s money. Shen Bo in army training for 1 year, that is only 14 years old when he joined the Communist Party of China. On June 4, 1947, when Shen Bo Weir meadow village meetings, as the renegade whistleblowing, transfer was several times that of home returning Corps ambush, threw himself into the river died. In October 1944, Shen Decai took third (or Wei-Chau) sent to the army. Third person, Shen De 医务礼仪, , , 病区及科室环境管理。 C、后勤及保障方面 , 消防设施, , 医疗废物管理, , 设备设施定期维护, , 成本节约。 ,三,行政查房基本要求 1、查房前准备 ?准备好各种检查表格和记录本。 ?查房工作是每周重中之重的工作～其他工作要考虑给查房工作让路～确保该参加的人员要认真参加。 ?查房工作避免泛泛的走过场～重点工作要仔细检查～避免避重就轻。 2、查房后序工作 ?行政查房要和现场办公结合起来～凡能立即解决的问题就地解决～对暂不能解决的要讲明原因或责成有关部门限期解决。每次专项查房之后副院长要在现场组织受查科室和督查科室在一起进行检查工作小结～包括本次检查各科室好的变化、存在的问题、改善措施等～让被检查科室清楚优点和不足。形成每个科室稳定的全面管理PDCA循环。 ?凡在查房中～院领导确定有关职能科室办理的事项～职能科室要积极办理～并将办理结果3天之内向查房主持者汇报～并转告院长办公 Chau) sent to the army. Third person, Shen De-third (or Weir was several times that of home returning Corps ambush, threw himself into the river died. In October 1944, Shen Decai took ransfed the Communist Party of China. On June 4, 1947, when Shen Bo Weir meadow village meetings, as the renegade whistleblowing, tecai West or East take up, fill his son's money. Shen Bo in army training for 1 year, that is only 14 years old when he joineserious, Shen Bo going north to find new underground arrangements, home run, but Shen D4 室。 ?凡在查房中发现的缺陷～要按医院有关规定限期整改。 ?院办对在查房中提出需要解决的事项要加强督办～并将承办进展、 处理结果向查房主持者汇报。 ?院办收集各科室行政查房结果～并在院周会上进行整体汇报。 五、检查 1、检查 方法 快递客服问题件处理详细方法山木方法pdf计算方法pdf华与华方法下载八字理论方法下载 ,1,现场检查。 ,2,查阅病历、相关记录本。 2、检查结果 ,1,每月将本月各次查房成绩汇总并进行分数公布。 ,2,专项查房内容可以作为二级和三级质控考核的内容～重复之处可以不再另行考核。 ,3,由查房参与人每月利用院务会根据科室的职责公布被查科室查房考核的成绩并做适当的点评。 六、罚则 1、对于无特殊原因未参加查房或未请假者每次罚款50元。 2、对于未作针对性检查或针对性检查没有考核记录者每次罚款50元。 3、对于未进行查房检查内容总结者每次罚款50元。 七、附则 1、本制度自下发之日生效～且每月末周六上午9点开始查房。 2、本制度最终解释权归院长办公室。 serious, Shen Bo going north to find new underground arrangements, home run, but Shen Decai West or East take up, fill his son'第 5 页 共 6 页 s money. Shen Bo in army training for 1 year, that is only 14 years old when he joined the Communist Party of China. On June 4, 1947, when Shen Bo Weir meadow village meetings, as the renegade whistleblowing, transfer was several times that of home returning Corps ambush, threw himself into the river died. In October 1944, Shen Decai took third (or Wei-Chau) sent to the army. Third person, Shen De 行政查房工作考核汇总表 被检查科室: 检查时间: 考核得分: 扣分项: 检查发现存在的问题: 解决建议: 上期被检查出的问题: 整改结果: 科室反映的问题: 解决办法: 查房副院长签字: 被检查科室签字确认: Chau) sent to the army. Third person, Shen De-third (or Weir was several times that of home returning Corps ambush, threw himself into the river died. In October 1944, Shen Decai took ransfed the Communist Party of China. On June 4, 1947, when Shen Bo Weir meadow village meetings, as the renegade whistleblowing, tecai West or East take up, fill his son's money. Shen Bo in army training for 1 year, that is only 14 years old when he joineserious, Shen Bo going north to find new underground arrangements, home run, but Shen D6