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1、廣西臨床護(hù)理質(zhì)量評(píng)價(jià)及檢查標(biāo)準(zhǔn)（試??行）?廣西壯族自治區(qū)衛(wèi)生廳二○○八年九月?策??劃：尤劍鵬編寫組：梁??遠(yuǎn)??王建政??張益民??應(yīng)燕萍??胡艷寧??崔妙玲??雪麗霜??????????????楊紅葉??馬麗婭??李新萍??張萍萍??戴艷萍??馬??輝校??對(duì)：崔妙玲??馬??輝?前???言質(zhì)量不僅關(guān)系到醫(yī)院的生存和效益，也直接影響患者的健康和安全。醫(yī)療護(hù)理工作直接為患者服務(wù)，更能反映出質(zhì)量是生存的內(nèi)涵。因此護(hù)理質(zhì)量管理至關(guān)重要，是護(hù)理管理的根本任務(wù)。特別是近幾年衛(wèi)生部?“以病人為中心，以提高醫(yī)療服務(wù)質(zhì)量為主題”的醫(yī)院管理年活動(dòng)的開展，對(duì)護(hù)理質(zhì)量提出了更高的要
2、求。????護(hù)理質(zhì)量是指護(hù)理工作為患者提供護(hù)理技術(shù)和生活服務(wù)效果的程度。它是衡量護(hù)理管理水平、護(hù)理業(yè)務(wù)技術(shù)水平和工作效果的重要標(biāo)志?！稄V西臨床護(hù)理質(zhì)量評(píng)價(jià)及檢查標(biāo)準(zhǔn)》是根據(jù)《醫(yī)院管理評(píng)價(jià)標(biāo)準(zhǔn)實(shí)施細(xì)則》要求修訂，堅(jiān)持以質(zhì)量管理為核心、技術(shù)管理為重點(diǎn)、組織管理為保證，通過對(duì)護(hù)理工作的監(jiān)控，使護(hù)理人員在業(yè)務(wù)行為、思想職業(yè)道德等方面都符合客觀的要求和患者需要，使護(hù)理工作能夠以最短的時(shí)間、最好的技術(shù)、最低的成本，產(chǎn)生最優(yōu)化的治療護(hù)理效果，最終實(shí)現(xiàn)為患者提供優(yōu)質(zhì)服務(wù)的目的。本書是在充分采納各級(jí)護(hù)理管理人員意見及總結(jié)近幾年護(hù)理管理經(jīng)驗(yàn)的基礎(chǔ)上編制而成的。各級(jí)各類醫(yī)療機(jī)構(gòu)必須遵照?qǐng)?zhí)
3、行，并在執(zhí)行的過程中總結(jié)經(jīng)驗(yàn)，對(duì)發(fā)現(xiàn)的問題及時(shí)反饋，以便進(jìn)一步修訂、完善。????????????????????????????廣西壯族自治區(qū)衛(wèi)生廳?????????????????????????????????二〇〇八年十月二十八日?目???錄?第一部分??護(hù)理質(zhì)量評(píng)價(jià)指標(biāo)及計(jì)算方法1.?護(hù)理質(zhì)量評(píng)價(jià)指標(biāo)及計(jì)算方法··············································?(1)?第二部分??護(hù)理質(zhì)量檢查表1.?三級(jí)質(zhì)控護(hù)理質(zhì)量改進(jìn)記錄表·············································
4、·?(5)2.?二級(jí)質(zhì)控護(hù)理質(zhì)量改進(jìn)記錄表··············································?(6)3.?二級(jí)質(zhì)控護(hù)理質(zhì)量檢查匯總表··············································?(7)4.?一級(jí)質(zhì)控護(hù)理質(zhì)量改進(jìn)記錄表4．1?一級(jí)質(zhì)控護(hù)理質(zhì)量改進(jìn)記錄表（特殊區(qū)域）·····················?(8)4．2?一級(jí)質(zhì)控護(hù)理質(zhì)量改進(jìn)記錄表（供應(yīng)室）·························?(9)4．3?一級(jí)質(zhì)控護(hù)理質(zhì)量改進(jìn)記錄表（門診）·············
5、·············?(10)4．4?一級(jí)質(zhì)控護(hù)理質(zhì)量改進(jìn)記錄表（病房）···························?(11)?第三部分??各項(xiàng)護(hù)理質(zhì)量考核評(píng)分標(biāo)準(zhǔn)1.?普通病區(qū)管理質(zhì)量考核評(píng)分標(biāo)準(zhǔn)·········································?(12)2.?分級(jí)護(hù)理質(zhì)量考核評(píng)分標(biāo)準(zhǔn)················································?(16)2．1??特級(jí)護(hù)理質(zhì)量考核評(píng)分標(biāo)準(zhǔn)··········································?(16)2
6、．2??一級(jí)護(hù)理質(zhì)量考核評(píng)分標(biāo)準(zhǔn)··········································?(19)2．3??二級(jí)護(hù)理質(zhì)量考核評(píng)分標(biāo)準(zhǔn)··········································?(22)2．4??三級(jí)護(hù)理質(zhì)量考核評(píng)分標(biāo)準(zhǔn)··········································?(25)3.?急救物品管理質(zhì)量考核評(píng)分標(biāo)準(zhǔn)········································?(28)4.?護(hù)理文書書寫質(zhì)量考核評(píng)分標(biāo)準(zhǔn)················
7、························?(30)5.?消毒隔離質(zhì)量考核評(píng)分標(biāo)準(zhǔn)···············································?(33)6.?消毒供應(yīng)室工作質(zhì)量考核評(píng)分標(biāo)準(zhǔn)·····································?(36)7.?手術(shù)室工作質(zhì)量考核評(píng)分標(biāo)準(zhǔn)············································?(40)8.ICU工作質(zhì)量考核評(píng)分標(biāo)準(zhǔn)················································
