附表3：手术质量评价.doc

***人民医院 科手术质量评价记录 第 季度 主持人： 参加人： 记录人： 本季度科室指标完成情况 指标名称 计划例数 完成例数 完成计划率 住院总例数 手术总例数 择期手术手术例数 平均住院日 术前平均住院日 无菌切口（I级）例数 甲级愈合例数 乙级愈合例数 丙级愈合例数 手术分级（一级）例数 手术分级（二级）例数 手术分级（三级）例数 手术分级（四级）例数 手术质量相关数据 手术后并发症分类 1.手术后刀口裂开例数（ ） 2.手术后肺栓塞或深静脉血栓例数（ ） 3.手术后出血或血肿例数（ ） 4. 手术后生理与代谢紊乱例数（ ） 5. 与专科相关的并发症例数（ ） 名称（ ） 6.其它（ ） 术后感染 发生例数 术后感染 发生率 感染发生 部位 切口（ ） 败血症（ ） 肺感染（ ） 其它脏器（ ） 单病种质量指标 本科室开展的单病种 请参照《二级综合医院评审实施细则》P 240 填写。 数据分析： 二、本科重点检查内容及存在问题、持续改进分析 （一）检查内容： （二）存在问题： （三）原因分析及整改措施 1、原因分析： 2、整改措施： problems that cannot be ignored. Some leaders unwilling to do masses work, masses concept weak, on masses feelings not deep, pendulum not are with masses of relationship, think masses work is revolutionary war era of things, now obsolete has, buried business work, ignored masses work of situation compared General; some leaders not do masses work, old method regardless of with, new not with, not understand masses psychological, not understand masses wishes, not said masses language, work method simple stiff, caused masses of conflict and antipathy; some leaders cant do masses work, Faced with a lot of contradictions among the people worry about fear, panic set in encounter group events, and some are even mismanaged, inflame, so work has suffered heavy losses, and so on. These problems we are soberly aware, enhancing the partys ruling capability, the maintenance and development of the partys advanced nature and purity, and to enhance the ability of party committees and leading cadres are good people. 　　Attach great importance to and is good at doing mass work, has become the new urgent situation strengthening the partys governing capacity-building tasks. Combined practice of maintaining flesh-and-blood ties with the masses, urged the broad masses of party members and cadres, especially all levels ... Processing to improve as a guide to the coun