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Bộ-Tiêu-chí-Chất-lượng-bệnh-viện-Việt-Nam phiên bản 2_0-pdf

Published by Quality Management Department Binh Dan Hospital, 2023-08-08 00:45:38

Description: Bộ-Tiêu-chí-Chất-lượng-bệnh-viện-Việt-Nam phiên bản 2_0-pdf

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["C7.4 Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn, t\u01b0 v\u1ea5n ch\u00ea\u0301 \u0111\u1ed9 \u0103n ph\u00f9 h\u1ee3p v\u1edbi b\u1ec7nh l\u00fd C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Th\u00f4ng t\u01b0 08\/2011\/TT-BYT ng\u00e0y 26 th\u00e1ng 01 n\u0103m 2011 h\u01b0\u1edbng d\u1eabn c\u00f4ng t\u00e1c dinh v\u00e0 \u00fd d\u01b0\u1ee1ng ti\u1ebft ch\u1ebf trong b\u1ec7nh vi\u1ec7n. ngh\u0129a \uf0b7 Ch\u1ebf \u0111\u1ed9 \u0103n c\u00f3 m\u1ed1i \u1ea3nh h\u01b0\u1edfng v\u00e0 li\u00ean quan \u0111\u1ebfn t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd. M\u1ee9c 1 M\u1ee9c 2 \uf0b7 Ng\u01b0\u1eddi b\u1ec7nh v\u00e0 ng\u01b0\u1eddi ch\u0103m s\u00f3c n\u1ebfu \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn, t\u01b0 v\u1ea5n ch\u1ebf \u0111\u1ed9 \u0103n ph\u00f9 h\u1ee3p v\u1edbi b\u1ec7nh l\u00fd s\u1ebd gi\u00fap tr\u00e1nh c\u00e1c nguy c\u01a1 tai bi\u1ebfn ho\u1eb7c bi\u1ebfn ch\u1ee9ng n\u1eb7ng th\u00eam; t\u0103ng M\u1ee9c 3 hi\u1ec7u qu\u1ea3 s\u1eed d\u1ee5ng thu\u1ed1c, h\u00f3a ch\u1ea5t cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 g\u00f3p ph\u1ea7n n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng \u0111i\u1ec1u tr\u1ecb. M\u1ee9c 4 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 5 1. Kh\u00f4ng th\u1ef1c hi\u1ec7n h\u01b0\u1edbng d\u1eabn, t\u01b0 v\u1ea5n ch\u1ebf \u0111\u1ed9 \u0103n cho ng\u01b0\u1eddi b\u1ec7nh. 2. Nh\u00e2n vi\u00ean y t\u1ebf c\u00f3 t\u01b0 v\u1ea5n ch\u1ebf \u0111\u1ed9 \u0103n ph\u00f9 h\u1ee3p cho ng\u01b0\u1eddi b\u1ec7nh m\u1eafc c\u00e1c b\u1ec7nh c\u1ea7n c\u00f3 l\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t v\u1ec1 ch\u1ebf \u0111\u1ed9 \u0103n nh\u01b0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, t\u0103ng huy\u1ebft \u00e1p, b\u1ec7nh th\u1eadn\u2026 3. C\u00f3 g\u00f3c truy\u1ec1n th\u00f4ng, tranh \u1ea3nh v\u1ec1 dinh d\u01b0\u1ee1ng \u1edf c\u00e1c khoa l\u00e2m s\u00e0ng v\u00e0 nh\u1eefng n\u01a1i t\u1eadp trung nhi\u1ec1u ng\u01b0\u1eddi b\u1ec7nh v\u00e0 ng\u01b0\u1eddi nh\u00e0 ng\u01b0\u1eddi b\u1ec7nh, v\u00ed d\u1ee5 th\u00f4ng tin v\u1ec1 dinh d\u01b0\u1ee1ng h\u1ee3p l\u00fd, ch\u1ebf \u0111\u1ed9 \u0103n cho c\u00e1c b\u1ec7nh l\u00fd, tr\u1ebb em, ng\u01b0\u1eddi cao tu\u1ed5i, ph\u1ee5 n\u1eef mang thai, ph\u1ee5 n\u1eef cho con b\u00fa\u2026 4. C\u00f3 h\u01b0\u1edbng d\u1eabn, t\u01b0 v\u1ea5n ch\u1ebf \u0111\u1ed9 \u0103n cho ng\u01b0\u1eddi b\u1ec7nh b\u1eb1ng tranh \u1ea3nh, t\u1edd r\u01a1i ho\u1eb7c b\u0103ng h\u00ecnh\u2026 cho \u00edt nh\u1ea5t 3 b\u1ec7nh (ho\u1eb7c 3 v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe) th\u01b0\u1eddng g\u1eb7p t\u1ea1i b\u1ec7nh vi\u1ec7n. 5. C\u00f3 \u00edt nh\u1ea5t 50% t\u1ed5ng s\u1ed1 c\u00e1c khoa l\u00e2m s\u00e0ng c\u00f3 t\u00e0i li\u1ec7u t\u01b0 v\u1ea5n, truy\u1ec1n th\u00f4ng v\u1ec1 dinh d\u01b0\u1ee1ng cho \u00edt nh\u1ea5t m\u1ed9t b\u1ec7nh ho\u1eb7c m\u1ed9t v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe c\u1ea7n t\u01b0 v\u1ea5n v\u1ec1 dinh d\u01b0\u1ee1ng th\u01b0\u1eddng g\u1eb7p c\u1ee7a m\u1ed7i khoa. Th\u00f4ng tin v\u1ec1 dinh d\u01b0\u1ee1ng c\u00f3 th\u1ec3 tr\u00ecnh b\u00e0y d\u01b0\u1edbi d\u1ea1ng t\u00e0i li\u1ec7u ri\u00eang, t\u1edd r\u01a1i ho\u1eb7c l\u1ed3ng gh\u00e9p v\u00e0o c\u00e1c t\u00e0i li\u1ec7u kh\u00e1c (nh\u01b0 \u201cPhi\u1ebfu t\u00f3m t\u1eaft th\u00f4ng tin \u0111i\u1ec1u tr\u1ecb\u201d trong ti\u00eau ch\u00ed A4.1 6. Nh\u00e2n vi\u00ean y t\u1ebf in, ph\u00e1t v\u00e0 t\u01b0 v\u1ea5n c\u00e1c t\u00e0i li\u1ec7u truy\u1ec1n th\u00f4ng v\u1ec1 dinh d\u01b0\u1ee1ng cho ng\u01b0\u1eddi b\u1ec7nh (ho\u1eb7c c\u00f3 h\u00ecnh th\u1ee9c cung c\u1ea5p th\u00f4ng tin kh\u00e1c nh\u01b0 ph\u00e1t tr\u00ean m\u00e0n h\u00ecnh). 7. T\u1ed5 ch\u1ee9c truy\u1ec1n th\u00f4ng, gi\u00e1o d\u1ee5c v\u1ec1 dinh d\u01b0\u1ee1ng cho ng\u01b0\u1eddi b\u1ec7nh t\u1ea1i khoa \u0111i\u1ec1u tr\u1ecb ho\u1eb7c h\u1ed9i tr\u01b0\u1eddng. 8. Khoa\/t\u1ed5 dinh d\u01b0\u1ee1ng-ti\u1ebft ch\u1ebf h\u01b0\u1edbng d\u1eabn, h\u1ed7 tr\u1ee3, ki\u1ec3m tra, gi\u00e1m s\u00e1t ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng t\u1ea1i c\u00e1c khoa\/ph\u00f2ng \u0111i\u1ec1u tr\u1ecb (bao g\u1ed3m vi\u1ec7c th\u1ef1c hi\u1ec7n nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9, th\u1ef1c h\u00e0nh nu\u00f4i con h\u1ee3p l\u00fd\u2026). 9. C\u00f3 ph\u00f2ng t\u01b0 v\u1ea5n v\u1ec1 dinh d\u01b0\u1ee1ng cho ng\u01b0\u1eddi b\u1ec7nh, trong \u0111\u00f3 c\u00f3 cung c\u1ea5p d\u1ecbch v\u1ee5 kh\u00e1m v\u00e0 t\u01b0 v\u1ea5n cho ng\u01b0\u1eddi b\u1ec7nh v\u1ec1 dinh d\u01b0\u1ee1ng v\u00e0 ch\u1ebf \u0111\u1ed9 \u0103n b\u1ec7nh l\u00fd. 10. Ti\u1ebfn h\u00e0nh kh\u1ea3o s\u00e1t, \u0111\u00e1nh gi\u00e1 (ho\u1eb7c nghi\u00ean c\u1ee9u) vi\u1ec7c h\u01b0\u1edbng d\u1eabn, t\u01b0 v\u1ea5n ch\u1ebf \u0111\u1ed9 \u0103n ph\u00f9 h\u1ee3p v\u1edbi b\u1ec7nh l\u00fd cho ng\u01b0\u1eddi b\u1ec7nh. 11. C\u00f3 b\u00e1o c\u00e1o \u0111\u00e1nh gi\u00e1, trong \u0111\u00f3 c\u00f3 ch\u1ec9 ra nh\u1eefng nh\u01b0\u1ee3c \u0111i\u1ec3m, kh\u00f3 kh\u0103n c\u1ea7n kh\u1eafc ph\u1ee5c v\u00e0 \u0111\u1ec1 xu\u1ea5t gi\u1ea3i ph\u00e1p c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng. 12. Ti\u1ebfn h\u00e0nh c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng t\u01b0 v\u1ea5n dinh d\u01b0\u1ee1ng cho ng\u01b0\u1eddi b\u1ec7nh d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 kh\u1ea3o s\u00e1t, \u0111\u00e1nh gi\u00e1 (ho\u1eb7c nghi\u00ean c\u1ee9u). 100","C7.5 Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c cung c\u1ea5p ch\u00ea\u0301 \u0111\u1ed9 dinh d\u01b0\u1ee1ng ph\u00f9 h\u1ee3p v\u1edbi b\u1ec7nh l\u00fd trong th\u1eddi C\u0103n c\u1ee9 gian n\u1eb1m vi\u1ec7n \u0111\u1ec1 xu\u1ea5t v\u00e0 \u00fd \uf0b7 Th\u00f4ng t\u01b0 08\/2011\/TT-BYT ng\u00e0y 26 th\u00e1ng 01 n\u0103m 2011h\u01b0\u1edbng d\u1eabn c\u00f4ng t\u00e1c dinh ngh\u0129a d\u01b0\u1ee1ng ti\u1ebft ch\u1ebf trong b\u1ec7nh vi\u1ec7n. M\u1ee9c 1 \uf0b7 Quy\u1ebft \u0111\u1ecbnh s\u1ed1 4487\/Q\u0110-BYT ng\u00e0y 18\/8\/2016 v\u1ec1 vi\u1ec7c ban h\u00e0nh h\u01b0\u1edbng d\u1eabn ch\u1ea9n M\u1ee9c 2 \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh suy dinh d\u01b0\u1ee1ng c\u1ea5p t\u00ednh \u1edf tr\u1ebb em t\u1eeb 0 \u0111\u1ebfn 72 th\u00e1ng tu\u1ed5i. M\u1ee9c 3 \uf0b7 Dinh d\u01b0\u1ee1ng trong \u0111i\u1ec1u tr\u1ecb gi\u1eef vai tr\u00f2 quan tr\u1ecdng, g\u00f3p ph\u1ea7n gi\u00fap ng\u01b0\u1eddi b\u1ec7nh mau b\u00ecnh ph\u1ee5c, gi\u1ea3m nguy c\u01a1 nhi\u1ec5m tr\u00f9ng b\u1ec7nh vi\u1ec7n, n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng M\u1ee9c 4 v\u00e0 n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng \u0111i\u1ec1u tr\u1ecb. \uf0b7 Ch\u0103m s\u00f3c dinh d\u01b0\u1ee1ng cho ng\u01b0\u1eddi b\u1ec7nh \u1ea3nh h\u01b0\u1edfng tr\u1ef1c ti\u1ebfp \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng ph\u1ee5c v\u1ee5 ng\u01b0\u1eddi b\u1ec7nh, th\u1ec3 hi\u1ec7n t\u00ednh to\u00e0n di\u1ec7n c\u1ee7a b\u1ec7nh vi\u1ec7n. \uf0b7 Ng\u01b0\u1eddi b\u1ec7nh t\u1ea1i nhi\u1ec1u b\u1ec7nh vi\u1ec7n ph\u1ea3i t\u1ef1 lo \u0103n n\u00ean b\u1ec7nh vi\u1ec7n kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c vi\u1ec7c tu\u00e2n th\u1ee7 ch\u1ebf \u0111\u1ed9 \u0103n b\u1ec7nh l\u00fd, l\u00e0m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng \u0111i\u1ec1u tr\u1ecb. C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng 1. Kh\u00f4ng c\u00f3 t\u00e0i li\u1ec7u x\u00e2y d\u1ef1ng su\u1ea5t \u0103n b\u1ec7nh l\u00fd ho\u1eb7c kh\u1ea9u ph\u1ea7n dinh d\u01b0\u1ee1ng cho ng\u01b0\u1eddi b\u1ec7nh. 2. C\u00f3 v\u0103n b\u1ea3n quy \u0111\u1ecbnh v\u1ec1 vi\u1ec7c h\u1ed9i ch\u1ea9n gi\u1eefa nh\u00e2n vi\u00ean khoa dinh d\u01b0\u1ee1ng ti\u1ebft ch\u1ebf v\u1edbi b\u00e1c s\u1ef9 \u0111i\u1ec1u tr\u1ecb v\u1ec1 ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng cho ng\u01b0\u1eddi b\u1ec7nh trong tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi b\u1ec7nh m\u1eafc c\u00e1c b\u1ec7nh li\u00ean quan \u0111\u1ebfn dinh d\u01b0\u1ee1ng. 3. Ng\u01b0\u1eddi m\u1eafc c\u00e1c b\u1ec7nh li\u00ean quan \u0111\u1ebfn dinh d\u01b0\u1ee1ng \u0111\u01b0\u1ee3c h\u1ed9i ch\u1ea9n gi\u1eefa nh\u00e2n vi\u00ean khoa\/t\u1ed5 dinh d\u01b0\u1ee1ng ti\u1ebft ch\u1ebf v\u1edbi b\u00e1c s\u1ef9 l\u00e2m s\u00e0ng v\u1ec1 ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng. 4. Khoa\/t\u1ed5 dinh d\u01b0\u1ee1ng-ti\u1ebft ch\u1ebf x\u00e2y d\u1ef1ng c\u00e1c kh\u1ea9u ph\u1ea7n \u0103n b\u1ec7nh l\u00fd kh\u00e1c nhau cho t\u1eebng \u0111\u1ed1i t\u01b0\u1ee3ng ng\u01b0\u1eddi b\u1ec7nh (t\u1ed1i thi\u1ec3u cho c\u00e1c b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, t\u0103ng huy\u1ebft \u00e1p, suy th\u1eadn\u2026). 