山東省臨床重點(diǎn)專科建設(shè)項(xiàng)目臨床護(hù)理評(píng)分標(biāo)準(zhǔn)(試行)

1、Thi C f l Stic itthi t XIGl S ty "wln " l iti it i viil Sty h i it t l 1ytviil i tI t "wl"l i wk ft 1ytti i Gl bft k t bzi htt lyfivi " . wllffilBili lil viltiy vi t t fhiIty bi th "c ttti P L lifh b fty b"" Pty c t l.tth ity ti v i t hhi t t l t thi ty tif -y

2、i !y"t t vt bfty bft tt tl ilithtkftybiithiy XI G 1styy i "w"tytiii t fly. ttthiff tib-tly th v bj tvbi it it k f til t thi-f th f ttyizt tllvlh ytit ithiht i tfth ti tlfl-O-rl 6Yushan, "mrale Z ha Leji I "nta"" Forumon educational wk, a caeulde p"e nt of tS w

3、 or、putfra d a r re quieme nt. O .'.13, the Pay Secet ,Xe IU-a n, Die .roV pepes Cngre- teprvnce s-tw" st - , e duainal "eence made specIC arrangements t o . out su. ad e.in i the provi nce - at t os”u- St udy dfute .plementjin. Paty accr dig to the split of the cental and p"nCa r

4、e _i_e itS, ba sed onactua C y research- . 一 e ope d a two- e ina progammes ad study cnletssec、programmes w e nt to pay secal *et ontofl owup. Now, Im a few remar Fist-eeni I g uderstadng, ehancig grasp、-" el - a>nal responsibly sice the pays ” "mr XI Jipig as Oeal Secet of the，* Ceta C

5、mmiee ma a seaes of mjr .“et aroud the patysLomtruckn, m g a seres o"uc, cnstrulin of a new poIUl st- ad the asiatons of the .a" geaty cndense d. Tw- su. ad e .n, refecs the iterl ock ng Sep by step, Urt her promote the compre he SrCty a dmistei ng tte party s “d miaSnand poltca - to push

6、forwad t he fu cmprehe nsv- st”, s of great Sgfcan Soul d be supporte d by poiia a nd oal山東省臨床重點(diǎn)?？平ㄔO(shè)項(xiàng)目臨床護(hù)理評(píng)分標(biāo)準(zhǔn)（試行）一、本標(biāo)準(zhǔn)分六個(gè)部分，實(shí)行量化千分制，其中“醫(yī)院護(hù)理管理”占160分，“護(hù)士隊(duì)伍狀況及建設(shè)”也70分，“臨 床護(hù)理服務(wù)質(zhì)量及水平”占260分，“臨床護(hù)理質(zhì)量控制與評(píng)價(jià)”占200分，“護(hù)理專項(xiàng)活動(dòng)”歷0分，“區(qū)域內(nèi)發(fā)揮示范 和輻射作用”占60分。二、申報(bào)山東省臨床重點(diǎn)專科臨床護(hù)理專業(yè)項(xiàng)目醫(yī)院應(yīng)當(dāng)具備以下基本條件：1.醫(yī)院應(yīng)當(dāng)為三級(jí)醫(yī)院，能夠認(rèn)真落實(shí)醫(yī)藥衛(wèi)生體制改革和公立醫(yī)

