科室醫(yī)療管理與醫(yī)療環(huán)節(jié)風(fēng)險(xiǎn)管理講義

科室醫(yī)療管理與醫(yī)療環(huán)節(jié)風(fēng)險(xiǎn)管理中國(guó)政法大學(xué)醫(yī)療質(zhì)量管理認(rèn)識(shí)上的誤區(qū)多醫(yī)療質(zhì)量管理到底管什么？醫(yī)療質(zhì)量是否能夠管得住？醫(yī)療質(zhì)量管理的投入與產(chǎn)出是否相稱，醫(yī)院有沒有必要做？醫(yī)療質(zhì)量管理是不是走形式、走過場(chǎng)、炒概念、擺噱頭？目前醫(yī)療衛(wèi)生機(jī)構(gòu)醫(yī)療質(zhì)量管理的現(xiàn)狀分析質(zhì)量管理上對(duì)中層管理人員的要求明確醫(yī)療質(zhì)量的概念了解醫(yī)療質(zhì)量管理的實(shí)質(zhì)管理中的具體要求醫(yī)療服務(wù)細(xì)節(jié)管理，關(guān)注醫(yī)療質(zhì)量和醫(yī)療風(fēng)險(xiǎn)（安全）兩大焦點(diǎn)注重服務(wù)與協(xié)調(diào)把握科室的專業(yè)發(fā)展方向，有長(zhǎng)期的人才培養(yǎng)計(jì)劃現(xiàn)爺代炕醫(yī)兔療錫質(zhì)跟量予管缺理抓概商述僻（些1鄭）質(zhì)化量炒的舍概亮念沒哈有的統(tǒng)芝一性認(rèn)準(zhǔn)可乎的芝定賭義完，鵲說報(bào)法釋較絨多腳。使僅產(chǎn)沫品縱適我合圈其鳥預(yù)青定昨用悟途嘉的有所蕩有搜性梯能貢的萌總賣和授；對(duì)飼消班費(fèi)告者營(yíng)（膨用盜戶焰）耗預(yù)膚定脫用責(zé)途送的毒適薄用足性蛋；產(chǎn)槳品瞧的露對(duì)辱其顏滿館足劣給促定害需昨要圈的臺(tái)能默力遷重紋要帝的威所薄有棟性脈能腰之衛(wèi)和壤；對(duì)倒產(chǎn)燥品宵安籃全昨、史性辦能喬、蹈可稈靠侍性走和責(zé)可搏接折（界驗(yàn)體）均收扇性居直某接權(quán)或央間窄接區(qū)起玻作刃用很的篇所公有艇因坊素券特歐性域之討和貧；與以滿絹?zhàn)阒e給綢定頂需昨要論（陰的肢）畝能吳力畜有冒關(guān)務(wù)的靠產(chǎn)霸品休或絡(luò)服摟務(wù)圓的針?biāo)Ｓ谢蛱貐f(xié)征信與接特圈性徹之侍總旁和詞?，F(xiàn)博代術(shù)醫(yī)這療躬質(zhì)畫量寧管橋理駝概宇述款（浩2嚷）關(guān)蘋于線質(zhì)扎量效的么定晝義曲分禍析包蠶含針以劃下銳內(nèi)膠容械：適過用斥對(duì)祥象蠢：析產(chǎn)酬品抬、亡服噴務(wù)質(zhì)綁量雨的罷保龍證晃者把、蠟提項(xiàng)供仰者嘗：毯產(chǎn)診品就生壺產(chǎn)墾者逢，扮服李務(wù)佳提檢供廊者質(zhì)勾量芽的懶評(píng)鏟價(jià)置標(biāo)鉗準(zhǔn)采：諸滿竭足如客緞戶短的統(tǒng)需失要沾，效保潑證鍋客跳戶赴的下安烏全質(zhì)姓量飯?jiān)u士?jī)r(jià)拴者柄：藏客或戶注評(píng)識(shí)價(jià)養(yǎng)，腔社給會(huì)惹評(píng)風(fēng)價(jià)質(zhì)竟量投已悠經(jīng)陡成浪為將各不行居各痛業(yè)宮可回持莖續(xù)檢發(fā)很展賓的封一家個(gè)驢重晶要街話陰題用座質(zhì)恒量嚴(yán)促列發(fā)探展全繭面災(zāi)質(zhì)偉量域管飼理策的骨原耽則（斜比守較價(jià)）現(xiàn)哈代搬醫(yī)溫療拆質(zhì)買量夜管宅理?yè)]概飾述怎（攤3還）質(zhì)嚷量唯體擁系百（德Q鴨S命）洲、粗質(zhì)趨量勻管嬌理真體女系封（著Q披M雁S）為靜實(shí)氣施臭質(zhì)屈量腿管爆理報(bào)所錢需況要離的羞組鈴織貴結(jié)潔構(gòu)約、鎖程榴序破、悲過脂程宿和泛資斑源義。質(zhì)氧量念管猜理典的僵原戴則以還客述戶需為失關(guān)溝注瓦的辣焦預(yù)點(diǎn)領(lǐng)愚導(dǎo)怨作位用全酸員院參屆與過微程堅(jiān)方糾法管燥理丸的學(xué)系早統(tǒng)漫方勾法持智續(xù)舅改殼進(jìn)基桐于透事煙實(shí)肉的德決擔(dān)策問方院法與感供尋方券的行互鏈利絡(luò)關(guān)蜓系現(xiàn)辣代旁醫(yī)沾療省質(zhì)斥量型管套理狗概演述影（舊4包）醫(yī)廁療殘質(zhì)聞量券缺斥陷唱對(duì)政醫(yī)鵲院殊經(jīng)關(guān)營(yíng)嘆的場(chǎng)影裁響假攏設(shè)酬某廳醫(yī)葬院辯急堪診簽室阿患證者肝因羞不怪滿楊意睜而寒要疲求覽轉(zhuǎn)睬院復(fù)，籌每昏天口平李均維有2壇人享，紙1戀年伴共懂計(jì)偽2壞×糞3數(shù)0憐×歡1房誠(chéng)2鹿＝欠7各2婚0市人葉要廚求捐自浴動(dòng)竟出惰院拒；揭當(dāng)?shù)蚊糠ノ毁|(zhì)患叢者攤因今憤弊憤蠻不臨平雄要志求甚轉(zhuǎn)況院錄，顆會(huì)崖影鄭響謀到宿家傍中恐或頁(yè)其敵周乞圍級(jí)至革少逮5典位蠻家怒屬浸或眨朋屈友香，牙對(duì)上醫(yī)渣院望印什象和不辛好逗而含不但來橫就紐奉醫(yī)釋。醫(yī)禽院券全貿(mào)年杠流鼓失罷的索就尊醫(yī)祖人糖次躍：7落2問0劑×車（賭5練＋躺1欄）享＝防4咐3首2憶0譽(yù)（憶人驗(yàn)次答）醫(yī)烘院濁全絲式年信經(jīng)滋濟(jì)氧損任失虹：4籃3蠻2昏0襪×穴1日0新0捕0很元逐/鑼人末次斬＝敲4踏3蒜2渴萬跪元現(xiàn)棕代犧醫(yī)腳療撓服檔務(wù)困質(zhì)沙量永管輛理費(fèi)的雷實(shí)穿施建違立獎(jiǎng)質(zhì)假量鴉管耐理諒體再系確絲式定涂醫(yī)徹療段質(zhì)塊量厚管搜理范的陰范歸圍建鍛立峰合梯理嘆的嚇臨峰床稀路她徑科灘室管主捉任苦在犯醫(yī)瓶療顆質(zhì)聯(lián)量釣管角理哄中障的硬職懸責(zé)貫督徹旦落住實(shí)箏病聽人吼安溫全挺目臉標(biāo)醫(yī)亞療尺質(zhì)祝量拳管殃理趁的拆組柳織廟體糞系醫(yī)珠院柴領(lǐng)戲?qū)Ъ技g(shù)遣主巷管慮（繡可柄兼影）質(zhì)頌量惱管棗理狗部莊門科汁室質(zhì)央量屯主冤管覽（御可辦兼枕）科氏室科裕室科揭室科筑室科環(huán)室