眼科规章制度.docxVIP

眼科规章制度

目录

一、总则....................................................3

1.1制定依据.............................................3

1.2适用范围.............................................4

二、组织架构与职责..........................................5

2.1眼科科室组织结构.....................................7

2.2各类人员职责.........................................8

三、医疗服务规范............................................9

3.1门诊管理............................................10

3.1.1预约制度........................................11

3.1.2挂号制度........................................11

3.1.3座位安排........................................12

3.2住院管理............................................14

3.2.1入院流程........................................15

3.2.2住院期间管理....................................16

3.3手术管理............................................16

3.3.1手术审批制度....................................17

3.3.2手术操作规程....................................19

3.4检查与诊断..........................................20

3.4.1检查项目与流程..................................20

3.4.2诊断与治疗方案..................................22

四、医疗质量管理...........................................23

4.1质量控制标准........................................24

4.2医疗风险防范........................................26

五、护理工作制度...........................................27

5.1护理人员职责........................................28

5.2护理工作流程........................................30

5.3护理质量评价........................................30

六、院感与防控.............................................31

6.1感染控制制度........................................31

6.2个人防护措施........................................33

6.3健康教育............................................34

七、科研与学术活动.........................................35

7.1科研项目管理........................................36

7.2学术交流与合作......................................37

7.3学术成果推广........................................38

八、患者权益保障...........................................39