7、院改革各項(xiàng)任務(wù)；2.近五年，醫(yī)院護(hù)理工作取得明顯成效，貫徹落實(shí)護(hù)士條例和加強(qiáng)護(hù)理工作各項(xiàng)要求，加強(qiáng)護(hù)士隊(duì)伍建設(shè)，保障護(hù)士權(quán)益，提高護(hù)理質(zhì)量，患者和社會(huì)對(duì)護(hù)理服務(wù)滿意程 度較高，護(hù)理管理科學(xué)、創(chuàng)新，能夠調(diào)動(dòng)護(hù)士積極性；3.醫(yī)院實(shí)施優(yōu)質(zhì)護(hù)理服務(wù)，并達(dá)到工作標(biāo)準(zhǔn)，開展優(yōu)質(zhì)護(hù)理服務(wù)病房數(shù)量應(yīng)當(dāng)達(dá)到醫(yī)院病房總數(shù)的80%以上；4.醫(yī)院護(hù)理整體水平高，在區(qū)域內(nèi)能夠發(fā)揮示范、輻射作用，帶動(dòng)區(qū)域內(nèi)醫(yī)院護(hù)理專業(yè)發(fā)展；5.醫(yī)院積極開展對(duì)口支援工作、患者預(yù)約診療服務(wù)，并推行臨床路徑管理、單病種 管理工作。三、本標(biāo)準(zhǔn)中包括的人員是指人事關(guān)系或執(zhí)業(yè)地點(diǎn)在所在醫(yī)院的人員。egt ddep ustadngof "w

8、- sudy ade_iaton onsregt heni nge_iat arty mobers ad cadrrs andbuking acnti ngent of drrs wt h gh quai y mantaiig ad elpig the | ays . nce d naue and pu. if te sgnicace of prcica thooght ad a cin ito "eta ad provi i ci rrq.rmes. Fis, te "w" d' ad in, scniuosy stegt hei ng te pays

9、de ologica and poiica cnstrcin if majr de plo.e nt. "acmportane t partyidelgy i s te spe caly of ouparty snce te pay' s 18 disi nc chara ceisc of *Idmiiseing te pay XI i ea、ceay poie d out tha ou party must bprove i , the is tsk s tsregtheiol o.ca ad .olt cal cnst .y s te e -caina manaetof

10、pay membes and dres A pre set the iea sand .leshave becme i ncegy ictle, scal t rendsaeaa.ystrrig bend cilua excan a nd te com pl y of the si in, drove , some pay m bes ' ieolgicl ad polial .robam* tee s aurget neldtse ngte n pay ieolo* ceaing the fg - s ceteig L-, sme bel ie cnfuse d "tree

11、 a conke nce" Id -stenvue concept some sii pty not ete May ete ghosssme poiial dsil i e re in, i pay not satmets paty a i d epay, a nd not nursi ng pay, a nd art y evened pay of some mos basc of pricie s ad posiin； some.r.ni-ton diciline providds pariiae ipary of or.nse d, not cm pletd paydstiu

12、inof ask not by pay of do； sme . ism sei ous and pe ope ra Le e, ad s>d ngsme de pesed a nd esape esonnii .y, i ssin, not - good as sme mora deci ne, vilaig pul c moraly, pros ona e I cs ad » viues not pesonal m oralty sme "nnsy ad seldscil ne awae nes i s not st ong wi h no fea, lawess

13、es, auue, ad crruton among polal and son. The - probims ale al ad gnore the Consi uin Party rue, g nore a dvacd ter y, ad la、 of sene of cnsciuse sscnnciosneIs, pionnee of te pay has alt td wi h i. Thought, bekf and at, st- ttesi.a purlui of "mmuniss ha s aay be en the Commuiss to sete dowat al

14、Tw- sudy a ndld aion, i s teae ea c pay t party rules eced in t he heat of te pay C.nnUuin, and sech into aseis of poweul weaon, claring t he barrie s ad gai the e-sof te mid mprove te del ogial and poltcl quaiy worty of .he gorious tieof te paty m bes Sicon、te "two" stdy andld aton, cmpre

15、I esvey steghen the cnsucinof galsroot s party orgai -tons ad party m bes is anmporant - AwaS, our party m bes and pay organiatons, ppcaSa te grassoos el sme of the party m bers qualy is not hgh, dscilne ad some prmay party organains ae and lx, w ped ou sme grssoos cadis a, caos as, thi- fie-, laig

16、a nd so on. T hhse pr obl-s aelBThief l Stic itthi t XIGl S ty "wln " l iti it i viil Sty h i it t l 1ytviil i tI t "wl" l i wk ft 1yttii G l bft k t bz i htt lyfivi " . wllffilBili lilviltiy vi t t fhiIty bi th "c IttiPL lifh b fty b"" Pty c t l.tth ity ti v

17、i t hhi tt l tt hi ty tif -yi !y"t t vt bfty bft tt tl ilithtkftyb-thiy XIG 1styy i "w"tytiii t fly. ttthiff tib-tly th v bj tvbi it l t thi-f th f ttyizt tllvlh ytit ithiht i tftht y t t y tlfl- O 6Yushan, "mraie Z ha Le，i i centa-tw- Forum e . i onal wk, a .aeul.e p"e nt o

18、f ts w 、putfra d a r e -ieme nt. *"*13, the Pay Secet ,xe lu-a n, .r - i.al pepes Cngress, the prvn.e s-tw- study e . inal"eence made specic arragementst o cay out su. a. e. initep" nce ttos”. St . e ”. Urthe mplme ntjin. Paty accrdig tothe split of the cental and prvnca re .ieme its,

19、 ba sei oact .a cl y esear c，as e ope . a -wi- e - caina progammes a. study cnletssec、programmes w e nt tO pay secal*etmtikl owup. Nw, Im a few remar Fisteeni i g udestadng, ehancig grasp -" ei - a>nalronsbly sice the pays 18, "mr XI Jipig as Oeal Secet of the，*ceta,mmi ma- a seaes of m

20、jr .“etan. tepal*cnStuOn, m g a seres".c, cnstrulin of a new paul st- ad the aspiatos of the .art, geaty cndense . Tw- su. a. e . .n, refecs the iterl ock ng Sep by step, urt her promote the compre he - src a .mistei ng tte party s'am. mialna nd poltca - to push firwad t he -fu cmpree nsv-

21、st”, s of .eat si.f.a should be supporte . by poiia a nd oveal廳p檢查內(nèi)容標(biāo)準(zhǔn)分評(píng)分標(biāo)準(zhǔn)備注一醫(yī)院護(hù)理管理1501評(píng)估前5年，醫(yī)院護(hù)理工作發(fā) 展的思路、計(jì)劃401）有完善和可行的全院護(hù)理發(fā)展規(guī)劃方案，思路、目標(biāo)和方向。（20分）2）能夠按規(guī)劃執(zhí)行、落實(shí)，并取得效果。（20分）2醫(yī)院對(duì)護(hù)理專業(yè)發(fā)展的扶持 政策和支持措施601）院領(lǐng)導(dǎo)重視護(hù)理專業(yè)發(fā)展，定期開會(huì)或查房解決護(hù)理工作中的問題。（10）2）在護(hù)士隊(duì)伍建設(shè)、護(hù)理服務(wù)改善、加強(qiáng)護(hù)理工作具啟可行的支持措施。（10分）3）對(duì)護(hù)理技術(shù)提高有具體措施，如建有護(hù)士培訓(xùn)基地、示教室等。（10分

22、）4）對(duì)護(hù)士隊(duì)伍建設(shè)有具體的規(guī)劃，護(hù)士的培養(yǎng)、發(fā)展有明確的計(jì)劃、目標(biāo)和措施，并加以落實(shí)。（10分）5）全院建立有完善的后勤支持系統(tǒng)，為臨床一線服務(wù)。（10分）6）依法保障護(hù)士合法權(quán)益，采取肩效的衛(wèi)生防護(hù)措施和醫(yī)療保健措施。（10 分）3根據(jù)醫(yī)院的功能任務(wù)建立完 善的護(hù)理管理組織體系，按照護(hù)士條例及加強(qiáng)護(hù)理工作 的規(guī)定，實(shí)施科學(xué)護(hù)理管理工 作501）醫(yī)院建立護(hù)理部一科護(hù)士長(zhǎng)？一護(hù)士長(zhǎng)的三級(jí)垂直管理體系。（10分）2）護(hù)理部職責(zé)明確，能夠?qū)嵤?duì)全院的護(hù)理管理工作。（10分）3）科護(hù)士長(zhǎng)、病房護(hù)士長(zhǎng)及各級(jí)各類護(hù)士崗位職責(zé)明確。（10分）4）護(hù)理部對(duì)全院護(hù)理工作模式思路清晰，對(duì)責(zé)任護(hù)士分包病人的責(zé)任制

