Guided by the Thought on Socialism with Chinese Characteristics for a new era, this action fully implemented the spirit of the Party's 20 National Congress, practiced the new development concept, comprehensively strengthened the management of medical quality and safety, and promoted the expansion and balanced distribution of high-quality medical resources. From the aspects of basic quality and safety management, key links and behavior management, quality and safety management system construction, 28 specific measures and 5 special actions are proposed. The main content includes three aspects: First, strengthen the basic quality and safety management, and consolidate the quality of the structure. Centering on the core elements of medical quality and safety management organization system, system system, working mechanism and medical personnel, drugs and equipment, medical technology, etc. to guide the improvement and implementation of secondary and above medical institutions, and focus on strengthening the quality and safety management of weak links such as emergency, outpatient, daytime, surgery, and patient follow-up. Second, strengthen key links and behavior management to improve process quality. It focuses on 10 aspects, including daily diagnosis and treatment behavior, patient evaluation, three-level ward rounds, rational drug use, inspection and inspection, medical record quality, consultation behavior, emergency and critical patient treatment, patient safety management, and nursing services, and guides medical institutions to improve the quality and safety of the whole diagnosis and treatment process. The third is to weave a dense quality management network and improve the working mechanism. The health administrative departments are required to further improve the quality control system and working mechanism, strengthen the disclosure of quality and safety information, explore the establishment of a "quality first" performance management mechanism, and strengthen the goal orientation in the work, give full play to the baton role of assessment and evaluation, and urge and guide medical institutions to implement relevant work requirements.

       At the same time, the action has set up five special actions: surgical quality and safety improvement action, "breaking the wall" action, medical history connotation quality improvement action, patient safety special action, and "weaving the web" action. Specific requirements and objectives are put forward in five aspects of surgical quality and safety management, the establishment of "disease-based chain" diagnosis and treatment mode, the connotation quality of medical records, patient safety management, and the construction of quality control organization system, which are also the core tasks of this action.

       

重点词汇

323/5000

传统翻译模型

通用场景

All localities and medical institutions above the second level should fully understand the significance and necessity of action, further improve the political position, make efforts from various aspects such as improving the system requirements, improving the quality control organization, optimizing the working mechanism, and strengthening the application of results, and implement the relevant work requirements in a highly responsible attitude towards people's health. The responsible comrades of the health administration departments should personally grasp, carry out action work deployment on an annual basis, refine policies and measures, clarify the division of responsibilities, consolidate responsibilities layer by layer, summarize the work every year, and promote the orderly development of the work. The main person in charge of medical institutions should personally study and lead, implement various work, strengthen basic medical safety management, strengthen daily monitoring, analysis and feedback of medical quality and safety, and promote the smooth development of actions. At the same time, explore advanced practices and experience, select annual typical cases, strengthen publicity and promotion in the work, and summarize experience from the system and mechanism level, good practices and good measures are fixed in the form of systems, and lay a more solid foundation for the high-quality development of the medical and health industry.

       In order to further promote the construction of a healthy China, further deepen the reform of the medical and health care system, comprehensively improve the level of medical quality and safety, build a high-quality and efficient medical and health service system with Chinese characteristics, and protect the health rights and interests of the people, the "patient-centered, On the basis of the activities of improving the quality of medical services as the theme "Hospital management Year activities," "Medical quality miles" activities, "Three good and one satisfaction" activities, "Convenient to see Chinese medicine, rest assured to use Chinese medicine, and good Chinese medicine to benefit the people", the action plan to improve medical services, "Private Hospital Management Year" activities, etc., adhere to the principle of inheritance and development, based on the new development stage, This action plan is formulated in accordance with the new situation and new tasks of high-quality development of public hospitals.

I. General requirements

(1) Guiding ideology

 To promote the high-quality development of medical and health services as the theme, to improve the quality of supply as the main direction, pay equal attention to traditional Chinese and western medicine, strengthen the overall quality and safety management, promote the expansion of high-quality medical resources and balanced regional distribution, and constantly enhance the people's sense of gain, happiness and security.

2. Action objectives

Use 3 years to further establish quality and safety awareness in the whole industry, improve the quality and safety management system and management mechanism, further improve the government supervision, institutional autonomy, industry participation, social supervision of medical quality and safety management of multiple co-governance mechanism, further consolidate basic medical quality and safety management, improve medical quality and safety management refined, scientific, standardized degree. Further optimize the allocation of medical resources and the balance of services, improve the diagnosis and treatment ability of major diseases and the level of medical quality and safety, and continue to improve people's satisfaction with medical services.

Scope of action

National secondary or above medical institutions.

3. Organization and management

The NHC and the State Administration of Traditional Chinese Medicine are responsible for the formulation and implementation of the national action plan, and guide the provincial health administration departments (including the competent departments of traditional Chinese medicine, the same below), the national quality control center, the industry association (association), and medical institutions to promote the work respectively. Provincial health administrative departments are responsible for the formulation and implementation of specific work programs in their jurisdictions, guiding medical institutions and relevant organizations and units in their jurisdictions to implement relevant work requirements and regulatory responsibilities, summing up experience in a timely manner and strengthening publicity and communication.