5. Khoa\/t\u1ed5 dinh d\u01b0\u1ee1ng t\u1ed5 ch\u1ee9c cung c\u1ea5p su\u1ea5t \u0103n b\u1ec7nh l\u00fd cho t\u1eebng \u0111\u1ed1i t\u01b0\u1ee3ng ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c b\u00e1c s\u1ef9 \u0111i\u1ec1u tr\u1ecb ch\u1ec9 \u0111\u1ecbnh kh\u1ea9u ph\u1ea7n \u0103n b\u1ec7nh l\u00fd (t\u1ed1i thi\u1ec3u cho c\u00e1c b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, t\u0103ng huy\u1ebft \u00e1p, suy th\u1eadn\u2026). 6. Ng\u01b0\u1eddi m\u1eafc c\u00e1c b\u1ec7nh li\u00ean quan \u0111\u1ebfn dinh d\u01b0\u1ee1ng \u0111\u01b0\u1ee3c cung c\u1ea5p b\u1eefa \u0103n b\u1ea3o \u0111\u1ea3m v\u1ec7 sinh an to\u00e0n th\u1ef1c ph\u1ea9m, ph\u00f9 h\u1ee3p v\u1edbi t\u00ecnh tr\u1ea1ng b\u1ec7nh theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u1ef9. 7. Khoa dinh d\u01b0\u1ee1ng -ti\u1ebft ch\u1ebf qu\u1ea3n l\u00fd \u0111\u01b0\u1ee3c ch\u1ea5t l\u01b0\u1ee3ng v\u1ec7 sinh an to\u00e0n th\u1ef1c ph\u1ea9m c\u1ee7a c\u01a1 s\u1edf cung c\u1ea5p su\u1ea5t \u0103n cho b\u1ec7nh vi\u1ec7n (bao g\u1ed3m c\u1ea3 nh\u00e0 \u0103n\/c\u0103ng-tin trong b\u1ec7nh vi\u1ec7n): c\u00f3 m\u1eabu th\u1ef1c ph\u1ea9m l\u01b0u, ki\u1ec3m tra th\u01b0\u1eddng xuy\u00ean, gi\u00e1m s\u00e1t v\u1ec7 sinh nh\u00e0 b\u1ebfp (k\u1ec3 c\u1ea3 c\u00e1c b\u1ebfp \u0103n do t\u1ed5 ch\u1ee9c ho\u1eb7c c\u00e1 nh\u00e2n \u0111i\u1ec1u h\u00e0nh cung c\u1ea5p su\u1ea5t \u0103n cho b\u1ec7nh vi\u1ec7n). 8. Tr\u1ebb em b\u1ecb suy dinh d\u01b0\u1ee1ng n\u1eb7ng c\u1ea5p t\u00ednh \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb theo h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh suy dinh d\u01b0\u1ee1ng c\u1ea5p t\u00ednh \u1edf tr\u1ebb em t\u1eeb 0-72 th\u00e1ng tu\u1ed5i theo quy \u0111\u1ecbnh c\u1ee7a B\u1ed9 Y t\u1ebf (n\u1ebfu b\u1ec7nh vi\u1ec7n kh\u00f4ng \u0111i\u1ec1u tr\u1ecb cho \u0111\u1ed1i t\u01b0\u1ee3ng tr\u1ebb em suy dinh d\u01b0\u1ee1ng n\u1eb7ng c\u1ea5p t\u00ednh th\u00ec ti\u1ec3u m\u1ee5c n\u00e0y \u0111\u01b0\u1ee3c t\u00ednh l\u00e0 \u0111\u1ea1t). 9. Khoa dinh d\u01b0\u1ee1ng-ti\u1ebft ch\u1ebf (ho\u1eb7c c\u01a1 s\u1edf cung c\u1ea5p su\u1ea5t \u0103n) ph\u1ee5c v\u1ee5 su\u1ea5t \u0103n cho tr\u00ean 70% \u0111\u1ed1i t\u01b0\u1ee3ng ng\u01b0\u1eddi b\u1ec7nh (kh\u00f4ng bao g\u1ed3m tr\u1ebb d\u01b0\u1edbi 6 th\u00e1ng tu\u1ed5i). 10. Ti\u1ebfn h\u00e0nh kh\u1ea3o s\u00e1t, \u0111\u00e1nh gi\u00e1 (ho\u1eb7c nghi\u00ean c\u1ee9u) vi\u1ec7c cung c\u1ea5p ch\u1ebf \u0111\u1ed9 \u0103n ph\u00f9 h\u1ee3p v\u1edbi b\u1ec7nh l\u00fd cho ng\u01b0\u1eddi b\u1ec7nh. 11. C\u00f3 b\u00e1o c\u00e1o \u0111\u00e1nh gi\u00e1, trong \u0111\u00f3 c\u00f3 ch\u1ec9 ra nh\u1eefng nh\u01b0\u1ee3c \u0111i\u1ec3m, kh\u00f3 kh\u0103n c\u1ea7n kh\u1eafc ph\u1ee5c v\u00e0 \u0111\u1ec1 xu\u1ea5t gi\u1ea3i ph\u00e1p c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng. 101","M\u1ee9c 5 12. C\u00e1c su\u1ea5t \u0103n \u0111\u01b0\u1ee3c t\u00ednh to\u00e1n t\u1ed5ng gi\u00e1 tr\u1ecb n\u0103ng l\u01b0\u1ee3ng calori v\u00e0 c\u00f3 cung c\u1ea5p th\u00f4ng tin v\u00e0 calori tr\u1ef1c ti\u1ebfp \u0111\u1ebfn ng\u01b0\u1eddi b\u1ec7nh b\u1eb1ng c\u00e1c h\u00ecnh th\u1ee9c nh\u01b0 d\u00e1n nh\u00e3n b\u00ean ngo\u00e0i su\u1ea5t \u0103n, c\u00f3 tranh, \u1ea3nh v\u1ec1 su\u1ea5t \u0103n v\u00e0 t\u1ed5ng l\u01b0\u1ee3ng calori\u2026 13. Ng\u01b0\u1eddi b\u1ec7nh suy dinh d\u01b0\u1ee1ng n\u1eb7ng \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 dinh d\u01b0\u1ee1ng (b\u1ed5 sung dinh d\u01b0\u1ee1ng\/dinh d\u01b0\u1ee1ng \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch) \u0111\u1ec3 c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng. 14. Khoa dinh d\u01b0\u1ee1ng-ti\u1ebft ch\u1ebf (ho\u1eb7c c\u01a1 s\u1edf cung c\u1ea5p su\u1ea5t \u0103n) ph\u1ee5c v\u1ee5 su\u1ea5t \u0103n cho tr\u00ean 90% \u0111\u1ed1i t\u01b0\u1ee3ng ng\u01b0\u1eddi b\u1ec7nh (kh\u00f4ng bao g\u1ed3m tr\u1ebb d\u01b0\u1edbi 6 th\u00e1ng tu\u1ed5i). 15. Ti\u1ebfn h\u00e0nh c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cung c\u1ea5p ch\u1ebf \u0111\u1ed9 \u0103n ph\u00f9 h\u1ee3p v\u1edbi b\u1ec7nh l\u00fd cho ng\u01b0\u1eddi b\u1ec7nh d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 kh\u1ea3o s\u00e1t, \u0111\u00e1nh gi\u00e1 (ho\u1eb7c nghi\u00ean c\u1ee9u). 102","CH\u01af\u01a0NG C8. CH\u1ea4T L\u01af\u1ee2NG X\u00c9T NGHI\u1ec6M C8.1 Ba\u0309o \u0111a\u0309m n\u0103ng l\u1ef1c th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m theo ph\u00e2n tuy\u00ea\u0301n k\u1ef9 thu\u1eadt C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 01\/2013\/TT-BYT v\u1ec1 h\u01b0\u1edbng d\u1eabn th\u1ef1c hi\u1ec7n qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng x\u00e9t v\u00e0 \u00fd nghi\u1ec7m t\u1ea1i c\u01a1 s\u1edf kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh. ngh\u0129a \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 33\/2016\/TT-BYT quy \u0111\u1ecbnh t\u1ed5 ch\u1ee9c v\u00e0 x\u00e9t nghi\u1ec7m vi sinh trong b\u1ec7nh M\u1ee9c 1 vi\u1ec7n. M\u1ee9c 2 \uf0b7 Quy\u1ebft \u0111\u1ecbnh s\u1ed1 1895\/1997\/Q\u0110-BYT ng\u00e0y 19\/9\/1997 c\u1ee7a B\u1ed9 tr\u01b0\u1edfng B\u1ed9 Y t\u1ebf ban h\u00e0nh Quy ch\u1ebf b\u1ec7nh vi\u1ec7n. M\u1ee9c 3 \uf0b7 B\u1ea3o \u0111\u1ea3m n\u0103ng l\u1ef1c th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m theo ph\u00e2n tuy\u1ebfn k\u1ef9 thu\u1eadt s\u1ebd gi\u00fap b\u1ec7nh vi\u1ec7n ch\u1ee7 \u0111\u1ed9ng trong vi\u1ec7c h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb, gi\u1ea3m chi ph\u00ed \u0111i\u1ec1u tr\u1ecb cho ng\u01b0\u1eddi b\u1ec7nh. C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng 1. Khoa\/ph\u00f2ng x\u00e9t nghi\u1ec7m \u0111\u01b0\u1ee3c b\u1ed1 tr\u00ed chung (ph\u00f2ng ho\u1eb7c kh\u00f4ng gian) v\u1edbi c\u00e1c khoa l\u00e2m s\u00e0ng ho\u1eb7c c\u00e1c ph\u00f2ng kh\u00e1c. 2. Ph\u00e1t hi\u1ec7n th\u1ea5y b\u1ec7nh vi\u1ec7n kh\u00f4ng cung c\u1ea5p \u0111\u01b0\u1ee3c m\u1ed9t (ho\u1eb7c nhi\u1ec1u) k\u1ef9 thu\u1eadt x\u00e9t nghi\u1ec7m t\u1eeb 3 ng\u00e0y tr\u1edf l\u00ean do c\u00e1c m\u00e1y \u0111\u1ec1u h\u1ecfng c\u00f9ng th\u1eddi \u0111i\u1ec3m m\u00e0 kh\u00f4ng c\u00f3 c\u01a1 ch\u1ebf chuy\u1ec3n g\u1eedi. 3. Khoa\/ph\u00f2ng x\u00e9t nghi\u1ec7m \u0111\u01b0\u1ee3c b\u1ed1 tr\u00ed ri\u00eang bi\u1ec7t v\u1edbi c\u00e1c khoa l\u00e2m s\u00e0ng v\u00e0 c\u00e1c ph\u00f2ng kh\u00e1c. 4. Khoa\/ph\u00f2ng x\u00e9t nghi\u1ec7m c\u00f3 nh\u00e2n s\u1ef1 tr\u00ecnh \u0111\u1ed9 trung c\u1ea5p\/cao \u0111\u1eb3ng tr\u1edf l\u00ean \u0111\u00fang chuy\u00ean ng\u00e0nh. 5. C\u00f3 \u0111\u1ea7y \u0111\u1ee7 trang thi\u1ebft b\u1ecb, v\u1eadt t\u01b0 ph\u1ee5c v\u1ee5 cho c\u00e1c x\u00e9t nghi\u1ec7m huy\u1ebft h\u1ecdc, h\u00f3a sinh. 6. B\u1ea3o \u0111\u1ea3m n\u0103ng l\u1ef1c th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c \u0111\u1ea7y \u0111\u1ee7 c\u00e1c x\u00e9t nghi\u1ec7m huy\u1ebft h\u1ecdc, h\u00f3a sinh c\u01a1 b\u1ea3n (theo danh m\u1ee5c k\u1ef9 thu\u1eadt). 7. C\u00f3 h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng, b\u1ea3o d\u01b0\u1ee1ng, v\u1ec7 sinh m\u00e1y x\u00e9t nghi\u1ec7m; \u0111\u01b0\u1ee3c treo t\u1ea1i m\u00e1y ho\u1eb7c \u0111\u1eb7t t\u1ea1i v\u1ecb tr\u00ed t\u1eadp trung d\u1ec5 l\u1ea5y trong ph\u00f2ng x\u00e9t nghi\u1ec7m. 8. C\u00e1c trang thi\u1ebft b\u1ecb khoa x\u00e9t nghi\u1ec7m c\u00f3 s\u1ed5 nh\u1eadt k\u00fd ho\u1ea1t \u0111\u1ed9ng v\u00e0 \u0111\u01b0\u1ee3c theo d\u00f5i th\u01b0\u1eddng xuy\u00ean, c\u00f3 ghi r\u00f5 s\u1ed1 l\u01b0\u1ee3t s\u1eed d\u1ee5ng, th\u1eddi gian h\u1ecfng h\u00f3c, s\u1eeda ch\u1eefa. 9. T\u1ed5ng th\u1eddi gian c\u1ee7a m\u1ed9t lo\u1ea1i k\u1ef9 thu\u1eadt x\u00e9t nghi\u1ec7m b\u1ecb t\u1ea1m d\u1eebng do trang thi\u1ebft b\u1ecb kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng \u0111\u01b0\u1ee3c do h\u1ecfng h\u00f3c, s\u1eeda ch\u1eefa\u2026 kh\u00f4ng qu\u00e1 14 ng\u00e0y trong n\u0103m (ch\u1ea5p nh\u1eadn h\u00ecnh th\u1ee9c g\u1eedi m\u1eabu sang c\u01a1 s\u1edf y t\u1ebf kh\u00e1c n\u1ebfu kh\u00f4ng c\u00f3 m\u00e1y thay th\u1ebf). 