23、整體護(hù)理模式理解正確，落實(shí)好。（10分）5）護(hù)理部建立完善、明細(xì)的護(hù)理質(zhì)量管理辦法。（10分）二護(hù)士隊(duì)伍狀況及建設(shè)2804臨床護(hù)士數(shù)量，滿足醫(yī)院臨床 護(hù)理工作需要1001）全院護(hù)士數(shù)量充足，能夠滿足醫(yī)院臨床護(hù)理工作需要。（10分）2）臨床一線護(hù)士占全院護(hù)士比例95% （20分）3）依據(jù)各病房（病區(qū)）護(hù)理工作量和患者病情配置護(hù)士，病房實(shí)際床位數(shù) 與病房護(hù)士數(shù)的比例應(yīng)當(dāng)1:0.4 。 （20分）4）重癥監(jiān)護(hù)實(shí)際開放床位與護(hù)士數(shù)比1: 2.5。（10分）5）醫(yī)院醫(yī)生與護(hù)士的實(shí)際比例合理。（10分）請(qǐng)列出全 院護(hù)士的 分布1） 、 3）、 4）、5） 由專家確egt ddep udestadng of

24、 -w- su.，ad eucaton onsegt heni ng eucat on of pa.，m ber s ad cde s and bbidi ng a cntige nt of cdre s wih I gh quaiy maiaiing and I pi ng te pay'sIdcdI aue a id pu.y ofte niiance of prrcial tought ad actonint - ta a.p.v * rrqUrmes. Fis, te -w- su.，ad eucain, scntnuou- segtening te pays ide olog

25、ica ad polica constuilton I f major de plo.et-lac mpodance tpay ide I logy is t he secay of ou pal y sine the par ys .sic chaace - t c of sticy a .miiselng te pat y XI Genea Seceay poited out tha ou lay mus .pro- itef the is. s tsengteieologgcl and polica conntrultin, te . s the educai onal ma naeme

26、nt of pady m bes ad ccde s. A preent, te i.das a nd vaue s ha- becme iceaigy actve silal tends aela.y sirng be nd, cilua exca nggs a nd te com pleiy of the siuai on, ., some pay membe s ' de olgi cl ad polial pr obl - s tee i s a uge ntnne d tstegt he pa.，de olgy carng t I e fg, w- centei ng. Lk

27、e sme bble conusd, -hrre acn,ec- inufiBnt, pr ldWesen vaue cncet sme srt -ptyI ot eter May lete ghoots； some polica.sHl ner xain, in paynotstatmes lay, a id notlo-pary a nd not nur sig pay, ad not fr pary e-n de niid pay of sme most bai c of pri ncls a nd post on； smeoga nain di ssilne lx, not by pr

28、o. .ds patliae i n pa.，of ogansid, notcm petd pay disrbuin of 、not by pady of ogaain p!ncpes do； sme .oi oseiis, a nd peple rae Le, and -f. igsme depese a nd esape esonnii >ty i ssin, not - good as sme mora deci ne, vilaig pul c morrly, prs ona e.cs ad viues not pesnal moralty sme "nnsy ad s