The professional quality control center above the provincial level is responsible for the formulation of the professional quality and safety improvement work plan and organize the implementation; Monitor and analyze the medical quality and safety situation of the specialty, study and put forward the medical quality and safety improvement objectives and quality control work improvement objectives, strengthen the research on quality and safety improvement strategies, and provide technical support for the management of administrative departments. Other quality control organizations at all levels shall carry out their work according to the division of labor.

All kinds of medical institutions at all levels are the main body of responsibility for the action, and the main person in charge of medical institutions is the first responsible person. Medical institutions shall, in accordance with the requirements of this action plan and the specific plans of the jurisdiction, strengthen the main responsibility of medical quality and safety, improve the medical quality and safety management system, implement various specific tasks, strengthen personnel education, cultivate a quality and safety culture, and improve the level of medical quality and safety.

Iv. Work tasks

(1) Strengthen the management of basic quality and safety, and consolidate the quality of the structure

1. Improve the medical quality management organization system. Medical institutions further improve the medical quality and safety management system at the hospital and department levels, and establish a medical quality management committee headed by the main person in charge of medical institutions as required, and designate or establish a special department specifically responsible for the daily management of medical quality and safety. Each business department shall set up a medical quality management working group headed by the main person in charge, and appoint a special person to take charge of the daily specific work.

2. Improve the quality and safety management system. In strict accordance with the requirements of laws and regulations, medical institutions have established and improved the quality and safety management systems of the institutions, strengthened the daily management of key links and key areas, and refined and strictly implemented 18 core systems of medical quality and safety in combination with the actual conditions of the institutions.

3. Optimize the working mechanism of quality and safety. The main person in charge of medical institutions holds a special meeting of the medical quality Management committee every month to study and deploy the medical quality and safety work. Establish the quality and safety working mechanism of the weekly hospital meeting, establish the quality and safety monthly, and urge and guide all departments and departments to accurately carry out the medical quality and safety improvement work. The principal person in charge of each department, each clinical department and medical technology department holds a special meeting every month to study the medical quality and safety work of the department and the undergraduate department.

4. Strengthen the management of medical personnel. Medical institutions, in accordance with relevant state regulations, strengthen the access and practice management of doctors, nurses and medical technicians, standardize the multi-point practice and regular assessment of doctors, focus on clinical diagnosis and treatment guidelines, technical norms and operating procedures, strengthen the training and assessment of basic theories, basic knowledge and basic skills for all medical personnel, and constantly improve the professional ability of medical personnel.

5. Strengthen the management of drugs and devices. Medical institutions shall determine their drug and device supply lists according to law and regulations, strengthen the management of key drugs for rational drug use, antimicrobial drugs, anti-tumor drugs, radiological imaging equipment, implant devices and other commonly used equipment and devices, and do a good job in monitoring and reporting adverse reactions of drugs and devices. Drugs and devices with more adverse reactions and prominent safety hazards shall be removed from the supply catalog in a timely manner according to law and regulations.

6. Standardize medical technology management. Medical institutions comprehensively review the clinical application of their medical technologies, focus on restricting technologies, endoscopy and interventional technologies, strengthen quality and safety management, strengthen the access management of new technologies and new projects, improve the corresponding management system and work flow such as technology authorization and dynamic management, and on the basis of ensuring medical quality and safety. We will strengthen the clinical application of new technologies and the dissemination of appropriate technologies. The operation of TCM medical technology should strictly comply with the requirements of the Guidelines for the Prevention and Control of TCM Medical Technology-Related Infections (Trial), and strictly implement the requirements of infection control management.

7. Improve the quality of emergency care. Medical institutions should strengthen the seamless connection mechanism between pre-hospital medical emergency and in-hospital emergency, smooth the information of pre-hospital medical emergency and in-hospital emergency, strengthen pre-examination and triage, optimize the process of emergency treatment and green channel, improve the multidisciplinary collaborative treatment mechanism for critically ill patients, especially those with cardiovascular diseases, multiple trauma, cardiac arrest and other critically ill patients, and improve the treatment effect of patients.

8. Improve the quality of outpatient care. Medical institutions strictly implement the responsibility system for first diagnosis, strengthen the allocation of outpatient and emergency professionals and technical forces, optimize the outpatient and emergency diagnosis and treatment workflow, optimize the outpatient consultation of difficult cases and multidisciplinary outpatient diagnosis and treatment services, strengthen the quality and safety management of outpatient surgery, outpatient chemotherapy, outpatient infusion and other outpatient services, and take the quality of outpatient and emergency work as an important part of the assessment of departments and medical personnel.

9. Improving the quality of day care. Medical institutions should further improve the organization system of daytime medical quality management, strengthen the management of daytime medical diseases and technologies, strengthen the management of daytime medical departments and physician audit and authorization, constantly expand the scope of daytime medical services, and improve the supply capacity of daytime medical services. Strengthen the assessment and follow-up of patients with daytime medical care, timely detect changes in patients' conditions and intervene to ensure the safety of patients with daytime medical care.