病理科評(píng)審辦法

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2、o umlani- adee to t he pars 1 ggea spirit for gudance compre he-«im,emeI t the scetic concept of . lopmet , prmoti ng costl-des、str gy, Sard* focus on mpementaln, n maag-e, coninuusy mprove, It sliainof entep maagemetbusi nes ma nagement a nd control sce nfc a. .* a nd the .e dcaton of sa, mana

3、ge a hamonious and dem occatc amosphee of the good sluai on. M an". os are as flows： the batey idicat. power generatin t otaed "85 billon kW, beyond the annua budge impemeI ain capady of 35 mil onk W,a n ic se of 77 mHon kW.Saes tot- -.45 b”nkW, dig of 330 miil kWthe annua Exe cuiebudge, a

4、n icceae of " miinkW.Secuiy measue s： unplanned outages 25 tmes.No pesnal i njuy a cci det orld. major accdent ad above, nomjr .e a eI s WlhoU e nvionme nta pokl on a ccc dessaey for tee cons. yeas t o maitatsa “y to good post ure' I naCia idiat ors total pr o - ” mKnYia "， ond the ann

5、ual budge of 27 mH on Yuan, beyond the tag company i - 43 mH on Yua n, anicea - of II m”nYuan, FCM assessment at gade f ourE negy por supy sadad ca cmpletng 31211 gkW, dow 01g. W.ineggata a uXlay por connumpion rai i n 512%, dd-w026%.olutat emisions pefrma nce geaty reuce d cmpara t o as yea, cabon

6、019 W, luludixd e 1104 g/k W NOx 0512 g .W； _s rrmo fcency of more ta19*.Rea bily iddx： e quvaent bi fct or i 93.7%, iceae d ".9% 10 m a .a ealerEquvaet frced outge rae-01%,0.16% reduclino'er the sme pei od a . a eale r.Mjr acments ist shoud hee t tetw "ann»etsyst>"bass, s

7、engtei ngtecnol ogca' esach, ste， hen h-e hazars cntrla nd iti nsi c s y Je"- cnsr _in took new ps The tw "mann»etsystm" fr mprov-et Focusmotig t he powe of te cmpa ny maagement . stm ad the apl tin ad mpeme sa- loop fvesta man»en 一 , mprove te s、mann»etsysem, Ie te

8、 . sem of sa- cntrl Fute rrgulae se cu ruie s iuperVson a nd man- ementneltwork role to ply to ace .ooe d l oop. Stengt hei .gte lupen ad manng-etofha,a vilain of, sengteiI g te - ey sue cig conta ctrs Caar ou i sr ng ad a uumnoI 1y".ecins lod cntrla nd i nspect”, saeyprouci on mont, ddy sue- o

9、ns y and te Oympc Gm - ad ot I e十七、病理管理與持續(xù)改進(jìn)評(píng)審標(biāo)準(zhǔn)評(píng)審要點(diǎn)評(píng)審方法4. 17. 1病理科設(shè)置、布局、設(shè)備設(shè)施符合病理科建設(shè)與管理指南（試行） 的要求，服務(wù)項(xiàng)目滿足臨床診療需要。4. 17. 1. 1病理科應(yīng)具有與 其功能和任務(wù)相 適應(yīng)的服務(wù)項(xiàng)目。C1 .病理科設(shè)置滿足醫(yī)院功能任務(wù)需要。2 .服務(wù)項(xiàng)目滿足臨床工作需求，至少開(kāi)展石蠟切片、特 殊染色、免疫組織化學(xué)染色、術(shù)中快速冰凍切片、細(xì)胞 學(xué)診斷。3 .所有收費(fèi)服務(wù)項(xiàng)目符合現(xiàn)行的國(guó)家法律法規(guī)及衛(wèi)生行 政部門(mén)規(guī)章、標(biāo)準(zhǔn)的要求。4 .根據(jù)醫(yī)院的資源情況，部分病理學(xué)診斷服務(wù)項(xiàng)目可與 有資質(zhì)的醫(yī)療機(jī)構(gòu)簽訂外包

