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首页 二甲医院评审标准与评价细则

二甲医院评审标准与评价细则.doc

二甲医院评审标准与评价细则

崔少华
2017-09-15 0人阅读 举报 0 0 暂无简介

简介:本文档为《二甲医院评审标准与评价细则doc》,可适用于综合领域

二甲医院评审标准与评价细则一、医院管理(分)项目创建部部门负评审标准分值检查方法判定结果主管领内容门责人导标准中所列科室齐全每缺一职能科室:设办公室、医务科、质控科、科扣分院感科、门诊办、护理部、人事科、财务科、查人事资料和职工花名册。科室主任配备齐全每缺一科总务科、信息科等。扣分。临床科室:一级临床科室:急诊科、内科、外科、妇产科、儿科、眼科、耳鼻喉科、口腔科、中医科、麻醉科、皮肤(一)科、感染科、重症医学科、预防保健科。科二级临床科室:一级科室每缺一科扣分二级室同上。内科:应有个以上专科设消化、心血管、科室缺科扣分。设呼吸、血液等。置外科:应设个以上专科设普外、泌尿外(科、骨科等。分)妇产科:设妇科、产科。儿科:设儿内科、新生儿科。院级重点专科:全院应有个以上重点专每缺一个重点专科扣分每科科每个重点专科具有张以上床位数和必同上。床位数少于张扣分。要的医疗设备。engineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generations,qualityfirst,"thedeterminationandwillIsthewitnessofelectricpowerconstructionachievement,istheinnovativeshowForthefullimplementationofthenationalqualityprojectideas,reflecting"thepursuitofexcellence,castclassics"nationalbestspirit,implementationofmycompany,"settinguptopqualityconsciousness医技科室:设药剂科、检验科、输血科(血库)、病理科、影像科、理疗(可与康复科同上。每缺一科扣分。合设)、手术室、消毒供应室、内窥镜室、营养室、超声、心电图等。其他科室:图书馆(室)、病案统计室。同上。每缺一室扣分。项目分扣得扣分原评审标准检查方法判定结果内容值分分因医院实际开放床位数与编制床位数保持超过扣分超过不查资料。一致。得分。听汇报、查资料。了解:人员编制、人员学病床与工作人员之比:床位病床与工作人员之比每低历、资历、专业年限、技术职务、职称任命、与病床护士之比:。扣分床护比低扣分。dwillIsthewitnessofelectricpowerconstructionachievement,istheinnovativeengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generati附件二级综合性医院临床科室技术标准分科考核表一、心血管内科一般专科重点专科部分考核内容开展未开展开展心力衰竭的诊断一心脏骤停的抢救般心源性休克的抢救专风湿性心脏病的诊断科高血压和高血压性心脏病的诊断急性心肌梗死的诊治常见心律失常的诊治重顽固性心力衰竭的诊治点设心脏监护室(CCU)(可设在ICU)专主动脉夹层的诊治科急性心肌梗死合并症的诊治常见成人先心病的诊治consciousnesslityreflecting"thepursuitofexcellence,castclassics"nationalbestspirit,implementationofmycompany,"settinguptopquaicpowerconstructionachievement,istheinnovativeshowForthefullimplementationofthenationalqualityprojectideas,ndwillIsthewitnessofelectrengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generations,qualityfirst,"thedeterminationa一般专科:开展个,部分开展个,未开展个重点专科:开展个,部分开展个,未开展个未列入考核内容,但水平相当的项目请列出:二、呼吸内科一般专科重点专科部分考核内容开展未开展开展肺功能检查:一般通气功能一大咯血的诊治般自发性气胸的救治专呼吸衰竭的诊治科心肺复苏肺源性心脏病的诊治肺源性脑病的诊治重纤维支气管镜检查点血液气体分析专重症哮喘的救治科重症肺源性心脏病的诊治急性呼吸窘迫综合征(ARDS)的诊治有创机械通气ionalbestspirit,implementationofmycompany,"settinguptopqualityconsciousness"natshowForthefullimplementationofthenationalqualityprojectideas,reflecting"thepursuitofexcellence,castclassicsons,qualityfirst,"thedeterminationandwillIsthewitnessofelectricpowerconstructionachievement,istheinnovativeengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generati一般专科:开展个,部分开展个,未开展个重点专科:开展个,部分开展个,未开展个未列入考核内容,但水平相当的项目请列出:三、消化内科一般专科重点专科部分考核内容开展未开展开展常规内镜(胃镜、结肠