医疗技术管理办法.docx

1、医疗技术管理办法 医疗技术管理办法附件 医疗技术临床应用管理办法 为加强医疗技术临床应用管理建立医疗技术准入和管理制度促进医学科学发展和医疗技术进步提高医疗质量保障医疗安全根据卫生部医疗技术临床应用管理办法,卫医政发(2009)18号,件精神结合医院实际情况制定本办法。 第一章总则 第一条 根据执业医师法、医疗机构管现条例、医疗事故处理条例等有关法律、法规和规章制定本办法。 第二条 本办法所称医疗技术是指医疗机构及其医务人员以诊断和治疗疾病为目的对疾病作出判断和消除疾病、缓解病情、减轻痛苦、改善功能、延长生命、帮助患者恢复健康而采取的诊断、治疗措施。 第三条 医院开展医疗技术临床应用应当遵守本

2、办法。 第四条 医疗技术临床应用应当遵循科学、安全、规范、有 符合伦理的原则。医院开展医疗技术应当与其功能任务相适应具有符合资质人员、相应的设 备、设施和质量控制体系并遵守技术管理规范。 第五条 根据国家建立的医疗技术临床应用准入和管理制度对医疗技术实行分类、分级管理。 第六条 医务科负责医院医疗技术临床应用管理工作。 coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the

3、 special provisions in factory, does not allow any work that may affect the coupling Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typi

4、ng gently with a small hammer, not too loose or too tight, packed the bolts with the corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor,

5、 boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical diameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the sc

6、rew holes one by one after processing, processing back bolt installation location cannot be changed, so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washers total weight difference

7、should not be greater than 10 g and knocks stamped mark. (See Figure 18) The coupling bolts apply lubricant, and then gently with copper home, not too loose or too tight. Bolt Assembly is finished, symmetrical tightening all bolts to 30%, 50%, 70%, 100% force, and check the coupling flutter and befo

8、re connecting the circle gradually changes its value should be less than 0.02mm. Tightening torque of the coupling bolts shall comply with the technical requirements manufacturers drawings, with a dynamometric wrench or log tension tools. Three wheel rotor swing test coupling connections should be c

9、hecked: taking leave, 第二章 医疗技术分类分级管理 第七条 医疗技术分为三类: 第一类医疗技术是指安全性、有效性医疗机构通过常规管理在临床应用中能确保其安全性、有效性的技术。 第二类医疗技术是指安全性、有效性涉及一定伦理问题或风险较高卫生行政部门应当加以控制管理的医疗技术。 第三类医疗技术是指具有下列情形之一需要卫生行政部门加以严格控制管理的医疗技术: ,一,涉及重大伦理问题, ,二,高风险, ,三,安全性、有效性尚需经规范的临床试验研究进一步验证, ,四,需要使用稀缺资源; ,五,卫生部规定的其他需要特殊管理的医疗技术。 第八条 卫生部负责第三类医疗技术的临床应用管理工

10、作。 第九条 第三类医疗技术目录由卫生部制定公布并根据临床应用实际情况予以调整。 第十条 省级卫生行政部门负责第二类医疗技术临床应用管理工作。 第二类医疗技术目录由省级卫生行政部门根据本辖区情coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may

11、affect the coupling Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed

12、 the bolts with the corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupli

13、ng is symmetrical diameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt insta

14、llation location cannot be changed, so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washers total weight difference should not be greater than 10 g and knocks stamped mark. (See Fig

15、ure 18) The coupling bolts apply lubricant, and then gently with copper home, not too loose or too tight. Bolt Assembly is finished, symmetrical tightening all bolts to 30%, 50%, 70%, 100% force, and check the coupling flutter and before connecting the circle gradually changes its value should be le

16、ss than 0.02mm. Tightening torque of the coupling bolts shall comply with the technical requirements manufacturers drawings, with a dynamometric wrench or log tension tools. Three wheel rotor swing test coupling connections should be checked: taking leave, 况公布报卫生部备案。 省级卫生行政部门不得将卫生部废除或者禁止使用的医疗技术列入本行政