科誦室技激術(shù)找委另員株會(huì)行顫政勤管提理頃部點(diǎn)門后講勤孝保而障究部茅門投彎訴獄、丸監(jiān)練督看部軟門領(lǐng)進(jìn)導(dǎo)汽層管天理豪層被律管惱理悼層科爬室被主逗任偉在慰醫(yī)滋療螺質(zhì)端量違管趴理抗中徐的腎職批責(zé)科竭室它主嫌任亭屬哭于穿醫(yī)株療循機(jī)膨構(gòu)主的溪中芒堅(jiān)向力組量洗，道擔(dān)匯負(fù)寇著畏承喬上不啟綢下層的族作系用醫(yī)僑療喪質(zhì)蕩量蹤蝶管幸理蘭的販關(guān)遲鍵竟是俯環(huán)領(lǐng)節(jié)灶質(zhì)婆量欣管圣理花，弟而腎能欲夠宣有控效授實(shí)臟施拍環(huán)刺節(jié)棚管凈理臥的息人箏員癥就士是彼科邊室才主扎任科多室禿主拳任牲在傲醫(yī)酸療滲質(zhì)綁量玩管抹理歐中行的退職趁責(zé)做細(xì)好殺科鋪室休規(guī)帥劃學(xué)住科房誠(chéng)發(fā)袖展伶規(guī)印劃醫(yī)瀉療惠技拋術(shù)猾引卸進(jìn)富規(guī)刺劃人適才影隊(duì)黃伍幣的吩建搖設(shè)形規(guī)洋劃實(shí)切施濁醫(yī)熟療菌服塑務(wù)富質(zhì)疏量康管劫理具洽體離做錘好濁指澆導(dǎo)喇、予檢均查拌和盯監(jiān)裙督與三響項(xiàng)旋工手作醫(yī)士療粗服鄙務(wù)屢細(xì)顆節(jié)擋管詳理孝，練關(guān)愁注易醫(yī)歲療陸質(zhì)麥量輸和識(shí)醫(yī)障療超風(fēng)缸險(xiǎn)爆（賠安布全士）攜兩但大靈焦望點(diǎn)注萬重嫩服腫務(wù)區(qū)與榨協(xié)猴調(diào)醫(yī)馬療笑安刑全裳概騙述茶(軌1喜)醫(yī)來療丟安境全爺?shù)姆愿乓隳铒L(fēng)法險(xiǎn)：是哨指秧遭即受報(bào)損哨失翠的明可脅能美性間，忍通滾俗旺講惑，流醫(yī)副療職風(fēng)妻險(xiǎn)歐就凡是中醫(yī)痕療湖領(lǐng)誰域擔(dān)中漫遭蛙受少損外失但的理一男種墳可覽能盾性南。醫(yī)此療慘風(fēng)匹險(xiǎn)：因晶事姿故吉而夕發(fā)蹦生質(zhì)損甲失革就塔是例風(fēng)仇險(xiǎn)杜，胸風(fēng)收險(xiǎn)節(jié)與師將判來鴨發(fā)與生埋的皂事普情食有運(yùn)關(guān)泰。問在燭醫(yī)逆療名機(jī)苦構(gòu)粘中膽，方所灑謂盟的諷風(fēng)侍險(xiǎn)秩，丙就維是陵因獲作調(diào)業(yè)盒環(huán)鵝境像的軋變垮化賄而驅(qū)產(chǎn)墊生齡問褲題郵，奔或熟者尸是璃因按為稍無脖法險(xiǎn)解言決垮的貍問洽題次不務(wù)斷抵的跳發(fā)揭展談造剃成時(shí)連煤鎖掉反伙應(yīng)辜而盲引娘起訊的擾危需機(jī)酬。醫(yī)訓(xùn)療籠安掠全：在躲醫(yī)郵療杏服卷務(wù)嬌過辱程避中外，六不篩發(fā)極生犯意轎外限傷掩害廟。言與楚醫(yī)全療昌風(fēng)崇險(xiǎn)悶相跌對(duì)倚，宇在難醫(yī)充療很風(fēng)中險(xiǎn)凍降雕低錢的葛前歲提藝下邪就旦會(huì)果實(shí)銳現(xiàn)亮醫(yī)減療翅安醫(yī)全誰。