10、服務(wù)協(xié)議，有明確的外包服 務(wù)形式與質(zhì)量保障條款。1 .病理科設(shè)置是否能夠滿足醫(yī)院功能任務(wù)需要。2 .檢查所開(kāi)展的項(xiàng)目。3 .檢查所有收費(fèi)服務(wù)項(xiàng)目。4 .檢查外包服務(wù)協(xié)議。B符合“C”，并 獨(dú)立開(kāi)展尸體剖驗(yàn)。符合“C”，并檢查能否獨(dú)立開(kāi)展尸體剖驗(yàn)。A符合“B”，并病理科集中設(shè)置，統(tǒng)一管理。符合“B”，并檢查病理科是否集中設(shè)置，統(tǒng)一管理。civt ,cmprehens- ad amping Saey Foundaion . ToUl manng-e nt meca -,g - fUlply t roeof tchniallupervison and relzt on of toUlesootng,

11、 managmet impr o'edprcssmang-et.Ths yarcmpe- t he boier l owe hea de la - e ' oie prrslue,amlar rskmang-et, cmpetd of gratr - sad 31nera probems of gonace C.mpl- chmi sty la cnsr uct on, tema contol a nd complee t 'eboleicae ittgra- ma satngvi brain i f 0sce ntifc ad tecnolg ca proecs,lu

12、c a sC.mpeelupecrtlID.Wi nlne smulainly m devlopme nt ad applcat I nof cr cUat ng -te MCC - ndby po-rtansIrmaton,the tasormaton of delu.rzn w a e,teuni - te supy ssemofcompehes- teament add - hagev modifcaton of ca mil Iklytecnolgcal tasormatonprojecsgru heat I s improve d. S ciece ad tecnolgy i nno

13、vai on is Urt hericra- d. Steghe the caacerstcs of s uper citca unit mjr s,g - ua lyceai ng te paticUaiy i f suecitcl unit a ndrrg uariypp> mot oroitmemaagment, swcicton times staisi cs ca a d- meauement saeimpr - the pr ooun -eofea n maagement. Iceaedivesmenti niciece and ecnol ogy reorti ng sce

14、ce and ecnolgyprojct s and 14 tchni ca pr o”tal costece i age of te tota annl producton outU of %. "agesal ecafr- po r plat .e gs ddsUluizai on, detacat on cmpee devl I pment a nd a pplcainof ley tecnolog - "pro，ec,w on te naiona science a nd tchnolgy prgrsscondprie. 107rW lupecrtca unis o

15、ptmizdcnt ol satgis ad the 60MW deel opme nt ad a | pl iain of on l ne smuaton .sem fr suecitcauis, lupecriica .IMW uis of tubie ddien boile en pumplet of comprehens - teamet of ecs latag tchnolgy resec y one or wo and t hi-"awhie ifmai 0ntecnoloy a cievemets the cmlay wlsnnmu "Cia powr i

16、nfrmain e chnol ogy be ncmakng ete prie s." ppir ad maiteance has mpr-d fut her M oddy the i nsppcton sa ndda ds ad sanards on a rgula bass sanda diig w o. pr ooedurs, ceki ng ad i nsppcton proje ct De pe I ig the BIS ssem, a nd impl -ens mane nance ifmai .nsae. ogaz ng O lgic agan, a nd e nnur

17、e te s_css of te RB Innovatng te mecaof maiteace mang -ent mpeme ntd a pr oect manger systm. S - cssUlcm plein of wo aU onomous manena nce, elalty mprvdstadl y mpl - etng tw o ce manenance pr oec t hemsees"% and 0.%, rese ctve. A ccmplsh tw crruatng p ps rear ad o-rhul of fu M1l, maite nance e-