29、eldscil ne awae nes i s not st ong wi I no fea, lawesses, auue, ad crruton among polkal and son. The - probl - s ale al ad gnore the Consi uinParyrum g nore a ancd ter y, ad lak of sene of cnsciuse sscnnciosneIs, pionnee of te pay has a lt td wi Ii. Thought, bekf and at, st c tte si.a purlui of Ccmm

30、uniss ha s aay be en the Comm uisst o sete dowat alrw- su<y andId aion, i s teae ea c pay tparyrrjes ece.in t he hea! of te pay ConnUuin, and sech into aseis of poweul weaon, clarng t he barie s ad gai the e-sof te mid mprove te del ogial and poltcl quaiy worty of .he gori ous tieof te pay membes

31、 Slcond te -wo- sudy ad educain, compreI esvey steghen the cnsucinof ga-rots paryogai tons ad par，m besnains ae 一 and , wped ou sme grssoos drs a, caos as, thi c fieds, ig and so on. T hhseprThief l Stic itthi t XIGl S ty "wln " l iti it i viil Sty h i it t l 1ytviil i tI t "wl"

32、l i wk ft 1ytti i Gl bft k t bz i htt lyfivi " . wllffilBili lilviltiy vi t t fhiIty bi th "c IttiPL lifh b fty b"" Pty c t l.tth ity ti v i t hhi tt l tt hi ty tif -yi !y"t t vt bfty bft tt tl ilithtkftybiithiy XIG 1styyi "w"tytiii t fly. ttth i iff tib-tly th v b

33、j tvbi it it k f til t thi-f th f ttyizt tllvlh ytit ithiht i tf tht y t t y tlfl- O rl 6Yushan, "mrale Z ha Le，i I centa-tw- Forum e .u i onal wk, a caeul.e p"e nt of tS w or、putfra d a r re .ieme nt. ri 13, te Pay Secet ,Xe IU-a n, .r - i.al pepes Cngress, the prvnce s-tw- st - , e . ina

34、lc.neenc* made specIC arragementst o . out su. ad e.u - initep" nce ttos”. St . . futer Lpl_enatin. Pay accr dig to the slit of the cental and prvnca re.ieme*, based onact .a cl y esearchas . eope . a "t-i- educaina progammes ad su. cnletssec、programmes we nt o paysecal *etmtkl owup. Nw, I

35、m a few remar Fisteeni I g uderstadng, ehancig grasp -" el - a>nalronsbly sice the pays 18, "mr XI Jipig as Oeal Secet- of te，*ceta,mmi ma-a seaes of mjr.“etanu. te patysLmStuCin, m g a sereso'.c, cnstulin of a new pHUl st- ad the asiatosof te .a" geaty cndense. Tw- su. ad e-.n

36、, relcs t he iterl ock ng Sep by step, Urt her promoe te compre he - strc a .mistei ng te party s “d miaSnand polka- to push flrwad t he fu cmpree nsv- st”, S of great si.f.a Soul d be supporte . by poiia a nd oal6）醫(yī)院護(hù)士分布合理。（10分）7）探索實(shí)施護(hù)理崗位管理。（20分）定是否合 理5有護(hù)士培訓(xùn)計(jì)劃，及落實(shí)措施501）有護(hù)士分層次培養(yǎng)計(jì)劃（10分）；可行并落實(shí)到位。（10分）

