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《医疗机构手术分级管理办法》解读(3)
二、修订内容<SPAN style="FONT-SIZE: 16pt; TEXT-DECORATION: none; FONT-FAMILY: 仿宋, 仿宋_GB2312; COLOR: rgb(72,72,72); OUTLINE-WIDTH: 0px; PADDING-BOTTOM: 0px; PADDING-TOP: 0px; OUTLINE-STYLE: none; PADDING-LEFT: 0px; MARGIN: 0px; OUTLINE-COLOR: invert; PADDING-RIGHT: 0px"><o:p style="PADDING-BOTTOM: 0px; PADDING-TOP: 0px; PADDING-LEFT: 0px; MARGIN: 0px; PADDING-RIGHT: 0px"></o:p>
<P style="FONT-SIZE: 16pt; TEXT-DECORATION: none; FONT-FAMILY: 仿宋, 仿宋_GB2312; WHITE-SPACE: normal; WORD-SPACING: 0px; TEXT-TRANSFORM: none; FONT-WEIGHT: 400; COLOR: rgb(72,72,72); OUTLINE-WIDTH: 0px; PADDING-BOTTOM: 0px; FONT-STYLE: normal; TEXT-ALIGN: justify; PADDING-TOP: 0px; OUTLINE-STYLE: none; PADDING-LEFT: 0px; ORPHANS: 2; WIDOWS: 2; MARGIN: 0px; LETTER-SPACING: normal; OUTLINE-COLOR: invert; LINE-HEIGHT: 1.5; PADDING-RIGHT: 0px; TEXT-INDENT: 2em; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px"><SPAN style="FONT-SIZE: 16pt; TEXT-DECORATION: none; FONT-FAMILY: 仿宋, 仿宋_GB2312; COLOR: rgb(72,72,72); OUTLINE-WIDTH: 0px; PADDING-BOTTOM: 0px; PADDING-TOP: 0px; OUTLINE-STYLE: none; PADDING-LEFT: 0px; MARGIN: 0px; OUTLINE-COLOR: invert; PADDING-RIGHT: 0px">（一）突出了医疗机构在手术分级管理中的主体责任。<SPAN style="FONT-SIZE: 16pt; TEXT-DECORATION: none; FONT-FAMILY: 仿宋, 仿宋_GB2312; COLOR: rgb(72,72,72); OUTLINE-WIDTH: 0px; PADDING-BOTTOM: 0px; PADDING-TOP: 0px; OUTLINE-STYLE: none; PADDING-LEFT: 0px; MARGIN: 0px; OUTLINE-COLOR: invert; PADDING-RIGHT: 0px">《办法》对医疗机构履行手术分级管理的主体责任提出了明确要求，强调医疗机构应当按照院、科两级负责制，根据自身功能定位、医疗服务能力水平和诊疗科目制定手术分级管理目录，进行手术分级管理；明确了医疗机构内部手术分级管理组织架构、各部门职责、管理运行机制和要求，为医疗机构履行主体责任提供了基本遵循。<SPAN style="FONT-SIZE: 16pt; TEXT-DECORATION: none; FONT-FAMILY: 仿宋, 仿宋_GB2312; COLOR: rgb(72,72,72); OUTLINE-WIDTH: 0px; PADDING-BOTTOM: 0px; PADDING-TOP: 0px; OUTLINE-STYLE: none; PADDING-LEFT: 0px; MARGIN: 0px; OUTLINE-COLOR: invert; PADDING-RIGHT: 0px"><o:p style="PADDING-BOTTOM: 0px; PADDING-TOP: 0px; PADDING-LEFT: 0px; MARGIN: 0px; PADDING-RIGHT: 0px"></o:p>
<P style="FONT-SIZE: 16pt; TEXT-DECORATION: none; FONT-FAMILY: 仿宋, 仿宋_GB2312; WHITE-SPACE: normal; WORD-SPACING: 0px; TEXT-TRANSFORM: none; FONT-WEIGHT: 400; COLOR: rgb(72,72,72); OUTLINE-WIDTH: 0px; PADDING-BOTTOM: 0px; FONT-STYLE: normal; TEXT-ALIGN: justify; PADDING-TOP: 0px; OUTLINE-STYLE: none; PADDING-LEFT: 0px; ORPHANS: 2; WIDOWS: 2; MARGIN: 0px; LETTER-SPACING: normal; OUTLINE-COLOR: invert; LINE-HEIGHT: 1.5; PADDING-RIGHT: 0px; TEXT-INDENT: 2em; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px"><SPAN style="FONT-SIZE: 16pt; TEXT-DECORATION: none; FONT-FAMILY: 仿宋, 仿宋_GB2312; COLOR: rgb(72,72,72); OUTLINE-WIDTH: 0px; PADDING-BOTTOM: 0px; PADDING-TOP: 0px; OUTLINE-STYLE: none; PADDING-LEFT: 0px; MARGIN: 0px; OUTLINE-COLOR: invert; PADDING-RIGHT: 0px">（二）建立了医疗机构手术分级管理制度体系。<SPAN style="FONT-SIZE: 16pt; TEXT-DECORATION: none; FONT-FAMILY: 仿宋, 仿宋_GB2312; COLOR: rgb(72,72,72); OUTLINE-WIDTH: 0px; PADDING-BOTTOM: 0px; PADDING-TOP: 0px; OUTLINE-STYLE: none; PADDING-LEFT: 0px; MARGIN: 0px; OUTLINE-COLOR: invert; PADDING-RIGHT: 0px">《办法》建立健全了从手术分级目录制定、医务人员授权、患者术后管理到医疗机构内部督查等手术分级管理全流程的制度设计，包括但不限于手术分级管理目录备案制度、公示制度、动态调整制度；医务人员授权管理和动态调整制度、紧急情况下特殊授权管理制度；以及手术论证制度、手术培训制度、术前讨论制度、手术相关不良事件报告制度、死亡讨论制度、患者随访制度、手术质量安全评估制度、手术分级管理督查制度等一系列制度要求，为医疗机构加强手术分级管理、提升手术质量、保障手术安全提供了依据。<SPAN style="FONT-SIZE: 16pt; TEXT-DECORATION: none; FONT-FAMILY: 仿宋, 仿宋_GB2312; COLOR: rgb(72,72,72); OUTLINE-WIDTH: 0px; PADDING-BOTTOM: 0px; PADDING-TOP: 0px; OUTLINE-STYLE: none; PADDING-LEFT: 0px; MARGIN: 0px; OUTLINE-COLOR: invert; PADDING-RIGHT: 0px"><o:p style="PADDING-BOTTOM: 0px; PADDING-TOP: 0px; PADDING-LEFT: 0px; MARGIN: 0px; PADDING-RIGHT: 0px"></o:p>

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