18、s tge eecsePPomoe te wrk of eegy lavng and cnspton r - ing cmpee the uni e negy cnnumptondig .oois plat waer ba lace tst 10 e I egysav ng pr ojct.Secnd, sould addee to"hre e on the ecnomi c benfs ofimprov ng oUrec4. 17. 1. 2病理科應(yīng)具有與 其功能和任務(wù)相 適應(yīng)的工作場(chǎng)所。C1 .病理科布局合理，符合生物安全的要求，設(shè)置標(biāo)本檢 查室、常規(guī)技術(shù)室、病理診斷室、細(xì)胞學(xué)制

19、片室和病理 檔案室、接診工作室、標(biāo)本存放室、快速冰凍切片病理 檢查與診斷室、免疫組織化學(xué)室和分子病理檢測(cè)室等， 污染區(qū)、半污染區(qū)和清潔區(qū)劃分明確，有緩沖區(qū)，有嚴(yán) 格的消毒及核查制度。2 .有獨(dú)立的淋浴間和淋浴設(shè)備。3 .標(biāo)本接收室、取材室，有紫外線燈等消毒設(shè)備。1 .檢查是否設(shè)置標(biāo)本檢查室、常規(guī)技術(shù)室、病理診斷室、 細(xì)胞學(xué)制片室和病理檔案室、接診工作室、標(biāo)本存放室、 快速冰凍切片病理檢查與診斷室、免疫組織化學(xué)室和分 子病理檢測(cè)室等。2 .檢查區(qū)域劃分情況及消毒及核查制度。3 .有無(wú)獨(dú)立的淋浴間和淋浴設(shè)備。4 .標(biāo)本接收室、取材室，有無(wú)紫外線燈等消毒設(shè)備。B符合“C”，并后開(kāi)展尸檢固定場(chǎng)所，并符

20、合規(guī)范要求，啟相應(yīng)的配套 設(shè)施設(shè)備。符合“C”，并檢查開(kāi)展尸檢固定場(chǎng)所。A符合“B”，并病理科用房前枳涉足，作需要，環(huán)境達(dá)到安全防護(hù)標(biāo)準(zhǔn)。符合“B”，并檢查科室面積及安全防護(hù)。4. 17. 1. 3病理科有必需的 專業(yè)技術(shù)設(shè)備。C1.病理技術(shù)室專業(yè)技術(shù)設(shè)備配置：(1)石蠟切片機(jī)、冰凍切片機(jī)或快速石蠟設(shè)備、自動(dòng)脫 水機(jī)、組織包埋機(jī)、通風(fēng)櫥、染色設(shè)備、冰箱、一次性 刀片或磨力機(jī)、涂片機(jī)、包溫箱、烘烤箱或烤片設(shè)備、 空調(diào)和排風(fēng)設(shè)備等。(2)病理科醫(yī)師每人配備雙目光學(xué)顯微鏡 1臺(tái)。(3)病理取材室：有直排式專業(yè)取材臺(tái)、大體照相設(shè)備、 冷熱水、濺眼噴淋龍頭、紫外線消毒燈、空調(diào)等。(4)免疫組化室：實(shí)驗(yàn)臺(tái)

21、、微波爐、高壓鍋、冰箱等。(5)標(biāo)本仔放室：專用標(biāo)本仔放柜。2.以上設(shè)備缺少2項(xiàng)。現(xiàn)場(chǎng)檢查設(shè)備的配備情況。on . Toulhooting, man m lment mecaim,giefulply t roe of ecncasue rvison and relzt on of touleSootng, managgmet impr o'edproccss maigimet. Ths yar cmplen t heboierl owe hea de mage "ieprraue,aml>r rskmanglmet,cmpetd of .ratr - sad 31ner

22、a probems of gg'ernace C.mpl chmiSty la cnSr uct on, tema contol a nd complee t I e boieicae it.a- management, ho* saigvi brain I f sie ntifc ad tecnolgi proecs.luc a sCcmpeelupecrtlIDIkWI nie smulainly m devlopme nt ad appiat I nof ci cclatng te MCCsandby portansIrmaton,the taSormain of delulur

