
T/CHAS 10-4-9-2019
中国医院质量安全管理第4-9部分∶医疗管理 危急值管理
Quality and safety management of Chinese hospital— Part 4-9: Medical Management—Critical Values Management
2020-02-01 实施
2019-11-08 发布
目 次
前言....................................................................................................................................................................1
1 范围....................................................................................................................................................................1
2 规范性引用文件...............................................................................................................................................1
3 术语和定义........................................................................................................................................................1
4 关健要素............................................................................................................................................................2
5 要素规范............................................................................................................................................................2
5.1 管理体系...............................................................................................................................................2
5.1.1 组织体系 .......................................................................................................................................2
5.1.2 制度建设 .......................................................................................................................................2
5.1.3 管理要素.........................................................................................................................................2
5.1.4 宣教培训.........................................................................................................................................2
5.2 处置规范...............................................................................................................................................2
5.2.1 危急值确认.....................................................................................................................................2
5.2.2危急值报告.....................................................................................................................................3
5.2.3 危急值处置.....................................................................................................................................3
5.2.4 危急值记录.....................................................................................................................................3
5.3 分析评价...............................................................................................................................................3
5.3.1 评价路径.........................................................................................................................................3
5.3.2 评价要点.........................................................................................................................................3
5.3.3 评价指标.........................................................................................................................................3
5.3.4结果应用.........................................................................................................................................3
5.4 持续改进 ...........................................................................................................................................4
附录 A....................................................................................................................................................................5
参考文献..............................................................................................................................................................12
本标准是第 4-9 部分。
本标准按照 GB/T 1.1-2009 给出的规则起草。
本标准由中国医院协会提出并归口。