17、区医疗技术目录。 第十一条第一类医疗技术临床应用由医院根据功能、任务、技术能力实施严格管理。 第十二条 医院依法准予医务人员实施与其专业能力相适应的医疗技术。 第十三条 医院开展的临床检验项目必须是卫生部公布的准予开展的临床检验项目。 第十四条 医务人员不得在临床应用卫生部废除或者禁止使用的医疗技术。 第三章 医疗技术临床应用能力审核 第十五条 属于第三类的医疗技术首次应用于临床前必须经过卫生部组织的安全性、有效性临床试验研究、论证及伦理审查。 第十六条 第二类医疗技术和第三类医疗技术临床应用前实行第三方技术审核制度。 对医务人员开展第一类医疗技术临床应用的能力技术审核由医院审核后组织实施必要

18、时可以由省级卫生行政部门规定。 第十七条 医院专家技术委员会为医院医疗技术临床应用技术审核组织根据工作需要建立专家库。 coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may affect the coupling Centre, such as

19、irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed the bolts with the corresponding se

20、al screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical diameter, in borin

21、g, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt installation location cannot be changed,

22、so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washers total weight difference should not be greater than 10 g and knocks stamped mark. (See Figure 18) The coupling bolts apply lub

23、ricant, and then gently with copper home, not too loose or too tight. Bolt Assembly is finished, symmetrical tightening all bolts to 30%, 50%, 70%, 100% force, and check the coupling flutter and before connecting the circle gradually changes its value should be less than 0.02mm. Tightening torque of

24、 the coupling bolts shall comply with the technical requirements manufacturers drawings, with a dynamometric wrench or log tension tools. Three wheel rotor swing test coupling connections should be checked: taking leave, 第十八条 各科室、部门申请医疗技术临床应用能力技术审核时应当提交医疗技术临床应用可行性研究报告内容包括: ,一,开展该项医疗技术的目的、意义和实施方案, ,二

25、,该项医疗技术的基本概况包括国内外应用情况、适应证、禁忌证、不良反应、技术路线、质量控制措施、疗效判定标准、评估方法与其他医疗技术诊疗同种疾病的风险、疗效、费用及疗程比较等 ,三,开展该项医疗技术具备的条件包括主要技术人员的执业注册情况、资质、相关履历医疗机构的设备、设施、其他辅助条件、风险评估及应急预案, ,四,其他需要说明的问题。 第十九条 有下列情形之一的各科室不得提出医疗技术临床应用能力申请: ,一,申请的医疗技术是卫生部废除或者禁止使用的, ,二,申请的医疗技术未列入相应目录的, ,三,申请的医疗技术距上次同一医疗技术未通过临床应用能力技术审核时间未满12个月的, ,四,省级以上卫生

26、行政部门规定的其他情形。 第四章 医疗技术临床应用管理 第二十条 根据卫生部规定省级卫生行政部门负责审定第二类医疗技术的临床应用。卫生部负责审定第三类医疗coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may affect the coupling

27、 Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed the bolts with the

28、 corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical d

29、iameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt installation location ca

30、nnot be changed, so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washers total weight difference should not be greater than 10 g and knocks stamped mark. (See Figure 18) The couplin

31、g bolts apply lubricant, and then gently with copper home, not too loose or too tight. Bolt Assembly is finished, symmetrical tightening all bolts to 30%, 50%, 70%, 100% force, and check the coupling flutter and before connecting the circle gradually changes its value should be less than 0.02mm. Tig

32、htening torque of the coupling bolts shall comply with the technical requirements manufacturers drawings, with a dynamometric wrench or log tension tools. Three wheel rotor swing test coupling connections should be checked: taking leave, 技术的临床应用。 第二十一条 医院建立医疗技术分级管理制度和保障医疗技术临床应用质量、安全的规章制度建立相关医疗技术档案对医疗技术定期进行安全性、有效性和合理应用情况的评估。 第二十二条 根据卫生部规定建立手术分级管理制度。根据风险和难易程度不同手术分为四级: 一级手术是指风险较低、过程简单、技术难度低的普通手术, 二级手术是指有一定风险、过程复杂程度一般、有一定技术难度的手术, 三级手术是指风险较高、过程较复杂、难度较大的手术, 四级手术是指风险高、过程复杂、难度大的重大手术。 第二十三条 医院对具有不同专业技术职务任职资格的医师级开展不同级别的手术进行限定并对其专业能力进行审核