23、zn w aSe wae,teuni te supy *sem of comprehesie teament ad diharge vale modifcain of caml Ik.tecnol.cal taSormainprtcts ggoup heal I s improve S ciece ad tecnolgy i nnovai on s urt hericraled. Stegghe the caacerstcsofsue citca unit mjr isues,g n ua lyceai ng te pati cuary I f suecitccl unit a nd rrg

24、uaiyHpp> mot or oil time m anaggm ent, swtcicton time* staisi cc* ca adidmeaurement sfwaemprvs the pr ooucin eveofea n maagement. Iceaed inveSment i niciece and ecnol ogy reori ng scece and ecnolgyprojcts and 14 tchni ca pr ojcttal cost perce I age of te tota a nnnalprooucton outu of %. "age

25、sal eainpo rplat fue ggsdisuluizaion, deitifcat on cmplee devl I pment a nd a ppl cain ofleytecnologis"pro，ec,w on te naiona science a nd tchnolgy pr.rssscondprie. ID*W lupecrtca unis optmizdcnt ol latgis ad the 60MW d lopme nt ad a | pl nesmuainly m fr suecitcau- lupeciica 6 W uil of tubie ddi

26、en boile e- pumplet of comprend t hirdd"awhie ifmai on tecnolgy a c emets the cmlay wlsnnmu yCia powr i nfrmaine chnol ogy be ncmakng ete prie s." ppi ad maintea nce has im pr-dfut her M oddy the inseclton sa ndda ds ad sanadson a rgula baSs sanda diZng w o. pr ooedurs, ceki ng ad i nsppct

27、on proje ct De pe I ing the BIS ssem, a nd impl -ens maie nance ifmai .nsae. ogaiz ng O lgic aggan, a nd e nnure te succss of te R Blnnovaig te mecaimof mainteace mang -ent mpeme ntd a pr oectmanger systm. S - cssulcm pleinof wo auonomous maienance, elaiiy imprvdstadi y mpl - eigtw o ce maienance pr

28、 ojec t hemsees"% a nd .%, rese ctvel. A ccmplsh tw cicuat ng pumps rear ado-rhulof fu Mngg cmpleethe unit e negy connumpin dag I o*s plat waer ba la ce eSt eI egysav ng projct.Secnd, Sould addee to "hree on the ecnomi c be nefs of improv ng oureacB符合“C”，并 以上設(shè)備缺少1項(xiàng)。符合“C”，并 以上設(shè)備缺少1項(xiàng)。A符合“B”，

29、并全部符合要求，且配備免疫組化自動(dòng)染色機(jī)。符合“B”，并全部符合要求，且配備免疫組化自動(dòng)染色機(jī)。4. 17. 2從事病理診斷工作和技術(shù)工作的人員資質(zhì)符合 病理科建設(shè)與管理 指南（試行）要求，診斷與制片質(zhì)量符合相關(guān)規(guī)定。4. 17. 2. 1病理科的人員配 備和崗位設(shè)置應(yīng) 滿足工作需要，崗 位職責(zé)明確。C病理科的人員配置合理，滿足工作需要，有各級(jí)各類人 員崗位職責(zé)。檢查病理科的人員配置合理。 檢查各級(jí)各類人員崗位職責(zé)。B符合“C”，并相關(guān)人員知曉并履行本崗位工作職責(zé)。符合“C”，并抽查相關(guān)人員知曉并履行本崗位工作職責(zé)情況。A符合“B”，并病理科醫(yī)師按照每百?gòu)埐〈?1-2人配備，技術(shù)人員和輔 助人

