The National Health Commission and other eight departments jointly issued the "Guiding Opinions on Promoting the Management of Hospital Safety and Order"

On September 27, the National Health Commission issued the "Guiding Opinions on Promoting Hospital Safety and Order Management" to further maintain normal medical order, protect the personal safety of medical staff, and create a good diagnosis and treatment environment for both doctors and patients
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The specific content of the notice is as follows: Guiding Opinions on Promoting the Management of Hospital Safety and Order Guowei Medical Fa [2021] No.
28 Health Commissions of all provinces, autonomous regions, and municipalities directly under the Central Government, the Political and Legal Affairs Commission of the Party Committee, the Office of Cyberspace Affairs, the High People’s Court, the People’s Procuratorate, and the Department of Public Security (Bureau), Department of Justice (Bureau), Bureau of Traditional Chinese Medicine, Xinjiang Production and Construction Corps Health Committee, Party Committee Political and Legal Committee, Party Committee Cyberspace Affairs Office, High People’s Court Branch, People’s Procuratorate, Public Security Bureau, Judicial Bureau: To implement the practice of Jinping in earnest The general secretary's important instructions and instructions will further maintain normal medical order, protect the personal safety of medical staff, and create a good diagnosis and treatment environment for both doctors and patients
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The following guidelines are hereby provided for the promotion of hospital safety and order management .
1.
Guiding ideology and work objectives (1) Guiding ideology
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Adhere to the guidance of Xi Jinping Thought on Socialism with Chinese Characteristics for a New Era, fully implement the spirit of the 19th National Congress of the Communist Party of China and the 2nd, 3rd, 4th, and 5th Plenary Sessions of the 19th National Congress of the Communist Party of China, firmly establish a people-centered development ideology, and give full play to peace The overall role of China's construction of a coordination mechanism is to combine hospital safety and order management with the construction of a social security prevention and control system, and to promote the modernization of municipal social governance and grassroots social governance innovation, and use the construction of a hospital safety prevention and control system as a carrier to improve The level of legalization, specialization, and intelligence of hospital safety and order management is to create a safe and stable environment for the people to see a doctor, medical staff to save lives, and to prevent and control the new crown pneumonia epidemic, and to provide for the promotion of the high-quality development of hospitals and the construction of healthy and safe China A solid and powerful guarantee to continuously enhance the people's sense of gain, happiness, and security
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(2) Working principles and goals
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In accordance with the principles of combining prevention and disposal, combining traditional methods with modern technology, combining security system construction with comprehensive social governance, combining security inspection with convenience, and the principles of emergency and police-medicine linkage, coordinated cooperation, systematic advancement, classified policy implementation, Focus on key points, promote more complete hospital security organization, more standardized hospital safety management system, more efficient risk early warning mechanism, more complete emergency response mechanism, and gradually build a systematic, scientific, efficient, and intelligent high-level hospital safety prevention system
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2.
Main measures (1) Comprehensively improve the capability level of the security system
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1.
Strengthen the organization and system construction of hospital safety and order management
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The main person in charge of the hospital is the first person responsible for the safety and order management of the hospital
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It is necessary to improve the leadership mechanism for safety and order management, strengthen the strength of full-time security institutions (security department, section), improve the level of professionalization, and clarify work responsibilities.
Each functional department and department must clarify the person in charge of safety and order management, and form the main leaders to take the overall responsibility.
, In charge of the work structure of the leaders' specific grasp, the organization and implementation of full-time security agencies, and the close cooperation of relevant functional departments
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Formulate and implement safety protection work systems such as risk investigation, safety prevention and control, guardian inspections, emergency response, education and training, and regular inspections
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The hospital leadership team should regularly listen to reports on the safety and order management work, study and promote measures, and plan, deploy, advance, and evaluate the hospital safety and order management work and the medical service work
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2.
Strengthen the construction of hospital security teams
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Hospitals should provide full-time security personnel, employ sufficient security guards, and encourage hospitals to recruit security guards on their own according to the actual conditions such as the flow of people, geographical area, building layout, and local social security situation
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Improve the professional security system for hospital full-time security personnel recruitment, rank promotion, vocational training, etc.
, to further stimulate work enthusiasm
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The number of security guards in hospitals should follow the principle of “just high, not low”, and be equipped with a standard of no less than 3% of the total number of medical staff on duty, or 20 beds, 1 security guard, or 3‰ average daily outpatient volume.