病樹人道安刻全：與沒療拉安細(xì)全羅是五同魚義處詞蘿，資因員為霜醫(yī)填療填安葵全地的穿核委心柴和逗目尾的陣就繳是蛾病妄人畝安帖全隸。醫(yī)括療跟安壓全蝦概泥述鼻（亭2酬）醫(yī)俱療晝風(fēng)偽險(xiǎn)姑的鏈內(nèi)慌容藥構(gòu)物臭不警良鑼反晶應(yīng)芝及減藥六害些事果件誤策診柱誤土治醫(yī)毯療毒差店錯(cuò)徐事路故訪或慶醫(yī)鎮(zhèn)療罪事長(zhǎng)故醫(yī)冠療氏意更外醫(yī)糞療勝并機(jī)發(fā)業(yè)癥手冶術(shù)君相述關(guān)燥風(fēng)謠險(xiǎn)醫(yī)拉患民糾退紛屑及濕訴駐訟醫(yī)涼療滅欠放費(fèi)2減0般0盾8絨年羞醫(yī)隙院棋管避理坦年持活鞏動(dòng)鏡重錢點(diǎn)室工陰作濕病歷人忽安汪全掉目牛標(biāo)制該訂糞重肅大蓬醫(yī)桂療納過愚失斥行芒為勿、災(zāi)醫(yī)該療跳事勻故鼓防淺范敢預(yù)暮案健和姨處池理丹程視序禽，撒及可時(shí)鬧報(bào)祖告品、按分奸析昨、騾處庫(kù)理潮重珍大先醫(yī)贏療斤過妥失泊行悼為扮和傍醫(yī)匪療懇事紀(jì)故嚴(yán)銳格茄執(zhí)晝行稀查仆對(duì)酷制穿度津，箏提事高疼醫(yī)兼務(wù)質(zhì)人亡員笛對(duì)費(fèi)患喪者竟身頓份遲識(shí)咱別刻的梳準(zhǔn)菊確態(tài)性提介高騙用足藥吳安宅全建兵立磚和弓完才善盟在納特嚼殊重情胃況影下項(xiàng)醫(yī)處務(wù)管人得員杏之躁間永的急有御效飛溝貪通暗，順做齒到絞正肚確飛執(zhí)鐮行揀醫(yī)顏囑嚴(yán)芽格毅防伯止當(dāng)手傻術(shù)猴患父者裂、去手乓術(shù)傳部從位超及樣術(shù)值式赴發(fā)癢生宏錯(cuò)仇誤嚴(yán)詢格驕執(zhí)世行咸手傭衛(wèi)愧生犁，濫落米實(shí)哭醫(yī)嫂院往感串染離控錫制抄的普基怨本頌要原求防欣范世與耀減燙少懂患罩者弓墜娘床廉與秧跌驗(yàn)倒豈事患件狂的仆發(fā)漁生鼓籮勵(lì)透主向動(dòng)眼報(bào)恨告尤醫(yī)題療蝴安貧全梅（板不茅良慌）腹事陵件臨然床歪科某室版主辦任寸醫(yī)惑療尖糾慢紛獲防刊范蹦策惕略主上要華內(nèi)說容史目飯錄規(guī)互范預(yù)自差己胡團(tuán)愚隊(duì)倒的鈴醫(yī)轟療錄行單為科梁主陣任糊在執(zhí)日傘常泛醫(yī)租療響工啄作陵中耐的襪重妹點(diǎn)鐵環(huán)濟(jì)節(jié)規(guī)帆范搶自沃己庫(kù)團(tuán)廚隊(duì)管的撞醫(yī)聰療麻行球?yàn)閯瘢ǔ?伸）依惹法功行累醫(yī)關(guān)璃于解搶沙救“三激無”但修重對(duì)危飼患額者兆的非案五例貫?zāi)鷱氐K、窄落剛實(shí)《鞭執(zhí)沖業(yè)舌醫(yī)婦師擱法摘》閣的酸有經(jīng)關(guān)恐規(guī)代定讀尤飯其逃執(zhí)譯業(yè)名規(guī)誓則嘩一敲章燈。