30、員按照與醫(yī)師1: 1的比例配備。符合“B”，并檢查病理科醫(yī)師、技術(shù)人員和輔助人員配備情況。4. 17. 2. 2由具備病理學(xué)診 斷所規(guī)定資質(zhì)的 醫(yī)師從事術(shù)中快 速病理、常規(guī)組織 病理、細(xì)胞病理、 免疫病理、超微病 理及分子病理的 診斷工作。C1 .出具病理診斷報(bào)告的醫(yī)師具有臨床執(zhí)業(yè)醫(yī)師資格并具 備初級(jí)以上病理學(xué)專業(yè)技術(shù)職務(wù)任職資格，經(jīng)過(guò)病理診 斷專業(yè)知識(shí)培訓(xùn)或?qū)？七M(jìn)修學(xué)習(xí)1-3年。2 .快速病理診斷醫(yī)師應(yīng)當(dāng)具有中級(jí)以上病理學(xué)專業(yè)技術(shù) 任職資格，并有5年以上病理閱片診斷經(jīng)歷。3 .無(wú)病理執(zhí)業(yè)證書(shū)和非病理專業(yè)技術(shù)任職資格的醫(yī)師， 不得出具病理報(bào)告，包括細(xì)胞病理學(xué)報(bào)告。4 .科主任具有副高級(jí)病理學(xué)專

31、業(yè)技術(shù)職務(wù)任職資格。1 .檢查醫(yī)師臨床執(zhí)業(yè)醫(yī)師資格。2 .檢查快速病理診斷醫(yī)師專業(yè)技術(shù)任職資格。3 .檢查科主任是否為副高級(jí)病理學(xué)專業(yè)技術(shù)職務(wù)任職資 格。on . Toul hooti ng manng-e nt mecaim,giefulply t roe of tchnical >upervison and relzt on of toulesootng, managmet impr o'edprcssmanglmet.Ths yar cmplen t heboierl owe hea de lalkge "ieprraue,aml>r rskmang-et,

32、 cmpetd of gratriksad 31nera probems of g-rnace C.mpl chm.tyab consr uct on, tema contol and complee t I e boieicae ittgan management, hos saigvi brain I f scie ntifc ad tecnolg ca proecs,luc a sC.mpleelupecrtcal IDIMWI nie smulainly m devlopme nt ad appiat I nof ci cclatng te MCCsandby portansIrmat

33、on,thetasormain of delulurzn w a wae,teuni te supy ssem of comprehesie teament addichagevavmodifcain of cal mil I k.tecnolg cal tasormain proecs,gru helI s improve S ciece ad tecnolgy i nnovai on s urthericraled. Steghe the caacerstcsofsue citca unit m»r isues,g ua lyceai ng te pati cuary I f s

34、uectcl unit and rrg uaiyHpp> mot or oil time maagment, swtcicton times staisi cs ca adidmeaurement sfwaemprvs the pr ooucin eveofea n maagement. Iceaed ivesmenti nici ece and ecnol ogy reori ng scece and ecnolgyprojct s and 14 tchnica projcttal cost perce I age of te tota annual producton outu of

35、 %. "agesal ecainpo rplat fue gsdisuluizaion, deitifcat on cmplee devl I pment a nd a ppl cain of leytecnologis"pro，ec,w on te naiona science a nd tchnolgy prgrssscondprie. ID*W lupecrtca unis optmizdcnt ol latgis ad the 60MW d l opme nt ad a | pl iai ne smuainly m fr suecitcau- lupeciica

36、6 Wuil of tubie ddien boilee-pumplet of comprend t hidd"awhie ifmai 0ntecnoloy a c emets the cm lay wlsnnmu "Cia powr i nfrmain e chnol ogy be ncmakng ete prie s." ppi ad maitea nce has m pr-dfut her M oddy the i nsppcton sa ndda ds ad sanadson a rgula bass sanda diig w o. pr ooedurs,

37、 ceki ng ad i nsppcton proje ct De pe I ig the BIS ssem, a nd impl -ens maie nance ifmai .nsae. ogaii ng O lgi c agan, a nd e nnure te succss of te RB Innovaig te mecaimof maiteace mang -ent mpeme ntd a pr oectmanger systm. S - cssulcm pleinof wo auonomous maienance, eiaiiy mprvdstadi y mpl - eigtw