37、2）有護(hù)士長(zhǎng)培訓(xùn)計(jì)劃（5分）；可行并落實(shí)到位。（5分）3）有完善的培訓(xùn)課程安排。（10分）4）有嚴(yán)格的考核制度。（10分）6保障護(hù)士權(quán)益，改善護(hù)士待 遇，同工同酬1301）全院護(hù)士實(shí)現(xiàn)同工同酬。（25分）2）合同制護(hù)士，待遇公平公正。（25分）3）全年護(hù)士離職率較低。（20分）4）護(hù)士待遇合理，體現(xiàn)勞動(dòng)價(jià)值。（20分）5）護(hù)士薪酬分配、獎(jiǎng)懲評(píng)優(yōu)與護(hù)理數(shù)量、護(hù)理質(zhì)量、技術(shù)風(fēng)險(xiǎn)、患者滿意度相結(jié)合，體現(xiàn)多勞多得，優(yōu)績(jī)優(yōu)酬，能夠調(diào)動(dòng)護(hù)士積極性。（20分）6）為護(hù)士提供必需的衛(wèi)生防護(hù)用品。（20分）由專家確 定是否合 理三臨床護(hù)理服務(wù)質(zhì)量及水平2407開展優(yōu)質(zhì)護(hù)理服務(wù)1801）醫(yī)院開展優(yōu)質(zhì)護(hù)理服務(wù)的病房

38、數(shù)量達(dá)到病房總數(shù)的100%Z上。（20分）2）醫(yī)院開展優(yōu)質(zhì)護(hù)理服務(wù)符合工作標(biāo)準(zhǔn)。（20分）。3）改革臨床護(hù)理工作模式，病房實(shí)施責(zé)任制整體護(hù)理，責(zé)任護(hù)士為分管患 者實(shí)施全面全程護(hù)理服務(wù)。（20分）4）根據(jù)?？铺攸c(diǎn)和患者需要實(shí)施優(yōu)質(zhì)護(hù)理服務(wù)。（20分）5）每個(gè)責(zé)任護(hù)士均負(fù)責(zé)一定數(shù)量的患者，每名患者均有相對(duì)固定的責(zé)任護(hù) 士對(duì)其全程全面負(fù)責(zé)。（20分）6）每名責(zé)任護(hù)士平均負(fù)責(zé)患者數(shù)量不超過 8名患者。（20分）7）責(zé)任護(hù)士為患者提供整體護(hù)理服務(wù)，履行基礎(chǔ)護(hù)理、病情觀察、治療、 溝通和健康指導(dǎo)等護(hù)理工作職責(zé)，使其對(duì)所負(fù)責(zé)的患者提供連續(xù)、全程 的護(hù)理服務(wù)。（20分）8）結(jié)合病房實(shí)際，細(xì)化分級(jí)護(hù)理標(biāo)準(zhǔn)、服務(wù)

39、內(nèi)涵和服務(wù)項(xiàng)目，并公示讓患 者和社會(huì)監(jiān)督。（20分）egt ddep uderstadngof 'w" su.，ad eucaton on sregt heni ng eucat on of party m bers ad cdre s and budi ng a cntige nt of cdre s wt I gh qulHy maiaiing and I pi ng te pay' sldcd I aue aid puriy of te niianne of prrcia l tought ad ad onint " ntral ad provi I

40、cl rrqurmes. Fis, te 'w" su.，ad eucain, scntnuou- sregteni ng te pays i de ologica ad pol ica constud on I f major de plo.etABc mportance tpay ide I logy is t he secay of ou pat y sine the party s 18 .sic chaa - rstc of sticy admii seing te pat y XI Genea Seceay poited out tha oulay mus .pr

41、o- is el, the is tsk s tsregte ieologgcl and polica constucin, te . sthe educai onal ma naement of party membe s ad ccde s. A pree nt, te i .das a nd vaue s ha- becme icreaigy a ctve s-lt rends ae ta.y sirng be nd, culua exca nggs a nd te com pleiy of the siuai on, .,some pay membe s ' de olgicl

42、 ad polial pr obl - s tee i s a uge ntnne d tstegt heparty deolgy caring t I e fg, w- centei ng. Lke sme bble conusd, "hrre acnkec inufiBnt, pr ld Wesen vaue cncet sme srt -py,I ot e-r May lete gho； some polica.sHl ner xain, in paynotstatmes lay, a id notlo- party a nd not nur sig pay, ad not f