10. C\u00f3 c\u00e1c h\u00ecnh th\u1ee9c nh\u01b0 trao \u0111\u1ed5i, ph\u1ea3n h\u1ed3i th\u00f4ng tin li\u00ean quan \u0111\u1ebfn x\u00e9t nghi\u1ec7m cho c\u00e1c khoa l\u00e2m s\u00e0ng (kh\u00e1ch h\u00e0ng c\u1ee7a khoa x\u00e9t nghi\u1ec7m) khi c\u1ea7n thi\u1ebft. 11. Khoa\/ph\u00f2ng x\u00e9t nghi\u1ec7m c\u00f3 nh\u00e2n s\u1ef1 c\u00f3 tr\u00ecnh \u0111\u1ed9 \u0111\u1ea1i h\u1ecdc \u0111\u00fang chuy\u00ean ng\u00e0nh. 12. C\u00f3 c\u00e1c trang thi\u1ebft b\u1ecb v\u00e0 \u0111\u1ee7 kh\u1ea3 n\u0103ng th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m sinh h\u00f3a, huy\u1ebft h\u1ecdc, mi\u1ec5n d\u1ecbch (theo danh m\u1ee5c k\u1ef9 thu\u1eadt). 13. Khoa\/ph\u00f2ng x\u00e9t nghi\u1ec7m c\u00f3 \u0111i\u1ec1u h\u00f2a nhi\u1ec7t \u0111\u1ed9 v\u00e0 ho\u1ea1t \u0111\u1ed9ng th\u01b0\u1eddng xuy\u00ean. 14. C\u00f3 khu v\u1ef1c l\u1ea5y b\u1ec7nh ph\u1ea9m x\u00e9t nghi\u1ec7m (k\u1ec3 c\u1ea3 ph\u00e2n v\u00e0 n\u01b0\u1edbc ti\u1ec3u) thu\u1eadn ti\u1ec7n cho ng\u01b0\u1eddi b\u1ec7nh: c\u00f3 m\u00f3c treo qu\u1ea7n \u00e1o, \u0111\u1ed3 d\u00f9ng; c\u00f3 gi\u00e1 \u0111\u1ec3 b\u1ec7nh ph\u1ea9m v\u00e0 x\u00e0 ph\u00f2ng, n\u01b0\u1edbc r\u1eeda tay cho ng\u01b0\u1eddi b\u1ec7nh. 15. T\u1ed5ng th\u1eddi gian c\u1ee7a m\u1ed9t lo\u1ea1i k\u1ef9 thu\u1eadt x\u00e9t nghi\u1ec7m b\u1ecb t\u1ea1m d\u1eebng do trang thi\u1ebft b\u1ecb kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng \u0111\u01b0\u1ee3c do h\u1ecfng h\u00f3c, s\u1eeda ch\u1eefa\u2026 kh\u00f4ng qu\u00e1 7 ng\u00e0y trong n\u0103m (ch\u1ea5p nh\u1eadn h\u00ecnh th\u1ee9c g\u1eedi m\u1eabu sang c\u01a1 s\u1edf y t\u1ebf kh\u00e1c n\u1ebfu kh\u00f4ng c\u00f3 m\u00e1y thay th\u1ebf). 103","M\u1ee9c 4 16. Ph\u1ee5 tr\u00e1ch kh\u1ed1i x\u00e9t nghi\u1ec7m c\u00f3 tr\u00ecnh \u0111\u1ed9 sau \u0111\u1ea1i h\u1ecdc \u0111\u00fang chuy\u00ean ng\u00e0nh. M\u1ee9c 5 17. Khoa x\u00e9t nghi\u1ec7m c\u00f3 c\u00e1c trang thi\u1ebft b\u1ecb v\u00e0 th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c \u0111\u1ea7y \u0111\u1ee7 c\u00e1c ho\u1ea1t \u0111\u1ed9ng x\u00e9t nghi\u1ec7m huy\u1ebft h\u1ecdc, h\u00f3a sinh, mi\u1ec5n d\u1ecbch, vi sinh ho\u1eb7c gi\u1ea3i ph\u1eabu b\u1ec7nh (theo danh m\u1ee5c k\u1ef9 thu\u1eadt). 18. C\u00f3 kh\u1ea3 n\u0103ng th\u1ef1c hi\u1ec7n v\u00e0 \u0111\u1ecdc \u0111\u01b0\u1ee3c c\u00e1c x\u00e9t nghi\u1ec7m huy\u1ebft h\u1ecdc, h\u00f3a sinh, mi\u1ec5n d\u1ecbch, vi sinh. 19. C\u00f3 tham gia t\u01b0 v\u1ea5n, h\u1ed7 tr\u1ee3, \u0111\u00e0o t\u1ea1o v\u1ec1 qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng ph\u00f2ng x\u00e9t nghi\u1ec7m cho c\u00e1c \u0111\u01a1n v\u1ecb kh\u00e1c (n\u1ebfu b\u1ec7nh vi\u1ec7n c\u00f3 \u0111\u01b0\u1ee3c giao ch\u1ee9c n\u0103ng ch\u1ec9 \u0111\u1ea1o tuy\u1ebfn, h\u1ed7 tr\u1ee3, \u0111\u00e0o t\u1ea1o). 20. Kh\u1ed1i x\u00e9t nghi\u1ec7m c\u00f3 nh\u00e2n s\u1ef1 c\u00f3 tr\u00ecnh \u0111\u1ed9 ti\u1ebfn s\u1ef9 y h\u1ecdc ho\u1eb7c c\u00e1c chuy\u00ean ng\u00e0nh li\u00ean quan \u0111\u1ebfn x\u00e9t nghi\u1ec7m. 21. Thi\u1ebft l\u1eadp h\u1ec7 th\u1ed1ng qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng chung cho t\u1ea5t c\u1ea3 c\u00e1c ph\u00f2ng x\u00e9t nghi\u1ec7m t\u1ea1i b\u1ec7nh vi\u1ec7n. 22. C\u00f3 ph\u1ea7n m\u1ec1m qu\u1ea3n l\u00fd th\u00f4ng tin ph\u00f2ng x\u00e9t nghi\u1ec7m, bao g\u1ed3m qu\u1ea3n l\u00fd ng\u01b0\u1eddi b\u1ec7nh, ch\u1ec9 \u0111\u1ecbnh, m\u1eabu, th\u1eddi gian, nh\u00e2n vi\u00ean, ph\u01b0\u01a1ng ti\u1ec7n th\u1ef1c hi\u1ec7n v\u00e0 tr\u1ea3 k\u1ebft qu\u1ea3. 23. Th\u1ef1c hi\u1ec7n tr\u1ea3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m cho c\u00e1c khoa l\u00e2m s\u00e0ng v\u00e0 cho ng\u01b0\u1eddi b\u1ec7nh b\u1eb1ng ph\u1ea7n m\u1ec1m c\u00f4ng ngh\u1ec7 th\u00f4ng tin. 24. Trong n\u0103m c\u00f3 th\u1ef1c hi\u1ec7n \u00edt nh\u1ea5t m\u1ed9t nghi\u00ean c\u1ee9u li\u00ean quan \u0111\u1ebfn x\u00e9t nghi\u1ec7m v\u00e0 c\u00f4ng b\u1ed1 k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u. 104","C8.2 Th\u1ef1c hi\u1ec7n qua\u0309n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng c\u00e1c x\u00e9t nghi\u1ec7m C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 01\/2013\/TT-BYT v\u1ec1 h\u01b0\u1edbng d\u1eabn th\u1ef1c hi\u1ec7n qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng x\u00e9t v\u00e0 \u00fd nghi\u1ec7m t\u1ea1i c\u01a1 s\u1edf kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh. ngh\u0129a \uf0b7 Quy\u1ebft \u0111\u1ecbnh s\u1ed1 1895\/1997\/Q\u0110-BYT ng\u00e0y 19\/9\/1997 c\u1ee7a B\u1ed9 tr\u01b0\u1edfng B\u1ed9 Y t\u1ebf ban M\u1ee9c 1 h\u00e0nh Quy ch\u1ebf b\u1ec7nh vi\u1ec7n. M\u1ee9c 2 \uf0b7 K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m ch\u00ednh x\u00e1c, b\u1ea3o \u0111\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng s\u1ebd gi\u00fap \u00edch cho vi\u1ec7c ch\u1ea9n M\u1ee9c 3 \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb an to\u00e0n, hi\u1ec7u qu\u1ea3. M\u1ee9c 4 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 5 1. B\u1ec7nh vi\u1ec7n ch\u01b0a th\u1ef1c hi\u1ec7n n\u1ed9i ki\u1ec3m. 2. Ph\u00e1t hi\u1ec7n th\u1ea5y m\u00e1y b\u00e1o l\u1ed7i nh\u01b0ng v\u1eabn ti\u1ebfn h\u00e0nh tr\u1ea3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m. 3. Ph\u00e1t hi\u1ec7n c\u00f3 tr\u01b0\u1eddng h\u1ee3p tr\u1ea3 k\u1ebft qu\u1ea3 kh\u00f4ng \u0111\u00fang ng\u01b0\u1eddi b\u1ec7nh. 4. B\u1ec7nh vi\u1ec7n c\u00f3 quy \u0111\u1ecbnh b\u1eb1ng v\u0103n b\u1ea3n v\u00e0 th\u1ef1c hi\u1ec7n n\u1ed9i ki\u1ec3m. 5. C\u00e1c ho\u1ea1t \u0111\u1ed9ng ki\u1ec3m tra c\u00f3 ghi l\u1ea1i trong s\u1ed5 nh\u1eadt k\u00fd n\u1ed9i ki\u1ec3m. 6. B\u1ea3o \u0111\u1ea3m ch\u1ea1y m\u1eabu n\u1ed9i ki\u1ec3m tr\u01b0\u1edbc khi th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m cho ng\u01b0\u1eddi b\u1ec7nh. 7. K\u1ebft qu\u1ea3 ch\u1ea1y m\u1eabu n\u1ed9i ki\u1ec3m \u0111\u01b0\u1ee3c ghi l\u1ea1i trong s\u1ed5 nh\u1eadt k\u00fd. 8. B\u1ec7nh vi\u1ec7n c\u00f3 quy \u0111\u1ecbnh b\u1eb1ng v\u0103n b\u1ea3n v\u00e0 th\u1ef1c hi\u1ec7n ngo\u1ea1i ki\u1ec3m. 9. C\u00f3 ho\u1ea1t \u0111\u1ed9ng th\u1ed1ng k\u00ea, ph\u00e2n t\u00edch v\u00e0 t\u00ednh \u0111\u1ed9 l\u1ec7ch chu\u1ea9n. 10. \u0110\u00e3 thi\u1ebft l\u1eadp h\u1ec7 th\u1ed1ng qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng x\u00e9t nghi\u1ec7m (t\u1ed5 ch\u1ee9c, ph\u00e2n c\u00f4ng nhi\u1ec7m v\u1ee5, x\u00e2y d\u1ef1ng quy tr\u00ecnh, t\u00e0i li\u1ec7u h\u01b0\u1edbng d\u1eabn, \u0111\u00e0o t\u1ea1o\u2026). 11. C\u00f3 \u0111\u0103ng k\u00fd tham gia v\u00e0 th\u1ef1c hi\u1ec7n ch\u01b0\u01a1ng tr\u00ecnh ngo\u1ea1i ki\u1ec3m v\u1edbi trung t\u00e2m ki\u1ec3m chu\u1ea9n \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1ea5p ph\u00e9p ho\u1ea1t \u0111\u1ed9ng. 12. C\u00f3 th\u1ef1c hi\u1ec7n hi\u1ec7u chu\u1ea9n thi\u1ebft b\u1ecb x\u00e9t nghi\u1ec7m theo \u0111\u1ecbnh k\u1ef3 v\u00e0 \u0111\u1ed9t xu\u1ea5t n\u1ebfu c\u00f3 ph\u00e1t hi\u1ec7n sai l\u1ec7ch. 13. N\u1ebfu ph\u00e1t hi\u1ec7n m\u00e1y c\u00f3 sai l\u1ec7ch, b\u1ec7nh vi\u1ec7n c\u00f3 hi\u1ec7u ch\u1ec9nh ho\u1eb7c c\u00f3 h\u00ecnh th\u1ee9c\/bi\u1ec7n ph\u00e1p x\u1eed l\u00fd kh\u1eafc ph\u1ee5c ngay \u0111\u1ec3 b\u1ea3o \u0111\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng x\u00e9t nghi\u1ec7m v\u00e0 ghi h\u1ed3 s\u01a1 \u0111\u1ea7y \u0111\u1ee7. 14. C\u00f3 nh\u00e2n vi\u00ean chuy\u00ean tr\u00e1ch\/ki\u00eam nhi\u1ec7m v\u1ec1 ch\u1ea5t l\u01b0\u1ee3ng x\u00e9t nghi\u1ec7m \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o v\u1ec1 qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng x\u00e9t nghi\u1ec7m (c\u00f3 ch\u1ee9ng ch\u1ec9). 15. Nh\u00e2n vi\u00ean khoa x\u00e9t nghi\u1ec7m tham gia \u0111\u00e0o t\u1ea1o li\u00ean t\u1ee5c \u0111\u1ea7y \u0111\u1ee7 theo quy \u0111\u1ecbnh c\u1ee7a B\u1ed9 Y t\u1ebf. 16. Ti\u1ebfn h\u00e0nh \u0111\u00e0o t\u1ea1o v\u00e0 \u0111\u00e0o t\u1ea1o li\u00ean t\u1ee5c cho nh\u00e2n vi\u00ean x\u00e9t nghi\u1ec7m v\u1ec1 c\u00e1c k\u1ef9 thu\u1eadt m\u1edbi tri\u1ec3n khai t\u1ea1i b\u1ec7nh vi\u1ec7n (n\u1ebfu c\u00f3). 