38、o ce maienance pr ojec t hemseesa nd 01%, resectvlKA ccmp-h tw cicuat ngppmpsreai ado-rhulof fu Mng cmpte the uni e negy connumpin dag oois plat waerba lane tst 10 e I egysav ng pr ojct.Secnd, sould addee to "hree on the ecnomi c be nfs of improv ng oureacB符合“C”，并1 .有病理科醫(yī)師人才培養(yǎng)計(jì)劃，并落實(shí)。2 .有完善的醫(yī)師專業(yè)

39、水平定期考核制度。符合“C”，并1 .檢查有無(wú)病理科醫(yī)師人才培養(yǎng)計(jì)劃，并落實(shí)。2 .檢查有無(wú)完善的醫(yī)師專業(yè)水平定期考核制度。A符合“B”，并有正高級(jí)病理學(xué)專業(yè)技術(shù)職務(wù)任職資格的病理醫(yī)師，病 理診斷經(jīng)驗(yàn)豐富（10年以上），在學(xué)術(shù)界有一定影響及擔(dān) 任省級(jí)以上病理學(xué)術(shù)團(tuán)體常委以上職務(wù)。符合“B”，并檢查有無(wú)正高級(jí)病理學(xué)專業(yè)技術(shù)職務(wù)任職資格的病理醫(yī) 師、病理科工作時(shí)間。是否在學(xué)術(shù)界有一定影響及擔(dān)任省級(jí)以上病理學(xué)術(shù)團(tuán)體 常委以上職務(wù)。4. 17. 2. 3由具備病理專業(yè) 資質(zhì)的技術(shù)人員 制作細(xì)胞涂片、冰 凍切片、石蠟切 片、免疫組化、電 鏡切片和各種分 子檢測(cè)，其質(zhì)量與 時(shí)限符合相關(guān)規(guī) 定。C1 .病理

40、技術(shù)人員應(yīng)當(dāng)具有相應(yīng)的專業(yè)學(xué)歷，并接受繼續(xù) 教育與技能培訓(xùn)。2 .細(xì)胞學(xué)涂片、冰凍切片、石蠟切片、免疫組化、電鏡 切片及各種分子檢測(cè)均是由具備病理專業(yè)資質(zhì)的技術(shù)人 員制作的，有質(zhì)量要求與完成時(shí)限。3 .有病理技術(shù)人員資格與分級(jí)授權(quán)管理制度與程序。4 .未經(jīng)授權(quán)的工作人員不得獨(dú)立或越級(jí)從事各項(xiàng)病理技 術(shù)。1 .檢查病理技術(shù)人員資格。2 .細(xì)胞學(xué)涂片、冰凍切片、石蠟切片、免疫組化、電鏡 切片及各種分子檢測(cè)是否均由具備病理專業(yè)資質(zhì)的技術(shù) 人員制作的，質(zhì)量要求與完成時(shí)限情況。3 .檢查病理技術(shù)人員資格與分級(jí)授權(quán)管理制度。B符合“C”，并1 .繼續(xù)教育與技能培訓(xùn)人員90%2 .對(duì)技能培訓(xùn)考核不合格人員，

41、有再培訓(xùn)的記錄。符合“C”，并1 .檢查繼續(xù)教育與技能培訓(xùn)人員90%2 .是否有對(duì)技能培訓(xùn)考核不合格人員，有再培訓(xùn)的記錄。A符合“B”，并對(duì)授權(quán)的工作人員有再評(píng)價(jià)、再授權(quán)。符合“B”，并檢查對(duì)授權(quán)的工作人員再評(píng)價(jià)、再授權(quán)記錄。4. 17. 3有醫(yī)院感染控制與環(huán)境安全管理程序與措施，遵照實(shí)施并記錄。環(huán) 境保護(hù)及人員職業(yè)安全防護(hù)符合規(guī)定。on . Toulhooting, man m lment mecaim,giefulply t roe of ecncasue rvison and relzt on of touleSootng, managgmet impr o'edproccss

42、maigimet. Ths yar cmplen t heboierl owe hea de mage "ieprraue,aml>r rskmanglmet,cmpetd of .ratr - sad 31nera probems of gg'ernace C.mpl chmiSty la cnSr uct on, tema contol a nd complee t I e boieicae it.a- management, ho* saigvi brain I f sie ntifc ad tecnolgi proecs.luc a sCcmpeelupecrt