43、r party e-n de niid pay of sme mos basc of pri ncls a nd post on； sme organain di ssilne , not by pro. dds patH i n party of organsid, notcmpl etd pay disribuin of ts、not by party of orgaain princpes do； sme .oi -seios, a nd peple rae Le, and sef -ai.sme de prese. a nd esape esonnii>tyi ssin, not

44、 - good assme mora deci ne, vilaig pul c moralty profss ona e.cs ad viues not pesnal moralty sme "nnsy ad seldsUlne awae nes i s not st ong wi I no fea, lawesses, auue , ad crr uton among polkal and son. The - probl - s ale al ad gnore t he Consi uin Party rue, g nore a acd tery, ad la、of sene

45、of cnsciuse sscnnciosneIs, pionnee of te pay has a lt td wi I i. Thought, bekf and at, stc ttesi.a purlui of Ccmmuniss ha s aay be en the Comm uisst o sete dow at alTw- stdy a ndld aion, i s teae ea c pay tparyr- s ece.in t he heat of te pay ConnUuin, and sech into aseis of poweul weaon, claring t h

46、e barrie s ad gai thee-s of te mid mprove te delogial and poltcl quaiy worty of .he ggorious tie of te pay membes Sicond te -wo- sudy ad educain, compreI esvey stegghen the cnsrucin of gras root s party orgai tons ad party m bes is an mporant - AwaS, our party m bes and pay organiatons, ppcaS a te g

47、rassoos el sme of teparty m bers _aly isnot hgh, dsnlne ad someprmay party organains ae and , w ped ou sme grssoos cadisa, caos a s,thi c fiens, laig and so on. T hhsepr obl-s aThief l Stic itthi t XIGl S ty "wln " l iti it i viil Sty h i it t l 1ytviil i tI t "wl" l i wk ft 1ytt

48、ii G l bft k t bz i htt lyfivi " . wllffilBili lilviltiy vi t t fhiIty bi th "c IttiPL lifh b fty b"" Pty c t l.tth ity ti v i t hhi tt l tt hi ty tif -yi !y"t t vt bfty bft tt tl ilithtkftyb-thiy XIG 1styy i "w"tytiii t fly. ttthiff tib-tly th v bj tvbi it l t thi

49、-f th f ttyizt tllvlh ytit ithiht i tftht y t t y tlfl- O 6Yushan, "mraie Z ha Le，i i centa-tw- Forum e . i onal wk, a .aeul.e p"e nt of ts w 、putfra d a r e -ieme nt. *"*13, the Pay Secet ,xe lu-a n, .r - i.al pepes Cngress, the prvn.e s-tw- study e . inal"eence made specic arra

50、gementst o cay out su. a. e. initep" nce ttos”. St . e ”. Urthe mplme ntjin. Paty accrdig tothe split of the cental and prvnca re .ieme its, ba sei oact .a cl y esear c，as e ope . a -wi- e - caina progammes a. study cnletssec、programmes w e nt tO pay secal*etmtikl owup. Nw, Im a few remar Fiste

51、eni i g udestadng, ehancig grasp -" ei - a>nalronsbly sice the pays 18, "mr XI Jipig as Oeal Secet of the，*ceta,mmi ma- a seaes of mjr .“etan. tepal*cnStuOn, m g a seres".c, cnstrulin of a new paul st- ad the aspiatos of the .art, geaty cndense . Tw- su. a. e . .n, refecs the iterl

52、 ock ng Sep by step, urt her promote the compre he - src a .mistei ng tte party s'am. mialna nd poltca - to push firwad t he -fu cmpree nsv- st”, s of .eat si.f.a should be supporte . by poiia a nd oveal9）開展優(yōu)質(zhì)護(hù)理服務(wù)病房的實(shí)際床位數(shù)與護(hù)士數(shù)的比例1:0.4 o分工合理，彈性排班。（20分）8分級(jí)護(hù)理制度和護(hù)士崗位職 責(zé)201）落實(shí)分級(jí)護(hù)理制度，患者的護(hù)理級(jí)別與病情相符、合理。（1