17. \u0110\u00e3 tham gia ngo\u1ea1i ki\u1ec3m cho c\u00e1c lo\u1ea1i x\u00e9t nghi\u1ec7m theo \u0111\u1ecbnh k\u1ef3, \u0111\u1ea7y \u0111\u1ee7 (d\u1ef1a tr\u00ean c\u00e1c quy \u0111\u1ecbnh c\u1ee7a c\u01a1 quan qu\u1ea3n l\u00fd). 18. C\u00f3 \u0111\u0103ng k\u00fd tham gia v\u00e0 th\u1ef1c hi\u1ec7n ch\u01b0\u01a1ng tr\u00ecnh ngo\u1ea1i ki\u1ec3m v\u1edbi trung t\u00e2m ki\u1ec3m chu\u1ea9n \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1ea5p ph\u00e9p ho\u1ea1t \u0111\u1ed9ng. 19. C\u00f3 \u00edt nh\u1ea5t m\u1ed9t ph\u00f2ng ho\u1eb7c \u0111\u01a1n v\u1ecb x\u00e9t nghi\u1ec7m trong c\u00e1c l\u0129nh v\u1ef1c h\u00f3a sinh, huy\u1ebft h\u1ecdc, vi sinh \u0111\u1ea1t ti\u00eau chu\u1ea9n ISO 15189 (t\u01b0\u01a1ng \u0111\u01b0\u01a1ng ho\u1eb7c cao h\u01a1n). 20. Ti\u1ebfn h\u00e0nh \u0111\u00e1nh gi\u00e1\/nghi\u00ean c\u1ee9u ch\u1ea5t l\u01b0\u1ee3ng x\u00e9t nghi\u1ec7m c\u1ee7a b\u1ec7nh vi\u1ec7n \u00edt nh\u1ea5t 1 l\u1ea7n trong n\u0103m, c\u00f3 b\u00e1o c\u00e1o \u0111\u00e1nh gi\u00e1, trong \u0111\u00f3 c\u00f3 ch\u1ec9 ra nh\u1eefng nh\u01b0\u1ee3c \u0111i\u1ec3m, h\u1ea1n ch\u1ebf v\u00e0 \u0111\u1ec1 xu\u1ea5t gi\u1ea3i ph\u00e1p kh\u1eafc ph\u1ee5c. 21. Ti\u1ebfn h\u00e0nh c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng x\u00e9t nghi\u1ec7m chung d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1. 22. To\u00e0n b\u1ed9 c\u00e1c ph\u00f2ng x\u00e9t nghi\u1ec7m bao g\u1ed3m huy\u1ebft h\u1ecdc, sinh h\u00f3a, vi sinh c\u1ee7a b\u1ec7nh vi\u1ec7n \u0111\u1ea1t ti\u00eau chu\u1ea9n ISO 15189 (t\u01b0\u01a1ng \u0111\u01b0\u01a1ng ho\u1eb7c cao h\u01a1n). 105","CH\u01af\u01a0NG C9. QU\u1ea2N L\u00dd CUNG \u01af\u0301NG V\u00c0 S\u1eec D\u1ee4NG THU\u1ed0C C9.1 B\u1ec7nh vi\u1ec7n thi\u00ea\u0301t l\u1eadp h\u1ec7 th\u1ed1ng t\u1ed5 ch\u1ee9c ho\u1ea1t \u0111\u1ed9ng d\u01b0\u1ee3c C\u0103n c\u1ee9 \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 22\/2011\/TT-BYT ng\u00e0y 10\/6\/2011 quy \u0111\u1ecbnh v\u1ec1 t\u1ed5 ch\u1ee9c v\u00e0 ho\u1ea1t \u0111\u1ed9ng \u0111\u1ec1 xu\u1ea5t c\u1ee7a khoa d\u01b0\u1ee3c b\u1ec7nh vi\u1ec7n. v\u00e0 \u00fd \uf0b7 Thi\u1ebft l\u1eadp h\u1ec7 th\u1ed1ng t\u1ed5 ch\u1ee9c l\u00e0 \u0111i\u1ec1u ki\u1ec7n c\u1ea7n \u0111\u1ec3 tri\u1ec3n khai c\u00e1c ho\u1ea1t \u0111\u1ed9ng d\u01b0\u1ee3c ngh\u0129a trong b\u1ec7nh vi\u1ec7n. C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 1 1. B\u1ec7nh vi\u1ec7n ch\u01b0a c\u00f3 khoa d\u01b0\u1ee3c. M\u1ee9c 2 2. B\u1ec7nh vi\u1ec7n \u0111\u00e3 th\u00e0nh l\u1eadp khoa d\u01b0\u1ee3c. 3. Ph\u1ee5 tr\u00e1ch khoa d\u01b0\u1ee3c c\u00f3 tr\u00ecnh \u0111\u1ed9 cao \u0111\u1eb3ng v\u1ec1 d\u01b0\u1ee3c tr\u1edf l\u00ean. 4. Khoa d\u01b0\u1ee3c c\u00f3 c\u00e1c b\u1ed9 ph\u1eadn: nghi\u1ec7p v\u1ee5 d\u01b0\u1ee3c, kho v\u00e0 c\u1ea5p ph\u00e1t, th\u1ed1ng k\u00ea d\u01b0\u1ee3c. 5. C\u00e1c v\u0103n b\u1eb1ng, ch\u1ee9ng ch\u1ec9 (b\u1ea3n sao) c\u1ee7a nh\u00e2n vi\u00ean khoa d\u01b0\u1ee3c \u0111\u01b0\u1ee3c t\u1eadp h\u1ee3p th\u00e0nh m\u1ed9t b\u1ed9 v\u00e0 l\u01b0u t\u1ea1i khoa d\u01b0\u1ee3c. M\u1ee9c 3 6. C\u00f3 b\u1ea3n m\u00f4 t\u1ea3 v\u1ecb tr\u00ed vi\u1ec7c l\u00e0m cho c\u00e1c v\u1ecb tr\u00ed trong khoa d\u01b0\u1ee3c v\u00e0 x\u00e1c \u0111\u1ecbnh nhu c\u1ea7u nh\u00e2n l\u1ef1c khoa d\u01b0\u1ee3c. 7. Khoa d\u01b0\u1ee3c b\u1ea3o \u0111\u1ea3m \u0111\u1ea7y \u0111\u1ee7 nh\u00e2n l\u1ef1c cho c\u00e1c ch\u1ee9c danh ngh\u1ec1 nghi\u1ec7p trong c\u00e1c b\u1ed9 ph\u1eadn khoa d\u01b0\u1ee3c. 8. Khoa d\u01b0\u1ee3c c\u00f3 nh\u00e2n vi\u00ean l\u00e0m c\u00f4ng t\u00e1c d\u01b0\u1ee3c l\u00e2m s\u00e0ng v\u00e0 th\u00f4ng tin thu\u1ed1c (ki\u00eam nhi\u1ec7m ho\u1eb7c chuy\u00ean tr\u00e1ch). 9. Khoa d\u01b0\u1ee3c c\u00f3 ph\u00e2n c\u00f4ng nh\u00e2n vi\u00ean ph\u1ee5 tr\u00e1ch theo d\u00f5i v\u00e0 b\u00e1o c\u00e1o ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i c\u1ee7a thu\u1ed1c (ADR). 10. L\u00e3nh \u0111\u1ea1o khoa d\u01b0\u1ee3c c\u00f3 chuy\u00ean m\u00f4n d\u01b0\u1ee3c tr\u00ecnh \u0111\u1ed9 \u0111\u1ea1i h\u1ecdc tr\u1edf l\u00ean. 11. C\u00e1c nh\u00e2n vi\u00ean khoa d\u01b0\u1ee3c \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o, t\u1eadp hu\u1ea5n v\u1ec1 chuy\u00ean m\u00f4n d\u01b0\u1ee3c. M\u1ee9c 4 12. Khoa d\u01b0\u1ee3c c\u00f3 \u0111\u1ea7y \u0111\u1ee7 s\u1ed1 l\u01b0\u1ee3ng nh\u00e2n l\u1ef1c cho c\u00e1c v\u1ecb tr\u00ed vi\u1ec7c l\u00e0m trong c\u00e1c b\u1ed9 ph\u1eadn c\u1ee7a khoa d\u01b0\u1ee3c (theo \u0111\u1ec1 \u00e1n v\u1ecb tr\u00ed vi\u1ec7c l\u00e0m ho\u1eb7c k\u1ebf ho\u1ea1ch nh\u00e2n l\u1ef1c). 13. Khoa d\u01b0\u1ee3c c\u00f3 c\u00e1n b\u1ed9 chuy\u00ean tr\u00e1ch l\u00e0m c\u00f4ng t\u00e1c d\u01b0\u1ee3c l\u00e2m s\u00e0ng v\u00e0 th\u00f4ng tin thu\u1ed1c. 14. To\u00e0n b\u1ed9 nh\u00e2n vi\u00ean khoa d\u01b0\u1ee3c b\u1ea3o \u0111\u1ea3m \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o li\u00ean t\u1ee5c \u0111\u1ea7y \u0111\u1ee7. 15. L\u00e3nh \u0111\u1ea1o khoa d\u01b0\u1ee3c c\u00f3 tr\u00ecnh \u0111\u1ed9 sau \u0111\u1ea1i h\u1ecdc chuy\u00ean ng\u00e0nh d\u01b0\u1ee3c (ho\u1eb7c l\u00e0 d\u01b0\u1ee3c s\u1ef9 ch\u00ednh). M\u1ee9c 5 16. Theo d\u00f5i, r\u00e0 so\u00e1t t\u00ecnh h\u00ecnh nh\u00e2n l\u1ef1c khoa d\u01b0\u1ee3c v\u00e0 \u0111i\u1ec1u chuy\u1ec3n, tuy\u1ec3n d\u1ee5ng b\u1ed5 sung nh\u00e2n l\u1ef1c ph\u00f9 h\u1ee3p v\u1edbi quy m\u00f4 v\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n khoa d\u01b0\u1ee3c, b\u1ec7nh vi\u1ec7n. 17. L\u00e3nh \u0111\u1ea1o khoa d\u01b0\u1ee3c c\u00f3 tr\u00ecnh \u0111\u1ed9 ti\u1ebfn s\u1ef9, chuy\u00ean khoa II tr\u1edf l\u00ean chuy\u00ean ng\u00e0nh d\u01b0\u1ee3c (ho\u1eb7c l\u00e0 d\u01b0\u1ee3c s\u1ef9 cao c\u1ea5p). 18. C\u00f3 k\u1ebf ho\u1ea1ch v\u00e0 c\u1eed nh\u00e2n vi\u00ean \u0111\u00e0o t\u1ea1o \u0111\u1ed9i ng\u0169 l\u00e3nh \u0111\u1ea1o khoa d\u01b0\u1ee3c k\u1ebf c\u1eadn. 106","C9.2 Ba\u0309o \u0111a\u0309m c\u01a1 s\u1edf v\u1eadt ch\u1ea5t v\u00e0 c\u00e1c quy tr\u00ecnh k\u1ef9 thu\u1eadt cho ho\u1ea1t \u0111\u1ed9ng D\u01b0\u1ee3c C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 22\/2011\/TT-BYT ng\u00e0y 10\/6\/2011 quy \u0111\u1ecbnh v\u1ec1 t\u1ed5 ch\u1ee9c v\u00e0 ho\u1ea1t \u0111\u1ed9ng v\u00e0 \u00fd c\u1ee7a khoa d\u01b0\u1ee3c b\u1ec7nh vi\u1ec7n. ngh\u0129a \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 15\/2011\/TT-BYT ng\u00e0y 19\/04\/2011 quy \u0111\u1ecbnh v\u1ec1 t\u1ed5 ch\u1ee9c v\u00e0 ho\u1ea1t M\u1ee9c 1 \u0111\u1ed9ng c\u1ee7a c\u01a1 s\u1edf b\u00e1n l\u1ebb thu\u1ed1c trong b\u1ec7nh vi\u1ec7n. M\u1ee9c 2 \uf0b7 B\u1ea3o \u0111\u1ea3m c\u01a1 s\u1edf v\u1eadt ch\u1ea5t t\u1ed1t cho khoa d\u01b0\u1ee3c v\u00e0 x\u00e2y d\u1ef1ng \u0111\u1ea7y \u0111\u1ee7 c\u00e1c quy tr\u00ecnh g\u00f3p ph\u1ea7n b\u1ea3o \u0111\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng thu\u1ed1c v\u00e0 n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng \u0111i\u1ec1u tr\u1ecb. M\u1ee9c 3 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng 1. Khoa d\u01b0\u1ee3c ch\u01b0a c\u00f3 ph\u00f2ng l\u00e0m vi\u1ec7c ri\u00eang. 2. Kh\u00f4ng c\u00f3 nh\u00e0 thu\u1ed1c ho\u1eb7c c\u01a1 s\u1edf b\u00e1n l\u1ebb thu\u1ed1c trong khu\u00f4n vi\u00ean b\u1ec7nh vi\u1ec7n (tr\u1eeb tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh vi\u1ec7n b\u1ea3o \u0111\u1ea3m cung \u1ee9ng \u0111\u1ea7y \u0111\u1ee7 thu\u1ed1c 100% cho ng\u01b0\u1eddi b\u1ec7nh n\u1ed9i tr\u00fa v\u00e0 ngo\u1ea1i tr\u00fa). 3. Ph\u00e1t hi\u1ec7n th\u1ea5y trong kho thu\u1ed1c c\u00f3 t\u1ed5 m\u1ed1i. 4. Khoa d\u01b0\u1ee3c c\u00f3 ph\u00f2ng l\u00e0m vi\u1ec7c ri\u00eang. 5. Khoa d\u01b0\u1ee3c \u0111\u01b0\u1ee3c n\u1ed1i m\u1ea1ng internet \u0111\u1ec3 tra c\u1ee9u th\u00f4ng tin v\u1ec1 thu\u1ed1c. 6. C\u00f3 quy \u0111\u1ecbnh v\u1ec1 b\u1ea3o qu\u1ea3n thu\u1ed1c. 7. Kho thu\u1ed1c \u0111\u01b0\u1ee3c b\u1ed1 tr\u00ed tho\u00e1ng, m\u00e1t, thu\u1eadn ti\u1ec7n cho vi\u1ec7c xu\u1ea5t, nh\u1eadp thu\u1ed1c. 8. Kho thu\u1ed1c c\u00f3 trang thi\u1ebft b\u1ecb vi\u1ec7c theo d\u00f5i, b\u1ea3o qu\u1ea3n thu\u1ed1c: gi\u00e1 k\u1ec7, nhi\u1ec7t k\u1ebf, \u1ea9m k\u1ebf, qu\u1ea1t th\u00f4ng gi\u00f3, \u0111i\u1ec1u h\u00f2a nhi\u1ec7t \u0111\u1ed9, t\u1ee7 l\u1ea1nh. 9. Kho thu\u1ed1c b\u1ea3o \u0111\u1ea3m \u00e1nh s\u00e1ng m\u1eb7t tr\u1eddi kh\u00f4ng chi\u1ebfu tr\u1ef1c ti\u1ebfp v\u00e0o thu\u1ed1c. 10. Theo d\u00f5i, qu\u1ea3n l\u00fd xu\u1ea5t, nh\u1eadp, t\u1ed3n thu\u1ed1c \u0111\u1ea7y \u0111\u1ee7 b\u1eb1ng s\u1ed5 s\u00e1ch, ghi ch\u00e9p r\u00f5 r\u00e0ng (ho\u1eb7c b\u1eb1ng m\u00e1y t\u00ednh v\u00e0 ph\u1ea7n m\u1ec1m qu\u1ea3n l\u00fd thu\u1ed1c). 