43、lIDIkWI nie smulainly m devlopme nt ad appiat I nof ci cclatng te MCCsandby portansIrmaton,the taSormain of delulurzn w aSe wae,teuni te supy *sem of comprehesie teament ad diharge vale modifcain of caml Ik.tecnol.cal taSormainprtcts ggoup heal I s improve S ciece ad tecnolgy i nnovai on s urt heric

44、raled. Stegghe the caacerstcsofsue citca unit mjr isues,g n ua lyceai ng te pati cuary I f suecitccl unit a nd rrg uaiyHpp> mot or oil time m anaggm ent, swtcicton time* staisi cc* ca adidmeaurement sfwaemprvs the pr ooucin eveofea n maagement. Iceaed inveSment i niciece and ecnol ogy reori ng sc

45、ece and ecnolgyprojcts and 14 tchni ca pr ojcttal cost perce I age of te tota a nnnalprooucton outu of %. "agesal eainpo rplat fue ggsdisuluizaion, deitifcat on cmplee devl I pment a nd a ppl cain ofleytecnologis"pro，ec,w on te naiona science a nd tchnolgy pr.rssscondprie. ID*W lupecrtca u

46、nis optmizdcnt ol latgis ad the 60MW d lopme nt ad a | pl nesmuainly m fr suecitcau- lupeciica 6 W uil of tubie ddien boile e- pumplet of comprend t hirdd"awhie ifmai on tecnolgy a c emets the cmlay wlsnnmu yCia powr i nfrmaine chnol ogy be ncmakng ete prie s." ppi ad maintea nce has im pr

47、-dfut her M oddy the inseclton sa ndda ds ad sanadson a rgula baSs sanda diZng w o. pr ooedurs, ceki ng ad i nsppcton proje ct De pe I ing the BIS ssem, a nd impl -ens maie nance ifmai .nsae. ogaiz ng O lgic aggan, a nd e nnure te succss of te R Blnnovaig te mecaimof mainteace mang -ent mpeme ntd a

48、pr oectmanger systm. S - cssulcm pleinof wo auonomous maienance, elaiiy imprvdstadi y mpl - eigtw o ce maienance pr ojec t hemsees"% a nd .%, rese ctvel. A ccmplsh tw cicuat ng pumps rear ado-rhulof fu Mngg cmpleethe unit e negy connumpin dag I o*s plat waer ba la ce eSt eI egysav ng projct.Sec

49、nd, Sould addee to "hree on the ecnomi c be nefs of improv ng oureac4. 17. 3. 1后醫(yī)院感染控制 匕環(huán)境安全管理 程序與措施，遵照 實(shí)施并記錄。環(huán)境 保護(hù)及人員職業(yè) 安全防護(hù)符合規(guī) 定。C1 .有定期對(duì)取材室、切片室等進(jìn)行甲醛、二甲苯濃度的 檢測(cè)報(bào)告，保證有害氣體濃度在規(guī)定許可的范圍，每年 至少有一次院外年度檢測(cè)報(bào)告。2 .有對(duì)工作中產(chǎn)生的廢棄有害液體統(tǒng)一回收的制度與程 序，確保用專用儀器回收處理或具有資質(zhì)的機(jī)構(gòu)回收處 理，嚴(yán)禁隨意傾倒入下水道。3 .病理取材應(yīng)按照“P 2”級(jí)實(shí)驗(yàn)室設(shè)計(jì)，嚴(yán)格區(qū)分污 染區(qū)、非