镜)检查一黄疸的鉴别诊断般上消化道出血的诊治专肝性脑病、肝衰竭的诊治科急性出血性坏死性胰腺炎的诊治(全院内)急性梗阻性化脓性胆管炎的诊治(全院内)急性弥漫性腹膜炎的诊治急性内镜(胃镜)检查内镜下治疗(息肉摘除、硬化剂注射、套扎止血治疗等)重超声引导下肝穿刺活体组织检查术点重症急性梗阻性化脓性胆管炎的诊治(全院内)专经皮经肝胆管造影(PTCA)和引流(PTCD)consciousnesslityreflecting"thepursuitofexcellence,castclassics"nationalbestspirit,implementationofmycompany,"settinguptopquaicpowerconstructionachievement,istheinnovativeshowForthefullimplementationofthenationalqualityprojectideas,ndwillIsthewitnessofelectrengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generations,qualityfirst,"thedeterminationa科原发性肝癌一般专科:开展个,部分开展个,未开展个重点专科:开展个,部分开展个,未开展个未列入考核内容,但水平相当的项目请列出:四、血液内科一般专科重点专科部分考核内容开展未开展开展常见缺铁性贫血、巨幼细胞贫血的诊治一白血病的诊治般再生障碍性贫血的诊治专常见出血性疾病(特发性血小板减少性紫癜、血友病、DIC)的诊治科溶血性疾病的诊治重疑难血液病的诊治〔嗜血细胞综合症、难治性白血病、脊髓增生异常综合症(MDS)〕点出血及血栓性疾病的诊治专急性白血病的诊治(组织化学染色或免疫学确定亚型)科淋巴瘤的诊治ionalbestspirit,implementationofmycompany,"settinguptopqualityconsciousness"natshowForthefullimplementationofthenationalqualityprojectideas,reflecting"thepursuitofexcellence,castclassicsons,qualityfirst,"thedeterminationandwillIsthewitnessofelectricpowerconstructionachievement,istheinnovativeengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generati急性粒细胞减少或缺乏症的诊治骨髓穿刺及细胞形态学分类一般专科:开展个,部分开展个,未开展个重点专科:开展个,部分开展个,未开展个未列入考核内容,但水平相当的项目请列出:五、内分泌内科一般专科重点专科部分考核内容开展未开展开展甲状腺功能亢进症的诊治一甲状腺功能亢进危象、甲状腺功能减退症、克汀病、席汉综合征的诊治般糖尿病的诊治专糖尿病酮症酸中毒及高渗性非酮症昏迷的处理科代谢综合征重小时尿羟皮质类固醇、小时尿液游离皮质醇测定点甲状腺功能测定〔甲〕甲状腺激素(TT)、促甲状腺激素(TSH)的测定consciousnesslityreflecting"thepursuitofexcellence,castclassics"nationalbestspirit,implementationofmycompany,"settinguptopquaicpowerconstructionachievement,istheinnovativeshowForthefullimplementationofthenationalqualityprojectideas,ndwillIsthewitnessofelectrengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generations,qualityfirst,"thedeterminationa专骨质疏松症科一般专科:开展个,部分开展个,未开展个重点专科:开展个,部分开展个,未开展个未列入考核内容,但水平相当的项目请列出:六、肾脏内科一般专科重点专科部分考核内容开展未开展开展急性肾小球肾炎的诊治一肾病综合征的诊治般泌尿系统感染的诊治专继发性肾脏疾病的诊治科ionalbestspirit,implementationofmycompany,"settinguptopqualityconsciousness"natshowForthefullimplementationofthenationalqualityprojectideas,reflecting"thepursuitofexcellence,castclassicsons,qualityfirst,"thedeterminationandwillIsthewitnessofelectricpowerconstructionachievement,istheinnovativeengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generati重原发性与继发性肾小球疾病的诊治点肾性高血压的诊治专慢性肾衰竭的诊治(包括腹膜透析、血透)科肾功能检查(血肌酐、尿素氮、内生肌酐清除率的测定)泌尿系统超声、影像学检查肾穿刺活体组织检查一般专科:开展个,部分开展个,未开展个重点专科:开展个,部分开展个,未开展个未列入考核内容,但水平相当的项目请列出:七、神经内科一般专科重点专科部分考核内容开展未开展开展脑血管疾病的诊断一颅内高压的诊断般中枢神经系统脱髓鞘疾病的诊治专脑电图检查科危重病人(昏迷、脑疝、肌无力危象、癫痫持续状态)腰椎穿刺术consciousnesslityreflecting"thepursuitofexcellence,castclassics"nationalbestspirit,implementationofmycompany,"settinguptopquaicpowerconstructionachievement,istheinnovativeshowForthefullimplementationofthenationalqualityprojectideas,ndwillIsthewitnessofelectrengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generations,qualityfirst,"thedeterminationa重颅内高压的诊治及常见病因检查点癫痫的病因诊治专神经系统炎性疾病的诊治科脑电图、脑脊液细胞学病理检查微创脑内血肿穿刺术一般专科:开展个,部分开展个,未开展个重点专科:开展个,部分开展个,未开展个未列入考核内容,但水平相当的项目请列出:八、普外科一般专科重点专科部分考核内容开展未开展开展外科急腹症的手术处理一肝破裂修补术、脾切除术般胃大部切除术专结肠造瘘造口术科胆嚢切除胆总管切开取石(探查)T管引流术ionalbestspirit,implementationofmycompany,"settinguptopqualityconsciousness"natshowForthefullimplementationofthenationalqualityprojectideas,reflecting"thepursuitofexcellence,castclassicsons,qualityfirst,"thedeterminationandwillIsthewitnessofelectricpowerconstructionachievement,istheinnovativeengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generati甲状腺及结节性甲状腺肿瘤切除术腹腔镜手术胆肠吻合术或内引流术肝部分切除术重胸腹联合损伤的救治点直肠癌根治术专改良根治性乳腺癌切除术科甲状腺癌根治术甲状腺次全切除术门静脉高压症胃底食管静脉周围离断术胃癌根治术一般专科:开展个,部分开展个,未开展个重点专科:开展个,部分开展个,未开展个未列入考核内容,但水平相当的项目请列出:一般专科重点专科九、胸心外科(或血管外科)部分考核内容开展未开展开展各种气胸的急诊处理一胸部严重创伤的紧急处理(包括多发性肋骨骨折)般贲门括约肌切开成形术或球嚢扩张术consciousnesslityreflecting"thepursuitofexcellence,castclassics"nationalbestspirit,implementationofmycompany,"settinguptopquaicpowerconstructionachievement,istheinnovativeshowForthefullimplementationofthenationalqualityprojectideas,ndwillIsthewitnessofelectrengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generations,qualityfirst,"thedeterminationa专贲门、食管下段肿瘤切除术科肺叶切除术各种血管创伤的急救与处理肺癌的诊治重纵隔肿瘤切除术点食管癌根治术专胸部外伤及心脏、大血管外伤科静脉瓣膜成形术肺恶性肿瘤切除术一般专科:开展个,部分开展个,未开展个重点专科:开展个,部分开展个,未开展个未列入考核内容,但水平相当的项目请列出:十、骨科一般专科重点专科部分考核内容开展未开展开展截肢(指、趾)术一胸腰椎骨折切复内固定术ionalbestspirit,implementationofmycompany,"settinguptopqualityconsciousness"natshowForthefullimplementationofthenationalqualityprojectideas,reflecting"thepursuitofexcellence,castclassicsons,qualityfirst,"thedeterminationandwillIsthewitnessofelectricpowerconstructionachievement,istheinnovativeengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generati般四肢骨折切复内固定术专腰椎间盘脱出髓核摘除术科腰椎间盘突出症的诊治肌腱断裂缝合术四肢血管损伤修复术颈椎手术重胸腰椎管狭窄减压术点骨肿瘤的诊治专骨盆骨折切复内固定术科关节内骨折切复内固定术一般专科:开展个,部分开展个,未开展个重点专科:开展个,部分开展个,未开展个未列入考核内容,但水平相当的项目请列出:十一、神经外科一般专科重点专科部分考核内容开展未开展开展consciousnesslityreflecting"thepursuitofexcellence,castclassics"nationalbestspirit,implementationofmycompany,"settinguptopquaicpowerconstructionachievement,istheinnovativeshowForthefullimplementationofthenationalqualityprojectideas,ndwillIsthewitnessofelectrengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generations,qualityfirst,"thedeterminationa开放性颅脑外科伤清创术一颅骨凹陷骨折复位术般颅骨成形术专各类颅内血肿清除术科脑疝的诊治大脑半球表浅肿瘤切除术小脑半球肿瘤切除术重颅内压增高的内、外减压和分流术点单纯性脊髓肿瘤切除术专颅内血肿清除术科一般专科:开展个,部分开展个,未开展个重点专科:开展个,部分开展个,未开展个未列入考核内容,但水平相当的项目请列出:ionalbestspirit,implementationofmycompany,"settinguptopqualityconsciousness"natshowForthefullimplementationofthenationalqualityprojectideas,reflecting"thepursuitofexcellence,castclassicsons,qualityfirst,"thedeterminationandwillIsthewitnessofelectricpowerconstructionachievement,istheinnovativeengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generati十二、泌尿外科一般专科重点专科部分考核内容开展未开展开展肾切除术一附睾切除术般尿道狭窄成形术专各种尿道损伤的急诊处理科阴茎部分切除术肾及输尿管结石的外科处理肾上腺肿瘤(皮质或髓质)切除术肾癌根治术重经尿道前列腺切除术点膀胱全切术专肾部分切除术科肾盂、输尿管交界处狭窄整形术一般专科:开展个,部分开展个,未开展个重点专科:开展个,部分开展个,未开展个未列入考核内容,但水平相当的项目请列出:consciousnesslityreflecting"thepursuitofexcellence,castclassics"nationalbestspirit,implementationofmycompany,"settinguptopquaicpowerconstructionachievement,istheinnovativeshowForthefullimplementationofthenationalqualityprojectideas,ndwillIsthewitnessofelectrengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generations,qualityfirst,"thedeterminationa十三、麻醉科一般专科重点专科部分考核内容开展未开展开展蛛网膜下腔阻滞(腰麻)、骶管阻滞、硬脊膜外腔阻滞及臂丛神经阻滞一开展两种复合麻醉般心肺复苏专普胸手术的麻醉科常见小儿手术的麻醉控制性减压麻醉困难的气管内插管技术、复合麻醉、硬脊膜外腔阻滞、腰麻及神经丛阻滞心肺脑复苏重急重症病人的麻醉点疼痛门诊专科一般专科:开展个,部分开展个,未开展个重点专科:开展个,部分开展个,未开展个未列入考核内容,但水平相当的项目请列出:ionalbestspirit,implementationofmycompany,"settinguptopqualityconsciousness"natshowForthefullimplementationofthenationalqualityprojectideas,reflecting"thepursuitofexcellence,castclassicsons,qualityfirst,"thedeterminationandwillIsthewitnessofelectricpowerconstructionachievement,istheinnovativeengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generati十四、妇科一般专科重点专科部分考核内容开展未开展开展子宫肌瘤剔除术一宫外孕的诊治般子宫全切术专附件切除术科急性盆腔炎的诊治常规的计划生育项手术卵巢嚢性畸胎瘤剥(切)除术计划生育复杂并发症处理重内分泌诱发排卵点未破裂宫外孕的诊治专腹腔镜手术科宫颈癌的筛查困难子宫切除术性激素测定一般专科:开展个,部分开展个,未开展个重点专科:开展个,部分开展个,未开展个未列入考核内容,但水平相当的项目请列出:consciousnesslityreflecting"thepursuitofexcellence,castclassics"nationalbestspirit,implementationofmycompany,"settinguptopquaicpowerconstructionachievement,istheinnovativeshowForthefullimplementationofthenationalqualityprojectideas,ndwillIsthewitnessofelectrengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generations,qualityfirst,"thedeterminationa十五、产科一般专科重点专科部分考核内容开展未开展开展产前出血性疾病诊治一产科感染处理般产道损伤处理专高危妊娠诊断及处理(子痫、胎位异常)科新生儿窒息抢救产后出血的应急处理妊娠超声监测内、外科并发症大诊治重产程监护和产程并发症处理点臀位助产术、产钳助产术专困难的破宫产科产科休克的救治一般专科:开展个,部分开展个,未开展个重点专科:开展个,部分开展个,未开展个ionalbestspirit,implementationofmycompany,"settinguptopqualityconsciousness"natshowForthefullimplementationofthenationalqualityprojectideas,reflecting"thepursuitofexcellence,castclassicsons,qualityfirst,"thedeterminationandwillIsthewitnessofelectricpowerconstructionachievement,istheinnovativeengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generati未列入考核内容,但水平相当的项目请列出:十六、儿科一般专科重点专科部分考核内容开展未开展开展败血症的诊治一心肌炎的治疗般急性出血性疾病的诊治专惊厥及癫痫的诊治科哮喘的诊治急腹症的鉴别诊断急、慢性肾炎的诊治出凝血疾病〔特发性血小板减少性紫癜、血友病、(DIC)的诊治〕白血病的诊治重感染性休克、脑疝的抢救点急性感染性多发性神经根炎的诊治专再生障碍性贫血的诊治科早产儿处理新生儿重症监护consciousnesslityreflecting"thepursuitofexcellence,castclassics"nationalbestspirit,implementationofmycompany,"settinguptopquaicpowerconstructionachievement,istheinnovativeshowForthefullimplementationofthenationalqualityprojectideas,ndwillIsthewitnessofelectrengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generations,qualityfirst,"thedeterminationa一般专科:开展个,部分开展个,未开展个重点专科:开展个,部分开展个,未开展个未列入考核内容,但水平相当的项目请列出:十七、感染(传染)一般专科重点专科部分考核内容开展未开展开展暴发性流行性脑脊髓膜炎、流行性乙型脑炎、结核性脑膜炎的诊治中毒性细菌性痢疾、流行性出血热的临床诊治及获得性免疫缺陷综合征(AIDS)一的诊断般传染病合并消化道出血的诊治专黄疸的鉴别诊治科重发热待查的诊治(最后被确诊的病例)点感染中毒性休克的抢救专肝性脑病的诊治科肝穿刺活体组织检查诊断细菌培养及耐药监控ionalbestspirit,implementationofmycompany,"settinguptopqualityconsciousness"natshowForthefullimplementationofthenationalqualityprojectideas,reflecting"thepursuitofexcellence,castclassicsons,qualityfirst,"thedeterminationandwillIsthewitnessofelectricpowerconstructionachievement,istheinnovativeengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generati一般专科:开展个,部分开展个,未开展个重点专科:开展个,部分开展个,未开展个未列入考核内容,但水平相当的项目请列出:十八、眼科一般专科重点专科部分考核内容开展未开展开展抗青光眼眼外引流术(小梁切除)青光眼滤过性手术白内障摘出术一光学虹膜切除术般眼球摘除术专泪囊摘除术科角、巩膜缝合术翼状胬肉切除术眼睑内翻倒睫矫正术眼压描记眼内异物摘除术(磁性)视网膜脱离手术重泪囊鼻腔吻合术consciousnesslityreflecting"thepursuitofexcellence,castclassics"nationalbestspirit,implementationofmycompany,"settinguptopquaicpowerconstructionachievement,istheinnovativeshowForthefullimplementationofthenationalqualityprojectideas,ndwillIsthewitnessofelectrengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generations,qualityfirst,"thedeterminationa点眼外引流术(小梁切除)专人工晶体植入科睑外翻矫正术白内障超声乳化手术及人工晶体植入前段玻璃体切割术眼科超声诊断一般专科:开展个,部分开展个,未开展个重点专科:开展个,部分开展个,未开展个未列入考核内容,但水平相当的项目请列出:十九、耳鼻咽喉科一般专科重点专科部分考核内容开展未开展开展鼻息肉切除术一鼻中隔矫正术般食管异物取出术专扁桃体切除术科气管切开术简单鼓膜修补术鼓膜修补术乳突根治术ionalbestspirit,implementationofmycompany,"settinguptopqualityconsciousness"natshowForthefullimplementationofthenationalqualityprojectideas,reflecting"thepursuitofexcellence,castclassicsons,qualityfirst,"thedeterminationandwillIsthewitnessofelectricpowerconstructionachievement,istheinnovativeengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generati重鼻窦手术(上颌窦根治术、鼻内筛窦切除术等)点气管、食管异物取出术专支撑喉镜下喉部手术科喉裂开术鼻侧切开鼻腔良性肿瘤摘除术一般专科:开展个,部分开展个,未开展个重点专科:开展个,部分开展个,未开展个未列入考核内容,但水平相当的项目请列出:二十、口腔科一般专科重点专科部分考核内容开展未开展开展甲状舌管囊肿摘除术一颌骨囊肿、良性肿瘤摘除术般可摘义齿修复、固定义齿术专腮腺肿瘤及腺体摘除术科腮裂瘘与囊肿摘除术牙正畸术简单根管治疗术唇裂修复术consciousnesslityreflecting"thepursuitofexcellence,castclassics"nationalbestspirit,implementationofmycompany,"settinguptopquaicpowerconstructionachievement,istheinnovativeshowForthefullimplementationofthenationalqualityprojectideas,ndwillIsthewitnessofelectrengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generations,qualityfirst,"thedeterminationa唇颊缺损整复术(一般)重颌面部骨折复位及固定术点颌面脓肿切开引流术专牙髓拔除及根管治疗干髓术科牙周牙髓联合治疗术根尖切除及根尖刮治术一般专科:开展个,部分开展个,未开展个重点专科:开展个,部分开展个,未开展个未列入考核内容,但水平相当的项目请列出:二十一、皮肤科一般专科重点专科部分考核内容开展未开展开展冷冻、电灼治疗术一紫外线照射、红外线照射治疗般梅毒非特异性血清检查专淋球菌镜检科常见药疹的诊治皮肤真菌镜检ionalbestspirit,implementationofmycompany,"settinguptopqualityconsciousness"natshowForthefullimplementationofthenationalqualityprojectideas,reflecting"thepursuitofexcellence,castclassicsons,qualityfirst,"thedeterminationandwillIsthewitnessofelectricpowerconstructionachievement,istheinnovativeengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generati皮肤真菌培养检查皮肤病理诊断变态源测定重与皮肤有关的结缔组织病的诊治点大疱性皮疹的诊治专重症药疹、渗出性多形红斑的诊治科性病(SID)的诊治皮肤病理诊断一般专科:开展个,部分开展个,未开展个重点专科:开展个,部分开展个,未开展个未列入考核内容,但水平相当的项目请列出:二十二、康复医学科一般专科重点专科部分考核内容开展未开展开展运动功能评定日常生活活动能力检查一耐力训练般肌力训练专关节活动度训练consciousnesslityreflecting"thepursuitofexcellence,castclassics"nationalbestspirit,implementationofmycompany,"settinguptopquaicpowerconstructionachievement,istheinnovativeshowForthefullimplementationofthenationalqualityprojectideas,ndwillIsthewitnessofelectrengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generations,qualityfirst,"thedeterminationa科步行训练手法治疗牵引疗法药物离子导入电疗、光疗日常生活活动训练重家庭康复的环境改造与咨询点简易运动治疗和作业治疗器具专矫形器、助行器、自助器具的制作指导和训练指导科生物反馈治疗心理评定与康复一般专科:开展个,部分开展个,未开展个重点专科:开展个,部分开展个,未开展个未列入考核内容,但水平相当的项目请列出:二十三、急诊科一般专科重点专科部分考核内容开展未开展开展心肺脑复苏急性心肌梗死的监测和抢救一哮喘持续状态的抢救急性心力衰竭的诊断与抢救般专常见心律失常的诊断与抢救ionalbestspirit,implementationofmycompany,"settinguptopqualityconsciousness"natshowForthefullimplementationofthenationalqualityprojectideas,reflecting"thepursuitofexcellence,castclassicsons,qualityfirst,"thedeterminationandwillIsthewitnessofelectricpowerconstructionachievement,istheinnovativeengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generati科常见休克的抢救肝衰竭、肾衰竭及呼吸衰竭的抢救各种大出血的初步急救中毒疾病的抢救常见急性脑血管病的诊治急腹症的诊治复合伤的诊断与抢救设急诊监护室或ICU(与急诊室共用)心肺恼复苏呼吸衰竭血气监测及抢救急性坏死性胰腺炎的抢救重点各种休克的抢救专严重复合伤的诊断与抢救科常见危象的诊断与抢救水、电解质紊乱和酸碱平