Increase the number of security guards on this basis
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The security guard’s age, training experience, service quality and other factors must be considered comprehensively, and after passing the training, hold a certificate to work
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For hospitals that do not have the conditions to be equipped with full-time security, explore various ways to strengthen security and protection through unified construction and deployment of security forces within a certain area, setting up patrol points of public security organs, and establishing group defense and group guarding guard posts
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The responsibility of security guards in order maintenance, emergency handling, and daily patrols must be clearly assigned to their posts and individuals
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Hospitals should, in combination with specific scenarios, under the guidance of local public security organs, strengthen relevant legal knowledge and security business and skill training for full-time security personnel and security guards, standardize the assessment and evaluation of security guards, and improve professional ability and level
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3.
Strengthen the construction of physical defense facilities in hospitals
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The hospital shall equip the guards and security guards on duty with necessary communication equipment and protective equipment
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The key and vital parts of hospitals such as water supply, power supply, gas supply, heat supply, oxygen supply, "poison, hemp, essence, and release" medicines (substances), inflammable and explosive materials storage warehouses, etc.
should be installed in accordance with relevant regulations or standards.

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Physical protection facilities such as fences or fences should be set up around the hospital, and isolation and drainage facilities should be set up at densely populated places such as entrances and exits and registration offices
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4.
Strengthen the construction of the hospital's technical defense system
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Hospitals should establish and improve intrusion alarm systems, video surveillance systems, entrance and exit control systems, and electronic inspection systems in accordance with relevant national standards and industry standards, and realize interconnection between systems
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Should the hospital set up security monitoring? ? The center conducts centralized and unified management of the security information of the unit's technical defense system, and realizes full coverage of video surveillance in public areas and key areas in the hospital
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One-button alarm devices should be installed in hospital guard rooms, departments, and key and vital parts, and networked with the hospital security monitoring center to ensure that security agencies and security guards can be notified in time when emergencies occur, and promptly dealt with in advance on the spot
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5.
Promote smart security in hospitals
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Hospitals should actively apply modern technological means such as the Internet of Things, 5G, and big data, and deploy intelligent security systems in accordance with relevant national and industry standards
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Localities must combine the requirements of a three-dimensional and information-based social security prevention and control system to further strengthen the data sharing between hospitals and public security agencies, realize in-depth application of intelligent governance, and build a comprehensive security system covering the entire hospital and surrounding areas to prevent early warning and risk factors to the greatest extent
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Local public security organs and health administrative departments (including Chinese medicine authorities, the same below) must accurately empower and improve hospital security capabilities, build a batch of smart security model hospitals, and enhance the scientific and technological support capabilities for security work
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(2) Strengthen source governance
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1.
Strictly investigate contradictions and risks
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The political and legal committees of the party committee, health, public security, judicial administration and other departments should strengthen cooperation and cooperation, establish information communication mechanisms, and guide hospitals to conduct regular safety risk investigations, paying particular attention to key periods, key populations, and key areas, and timely sort out weak links in safety prevention.
Find shortcomings and loopholes, analyze the causes of the problems, and form a list of risks and problems, and implement reforms to resolve and correct them one by one
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2.
Diversified solutions to medical disputes
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Persist in and develop the "Maple Bridge Experience" in the new era, and unblock diversified channels for resolving medical disputes
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Hospitals should improve medical quality and service levels, strengthen doctor-patient communication, further standardize the complaint handling process, and strive to resolve medical disputes in the bud and initial stage
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For unresolved medical disputes that are suitable for settlement through people’s mediation, they shall be guided to the local people’s mediation organization for medical disputes to be resolved
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For disputes that may intensify conflicts and even cause public security and criminal cases, the hospital should promptly report to the local public security organs and health administrative departments, rely on the safe hospital to build a coordination mechanism, and promote the assistance of grassroots organizations in the patient’s residential area in accordance with the principles of territorial management.
Do a good job in communication and education to effectively resolve disputes
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3.
Intensify efforts to improve stability and control
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For people who tend to be violent, threaten wounded doctors, etc.
, local comprehensive treatment centers, public security organs, health and health administrative departments and other relevant departments must work with their units, communities, and families to carry out assistance, psychological counseling, and rule of law publicity, and implement stability control measures , To prevent the occurrence of personal extreme cases
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For patients with severe mental disorders who are at risk of causing accidents, they must implement treatment and rescue measures, or be admitted to hospitals in accordance with the law to prevent actual harm
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Local public security organs must promptly dispatch police to deal with any trouble or disorder in the hospital and its surrounding areas to prevent the occurrence of vicious cases
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(3) Effective early warning and prevention
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1.