11. C\u00f3 nh\u00e0 thu\u1ed1c ho\u1eb7c c\u01a1 s\u1edf b\u00e1n l\u1ebb thu\u1ed1c trong khu\u00f4n vi\u00ean b\u1ec7nh vi\u1ec7n (tr\u1eeb tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh vi\u1ec7n b\u1ea3o \u0111\u1ea3m cung \u1ee9ng \u0111\u1ea7y \u0111\u1ee7 thu\u1ed1c 100% cho ng\u01b0\u1eddi b\u1ec7nh n\u1ed9i tr\u00fa v\u00e0 ngo\u1ea1i tr\u00fa). 12. Khoa d\u01b0\u1ee3c b\u1ed1 tr\u00ed kho h\u00f3a ch\u1ea5t, c\u1ed3n t\u00e1ch bi\u1ec7t v\u1edbi kho thu\u1ed1c. 13. B\u1ea3o \u0111\u1ea3m \u0111\u1ea7y \u0111\u1ee7 c\u00e1c trang thi\u1ebft b\u1ecb, ph\u01b0\u01a1ng ti\u1ec7n ch\u1ed1ng \u1ea9m, m\u1ed1c t\u1ea1i kho thu\u1ed1c, c\u01a1 s\u1edf b\u00e1n l\u1ebb thu\u1ed1c cho c\u00e1c thu\u1ed1c c\u00f3 ngu\u1ed3n g\u1ed1c th\u1ef1c v\u1eadt, \u0111\u1ed9ng v\u1eadt (thu\u1ed1c \u0111\u00f4ng y) v\u00e0 c\u00e1c thu\u1ed1c, h\u00f3a ch\u1ea5t c\u00f3 nguy c\u01a1 \u1ea9m m\u1ed1c cao. 14. B\u1ea3o \u0111\u1ea3m ph\u00f2ng tr\u00e1nh c\u00f4n tr\u00f9ng, m\u1ed1i m\u1ecdt v\u00e0 \u0111\u1ed9ng v\u1eadt nguy h\u1ea1i (nh\u01b0 chu\u1ed9t) t\u1ea1i kho thu\u1ed1c, c\u01a1 s\u1edf b\u00e1n l\u1ebb thu\u1ed1c. 15. *H\u1ec7 th\u1ed1ng kho d\u01b0\u1ee3c li\u1ec7u, v\u1ecb thu\u1ed1c y h\u1ecdc c\u1ed5 truy\u1ec1n \u0111\u01b0\u1ee3c b\u1ea3o qu\u1ea3n \u1edf n\u01a1i t\u00e1ch bi\u1ec7t, s\u1ea1ch s\u1ebd, \u0111\u1ea1t c\u00e1c ti\u00eau chu\u1ea9n v\u1ec1 \u00e1nh s\u00e1ng, nhi\u1ec7t \u0111\u1ed9, \u0111\u1ed9 \u1ea9m, \u0111\u1ed9 th\u00f4ng tho\u00e1ng; ph\u00f2ng tr\u00e1nh c\u00f4n tr\u00f9ng, m\u1ed1i m\u1ecdt; ph\u00f2ng ch\u1ed1ng ch\u00e1y, n\u1ed5; \u0111\u1ea7y \u0111\u1ee7 trang thi\u1ebft b\u1ecb b\u1ea3o \u0111\u1ea3m an to\u00e0n v\u1ec7 sinh khi l\u01b0u tr\u1eef v\u00e0 chia thang thu\u1ed1c. 16. *Khu v\u1ef1c s\u01a1 ch\u1ebf d\u01b0\u1ee3c li\u1ec7u, b\u00e0o ch\u1ebf v\u1ecb thu\u1ed1c y h\u1ecdc c\u1ed5 truy\u1ec1n, n\u01a1i s\u1eafc thu\u1ed1c, c\u1ea5p ph\u00e1t thu\u1ed1c \u0111\u01b0\u1ee3c b\u1ed1 tr\u00ed \u1edf v\u1ecb tr\u00ed ph\u00f9 h\u1ee3p cho vi\u1ec7c v\u1eadn chuy\u1ec3n v\u00e0 c\u1ea5p ph\u00e1t thu\u1ed1c; c\u00f3 \u0111\u1ea7y \u0111\u1ee7 trang thi\u1ebft b\u1ecb ph\u1ee5c v\u1ee5 c\u00f4ng t\u00e1c s\u01a1 ch\u1ebf d\u01b0\u1ee3c li\u1ec7u, b\u00e0o ch\u1ebf v\u1ecb thu\u1ed1c y h\u1ecdc c\u1ed5 truy\u1ec1n. 17. Khoa d\u01b0\u1ee3c b\u1ed1 tr\u00ed c\u00e1c b\u1ed9 ph\u1eadn li\u00ean quan \u0111\u1ebfn c\u1ea5p ph\u00e1t thu\u1ed1c (kho, qu\u1ea7y, ph\u00f2ng) cho ng\u01b0\u1eddi b\u1ec7nh ngo\u1ea1i tr\u00fa thu\u1eadn ti\u1ec7n. 18. Kho thu\u1ed1c v\u00e0 to\u00e0n b\u1ed9 \u0111\u1ecba \u0111i\u1ec3m c\u1ea5p ph\u00e1t thu\u1ed1c c\u00f3 trang thi\u1ebft b\u1ecb vi\u1ec7c theo d\u00f5i, b\u1ea3o qu\u1ea3n thu\u1ed1c: gi\u00e1 k\u1ec7, nhi\u1ec7t k\u1ebf, \u1ea9m k\u1ebf, qu\u1ea1t th\u00f4ng gi\u00f3, \u0111i\u1ec1u h\u00f2a nhi\u1ec7t \u0111\u1ed9, t\u1ee7 l\u1ea1nh. 19. \u0110\u01a1n v\u1ecb th\u00f4ng tin thu\u1ed1c \u0111\u01b0\u1ee3c trang thi\u1ebft b\u1ecb \u0111\u1ea7y \u0111\u1ee7: m\u00e1y t\u00ednh, m\u1ea1ng internet, t\u00e0i 107","M\u1ee9c 4 li\u1ec7u c\u00f3 li\u00ean quan. M\u1ee9c 5 Ghi ch\u00fa 20. C\u00f3 s\u1ed5 v\u00e0 theo d\u00f5i th\u01b0\u1eddng xuy\u00ean nhi\u1ec7t \u0111\u1ed9, \u0111\u1ed9 \u1ea9m c\u1ee7a c\u00e1c kho thu\u1ed1c. 21. C\u00f3 ph\u1ea7n m\u1ec1m qu\u1ea3n l\u00fd \u0111\u01b0\u1ee3c xu\u1ea5t, nh\u1eadp, t\u1ed3n thu\u1ed1c trong khoa d\u01b0\u1ee3c. 22. Khoa d\u01b0\u1ee3c c\u00f3 x\u00e2y d\u1ef1ng quy tr\u00ecnh chu\u1ea9n cho c\u00e1c ho\u1ea1t \u0111\u1ed9ng chuy\u00ean m\u00f4n v\u1ec1 xu\u1ea5t \u2013 nh\u1eadp, b\u1ea3o qu\u1ea3n thu\u1ed1c. 23. H\u1ec7 th\u1ed1ng kho thu\u1ed1c x\u00e2y d\u1ef1ng theo nguy\u00ean t\u1eafc \u201cTh\u1ef1c h\u00e0nh t\u1ed1t b\u1ea3o qu\u1ea3n thu\u1ed1c\u201d. 24. Ti\u1ebfn h\u00e0nh \u0111\u00e1nh gi\u00e1 v\u1ec1 th\u1ef1c h\u00e0nh v\u00e0 b\u1ea3o qu\u1ea3n thu\u1ed1c t\u1ea1i kho d\u01b0\u1ee3c h\u1eb1ng n\u0103m. 25. Ti\u1ebfn h\u00e0nh \u0111\u00e1nh gi\u00e1 ch\u1ea5t l\u01b0\u1ee3ng nh\u00e0 thu\u1ed1c ho\u1eb7c c\u01a1 s\u1edf b\u00e1n l\u1ebb thu\u1ed1c trong khu\u00f4n vi\u00ean b\u1ec7nh vi\u1ec7n h\u1eb1ng n\u0103m. 26. Khoa D\u01b0\u1ee3c ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c s\u1ed1 l\u01b0\u1ee3ng thu\u1ed1c th\u00f4ng qua h\u1ec7 th\u1ed1ng ph\u1ea7n m\u1ec1m qu\u1ea3n l\u00fd c\u1ee7a b\u1ec7nh vi\u1ec7n. 27. Th\u1ef1c hi\u1ec7n \u0111\u00fang quy tr\u00ecnh chu\u1ea9n cho c\u00e1c ho\u1ea1t \u0111\u1ed9ng chuy\u00ean m\u00f4n d\u01b0\u1ee3c. 28. Ti\u1ebfn h\u00e0nh c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng v\u00e0 kh\u1eafc ph\u1ee5c c\u00e1c nh\u01b0\u1ee3c \u0111i\u1ec3m \u0111\u1ec3 nh\u00e0 thu\u1ed1c b\u1ec7nh vi\u1ec7n \u0111\u1ea1t c\u00e1c ti\u00eau chu\u1ea9n ch\u1ea5t l\u01b0\u1ee3ng (nh\u01b0 \u0111\u1ea1t ti\u00eau chu\u1ea9n GPP ho\u1eb7c c\u00e1c ti\u00eau chu\u1ea9n ch\u1ea5t l\u01b0\u1ee3ng kh\u00e1c mang t\u00ednh \u0111\u1eb7c th\u00f9 n\u1ebfu c\u00f3, v\u00ed d\u1ee5 cho b\u1ec7nh vi\u1ec7n chuy\u00ean khoa y d\u01b0\u1ee3c h\u1ecdc c\u1ed5 truy\u1ec1n, b\u1ec7nh vi\u1ec7n qu\u00e2n \u0111\u1ed9i\u2026). 29. Khoa d\u01b0\u1ee3c c\u00f3 trang b\u1ecb ph\u1ea7n m\u1ec1m tra c\u1ee9u th\u00f4ng tin thu\u1ed1c. 30. Khoa d\u01b0\u1ee3c c\u00f3 trang b\u1ecb ph\u1ea7n m\u1ec1m l\u01b0u tr\u1eef th\u00f4ng tin thu\u1ed1c. 31. C\u00f3 quy tr\u00ecnh v\u00e0 h\u1ec7 th\u1ed1ng v\u1eadn chuy\u1ec3n thu\u1ed1c kh\u00e9p k\u00edn trong b\u1ec7nh vi\u1ec7n (b\u00e1n t\u1ef1 \u0111\u1ed9ng ho\u1eb7c t\u1ef1 \u0111\u1ed9ng ho\u00e0n to\u00e0n), b\u1ea3o \u0111\u1ea3m an to\u00e0n, ch\u1ea5t l\u01b0\u1ee3ng v\u00e0 ti\u1ec7n l\u1ee3i. 32. **Khoa d\u01b0\u1ee3c c\u00f3 trang b\u1ecb h\u1ec7 th\u1ed1ng v\u00e0 ph\u00f2ng pha ch\u1ebf s\u1ea1ch, b\u1ea3o \u0111\u1ea3m cho pha ch\u1ebf c\u00e1c dung d\u1ecbch v\u00f4 khu\u1ea9n d\u00f9ng trong ti\u00eam, truy\u1ec1n v\u00e0 nu\u00f4i d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch. * Ch\u1ec9 \u00e1p d\u1ee5ng \u0111\u1ed1i v\u1edbi c\u00e1c b\u1ec7nh vi\u1ec7n Y d\u01b0\u1ee3c h\u1ecdc c\u1ed5 truy\u1ec1n ho\u1eb7c b\u1ec7nh vi\u1ec7n \u0111a khoa c\u00f3 khoa \u0110\u00f4ng y. **Ch\u1ec9 \u00e1p d\u1ee5ng \u0111\u1ed1i v\u1edbi c\u00e1c b\u1ec7nh vi\u1ec7n trong danh m\u1ee5c k\u1ef9 thu\u1eadt c\u00f3 s\u1eed d\u1ee5ng c\u00e1c dung d\u1ecbch v\u00f4 khu\u1ea9n d\u00f9ng trong ti\u00eam, truy\u1ec1n v\u00e0 nu\u00f4i d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch ho\u1eb7c th\u1ef1c hi\u1ec7n pha ch\u1ebf c\u00e1c dung d\u1ecbch. 108","C9.3 Cung \u1ee9ng thu\u1ed1c, h\u00f3a ch\u1ea5t v\u00e0 v\u1eadt t\u01b0 y t\u00ea\u0301 ti\u00eau hao \u0111\u1ea7y \u0111\u1ee7, k\u1ecbp th\u1eddi, ba\u0309o \u0111a\u0309m ch\u1ea5t C\u0103n c\u1ee9 l\u01b0\u1ee3ng \u0111\u1ec1 xu\u1ea5t v\u00e0 \u00fd \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 09\/2010\/TT-BYT ng\u00e0y 28\/4\/2010 h\u01b0\u1edbng d\u1eabn vi\u1ec7c qu\u1ea3n l\u00fd ch\u1ea5t ngh\u0129a l\u01b0\u1ee3ng thu\u1ed1c M\u1ee9c 1 \uf0b7 Th\u00f4ng t\u01b0 li\u00ean t\u1ecbch s\u1ed1 01\/2012\/TTLT-BYT-BTC ng\u00e0y 19\/1\/2012 h\u01b0\u1edbng d\u1eabn th\u1ef1c M\u1ee9c 2 hi\u1ec7n \u0111\u1ea5u th\u1ea7u mua thu\u1ed1c trong c\u00e1c c\u01a1 s\u1edf y t\u1ebf. M\u1ee9c 3 \uf0b7 Vi\u1ec7c cung \u1ee9ng thu\u1ed1c, v\u1eadt t\u01b0 y t\u1ebf ti\u00eau hao \u0111\u1ea7y \u0111\u1ee7, k\u1ecbp th\u1eddi, ch\u1ea5t l\u01b0\u1ee3ng gi\u00fap \u0111\u00e1p \u1ee9ng nhu c\u1ea7u \u0111i\u1ec1u tr\u1ecb, b\u1ea3o \u0111\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng kh\u00e1m, ch\u1eefa b\u1ec7nh, kh\u00f4ng \u0111\u1ec3 ng\u01b0\u1eddi b\u1ec7nh M\u1ee9c 4 ph\u1ea3i t\u1ef1 mua thu\u1ed1c v\u00e0 h\u1ea1n ch\u1ebf ph\u00e1t sinh ti\u00eau c\u1ef1c. M\u1ee9c 5 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng 1. Ph\u00e1t hi\u1ec7n th\u1ea5y trong b\u1ec7nh vi\u1ec7n c\u00f3 thu\u1ed1c, v\u1eadt t\u01b0 y t\u1ebf ti\u00eau hao qu\u00e1 h\u1ea1n ho\u1eb7c thu\u1ed1c kh\u00f4ng \u0111\u1ea1t ch\u1ea5t l\u01b0\u1ee3ng v\u1ec1 m\u1eb7t c\u1ea3m quan