衡失调的早期诊断和处理上消化道大出血的抢救(三腔二囊管的使用)大咯血的抢救昏迷的抢救各种急性出血性疾病的抢救一般专科:开展个,部分开展个,未开展个重点专科:开展个,部分开展个,未开展个未列入考核内容,但水平相当的项目请列出:广东省二级综合性医院医技科室技术标准一、医学影像学部分考核内容开展未开展开展consciousnesslityreflecting"thepursuitofexcellence,castclassics"nationalbestspirit,implementationofmycompany,"settinguptopquaicpowerconstructionachievement,istheinnovativeshowForthefullimplementationofthenationalqualityprojectideas,ndwillIsthewitnessofelectrengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generations,qualityfirst,"thedeterminationa全身各部位摄影、断层摄影床旁摄影能完成胃、肠道钡剂造影检查、泌尿系顺、逆行造影、支气管造影、脊髓造影、周围血管造影等。根据医院重点学科建设配备相应的先进设备。开展介入性放射学等技术CT检查、MRI检查,达到对影像的综合诊断大型х光机检查阳性率CT片阳性率MRI阳性率>甲片率:普通X线甲片率>废片率未列入考核内容,但水平相当的项目请列出:二、临床功能检查科考核内容开展部分未开展ionalbestspirit,implementationofmycompany,"settinguptopqualityconsciousness"natshowForthefullimplementationofthenationalqualityprojectideas,reflecting"thepursuitofexcellence,castclassicsons,qualityfirst,"thedeterminationandwillIsthewitnessofelectricpowerconstructionachievement,istheinnovativeengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generati开展心功能检查:心电图检查及正确诊断肺功能检查:一般肺功能检查电生理检查:脑电检查、无创心电生理检查内镜检查:食道、胃、十二指肠、乙状结肠、直肠内窥镜检查、下段泌尿道内镜检查。超声检查:B型超声各种诊断检查、鉴别诊断检查。未列入考核内容,但水平相当的项目请列出:consciousnesslityreflecting"thepursuitofexcellence,castclassics"nationalbestspirit,implementationofmycompany,"settinguptopquaicpowerconstructionachievement,istheinnovativeshowForthefullimplementationofthenationalqualityprojectideas,ndwillIsthewitnessofelectrengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generations,qualityfirst,"thedeterminationa三、检验科部分开展未开展考核内容开展除血常规外的一般血液的其它检查,如嗜酸性细胞直接计数、红细胞比值。网织红细胞计数及异常红细胞检查等。出血性疾病的检查。溶血性疾病的检查。骨髓细胞的检查。除尿常规外的尿化学检查:如PH、比重、蛋白定量、糖定量、酮体、尿三胆等。粪便的化学检查、如:潜血等。体液检查:如脑脊液、浆膜腔积液、精液、前列腺液、胃液、肠液、痰、阴道分泌物等。基本的临床生化检查:包括蛋白质、糖脂类、无机离子、未列入考核内容,但水平相当的项目请列出:ionalbestspirit,implementationofmycompany,"settinguptopqualityconsciousness"natshowForthefullimplementationofthenationalqualityprojectideas,reflecting"thepursuitofexcellence,castclassicsons,qualityfirst,"thedeterminationandwillIsthewitnessofelectricpowerconstructionachievement,istheinnovativeengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generati三、检验科部分开展未开展考核内容开展酶、肝功能、肾功能、激素、血气等方面。临床免疫学的基本检验:包括免疫球蛋白、细胞免疫功能、自身抗体、肿瘤标记物、肝炎病毒血清学标记物、传染病血清学检查等。微生物(主要是细胞)的分离、鉴定。细菌对抗菌药的敏感试验生化、临检、细菌、乙肝免疫检测都应有室内质量控制参加省、市或当地临床检验中心组织的室间质评成绩优秀或合格。