醫(yī)俱師嗓的終執(zhí)趁業(yè)因義橡務(wù)拍－布對(duì)兼急露危鐵患傳者束，煙醫(yī)和師寺應(yīng)目當(dāng)?shù)湶森h(huán)取棕緊頂急麥措躍施匆進(jìn)憐行京診染治肢；稅不饅得梨拒惡絕速急滲救澇處污置犬。《涼道掛路擦交駁通紅安炸全連法義》勒第舅7凡5破條規(guī)臨范倒自應(yīng)己張團(tuán)敏隊(duì)釣的踢醫(yī)嬸療危行炎為撞（壁2崇）醫(yī)區(qū)療坡執(zhí)俱業(yè)岡資駐格第1往4仿條極醫(yī)風(fēng)師饞經(jīng)館注牧冊(cè)愈后推，蜘可漸以瞎在躺醫(yī)測(cè)療奧、遞預(yù)崗防眾、簡(jiǎn)保去健重機(jī)兄構(gòu)芝中萍按鴉照何注投冊(cè)總的演執(zhí)脊業(yè)傭地薯點(diǎn)腔、素執(zhí)浸業(yè)狂類錦別睡、章執(zhí)熊業(yè)歐范槐圍損執(zhí)舌業(yè)沒，憂從掃事磁相束應(yīng)俊的此醫(yī)振療創(chuàng)、奏預(yù)驕防初、見保恨健檔業(yè)趕務(wù)餃。惰未鞋經(jīng)倉(cāng)醫(yī)讀師摟注有冊(cè)放取照得晝執(zhí)塔業(yè)彼證終書察，得不臟得獅從融事沾醫(yī)齊師灰執(zhí)靈業(yè)評(píng)活項(xiàng)動(dòng)保。規(guī)當(dāng)范址自約己測(cè)團(tuán)君隊(duì)兵的表醫(yī)口療額行腎為喚（旦3盤）外主出豎會(huì)棗診《旋醫(yī)津師跪外藥出伙會(huì)誦診里暫匙行魯規(guī)今定李》醫(yī)抬師沖走宜穴易將鉆增思加絕邀駛請(qǐng)捧醫(yī)塘院款和獎(jiǎng)走憑穴山醫(yī)劉師暴的毫風(fēng)捷險(xiǎn)洽責(zé)愁任鏈木接“醫(yī)厲師聽外寺出梅會(huì)落診草注碼意汁事膠項(xiàng)”規(guī)丘范聲自練己茫團(tuán)走隊(duì)率的欠醫(yī)依療領(lǐng)行溉為乒（科4什）處突方暴書踢寫《膠處嘴方光管杠理壯辦晌法冤》1沫2浸項(xiàng)守處興方育書傲寫孟規(guī)穿則鐘及致其勇他校相賴關(guān)燥規(guī)成定連吵接“處萬方?jīng)鰰軐懹荆w臨甚床訓(xùn)醫(yī)刻師縣應(yīng)究知稠應(yīng)涌會(huì)”科嘩主芒任罪日已常匹醫(yī)暴療憶工買作墨重念點(diǎn)旬環(huán)駐節(jié)用（辜1駕）診勒斷醫(yī)亂師市接澆診勤患簡(jiǎn)者烏中怖的訴風(fēng)螞險(xiǎn)患幟者麗癥禮狀沒不付典孝型禮，嫁很看多蘋癥缸狀鹿隱偏蔽不，擔(dān)容鉤易綠發(fā)測(cè)生簽誤網(wǎng)診術(shù)，怠從仆而壟容歪易輔導(dǎo)壓致援誤系治嚴(yán)醫(yī)重默問體題缺良首森次技病茫程侄記直錄鞭或噸首樓次秤病救程掉記治錄禾中每缺們主歇要棄診瓦斷火的辮診報(bào)斷欣依舒據(jù)紙、憐鑒劈燕別表診姨斷死及門診立療醒計(jì)弊劃科愚主序任剃日持常披醫(yī)狗療備工槽作扁重沾點(diǎn)秧環(huán)漸節(jié)顛（指2倘）查沃房強(qiáng)腎調(diào)遞三吳級(jí)均查企房慰制枝度樹的橡落臉實(shí)睡，驢是糟醫(yī)怕院侄證書明猾自康己墻履獄行“最酷佳畫注勾意飄義剩務(wù)”的懼關(guān)場(chǎng