nh\u01b0ng kh\u00f4ng \u0111\u01b0\u1ee3c \u0111\u1ec3 \u1edf khu v\u1ef1c ri\u00eang ch\u1edd x\u1eed l\u00fd. 2. Kh\u00f4ng cung c\u1ea5p \u0111\u01b0\u1ee3c s\u1ed1 li\u1ec7u v\u1ec1 xu\u1ea5t, nh\u1eadp thu\u1ed1c ngay khi \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u. 3. C\u00f3 v\u1ee5 vi\u1ec7c thi\u1ebfu thu\u1ed1c trong danh m\u1ee5c d\u1eabn \u0111\u1ebfn h\u1eadu qu\u1ea3 ng\u01b0\u1eddi b\u1ec7nh t\u1eed vong ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng kh\u00f4ng h\u1ed3i ph\u1ee5c. 4. C\u00f3 ti\u1ebfn h\u00e0nh l\u1ef1a ch\u1ecdn v\u00e0 x\u00e2y d\u1ef1ng danh m\u1ee5c thu\u1ed1c b\u1ec7nh vi\u1ec7n. 5. B\u1ea3o \u0111\u1ea3m mua thu\u1ed1c theo \u0111\u00fang quy \u0111\u1ecbnh, kh\u00f4ng ph\u00e1t hi\u1ec7n c\u00f3 sai ph\u1ea1m. 6. C\u00f3 quy tr\u00ecnh c\u1ea5p ph\u00e1t thu\u1ed1c trong b\u1ec7nh vi\u1ec7n t\u1eeb khoa d\u01b0\u1ee3c \u0111\u1ebfn ng\u01b0\u1eddi b\u1ec7nh. 7. C\u00f3 quy tr\u00ecnh ki\u1ec3m so\u00e1t ch\u1ea5t l\u01b0\u1ee3ng thu\u1ed1c t\u1ea1i khoa D\u01b0\u1ee3c. 8. C\u00f3 quy tr\u00ecnh x\u1eed l\u00fd c\u00e1c thu\u1ed1c ch\u1ea5t l\u01b0\u1ee3ng kh\u00f4ng \u0111\u1ea3m b\u1ea3o t\u1ea1i b\u1ec7nh vi\u1ec7n 9. C\u00f3 x\u00e2y d\u1ef1ng v\u00e0 qu\u1ea3n l\u00fd danh m\u1ee5c thu\u1ed1c c\u1ea5p c\u1ee9u (danh m\u1ee5c thu\u1ed1c t\u1ee7 tr\u1ef1c) t\u1ea1i c\u00e1c khoa l\u00e2m s\u00e0ng. 10. Th\u1ef1c hi\u1ec7n b\u00e1o c\u00e1o th\u01b0\u1eddng xuy\u00ean, \u0111\u1ea7y \u0111\u1ee7 c\u00e1c s\u1ed1 li\u1ec7u v\u1ec1 s\u1eed d\u1ee5ng thu\u1ed1c: b\u00e1o c\u00e1o s\u1eed d\u1ee5ng thu\u1ed1c, b\u00e1o c\u00e1o s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng sinh, b\u00e1o c\u00e1o c\u00f4ng t\u00e1c khoa d\u01b0\u1ee3c b\u1ec7nh vi\u1ec7n. 11. B\u1ea3o \u0111\u1ea3m cung c\u1ea5p \u0111\u1ea7y \u0111\u1ee7 thu\u1ed1c, h\u00f3a ch\u1ea5t v\u00e0 v\u1eadt t\u01b0 y t\u1ebf ti\u00eau hao trong danh m\u1ee5c c\u1ee7a b\u1ec7nh vi\u1ec7n cho ng\u01b0\u1eddi b\u1ec7nh n\u1ed9i tr\u00fa. 12. B\u1ea3o \u0111\u1ea3m cung c\u1ea5p \u0111\u1ea7y \u0111\u1ee7 thu\u1ed1c, v\u1eadt t\u01b0 y t\u1ebf ti\u00eau hao trong v\u00e0 ngo\u00e0i danh m\u1ee5c cho ng\u01b0\u1eddi b\u1ec7nh n\u1ed9i tr\u00fa. 13. B\u1ea3o \u0111\u1ea3m cung \u1ee9ng thu\u1ed1c, v\u1eadt t\u01b0 y t\u1ebf ti\u00eau hao li\u00ean t\u1ee5c, kh\u00f4ng gi\u00e1n \u0111o\u1ea1n (kh\u00f4ng c\u00f3 t\u00ecnh tr\u1ea1ng thi\u1ebfu thu\u1ed1c v\u00e0o cu\u1ed1i th\u00e1ng, cu\u1ed1i n\u0103m ho\u1eb7c \u0111\u1ea7u n\u0103m). 14. C\u00f3 quy tr\u00ecnh v\u00e0 ph\u01b0\u01a1ng \u00e1n t\u1ed5 ch\u1ee9c cung \u1ee9ng c\u00e1c thu\u1ed1c hi\u1ebfm theo y\u00eau c\u1ea7u \u0111i\u1ec1u tr\u1ecb v\u00e0 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh hi\u1ebfm g\u1eb7p (trong tr\u01b0\u1eddng h\u1ee3p c\u1ea7n \u0111i\u1ec1u tr\u1ecb ng\u01b0\u1eddi b\u1ec7nh t\u1ea1i b\u1ec7nh vi\u1ec7n, kh\u00f4ng chuy\u1ec3n tuy\u1ebfn). 15. Ti\u1ebfn h\u00e0nh kh\u1ea3o s\u00e1t, \u0111\u00e1nh gi\u00e1 (ho\u1eb7c nghi\u00ean c\u1ee9u) vi\u1ec7c cung \u1ee9ng thu\u1ed1c v\u00e0 v\u1eadt t\u01b0 y t\u1ebf t\u1ea1i b\u1ec7nh vi\u1ec7n. 16. C\u00f3 b\u00e1o c\u00e1o \u0111\u00e1nh gi\u00e1, trong \u0111\u00f3 c\u00f3 ch\u1ec9 ra nh\u1eefng nh\u01b0\u1ee3c \u0111i\u1ec3m, kh\u00f3 kh\u0103n c\u1ea7n kh\u1eafc ph\u1ee5c trong cung \u1ee9ng thu\u1ed1c, v\u1eadt t\u01b0 v\u00e0 \u0111\u1ec1 xu\u1ea5t gi\u1ea3i ph\u00e1p c\u1ea3i ti\u1ebfn. 17. Ti\u1ebfn h\u00e0nh c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cung \u1ee9ng thu\u1ed1c v\u00e0 v\u1eadt t\u01b0 y t\u1ebf d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 kh\u1ea3o s\u00e1t, \u0111\u00e1nh gi\u00e1 (ho\u1eb7c nghi\u00ean c\u1ee9u). 18. \u00c1p d\u1ee5ng th\u00e0nh t\u1ef1u khoa h\u1ecdc, k\u1ef9 thu\u1eadt m\u1edbi trong vi\u1ec7c cung \u1ee9ng thu\u1ed1c v\u00e0 v\u1eadt t\u01b0 y t\u1ebf ti\u00eau hao k\u1ecbp th\u1eddi, ch\u1ea5t l\u01b0\u1ee3ng (v\u00ed d\u1ee5 tri\u1ec3n khai h\u1ec7 th\u1ed1ng chia thu\u1ed1c t\u1ef1 \u0111\u1ed9ng, m\u00e1y t\u1ef1 \u0111\u1ed9ng d\u00e1n nh\u00e3n thu\u1ed1c, li\u1ec1u d\u00f9ng, t\u00ean ng\u01b0\u1eddi b\u1ec7nh\u2026 v\u00e0o c\u00e1c t\u00fai thu\u1ed1c \u0111\u01b0\u1ee3c chia cho ng\u01b0\u1eddi b\u1ec7nh). 109","C9.4 S\u1eed d\u1ee5ng thu\u1ed1c an to\u00e0n, h\u1ee3p l\u00fd C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 23\/2011\/TT-BYT ng\u00e0y 10\/6\/2011 h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng thu\u1ed1c trong v\u00e0 \u00fd c\u00e1c c\u01a1 s\u1edf y t\u1ebf c\u00f3 gi\u01b0\u1eddng b\u1ec7nh. ngh\u0129a \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 31\/2012\/TT-BYT ng\u00e0y 20\/12\/2012 h\u01b0\u1edbng d\u1eabn ho\u1ea1t \u0111\u1ed9ng d\u01b0\u1ee3c l\u00e2m M\u1ee9c 1 s\u00e0ng trong b\u1ec7nh vi\u1ec7n. M\u1ee9c 2 \uf0b7 Th\u00f4ng t\u01b0 05\/2016\/TT-BYT quy \u0111\u1ecbnh v\u1ec1 k\u00ea \u0111\u01a1n thu\u1ed1c trong \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa. M\u1ee9c 3 \uf0b7 S\u1eed d\u1ee5ng thu\u1ed1c an to\u00e0n, h\u1ee3p l\u00fd gi\u00fap \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3, gi\u1ea3m s\u1ed1 ng\u00e0y n\u1eb1m vi\u1ec7n, M\u1ee9c 4 gi\u1ea3m chi ph\u00ed \u0111i\u1ec1u tr\u1ecb, gi\u1ea3m g\u00e1nh n\u1eb7ng b\u1ec7nh t\u1eadt cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 c\u1ed9ng \u0111\u1ed3ng. M\u1ee9c 5 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng 1. Ph\u00e1t hi\u1ec7n th\u1ea5y s\u1eed d\u1ee5ng thu\u1ed1c sai \u0111\u01b0\u1eddng d\u00f9ng, sai t\u00ean thu\u1ed1c. 2. Ph\u00e1t hi\u1ec7n \u0111\u01a1n thu\u1ed1c k\u00ea hai thu\u1ed1c c\u00f9ng ho\u1ea1t ch\u1ea5t. 3. Tri\u1ec3n khai, th\u1ef1c hi\u1ec7n 5 \u0111\u00fang khi s\u1eed d\u1ee5ng thu\u1ed1c t\u1ea1i c\u00e1c khoa\/ph\u00f2ng. 4. B\u1ea3o \u0111\u1ea3m th\u1ef1c hi\u1ec7n c\u00e1c quy \u0111\u1ecbnh v\u1ec1 k\u00ea \u0111\u01a1n thu\u1ed1c ngo\u1ea1i tr\u00fa t\u1ea1i b\u1ec7nh vi\u1ec7n. 5. C\u00f3 h\u01b0\u1edbng d\u1eabn v\u1ec1 s\u1eed d\u1ee5ng thu\u1ed1c cho \u0111i\u1ec1u d\u01b0\u1ee1ng, nh\u00e2n vi\u00ean y t\u1ebf \u00edt nh\u1ea5t 1 bu\u1ed5i\/n\u0103m. 6. C\u00f3 x\u00e2y d\u1ef1ng c\u00e1c quy tr\u00ecnh chuy\u00ean m\u00f4n li\u00ean quan \u0111\u1ebfn s\u1eed d\u1ee5ng thu\u1ed1c: c\u1ea5p ph\u00e1t thu\u1ed1c, pha ch\u1ebf thu\u1ed1c, gi\u00e1m s\u00e1t s\u1ef1 c\u1ed1 trong s\u1eed d\u1ee5ng thu\u1ed1c\u2026 7. B\u1ea3o \u0111\u1ea3m th\u1ef1c hi\u1ec7n k\u00ea \u0111\u01a1n thu\u1ed1c ph\u00f9 h\u1ee3p v\u1edbi di\u1ec5n bi\u1ebfn c\u1ee7a b\u1ec7nh. 8. B\u1ea3o \u0111\u1ea3m th\u1ef1c hi\u1ec7n k\u00ea \u0111\u01a1n thu\u1ed1c theo \u0111\u00fang c\u00e1c quy ch\u1ebf k\u00ea \u0111\u01a1n. 9. B\u1ea3o \u0111\u1ea3m th\u1ef1c hi\u1ec7n kh\u00f4ng k\u00ea th\u1ef1c ph\u1ea9m ch\u1ee9c n\u0103ng trong \u0111\u01a1n thu\u1ed1c. 10. B\u1ea3o \u0111\u1ea3m 5 \u0111\u00fang khi s\u1eed d\u1ee5ng thu\u1ed1c. 11. C\u00f3 x\u00e2y d\u1ef1ng danh m\u1ee5c thu\u1ed1c nh\u00ecn gi\u1ed1ng nhau, \u0111\u1ecdc gi\u1ed1ng nhau (LASA). 12. C\u00f3 h\u01b0\u1edbng d\u1eabn b\u1eb1ng h\u00ecnh \u1ea3nh danh m\u1ee5c LASA v\u00e0 ph\u1ed5 bi\u1ebfn cho c\u00e1c nh\u00e2n vi\u00ean y t\u1ebf, khoa kh\u00e1m b\u1ec7nh v\u00e0 c\u00e1c khoa l\u00e2m s\u00e0ng \u00e1p d\u1ee5ng th\u1ef1c hi\u1ec7n. 13. Th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c vi\u1ec7c ra l\u1ebb thu\u1ed1c cho t\u1eebng ng\u01b0\u1eddi b\u1ec7nh. 14. X\u00e2y d\u1ef1ng quy tr\u00ecnh h\u01b0\u1edbng d\u1eabn v\u00e0 gi\u00e1m s\u00e1t s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c c\u00f3 nguy c\u01a1 cao xu\u1ea5t hi\u1ec7n ADR v\u00e0 c\u00e1c s\u1ef1 c\u1ed1 trong s\u1eed d\u1ee5ng thu\u1ed1c. 15. Ch\u1ec9 \u0111\u1ecbnh thu\u1ed1c theo \u0111\u00fang ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u1ec7nh vi\u1ec7n, h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u1ee7a B\u1ed9 Y t\u1ebf\/b\u1ec7nh vi\u1ec7n ho\u1eb7c khuy\u1ebfn c\u00e1o c\u1ee7a T\u1ed5 ch\u1ee9c y t\u1ebf th\u1ebf gi\u1edbi. 16. Theo d\u00f5i v\u00e0 qu\u1ea3n l\u00fd c\u00e1c thu\u1ed1c c\u1ea7n chia li\u1ec1u khi s\u1eed d\u1ee5ng. 17. Khoa d\u01b0\u1ee3c t\u1ed5 ch\u1ee9c t\u1eadp hu\u1ea5n, th\u00f4ng tin cho nh\u00e2n vi\u00ean y t\u1ebf v\u1ec1 hi\u1ec7u qu\u1ea3 v\u00e0 \u0111\u1ed9 an to\u00e0n khi s\u1eed d\u1ee5ng thu\u1ed1c (c\u00f3 t\u00e0i li\u1ec7u v\u00e0 ch\u01b0\u01a1ng tr\u00ecnh \u0111\u00e0o t\u1ea1o) \u00edt nh\u1ea5t 1 l\u1ea7n\/n\u0103m. 18. Ti\u1ebfn h\u00e0nh kh\u1ea3o s\u00e1t, \u0111\u00e1nh gi\u00e1 (nghi\u00ean c\u1ee9u) vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c an to\u00e0n, h\u1ee3p l\u00fd. 19. C\u00f3 b\u00e1o c\u00e1o \u0111\u00e1nh gi\u00e1 vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c, trong \u0111\u00f3 c\u00f3 ch\u1ec9 ra nh\u1eefng nh\u01b0\u1ee3c \u0111i\u1ec3m, h\u1ea1n ch\u1ebf c\u1ea7n kh\u1eafc ph\u1ee5c v\u00e0 \u0111\u1ec1 xu\u1ea5t gi\u1ea3i ph\u00e1p c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng. 20. Th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c vi\u1ec7c ra l\u1ebb thu\u1ed1c cho t\u1eebng ng\u01b0\u1eddi b\u1ec7nh v\u00e0 cung c\u1ea5p \u0111\u1ee7 c\u00e1c th\u00f4ng tin nh\u01b0 t\u00ean, tu\u1ed5i ng\u01b0\u1eddi b\u1ec7nh; t\u00ean thu\u1ed1c, \u0111\u01b0\u1eddng d\u00f9ng, li\u1ec1u d\u00f9ng, th\u1eddi gian d\u00f9ng thu\u1ed1c (v\u00ed d\u1ee5 c\u00f3 nh\u00e3n in c\u00e1c th\u00f4ng tin tr\u00ean d\u00e1n v\u00e0o t\u00fai thu\u1ed1c l\u1ebb c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh). 