Strengthen the construction of hospital police department
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The public security organs should set up police offices in tertiary hospitals and qualified secondary hospitals, equipped with necessary police force; secondary hospitals that do not yet have the conditions should set up security guards around the periphery (a must for patrols) according to the actual situation
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The hospital should provide the necessary working conditions for the police department
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Public security organs at the provincial level shall, in conjunction with the health administrative departments at the same level, explore the construction standards of hospital police offices (stations) in accordance with the actual needs of the hospital and the public security service model, and guide the strengthening of the regularization, specialization, and intelligence of hospital police offices (stations).
Construction and further clarify work responsibilities
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Police office (station) police should organize and guide the hospital to carry out safety checks, patrol prevention and control, emergency disposal
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2.
Carry out security inspections in an orderly manner
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Hospitals should establish a safety inspection system, and be equipped with corresponding security inspection equipment such as pass-through metal detection doors, micro-dose X-ray safety inspection equipment, and hand-held metal detectors in accordance with the actual needs of the security inspection work
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Large hospitals with an average daily outpatient volume of more than 5,000 or more than 1,000 beds should implement security checks at the main entrances and exits to prevent personnel from entering the hospital with knives, explosives, and dangerous materials
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When carrying out security inspections, hospitals should take into account the experience of patients seeking medical care, and set up green channels for security inspections for critically ill patients, and be guided by safety, legality, and convenience, and do not affect normal medical order
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All provincial health administrative departments and public security departments shall jointly issue notices on the implementation of hospital security inspections, and formulate and publish a list of prohibited items in hospitals based on local actual conditions
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3.
Establish and improve the information sharing and early warning mechanism for high-risk medical personnel
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Local health administrative departments and public security agencies must establish a hospital safety and security information platform to share information on high-risk patients, 110 police and medical-related crimes and other data and information, to achieve intelligent and accurate early warning, and to prevent early warning risks to the greatest extent possible Factors
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Hospitals should implement real-name appointments for diagnosis and treatment, and establish an early warning and reminder mechanism for high-risk personnel.
In the event of high-risk patients with severe mental disorders who threaten to commit violence, repeatedly go to the hospital for unreasonable troubles, drunk and take drugs, and are at risk of causing accidents, they should promptly remind medical personnel.
Personnel, and should arrange for security personnel to accompany the diagnosis, report to the public security organs when necessary, and conduct legal education and warning about the consequences of the behavior
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(4) Effectively strengthen emergency response work
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1.
Develop special emergency plans and carry out emergency drills on a regular basis
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Under the guidance of local public security organs, hospitals should formulate and improve emergency response plans, organize emergency security teams and strengthen training, strengthen daily emergency response preparations, and improve on-site handling capabilities for medical emergencies
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Organize emergency drills on a regular basis, and adjust and optimize the emergency plan in a timely manner in response to hidden problems exposed during the drill, and strive to achieve early control of the situation, rapid handling of incidents, and no escalation of contradictions
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2.
Strengthen the police-doctor linkage treatment mechanism
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All localities should deepen the cooperation between police and doctors, establish an effective information communication mechanism, collect, master, analyze and judge all kinds of medical safety information, and discover tendencies and signs of clues in a timely manner
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The health administrative department should actively work with the public security organs to further improve the local medical emergency handling process, especially to clarify the work requirements for on-site handling, medical treatment, public opinion response, and maintenance of stability
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The public security organs shall dispatch the police and accept the 110 police and criminal and public security cases that occurred in the hospital as soon as possible, and deal with them quickly in accordance with the law
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3.
Severely crack down on medical-related crimes
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The public security organs should establish a mechanism for tracking medical-related cases.
After receiving a report from the hospital for assistance, the police should immediately dispatch the police, control the scene of the case, and promptly accept the case and file for investigation in accordance with the law
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The People’s Procuratorate shall designate a person responsible for major medical-related cases and speed up the review of arrests and review of the progress of the prosecution
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The people’s court should speed up the progress of the trial, correctly apply the law, accurately convict and sentence the crime on the basis of comprehensively ascertaining the facts of the case, and deal with the criminal motives, bad circumstances, cruel methods, deep subjective malignancy, high personal danger, or serious harm to the crime committed.
Defendants with bad public safety and social influence shall be severely punished
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The higher-level organs of major cases must be listed for supervision, and all localities must summarize and report typical cases to give full play to the legal deterrent effect
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4.
Do a good job of public opinion guidance
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Relevant departments of health, public security, etc.
should further improve the integrated mechanism of news propaganda, public opinion guidance and joint handling of medical incidents
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It is necessary to strictly implement the "three synchronization" work requirements for major medical cases, and release authoritative information in a timely manner to respond to social concerns while carrying out case investigation and handling work
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It is necessary to do a good job in comforting the families of victims and medical staff, ensure that their families and medical staff are emotionally stable, coordinate publicity, Internet information and other departments to strengthen public opinion guidance and online public opinion monitoring, and strictly prevent the spread of harmful information and media hype to induce imitation
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(5) Strengthen the publicity and education of hospital safety and order
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1.
Improve the safety awareness and prevention capabilities of medical staff
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The hospital should improve the safety awareness and self-protection capabilities of medical staff as an important part of strengthening early warning and prevention
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Under the guidance of public security organs, hospitals should carry out targeted safety precaution education and skill training for different positions of medical staff, so as to improve medical staff’s awareness of safety precautions and their ability to respond to emergencies
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2.
Strive for social understanding and support
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Intensify positive publicity efforts, make full use of traditional media and new media platforms, innovate forms of publicity, enhance the interaction between medical, police and civilians, increase social awareness of the importance of hospital safety and order management, and gain public understanding and social support, especially for hospitals Understanding and support of security inspection work
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3.
Strengthen the publicity and education of the rule of law
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Post posters and slogans reminding you of severely cracking down on medical-related crimes and building a harmonious doctor-patient relationship at the main entrances and exits and clinics of the hospital
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Continue to do a good job in the publicity and implementation of the "Regulations on the Prevention and Handling of Medical Disputes," strengthen the warning of cases of the rule of law, and guide the masses to resolve disputes and safeguard their rights and interests within the track of the rule of law
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At the same time, increase positive publicity for medical and health undertakings and medical staff, promote lofty professionalism, improve people's health literacy, cultivate rational medical behaviors, and form a healthy public opinion environment
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3.
Work requirements (1) Strengthen organizational leadership
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All localities should further improve their political positions and regard strengthening the management of hospital safety and order as an important political task and as an important livelihood project for maintaining the country's long-term stability
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The health administrative department shall report to the party committee and the government on relevant work requirements and problems of hospital safety and order management in a timely manner.
By promoting the formulation and improvement of local regulations and government regulations, it will strengthen the normative guidance of hospital security work, and improve the hospital on the track of the rule of law.
The level of security work
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(2) Strengthen cooperation and cooperation
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All localities should earnestly take the strengthening of hospital safety and order management as an important task for building a higher level of safe China, relying on the safe hospital construction work team to improve the multi-departmental linkage and coordination mechanism, especially in combating medical crimes, police and medical linkages.
In areas such as construction, investigation and resolution of medical contradictions and disputes, it is necessary to strengthen communication and close cooperation between departments
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It is necessary to adhere to the linkage between top and bottom, systematic promotion, internal and external interaction, explore innovative work ideas and methods, and timely summarize and promote good experience in various regions, and solidify it in the form of a system to form a long-term mechanism
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(3) The classification is implemented step by step
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Based on actual conditions, localities should distinguish different hospital scales, types, and levels, promote hospital security work by classification, and refine implementation rules and standards for the construction of hospital security systems
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All local health and health administrative departments shall, in conjunction with relevant departments, conduct classified guidance, accurately implement policies, and make overall considerations, reasonable allocations, and preference in terms of policies and financial guarantees
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All localities must establish hospital safety and order management work ledgers, formulate and improve the goal task table, complete one family, and cancel one family
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(4) Strengthen supervision and evaluation
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In accordance with the principle of "territorial management and hierarchical responsibility", all localities should strengthen their supervision and guidance responsibilities in accordance with the law, make good use of supervision, notifications, and interviews and other forms of supervision work, and give full play to the role of the safe hospital's assessment baton
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For those who have serious consequences or bad social impacts due to poor work, the relevant personnel should be held accountable; those who have implemented policies and measures in place and have made outstanding achievements should be commended and motivated
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Local health administrative departments and public security departments should strengthen inspections of the implementation of hospital safety precautions, and public relations agencies should punish and urge rectification in places and units where there are more potential safety hazards and frequent incidents
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The Central Political and Legal Affairs Commission, the National Health Commission, the Ministry of Public Security, the State Administration of Traditional Chinese Medicine and other departments will carry out a "look back" on local organizations that have experienced major medical incidents in a timely manner to promote the implementation of responsibilities in various regions and enhance the hospital's security capabilities and levels
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National Health Commission, Central Political and Legal Affairs Commission, Central Cyberspace Administration, Supreme People's Court, Supreme People's Procuratorate, Ministry of Public Security, Ministry of Justice, National Administration of Traditional Chinese Medicine September 22, 2021