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首页 天津市医疗事故处理办法实施细则(Detailed rules for the implement…

天津市医疗事故处理办法实施细则(Detailed rules for the implementation of the measures for the handling of medical accidents in Tianjin).doc

天津市医疗事故处理办法实施细则(Detailed rules …

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2018-09-12 0人阅读 举报 0 0 0 暂无简介

简介:本文档为《天津市医疗事故处理办法实施细则(Detailed rules for the implementation of the measures for the handling of medical accidents in Tianjin)doc》,可适用于社会民生领域

天津市医疗事故处理办法实施细则(DetailedrulesfortheimplementationofthemeasuresforthehandlingofmedicalaccidentsinTianjin)天津市医疗事故处理办法实施细则(DetailedrulesfortheimplementationofthemeasuresforthehandlingofmedicalaccidentsinTianjin)Promulgatedbythepeople'sGovernmentofTianjinMunicipality(promulgatedbythepeople'sGovernment)(timeofpromulgation)(timeofimplementation)DecreeNoeighth(No)ofTianjinMunicipalPeople'sGovernmentDetailedrulesfortheimplementationofthemeasuresforthehandlingofmedicalaccidentsinTianjinArticleTheserulesareformulatedinaccordancewiththerelevantprovisionsofthemeasuresforthehandlingofmedicalaccidentsissuedbytheStateCouncil(hereinafterreferredtoasthe"measures"),andinaccordancewiththecircumstancesofourcitySecondtheserulesareapplicabletotheadministrativeareaofthecityatalllevelsofmedicalinstitutionsandindividualdoctors,ruraldoctorsopenedthemedicalaccidentoccurrenceorpossiblemedicalaccidentevents(hereinafterreferredtoasthemedicalaccidentorincidenthandling)Thedefinition,classificationandgradeofthethirdmedicalaccidentsshallbecarriedoutinaccordancewiththeprovisionsofarticlessecond,fifthandsixthofthemeasuresInthefourthdiagnosisandnursingwork,oneofthefollowingcircumstancesisnotmedicalmalpractice:(a)inthediagnosis,treatmentandnursingprocess,responsibility,duetotechnicalreasons,occurrenceofviolationofrulesandregulations,medicaltreatmentandnursingroutinederelictionofduty,aswellastechnicalmistakes,butdidnotcausethedeath,disability,organdamageleadstodysfunction(two)limitedtothecurrentlevelofmedicineormedicalconditions,itisdifficulttomakecorrectdiagnosisofthediseaseaserious,sharpchange,specialphysiqueandcongenitalmalformation,difficulttocurediseasesallwithallergicreactionstoprescribeddrugallergytestingandtreatmentandsideeffects,resultinginpatientdeath(includingdeath),leadtodysfunctiondisability,tissueandorgandamage(three)accordingtoavarietyofroutineoperationofspecialexamination,organdamageisinevitableaccordingtothenormaloperationoftheoperation,becauseofseverelocaltissueadhesions,anatomicvariation,damagetothesurroundingtissue,causingbleedingaccordingtoroutineoperation,operationafterthetissueadhesions,anastomoticleakageandsecondaryinfection(four)treatmenttechnologyandapplicationofthenewmethod,theimplementationofthereportingsystemtoconsult,madefullpreparations,andtheapprovalofthepatientorfamilymembersagreetosign,nofaultinthemedicalpersonnelsituation,causesthepatient'sdeathanddisabilityanddysfunctionoforgandamageFifth,aftermedicalaccidentsorincidents,shouldbereportedstepbystepThemedicalunitofthemedicalpersonnelshouldimmediatelyreporttothepersoninchargeoftheDepartmentthedepartmentheadshouldberesponsibleforthereportwithintwohoursoftheunitthepersoninchargeoftheunitshallreportahealthadministrativedepartmentwithintwentyfourhoursTheopeningofindividualdoctors,ruraldoctorsandmedicalaccidentorincident,shouldbewithintwentyfourhourofthedistrict(county)reportoftheadministrativedepartmentofhealthdistrict(county)healthadministrativedepartmentandthensubmittedtothemunicipaladministrativedepartmentofhealthArticlesixthmedicalunitsofmedicalaccidentorincident,shouldimmediatelybepatientmedicalrecordandrawdataoftheunittosavemedicalaffairsdepartmentAfteranindividualpractitionerorcountrydoctorhasmedicalmalpracticeorincident,heshallimmediatelytransferalltheoriginaldatatotheadministrativedepartmentforhealthinthedistrict(county)ThepatientsandtheirfamiliesshouldbekeptingoodcareofthemedicalunitsandtheadministrativedepartmentsforpublichealthArticleseventhmedicalunitsofmedicalaccidentorincident,thereportalsoinvestigatedimmediately,tolistentothepatientorfamilymembers,checkthefacts,makeaconclusion,andreporttothemainpersoninchargeofconsentConclusionthetreatmentunitismainlyresponsiblefortheconsentshouldbewrittentothelocaldistrict(county)healthadministrativedepartment,themunicipalpublichealthadministrativedepartmentstoThemunicipalmedicalunitshallbereporteddirectlytotheMunicipalDepartmentofpublichealthadministrationArticleeighthafterthemedicalpracticeorruraldoctorhasundergonemedicalmalpracticeorincident,thelocalhealthadministrativedepartmentshallorganizetheinvestigationandtreatment,andtherelevantdepartmentsandunitsconcernedshouldbeassistedNinth,theoccurrenceofthepatientdied,clinicaldiagnosiscannotidentifythecauseofdeath,intheconditionspermit,medicalunits,individualpractitioners,ruraldoctorsmustbecommissionedautopsyBeforetheautopsy,thepatient'sfamilymembersshouldbejustified,andstrivetoobtaintheirconsent,andperformsignatureproceduresThemedicalunit,theindividualpractitioner,thecountrydoctororthepatient'sfamilyrefusetocarryoutanautopsy,ordelaythepostmortemexaminationformorethanfortyeighthoursandaffectthedeterminationofthecauseofdeathThepartyconcernedisresponsibleforthedecisionofthecauseofdeathTenththeoccurrenceofmedicalaccidentsorincidentsofmedicalunitsresponsibleforautopsyproceduresandtransportingthebodiesdistrict(county)healthadministrativedepartmentstoassisttheoccurrenceofmedicalaccidentsoreventsofindividualpractitioners,ruraldoctorsforautopsyproceduresandtransportingthebodiesTheautopsyworkshallbeundertakenbythemedicalorteachinginstitutiondesignatedbytheadministrativedepartmentofpublichealthofthismunicipalityAutopsyfees(includingfreight)arepaidbymedicalunits,individualpractitionersandruraldoctors,respectivelyArticleeleventhofthecityandcounty(county)twoMedicalMalpracticeTechnicalIdentificationCommittee(hereinafterreferredtoasidentificationCommittee)identificationsystemThemunicipalanddistrict(county)publichealthadministrativedepartmentsshallbetheroutineworkorgansoftheappraisalcommitteesatthesamelevelThecandidatesofthetwelfthmunicipalanddistrict(county)appraisalcommitteesshallbenominatedbythemunicipalanddistrict(county)administrativedepartmentsforpublichealthandsubmittedtothepeople'sgovernmentsatthecorrespondinglevelsforapprovalTheAccreditationCommitteemay,accordingtotheneeds,setupanumberofclinicalmedicalandnursingprofessionalgroups,andformulateworkrulesandregulationsArticlethirteenthintheidentificationofmedicalmalpractice,themembersoftheidentificationcommitteewhenthereisasignificantdifferenceofopinion,shouldbefurtherverification,reorganizationofidentificationInthecaseoffurtheridentification,opinionsmaybemadebythemembersofthecommitteetowhichtheopinionsaredivided,andtheopinionsofmorethanhalfshallbetheexpertconclusionTheexpertconclusionshallnotifythesickorrelative,medicalunit,individualdoctorandvillagedoctorinwrittenformwithinonemonthafterthevotingThecompetentdepartmentofhealthadministrationshallnotchangetheexpertconclusionoftheappraisalcommitteeFourteenthmedicalaccidentmedicalunitsandindividualpractitioners,ruraldoctorsshouldbebasedontheidentificationoftherequestofthecommitteetoprovidetimelysupplementarymaterialsallpatientcheckshouldobeytheidentificationnecessaryforthepatientandfamilymembersshouldprovideallrelevantinformationavailable,assisttheidentificationoftheworkFifteenthmembersofthenonIdentificationCommitteeandotherpersonnelwhoarenotinvitedbytheappraisalcommitteeshallnotparticipateintheappraisalworkThescopeoftheCommissioninvitedbytheappraisalcommitteeshallbelimitedtotheprofessionalmedicalpersonnelnecessaryfortheidentificationworkIfthemembersoftheappraisalcommitteeareinterestedinorinvolvedinthemedicalmalpracticeorincident,theyshallavoiditSixteenthpatientsortheirfamiliesandmedicalunits,individualpractitioners,ruraldoctorstoconfirmmedicalaccidentsoreventsandhandlingofdisputes,canbebroughttothedistrict(county)appraisalcommitteewereidentifiedafterthetreatmentbytheadministrativedepartmentsofpublichealthatthesamelevelTheconclusionsmadebytheIdentificationCommitteeofthedistrict(county)orthehandlingoftheworkdonebytheadministrativedepartmentforpublichealthatthecorrespondinglevelThepatientorfamilyandmedicalunits,individualpractitioners,ruraldoctorscanbereceivedintheconclusionornoticewithinfifteendaysfromthedateofthecitytoapplyforreidentificationoridentificationcommitteetothemunicipalhealthadministrativedepartmentforreconsiderationSeventeenthpatientsortheirfamiliesandmedicalunits,individualpractitioners,ruraldoctorsjointlyapplyforidentification,appraisalfeesbymedicalunits,individualpractitioners,ruraldoctorspartyadvanceoneforidentification,appraisalfeesbytheapplicationofapartyinadvanceInthecaseofmedicalmalpractice,theappraisalfeeshallbepaidbythemedicalunit,theindividualpractitionerandthevillagedoctorifthemedicalmalpracticeisnotincluded,theappraisalfeeshallbepaidbythepatientorthefamilymemberMedicalaccidentorincidentinTianjineighteenthtroopstoopenlocalmedicalinstitutionsandnationaldepartmentsinindependentoraffiliatedmedicalunits,medicalunitshandledbythesuperiorcompetentdepartmentorunitleadershipdepartmentCanalsoentrustthedistrict(county)andcityIdentificationCommitteeforidentificationArticlenineteenthformedicalmalpractice,medicalunits,individualpractitioners,ruraldoctorstogivethepatientorfamilyonetimeeconomiccompensationItsstandardis:Firstclassmedicalaccident:compensationfromthreethousandyuantofourthousandyuanInfantsundertheageofthreeareonethousandyuan,andthenewbornissevenhundredyuanTwomedicalmalpractice:compensationfromthreethousandyuantofivethousandyuanThreemedicalmalpractice:compensationfromtwothousandyuantothreethousandyuanInfantsundertheageofthreearesevenhundredyuan,andthenewbornisfivehundredyuanTwentieth,thesocialmedicaltreatment,jointmedicaltreatment,medicalmalpracticepaymentsrequiredbythemedicalburdenofallparties,theburdenofeachproportionofthecontractexecutionThetwentyfirstunitsofthepatientandtheirfamiliesshallnotreducethewelfarebenefitsandlivingallowancesforthesickortheirfamiliesinaccordancewiththelawduetothemedicalmalpracticecompensationTwentysecondpatientsortheirfamiliesshallnotbeanexcusetotransfertheiraccounts,medicalaccidentsrequirerelocationorresettlementhousingallocation,etcinthemedicalaccidentorincidentandthedeathofthepatient,familymembersmaynotbepatientinmedicaltreatment,bodyforcedindwellingadministrativeofficepremisesIfthebodiesarenotdealtwithintime,theyshallbeforciblycrematedonthebasisoftherelevantprovisionsonthecremationofnonnormaldeadbodies,andtheexpensesincurredshallbebornebythefamilymembersofthepatientsTwentythirdofmedicalaccidentscausedbythedirectlyresponsiblepersonnel,medicalunitsinaccordancewiththeprovisionsofthe"measures"intwentiethtotoattheoutside,aliabilityaccidentisdirectlyresponsibletheburdenofcompensationThosewhoaredirectlyresponsibleforthetwoorthreelevelaccidentsshallbeartoofthecompensationamountTwentyfourthformedicalunits,medicaladministration,logisticsmanagement,medicalaccidentcausedbymutuallymakingexcuses,ahealthadministrativedepartmentaccordingtothe"measures"provisionsformedicalinstitutionsandrelevantdepartmentsresponsiblefortheadministrativeresponsibility,toandtheamountofcompensationfortheburdenofresponsibilityTwentyfifthmedicalpractitioners,medicalaccidentsoccurredbythetrainees,internsresponsibleIfatechnicalaccidentoccurs,itistheresponsibilityoftheteachinginstructorwhoisnotresponsiblefortheteachingoftheinstructorifitfailstoreportandactarbitrarilyaccordingtotheregulations,thepersonwhoisinchargeofthestudyorinternshipshallberesponsibleforitThemedicalinstitutionreceivingthetraineesandtraineesshallberesponsibleforarrangingthemedicalaccidentsintowrittenmaterials,makingsuggestionsfortreatmentandtransmittingthemtothetraineesforfurtherstudyandtrainingIntheeventofseriousmedicalmalpractice,thetraineesshallstoptheirfurtherstudiesandinternshipsThemedicalmalpracticecompensationfeeshallbepaidtothepatientorrelativebythemedicalunitreceivingthefurthereducationandinternshipTwentysixthoftheseRulesshallbeexplainedbythemunicipalhealthbureauArticletwentysevenththeseRulesshallcomeintoeffectonJanuary,Untilthen,medicalmalpracticecasesthathavebeendealtwitharenolongerprocessedInDecember,,theLegislativeAffairsBureauoftheStateCouncilrecordedtherecords(sources)Localregulations(categories)Y(usinglogos)(rank)

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