湘雅医院医疗核心制度.doc

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1、湘雅医院医疗核心制度　　中南大学湘雅医院医疗核心制度手册中南大学湘雅医院医务部二〇一二年八月中南大学湘雅医院医务部二〇一二年八月目目录首诊负责制度·············································································································3查房制度·································································································

2、····················3病例讨论制度·············································································································4会诊制度（含院内、院外两部分）··········································错误！未定义书签。　　危重病人抢救制度·······································································

3、·······························8手术分级分类管理制度·····························································错误！未定义书签。　　术前讨论制度·············································································································3查对制度··················································

4、···································································5医师值班与交接班制度····························································································10医疗新技术准入制度································································································10病案管理制

5、度············································································错误！未定义书签。　　病历书写制度·············································································································4处方制度············································································

6、········错误！未定义书签。　　患者知情同意告知制度·····························································错误！未定义书签。　　分级护理制度············································································错误！未定义书签。　　一、首诊负责制度　　一、首诊负责制度1.患者首先就诊的科室为首诊科室，接诊医师为首诊医师，首诊医师须及时对患者进行必要的检查、作出初步诊断与处理，并认真书写病历。　　2.当患者病情

7、为重需要抢救时，首诊医师必须按照急危重患者抢救与报告制度及时对患者抢救，必要时向上级医师汇报，同时由患者陪同人员办理挂号和交费等手续，不得因强调挂号、交费等手续延误抢救时机。　　3.若诊断为非首诊科室疾病，需请其它科室会诊。　　首诊医师请其它科室会诊必须先经主治或以上医师查看患者并同意。　　被邀会诊的科室医师须依照医院会诊制度按时会诊。　　会诊意见必须向邀请科室医师书面交待。　　4.两个科室的医师会诊意见不一致时，须分别请示本科上级医师，直至本科主任，坚决杜绝科室间、医师间推诿患者。　　若双方仍不能达成一致意见，由首诊科室负责处理并上报医务部（或医院行政总值班）

8、协调解决。　　5.复合伤