未列入考核内容,但水平相当的项目请列出:consciousnesslityreflecting"thepursuitofexcellence,castclassics"nationalbestspirit,implementationofmycompany,"settinguptopquaicpowerconstructionachievement,istheinnovativeshowForthefullimplementationofthenationalqualityprojectideas,ndwillIsthewitnessofelectrengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generations,qualityfirst,"thedeterminationa四、药剂科部分开展未开展考核内容开展有良好贯切落实各项药事管理法律法规的制度与措施健全的药品质量保障体系,药品管理措施到位健全的工作制度,操作规程,完整的岗位责任制,并有执行记录药学部门布局、设施和工作流程合理管理规范能为患者提供安全、及时、有效的药学服务。正确、安全、规范地贮存药品药品调剂符合规定。按《处方管理办法》调剂处方建立动态用药监测制度开展处方点评。高危药品和特殊管理药品的使用和管理规范药品供应满足临床需要有效控制药品质量建立临床药师制开展临床药学工作。临床安全用药监测与管理能承担大专院校的教学和实习、接受下级医院进修的任务在职人员的继续教育计划切实可行有效未列入考核内容,但水平相当的项目请列出:ionalbestspirit,implementationofmycompany,"settinguptopqualityconsciousness"natshowForthefullimplementationofthenationalqualityprojectideas,reflecting"thepursuitofexcellence,castclassicsons,qualityfirst,"thedeterminationandwillIsthewitnessofelectricpowerconstructionachievement,istheinnovativeengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generati五、临床病理科部分考核内容开展未开展开展能完成小儿及成人的全身尸检与死亡诊断常见病的活体组织大体和镜下病理诊断各种细胞学检查:如:痰、尿、胸腹水、脑脊液、乳头溢液等常规苏木素伊红染色法和种以上特殊染色法,如:弹力纤维、网织纤维、MassonABPAS、VG未列入考核内容,但水平相当的项目请列出:consciousnesslityreflecting"thepursuitofexcellence,castclassics"nationalbestspirit,implementationofmycompany,"settinguptopquaicpowerconstructionachievement,istheinnovativeshowForthefullimplementationofthenationalqualityprojectideas,ndwillIsthewitnessofelectrengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generations,qualityfirst,"thedeterminationa六、营养室部分开展未开展考核内容开展技术水平:基本膳食(规范化食谱设计及执行情况)治疗膳食(个体化食谱设计及执行情况)糖尿病饮食(个体化食谱设计及执行情况)低蛋白饮食(个体化食谱设计及执行情况)低脂饮食(个体化食谱设计及执行情况)低渣饮食(个体化食谱设计及执行情况)低盐饮食(个体化食谱设计及执行情况)匀浆膳食(个体化食谱设计及执行情况)肠内营养液配制(可选)体成分测量及营养状况评估(可选)营养软件配餐及膳食计算(可选)技术质量:对临床病人能进行营养风险筛查重点病人建有(电子)营养病历住院病人膳食就餐率【管理病人食堂的营养科(室)】治疗膳食就餐率【管理病人食堂的营养科(室)】住院患者满意率【管理病人食堂的营养科(室)】承担营养宣教及病人出院时营养指导工作ionalbestspirit,implementationofmycompany,"settinguptopqualityconsciousness"natshowForthefullimplementationofthenationalqualityprojectideas,reflecting"thepursuitofexcellence,castclassicsons,qualityfirst,"thedeterminationandwillIsthewitnessofelectricpowerconstructionachievement,istheinnovativeengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generati肠内营养治疗方案个体化(可选)设有食品质量快速检验或营养素分析设备(可选)consciousnesslityreflecting"thepursuitofexcellence,castclassics"nationalbestspirit,implementationofmycompany,"settinguptopquaicpowerconstructionachievement,istheinnovativeshowForthefullimplementationofthenationalqualityprojectideas,ndwillIsthewitnessofelectrengineeringqualityisregardedaslifeandmoralcommitmentandactionIs"generations,qualityfirst,"thedetermination
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