21. S\u1eed d\u1ee5ng th\u00f4ng tin v\u1ec1 hi\u1ec7u qu\u1ea3 v\u00e0 \u0111\u1ed9 an to\u00e0n c\u1ee7a thu\u1ed1c \u0111\u1ec3 khuy\u1ebfn c\u00e1o thay \u0111\u1ed5i, b\u1ed5 sung danh m\u1ee5c thu\u1ed1c d\u00f9ng trong b\u1ec7nh vi\u1ec7n, ch\u1ec9 \u0111\u1ecbnh d\u00f9ng thu\u1ed1c c\u1ee7a th\u1ea7y thu\u1ed1c, h\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u00e1c quy tr\u00ecnh chuy\u00ean m\u00f4n kh\u00e1c trong b\u1ec7nh vi\u1ec7n. 22. C\u00f3 \u00e1p d\u1ee5ng ph\u1ea7n m\u1ec1m c\u1ea3nh b\u00e1o t\u01b0\u01a1ng t\u00e1c thu\u1ed1c t\u00edch h\u1ee3p khi k\u00ea \u0111\u01a1n tr\u00ean ph\u1ea1m vi to\u00e0n b\u1ec7nh vi\u1ec7n. 23. X\u00e2y d\u1ef1ng v\u00e0 th\u1ef1c hi\u1ec7n quy tr\u00ecnh gi\u00e1m s\u00e1t \u0111i\u1ec1u tr\u1ecb th\u00f4ng qua vi\u1ec7c theo d\u00f5i n\u1ed3ng \u0111\u1ed9 thu\u1ed1c trong m\u00e1u. 24. C\u00f3 ph\u1ea7n m\u1ec1m theo d\u00f5i v\u00e0 qu\u1ea3n l\u00fd l\u1ecbch s\u1eed d\u00f9ng thu\u1ed1c c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. 25. Ti\u1ebfn h\u00e0nh c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 kh\u1ea3o s\u00e1t, \u0111\u00e1nh gi\u00e1 (nghi\u00ean c\u1ee9u). 110","C9.5 Th\u00f4ng tin thu\u1ed1c, theo d\u00f5i v\u00e0 b\u00e1o c\u00e1o pha\u0309n \u1ee9ng c\u00f3 h\u1ea1i c\u1ee7a thu\u1ed1c k\u1ecbp th\u1eddi, \u0111\u1ea7y C\u0103n c\u1ee9 \u0111\u1ee7 v\u00e0 c\u00f3 ch\u1ea5t l\u01b0\u1ee3ng \u0111\u1ec1 xu\u1ea5t v\u00e0 \u00fd \uf0b7 Quy\u1ebft \u0111\u1ecbnh 1088\/Q\u0110-BYT v\u1ec1 vi\u1ec7c ban h\u00e0nh h\u01b0\u1edbng d\u1eabn ho\u1ea1t \u0111\u1ed9ng gi\u00e1m s\u00e1t ph\u1ea3n ngh\u0129a \u1ee9ng c\u00f3 h\u1ea1i c\u1ee7a thu\u1ed1c t\u1ea1i c\u00e1c c\u01a1 s\u1edf kh\u00e1m ch\u1eefa b\u1ec7nh. M\u1ee9c 1 M\u1ee9c 2 \uf0b7 Th\u00f4ng tin thu\u1ed1c, theo d\u00f5i, v\u00e0 b\u00e1o c\u00e1o ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i c\u1ee7a thu\u1ed1c (ADR) \u0111\u1ea7y \u0111\u1ee7, k\u1ecbp th\u1eddi, ch\u1ea5t l\u01b0\u1ee3ng gi\u00fap b\u00e1c s\u0129 ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb \u0111\u00fang, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng M\u1ee9c 3 thu\u1ed1c \u0111\u00fang, an to\u00e0n, hi\u1ec7u qu\u1ea3 v\u00e0 gi\u1ea3m chi ph\u00ed \u0111i\u1ec1u tr\u1ecb. M\u1ee9c 4 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 5 1. Ch\u01b0a tri\u1ec3n khai ho\u1ea1t \u0111\u1ed9ng th\u00f4ng tin thu\u1ed1c t\u1ea1i b\u1ec7nh vi\u1ec7n. 2. Ch\u01b0a s\u1eb5n c\u00f3 m\u1eabu b\u00e1o c\u00e1o ADR t\u1ea1i c\u00e1c khoa\/ph\u00f2ng. 3. \u0110\u00e3 th\u00e0nh l\u1eadp \u0111\u01a1n v\u1ecb th\u00f4ng tin thu\u1ed1c. 4. C\u00f3 x\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch ho\u1ea1t \u0111\u1ed9ng v\u00e0 ph\u00e2n c\u00f4ng nhi\u1ec7m v\u1ee5 \u0111\u01a1n v\u1ecb th\u00f4ng tin thu\u1ed1c. 5. C\u00f3 x\u00e2y d\u1ef1ng quy tr\u00ecnh th\u00f4ng tin thu\u1ed1c t\u1ea1i b\u1ec7nh vi\u1ec7n. 6. C\u00f3 x\u00e2y d\u1ef1ng quy tr\u00ecnh gi\u00e1m s\u00e1t ADR t\u1ea1i b\u1ec7nh vi\u1ec7n. 7. C\u00f3 th\u1ef1c hi\u1ec7n vi\u1ec7c th\u00f4ng tin thu\u1ed1c t\u1ea1i b\u1ec7nh vi\u1ec7n theo quy tr\u00ecnh \u0111\u00e3 x\u00e2y d\u1ef1ng. 8. C\u00f3 th\u1ef1c hi\u1ec7n vi\u1ec7c gi\u00e1m s\u00e1t ADR t\u1ea1i b\u1ec7nh vi\u1ec7n theo quy tr\u00ecnh \u0111\u00e3 x\u00e2y d\u1ef1ng. 9. C\u00f3 t\u1ed5 ch\u1ee9c ho\u1ea1t \u0111\u1ed9ng th\u00f4ng tin thu\u1ed1c cho b\u00e1c s\u0129, \u0111i\u1ec1u d\u01b0\u1ee1ng v\u1ec1 thu\u1ed1c, thu\u1ed1c m\u1edbi, ch\u1ea5t l\u01b0\u1ee3ng thu\u1ed1c, ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i c\u1ee7a thu\u1ed1c, s\u1ef1 c\u1ed1 trong s\u1eed d\u1ee5ng thu\u1ed1c, c\u00e1c khuy\u1ebfn c\u00e1o v\u1ec1 thu\u1ed1c c\u1ee7a c\u01a1 quan qu\u1ea3n l\u00fd\u2026 b\u1eb1ng c\u00e1c h\u00ecnh th\u1ee9c kh\u00e1c nhau (nh\u01b0 th\u00f4ng b\u00e1o t\u1ea1i b\u1ea3ng tin b\u1ec7nh vi\u1ec7n, th\u00f4ng b\u00e1o \u0111\u1ebfn khoa\/ph\u00f2ng, t\u1ea1i bu\u1ed5i giao ban b\u1ec7nh vi\u1ec7n, t\u1ea1i c\u00e1c bu\u1ed5i h\u1ecdp th\u01b0\u1eddng xuy\u00ean\/\u0111\u1ed9t xu\u1ea5t, t\u1ea1i c\u00e1c bu\u1ed5i sinh ho\u1ea1t\/h\u1ed9i th\u1ea3o khoa h\u1ecdc c\u1ee7a b\u1ec7nh vi\u1ec7n). 10. C\u00e1c b\u1ea3n b\u00e1o c\u00e1o ADR c\u00f3 c\u00e1c th\u00f4ng tin t\u1ed1i thi\u1ec3u c\u1ea7n thi\u1ebft bao g\u1ed3m: th\u00f4ng tin v\u1ec1 ng\u01b0\u1eddi b\u1ec7nh, th\u00f4ng tin v\u1ec1 ADR, th\u00f4ng tin v\u1ec1 thu\u1ed1c nghi ng\u1edd g\u00e2y ADR v\u00e0 th\u00f4ng tin v\u1ec1 ng\u01b0\u1eddi b\u00e1o c\u00e1o. 11. C\u00f3 g\u1eedi b\u00e1o c\u00e1o ADR t\u1edbi trung t\u00e2m qu\u1ed1c gia\/khu v\u1ef1c v\u1ec1 th\u00f4ng tin thu\u1ed1c v\u00e0 theo d\u00f5i ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i c\u1ee7a thu\u1ed1c. 12. T\u1ef7 l\u1ec7 b\u00e1o c\u00e1o c\u00f3 \u0111\u1ea7y \u0111\u1ee7 c\u00e1c th\u00f4ng tin t\u1ed1i thi\u1ec3u c\u1ea7n thi\u1ebft chi\u1ebfm t\u1eeb 50% tr\u1edf l\u00ean. 13. T\u1ef7 l\u1ec7 c\u00e1c b\u00e1o c\u00e1o ADR c\u00f3 \u0111\u1ea7y \u0111\u1ee7 c\u00e1c th\u00f4ng tin t\u1ed1i thi\u1ec3u chi\u1ebfm t\u1eeb 80% tr\u1edf l\u00ean. 14. C\u00f3 h\u1ec7 th\u1ed1ng l\u01b0u tr\u1eef th\u00f4ng tin thu\u1ed1c. 15. X\u00e2y d\u1ef1ng v\u00e0 ph\u00e1t h\u00e0nh b\u1ea3n th\u00f4ng tin thu\u1ed1c, l\u01b0u h\u00e0nh n\u1ed9i b\u1ed9 trong b\u1ec7nh vi\u1ec7n. 16. \u0110\u01a1n v\u1ecb th\u00f4ng tin thu\u1ed1c \u0111\u00e1p \u1ee9ng tr\u1ea3 l\u1eddi \u0111\u1ea7y \u0111\u1ee7 c\u00e1c c\u00e2u h\u1ecfi th\u00f4ng tin thu\u1ed1c cho b\u00e1c s\u1ef9, \u0111i\u1ec1u d\u01b0\u1ee1ng, nh\u00e2n vi\u00ean y t\u1ebf v\u00e0 ng\u01b0\u1eddi b\u1ec7nh. 17. Ti\u1ebfn h\u00e0nh kh\u1ea3o s\u00e1t, \u0111\u00e1nh gi\u00e1 (ho\u1eb7c nghi\u00ean c\u1ee9u) v\u1ec1 t\u00ecnh h\u00ecnh th\u1ef1c hi\u1ec7n th\u00f4ng tin thu\u1ed1c, theo d\u00f5i v\u00e0 b\u00e1o c\u00e1o ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i c\u1ee7a thu\u1ed1c t\u1ea1i b\u1ec7nh vi\u1ec7n. 18. C\u00f3 b\u00e1o c\u00e1o \u0111\u00e1nh gi\u00e1, trong \u0111\u00f3 c\u00f3 ch\u1ec9 ra nh\u1eefng nh\u01b0\u1ee3c \u0111i\u1ec3m, h\u1ea1n ch\u1ebf c\u1ea7n kh\u1eafc ph\u1ee5c v\u00e0 \u0111\u1ec1 xu\u1ea5t c\u00e1c khuy\u1ebfn c\u00e1o, gi\u1ea3i ph\u00e1p c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng. 19. To\u00e0n b\u1ed9 c\u00e1c b\u00e1o c\u00e1o ADR \u0111\u01b0\u1ee3c g\u1eedi t\u1edbi trung t\u00e2m qu\u1ed1c gia\/khu v\u1ef1c v\u1ec1 th\u00f4ng tin thu\u1ed1c v\u00e0 theo d\u00f5i ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i c\u1ee7a thu\u1ed1c c\u00f3 \u0111\u1ea7y \u0111\u1ee7 c\u00e1c th\u00f4ng tin c\u1ea7n thi\u1ebft v\u00e0 \u0111\u00fang th\u1eddi gian quy \u0111\u1ecbnh. 20. Ph\u00e1t h\u00e0nh b\u1ea3n tin th\u00f4ng tin thu\u1ed1c \u00edt nh\u1ea5t 2 s\u1ed1\/n\u0103m. 21. Ti\u1ebfn h\u00e0nh c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng th\u00f4ng tin thu\u1ed1c v\u00e0 ADR d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1. 