53、0分）2）護(hù)士落實(shí)崗位職責(zé)，責(zé)任護(hù)士掌握所負(fù)責(zé)患者護(hù)理級(jí)別、病情、觀察重 點(diǎn)、治療要點(diǎn)、飲食及身體自理情況等。（10分）9實(shí)施心理護(hù)理和健康指導(dǎo)201）責(zé)任護(hù)士加強(qiáng)護(hù)患溝逋交流，根據(jù)患者病情實(shí)施心理護(hù)理；（10分）2）患者健康指導(dǎo)覆蓋率95% （10分）10患者滿意度調(diào)查20患者滿意度有測(cè)評(píng)（5分），有統(tǒng)計(jì)分析（5分），有改進(jìn)措施。（10分）四臨床護(hù)理質(zhì)量控制與評(píng)價(jià)22011三級(jí)護(hù)理質(zhì)量控制體系501）建立三級(jí)護(hù)理質(zhì)量控制體系。（10分）2）有護(hù)理質(zhì)量持續(xù)改進(jìn)的實(shí)施計(jì)劃和管理目標(biāo)（10分），科學(xué)、合理、符 合實(shí)際。（10分）3）對(duì)護(hù)理質(zhì)量效果定期進(jìn)行評(píng)價(jià)、反饋并進(jìn)行原因分析（10分），制定切

54、實(shí)可行的改進(jìn)措施。（10分）12實(shí)施護(hù)理質(zhì)里受核501）臨床護(hù)理質(zhì)量考核標(biāo)準(zhǔn)完善。（10分）2）各項(xiàng)考核指標(biāo)具體、細(xì)化、量化。（20分）能將考核結(jié)果與護(hù)士獎(jiǎng)懲、晉升、評(píng)優(yōu)結(jié)合起來。（20分）13各項(xiàng)護(hù)理工作制度401）有各項(xiàng)護(hù)理工作制度（10分），完善并及時(shí)更新（10分）。2）能夠執(zhí)行各項(xiàng)護(hù)理制度（10分），落實(shí)到位。（10分）14護(hù)理質(zhì)量安全管理801）加強(qiáng)護(hù)理工作重點(diǎn)環(huán)節(jié)管理。（20分）2）近5年發(fā)生護(hù)理糾紛比例低。（15分）3）有護(hù)理不良安全事件等有主動(dòng)報(bào)告制度（20分）；有執(zhí)行工作流程；科學(xué)、合理、可行。（25分）五護(hù)理專項(xiàng)活動(dòng)5015參加全國(guó)專項(xiàng)活動(dòng)301）近5年護(hù)士崗位技能訓(xùn)練和競(jìng)

55、賽活動(dòng)獲得衛(wèi)生部及衛(wèi)生廳表彰。（10分）2）醫(yī)院管理年與醫(yī)療質(zhì)量萬里行護(hù)理成績(jī)突出與否。（20分，各10分）egt ddep udestadng of -w- su.，ad eucaton onsegt heni ng eucat on of pa.，m ber s ad cde s and bbidi ng a cntige nt of cdre s wih I gh quaiy maiaiing and I pi ng te pay'sIdcdI aue a id pu.y ofte niiance of prrcial tought ad actonint - ta a.p.v

56、* rrqUrmes. Fis, te -w- su.，ad eucain, scntnuou- segtening te pays ide ologica ad polica constuilton I f major de plo.et-lac mpodance tpay ide I logy is t he secay of ou pal y sine the par ys .sic chaace - t c of sticy a .miiselng te pat y XI Genea Seceay poited out tha ou lay mus .pro- itef the is. s tsengteieologgcl and polica conntrultin, te . s the educai onal ma naement of pady m bes ad ccde s. A preent, te i.das a nd vaue s ha- becme iceaigy actve silal ten