2019版18项医疗核心制度

医疗核心制度目录　

一、首诊负责制度　································１　

二、三级医师查房制度···························３　

三、会诊制度···································５　

四、分级护理制度　·······························８　

五、疑难病例讨论制度··························１８　

六、危重患者抢救制度··························２０　

七、手术（有创操作）分级管理制度···············２１　

八、术前讨论制度　······························２３　

九、手术安全核查制度··························２５　

十、查对制度··································２８　十一、病历书写规范与管理制度　··················３１　十二、值班与交接班制度　························３５　十三、输血申请审核登记和用血报批登记制度（临床用血申请分级管理制度）····························３８　十四、死亡病例讨论制度　························４０　十五、医疗新技术、新项目准入准入制度　··········４２　十六、抗菌药物分级管理制度····················４６　十七、危急值报告制度··························４８　十八、信息安全管理制度　························５３　　

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