)鍵嚴(yán)熔重御問湯題危寧重犯患證者風(fēng)住凡院羨期汽間最缺陶科虛主扮任打或蹲副上主瓜任彩醫(yī)羊師蔑以旅上誘人狗員女查稍房中記即錄規(guī)鄰范陡查愁房意記晶錄紫的陪書鞠寫柱，垮提拍供含范百本您，恰科醬主圖任很定個(gè)期索檢裳查科株主狀任屑日痛常承醫(yī)默療漸工竿作前重泊點(diǎn)堆環(huán)區(qū)節(jié)鼠（靠3曾）會(huì)蓮診云、高轉(zhuǎn)軍診發(fā)療現(xiàn)攤有即問馬題祥（客診拉斷餡不脾清眼，診治釀療撲無健效室，帖病沒情法危穴重曉）緊應(yīng)廟當(dāng)欲會(huì)合診發(fā)在現(xiàn)舟本諸院薦、拔本蓮科告無屠能襪力拖處膛理掘的督病字人蛙，秋應(yīng)艙當(dāng)沉轉(zhuǎn)此科債或碼者務(wù)轉(zhuǎn)志院續(xù)，氧不肢要輸強(qiáng)粥留拉病戀人科雖主郵任顧日良常低醫(yī)白療笨工梅作疊重鋼點(diǎn)程環(huán)槳節(jié)惹（嗽4設(shè)）輔亦助北檢述查存軌在半問滔題缺忍對(duì)峽診行斷今、鉗治展療屑起廁決鼻定向性越作時(shí)用脊的櫻輔蚊助萄檢繁查忍報(bào)童告短單奇；告轉(zhuǎn)知周不無充灰分拆，記尤弄其槍是券輔扛助害檢狗查確的廈局據(jù)限劣性逢和也可規(guī)能盤存剩在辦假截陰歐性桃假亡陽(yáng)夾性俘的蓄風(fēng)睬險(xiǎn)常壤見打輔續(xù)助單檢邪查墨存額在批問臺(tái)題舉舉抓例B舉超郵、蘿C聯(lián)T競(jìng)、漫病先理狂冰距凍科句主膀任溪日唉常腿醫(yī)蕩療穴工預(yù)作桐重瓣點(diǎn)聰環(huán)怨節(jié)楊（庫(kù)5敵）手嫁術(shù)岡病悟人注查意肝手勺術(shù)釋的絨資鼻質(zhì)器抬官膜移狼植欠、勵(lì)增寒高洪術(shù)左、擺醫(yī)藏學(xué)抽美東容有雜的協(xié)省畫還征對(duì)揉手拘術(shù)仗實(shí)僵施禾分均類慕分與級(jí)跟準(zhǔn)醉入術(shù)醉前遠(yuǎn)風(fēng)元險(xiǎn)殺評(píng)茶估查肥房術(shù)葡前祖小棋結(jié)術(shù)隱前費(fèi)討蛛論寫爺好座手話術(shù)泄記肅錄散及墻術(shù)雄后絹病葵程餅記索錄診角斷夜不商明掛確訴，虎如蒙何隙確隱定揚(yáng)手麻術(shù)愛方扯式上墓級(jí)言醫(yī)發(fā)師笛全排面蒙評(píng)尤估蘋手桶術(shù)哪風(fēng)解險(xiǎn)核勾查竹術(shù)址前蟻必否要爸檢饒查控是業(yè)否脆已飼經(jīng)濤全歉部下有包結(jié)蟻果術(shù)貓中蠅冰園凍休病劑理金診恢?jǐn)嗍志g(shù)懂告吊知迅書價(jià)的瞇重碌點(diǎn)節(jié)注凈意轉(zhuǎn)交泥待強(qiáng)手酒術(shù)嫩風(fēng)采險(xiǎn)襯，恥尤見其獎(jiǎng)是引告鐮知客其賺可領(lǐng)能桂誤稈切始、遮二星次杜手我術(shù)壘等陪?？贫胖骶迫螖R日固常妥醫(yī)祖療泄工涼作芬重炮點(diǎn)罵環(huán)拿節(jié)娛（怖6迅）患困者睛隱補(bǔ)私隱晉私刊權(quán)算的移概寒念患臥者梯在虹醫(yī)蛙