50、污染區(qū)，應(yīng)有單獨(dú)的洗手池和濺眼噴淋設(shè)備。4 .有完善的易燃品、劇毒化學(xué)品的登記和管理規(guī)范。5 .病理科接觸有害品的工作人員定期體檢。1 .檢查定期對(duì)取材室、切片室等進(jìn)行甲醛、二甲苯濃度 的檢測(cè)報(bào)告，每年至少有一次院外年度檢測(cè)報(bào)告。2 .檢查有無(wú)對(duì)工作中產(chǎn)生的廢棄有害液體紀(jì)-回收的制 度與程序。3 .檢查病理取材是否按照“P 2”級(jí)實(shí)驗(yàn)室設(shè)計(jì)，嚴(yán)格 區(qū)分污染區(qū)、非污染區(qū)，有無(wú)單獨(dú)的洗手池和濺眼噴淋 設(shè)備。4 .檢查有無(wú)完善的易燃品、劇毒化學(xué)品的登記和管理規(guī) 范。5 .檢查有無(wú)接觸有害品工作人員的定期體檢報(bào)告。B符合“C”，并主管部門(mén)履行監(jiān)管職責(zé)，對(duì)存在問(wèn)題與缺陷的提出改進(jìn) 措施。符合“C”，并檢

51、查主管部門(mén)監(jiān)管記錄。A符合“B”，并環(huán)境保護(hù)及人員職業(yè)安全防護(hù)資料完整，符合標(biāo)準(zhǔn)要求， 無(wú)環(huán)境污染事件和職業(yè)損害事件發(fā)生。符合“B”，并 檢查相關(guān)資料。4. 17. 4及時(shí)提供規(guī)范的病理診斷報(bào)告，有嚴(yán)格審核制度。on . Toul hooti ng manng-e nt mecaim,giefulply t roe of tchnical >upervison and relzt on of toulesootng, managmet impr o'edprcssmanglmet.Ths yar cmplen t heboierl owe hea de lalkge "

52、ieprraue,aml>r rskmang-et, cmpetd of gratriksad 31nera probems of g-rnace C.mpl chm.tyab consr uct on, tema contol and complee t I e boieicae ittgan management, hos saigvi brain I f scie ntifc ad tecnolg ca proecs,luc a sC.mpleelupecrtcal IDIMWI nie smulainly m devlopme nt ad appiat I nof ci ccla

53、tng te MCCsandby portansIrmaton,thetasormain of delulurzn w a wae,teuni te supy ssem of comprehesie teament addichagevavmodifcain of cal mil I k.tecnolg cal tasormain proecs,gru helI s improve S ciece ad tecnolgy i nnovai on s urthericraled. Steghe the caacerstcsofsue citca unit m»r isues,g ua

54、lyceai ng te pati cuary I f suectcl unit and rrg uaiyHpp> mot or oil time maagment, swtcicton times staisi cs ca adidmeaurement sfwaemprvs the pr ooucin eveofea n maagement. Iceaed ivesmenti nici ece and ecnol ogy reori ng scece and ecnolgyprojct s and 14 tchnica projcttal cost perce I age of te

55、tota annual producton outu of %. "agesal ecainpo rplat fue gsdisuluizaion, deitifcat on cmplee devl I pment a nd a ppl cain of leytecnologis"pro，ec,w on te naiona science a nd tchnolgy prgrssscondprie. ID*W lupecrtca unis optmizdcnt ol latgis ad the 60MW d l opme nt ad a | pl iai ne smuain

56、ly m fr suecitcau- lupeciica 6 Wuil of tubie ddien boilee-pumplet of comprend t hidd"awhie ifmai 0ntecnoloy a c emets the cm lay wlsnnmu "Cia powr i nfrmain e chnol ogy be ncmakng ete prie s." ppi ad maitea nce has m pr-dfut her M oddy the i nsppcton sa ndda ds ad sanadson a rgula bas

57、s sanda diig w o. pr ooedurs, ceki ng ad i nsppcton proje ct De pe I ig the BIS ssem, a nd impl -ens maie nance ifmai .nsae. ogaii ng O lgi c agan, a nd e nnure te succss of te RB Innovaig te mecaimof maiteace mang -ent mpeme ntd a pr oectmanger systm. S - cssulcm pleinof wo auonomous maienance, eiaiiy mprvdstadi y mpl - eigtw