22. S\u1eed d\u1ee5ng th\u00f4ng tin v\u1ec1 hi\u1ec7u qu\u1ea3 v\u00e0 \u0111\u1ed9 an to\u00e0n c\u1ee7a thu\u1ed1c \u0111\u1ec3 khuy\u1ebfn c\u00e1o thay \u0111\u1ed5i, b\u1ed5 sung danh m\u1ee5c thu\u1ed1c d\u00f9ng trong b\u1ec7nh vi\u1ec7n, ch\u1ec9 \u0111\u1ecbnh d\u00f9ng thu\u1ed1c c\u1ee7a b\u00e1c s\u1ef9, h\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u00e1c quy tr\u00ecnh chuy\u00ean m\u00f4n kh\u00e1c trong b\u1ec7nh vi\u1ec7n. 111","C9.6 H\u1ed9i \u0111\u1ed3ng thu\u1ed1c v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c thi\u00ea\u0301t l\u1eadp v\u00e0 ho\u1ea1t \u0111\u1ed9ng hi\u1ec7u qua\u0309 C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 21\/2013\/TT-BYTng\u00e0y 8\/8\/2013 quy \u0111\u1ecbnh v\u1ec1 t\u1ed5 ch\u1ee9c v\u00e0 ho\u1ea1t \u0111\u1ed9ng v\u00e0 \u00fd c\u1ee7a h\u1ed9i \u0111\u1ed3ng thu\u1ed1c v\u00e0 \u0111i\u1ec1u tr\u1ecb trong b\u1ec7nh vi\u1ec7n. ngh\u0129a M\u1ee9c 1 \uf0b7 H\u1ed9i \u0111\u1ed3ng thu\u1ed1c v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00f3 \u00fd ngh\u0129a quan tr\u1ecdng \u0111\u1ed1i v\u1edbi vi\u1ec7c ch\u1ea5n ch\u1ec9nh c\u00f4ng t\u00e1c M\u1ee9c 2 cung \u1ee9ng, n\u00e2ng cao hi\u1ec7u qu\u1ea3 s\u1eed d\u1ee5ng thu\u1ed1c th\u00f4ng qua vi\u1ec7c x\u00e2y d\u1ef1ng c\u00e1c h\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u00e1c quy \u0111\u1ecbnh v\u1ec1 qu\u1ea3n l\u00fd, s\u1eed d\u1ee5ng thu\u1ed1c trong b\u1ec7nh vi\u1ec7n. M\u1ee9c 3 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 4 1. Ch\u01b0a th\u00e0nh l\u1eadp h\u1ed9i \u0111\u1ed3ng thu\u1ed1c v\u00e0 \u0111i\u1ec1u tr\u1ecb. M\u1ee9c 5 2. \u0110\u00e3 th\u00e0nh l\u1eadp h\u1ed9i \u0111\u1ed3ng thu\u1ed1c v\u00e0 \u0111i\u1ec1u tr\u1ecb. 3. H\u1ed9i \u0111\u1ed3ng thu\u1ed1c v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00f3 v\u0103n b\u1ea3n quy \u0111\u1ecbnh ch\u1ee9c n\u0103ng nhi\u1ec7m v\u1ee5 c\u1ee5 th\u1ec3 c\u1ee7a c\u00e1c th\u00e0nh vi\u00ean trong h\u1ed9i \u0111\u1ed3ng. 4. H\u1ed9i \u0111\u1ed3ng thu\u1ed1c v\u00e0 \u0111i\u1ec1u tr\u1ecb h\u1ecdp \u0111\u1ec1u \u0111\u1eb7n \u00edt nh\u1ea5t 1 l\u1ea7n trong 2 th\u00e1ng. 5. H\u1ed9i \u0111\u1ed3ng thu\u1ed1c \u0111\u00e3 x\u00e2y d\u1ef1ng danh m\u1ee5c thu\u1ed1c s\u1eed d\u1ee5ng trong b\u1ec7nh vi\u1ec7n. 6. H\u1ed9i \u0111\u1ed3ng thu\u1ed1c v\u00e0 \u0111i\u1ec1u tr\u1ecb x\u00e2y d\u1ef1ng ho\u1eb7c ti\u1ebfp nh\u1eadn h\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb d\u00f9ng t\u1ea1i b\u1ec7nh vi\u1ec7n. 7. H\u1ed9i \u0111\u1ed3ng thu\u1ed1c v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00f3 ti\u1ebfn h\u00e0nh ph\u00e2n t\u00edch c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn s\u1eed d\u1ee5ng thu\u1ed1c trong c\u00e1c bu\u1ed5i b\u00ecnh b\u1ec7nh \u00e1n ho\u1eb7c trong vi\u1ec7c ki\u1ec3m tra, gi\u00e1m s\u00e1t b\u1ec7nh \u00e1n b\u1eb1ng ph\u1ea7n m\u1ec1m. 8. H\u1ed9i \u0111\u1ed3ng thu\u1ed1c c\u00f3 t\u1ed5 ch\u1ee9c t\u1eadp hu\u1ea5n, \u0111\u00e0o t\u1ea1o v\u1ec1 s\u1eed d\u1ee5ng thu\u1ed1c cho nh\u00e2n vi\u00ean trong b\u1ec7nh vi\u1ec7n \u00edt nh\u1ea5t 1 n\u0103m\/l\u1ea7n. 9. H\u1ed9i \u0111\u1ed3ng thu\u1ed1c v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00f3 x\u00e2y d\u1ef1ng c\u00e1c v\u0103n b\u1ea3n quy \u0111\u1ecbnh v\u1ec1 qu\u1ea3n l\u00fd v\u00e0 s\u1eed d\u1ee5ng thu\u1ed1c trong b\u1ec7nh vi\u1ec7n: a. C\u00e1c ti\u00eau ch\u00ed l\u1ef1a ch\u1ecdn thu\u1ed1c \u0111\u1ec3 x\u00e2y d\u1ef1ng danh m\u1ee5c thu\u1ed1c b\u1ec7nh vi\u1ec7n b. H\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb c. Quy tr\u00ecnh v\u00e0 ti\u00eau ch\u00ed b\u1ed5 sung ho\u1eb7c lo\u1ea1i b\u1ecf thu\u1ed1c ra kh\u1ecfi danh m\u1ee5c d. C\u00e1c ti\u00eau ch\u00ed \u0111\u1ec3 l\u1ef1a ch\u1ecdn thu\u1ed1c trong \u0111\u1ea5u th\u1ea7u mua thu\u1ed1c e. Quy tr\u00ecnh c\u1ea5p ph\u00e1t thu\u1ed1c f. S\u1eed d\u1ee5ng m\u1ed9t s\u1ed1 thu\u1ed1c kh\u00f4ng n\u1eb1m trong danh m\u1ee5c g. H\u1ea1n ch\u1ebf s\u1eed d\u1ee5ng m\u1ed9t s\u1ed1 thu\u1ed1c h. S\u1eed d\u1ee5ng thu\u1ed1c bi\u1ec7t d\u01b0\u1ee3c v\u00e0 thu\u1ed1c thay th\u1ebf trong \u0111i\u1ec1u tr\u1ecb i. Quy tr\u00ecnh gi\u00e1m s\u00e1t s\u1eed d\u1ee5ng thu\u1ed1c j. Qu\u1ea3n l\u00fd, gi\u00e1m s\u00e1t ho\u1ea1t \u0111\u1ed9ng th\u00f4ng tin thu\u1ed1c c\u1ee7a tr\u00ecnh d\u01b0\u1ee3c vi\u00ean, c\u00f4ng ty d\u01b0\u1ee3c v\u00e0 c\u00e1c t\u00e0i li\u1ec7u qu\u1ea3ng c\u00e1o thu\u1ed1c. 10. H\u1ed9i \u0111\u1ed3ng thu\u1ed1c c\u00f3 t\u1ed5 ch\u1ee9c t\u1eadp hu\u1ea5n, \u0111\u00e0o t\u1ea1o v\u1ec1 s\u1eed d\u1ee5ng thu\u1ed1c cho nh\u00e2n vi\u00ean trong b\u1ec7nh vi\u1ec7n \u00edt nh\u1ea5t 2 l\u1ea7n\/n\u0103m. 11. Nh\u00e2n vi\u00ean y t\u1ebf \u0111\u01b0\u1ee3c ph\u1ed5 bi\u1ebfn v\u00e0 tu\u00e2n th\u1ee7 h\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb. 12. H\u1ed9i \u0111\u1ed3ng c\u00f3 ti\u1ebfn h\u00e0nh ph\u00e2n t\u00edch, \u0111\u00e1nh gi\u00e1 s\u1eed d\u1ee5ng thu\u1ed1c: ABC\/VEN v\u00e0 c\u00f3 b\u00e1o c\u00e1o k\u1ebft qu\u1ea3 ph\u00e2n t\u00edch theo \u0111\u1ecbnh k\u1ef3 h\u00e0ng n\u0103m. 13. S\u1eed d\u1ee5ng k\u1ebft qu\u1ea3 ph\u00e2n t\u00edch, \u0111\u00e1nh gi\u00e1 s\u1eed d\u1ee5ng thu\u1ed1c ABC\/VEN cho vi\u1ec7c c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng x\u00e2y d\u1ef1ng danh m\u1ee5c thu\u1ed1c b\u1ec7nh vi\u1ec7n, qu\u1ea3n l\u00fd v\u00e0 cung \u1ee9ng thu\u1ed1c. 14. H\u1ed9i \u0111\u1ed3ng c\u00f3 ti\u1ebfn h\u00e0nh nghi\u00ean c\u1ee9u \u0111\u00e1nh gi\u00e1 chi ph\u00ed - hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, c\u00f3 b\u00e1o c\u00e1o k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1. 15. \u00c1p d\u1ee5ng c\u00e1c k\u1ebft qu\u1ea3 ph\u00e2n t\u00edch, \u0111\u00e1nh gi\u00e1 cho vi\u1ec7c n\u00e2ng cao hi\u1ec7u qu\u1ea3 s\u1eed d\u1ee5ng thu\u1ed1c, gi\u1ea3m chi ph\u00ed d\u00f9ng thu\u1ed1c c\u1ee7a b\u1ec7nh vi\u1ec7n. 112","CH\u01af\u01a0NG C10. NGHI\u00caN C\u01af\u0301U KHOA H\u1eccC C10.1 T\u00edch c\u1ef1c tri\u1ec3n khai ho\u1ea1t \u0111\u1ed9ng nghi\u00ean c\u1ee9u khoa h\u1ecdc C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Quy\u1ebft \u0111\u1ecbnh s\u1ed1 1895\/1997\/Q\u0110-BYT ng\u00e0y 19\/9\/1997 c\u1ee7a B\u1ed9 tr\u01b0\u1edfng B\u1ed9 Y t\u1ebf ban v\u00e0 \u00fd h\u00e0nh Quy ch\u1ebf b\u1ec7nh vi\u1ec7n. ngh\u0129a M\u1ee9c 1 \uf0b7 Nghi\u00ean c\u1ee9u khoa h\u1ecdc l\u00e0 m\u1ed9t trong nh\u1eefng ch\u1ee9c n\u0103ng nhi\u1ec7m v\u1ee5 c\u1ee7a b\u1ec7nh vi\u1ec7n. M\u1ee9c 2 \uf0b7 Nhi\u1ec1u nghi\u00ean c\u1ee9u khoa h\u1ecdc \u0111\u00e3 mang l\u1ea1i nh\u1eefng l\u1ee3i \u00edch to l\u1edbn cho ho\u1ea1t \u0111\u1ed9ng M\u1ee9c 3 chuy\u00ean m\u00f4n v\u00e0 qu\u1ea3n l\u00fd, n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng \u0111i\u1ec1u tr\u1ecb v\u00e0 ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh. M\u1ee9c 4 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 5 1. Kh\u00f4ng tham gia ho\u1eb7c kh\u00f4ng ti\u1ebfn h\u00e0nh ho\u1ea1t \u0111\u1ed9ng nghi\u00ean c\u1ee9u khoa h\u1ecdc. 2. Ph\u00e1t hi\u1ec7n th\u1ea5y kh\u00f4ng h\u1ee3p t\u00e1c cung c\u1ea5p c\u00e1c s\u1ed1 li\u1ec7u, t\u00e0i li\u1ec7u cho ho\u1ea1t \u0111\u1ed9ng nghi\u00ean c\u1ee9u khoa h\u1ecdc ph\u1ee5c v\u1ee5 c\u00f4ng t\u00e1c qu\u1ea3n l\u00fd v\u00e0 x\u00e2y d\u1ef1ng ch\u00ednh s\u00e1ch y t\u1ebf. 3. C\u00f3 \u0111\u1ea7y \u0111\u1ee7 v\u00e0 b\u1ea3o \u0111\u1ea3m ho\u1ea1t \u0111\u1ed9ng t\u1ed1t c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n, trang thi\u1ebft b\u1ecb ph\u1ee5c v\u1ee5 tr\u00ecnh chi\u1ebfu, b\u00e1o c\u00e1o khoa h\u1ecdc nh\u01b0 h\u1ed9i tr\u01b0\u1eddng\/gi\u1ea3ng \u0111\u01b0\u1eddng; m\u00e1y chi\u1ebfu; m\u00e1y t\u00ednh, m\u00e0n chi\u1ebfu, loa, t\u0103ng \u00e2m, micro, k\u1ebft n\u1ed1i m\u1ea1ng kh\u00f4ng d\u00e2y (wifi)\u2026 4. C\u00f3 ti\u1ebfn h\u00e0nh sinh ho\u1ea1t khoa h\u1ecdc \u0111\u1ecbnh k\u1ef3 \u00edt nh\u1ea5t 1 l\u1ea7n trong 2 th\u00e1ng. 5. Ch\u1ee7 tr\u00ec ho\u1eb7c ph\u1ed1i h\u1ee3p tham gia th\u1ef1c hi\u1ec7n \u00edt nh\u1ea5t m\u1ed9t nghi\u00ean c\u1ee9u khoa h\u1ecdc. 6. C\u00f3 ti\u1ebfn h\u00e0nh sinh ho\u1ea1t khoa h\u1ecdc \u0111\u1ecbnh k\u1ef3 \u00edt nh\u1ea5t 1 l\u1ea7n trong 1 th\u00e1ng. 7. C\u00f3 bu\u1ed5i sinh ho\u1ea1t h\u01b0\u1edbng d\u1eabn ph\u01b0\u01a1ng ph\u00e1p nghi\u00ean c\u1ee9u cho nh\u00e2n vi\u00ean y t\u1ebf. 8. C\u00f3 danh s\u00e1ch t\u1ed5ng h\u1ee3p v\u00e0 chia nh\u00f3m c\u00e1c ho\u1ea1t \u0111\u1ed9ng nghi\u00ean c\u1ee9u \u0111\u00e3 v\u00e0 \u0111ang th\u1ef1c hi\u1ec7n t\u1ea1i b\u1ec7nh vi\u1ec7n trong n\u0103m (chia theo c\u1ea5p \u0111\u1ec1 t\u00e0i) bao g\u1ed3m t\u1ed1i thi\u1ec3u 4 nh\u00f3m: (1) nghi\u00ean c\u1ee9u do b\u1ec7nh vi\u1ec7n ch\u1ee7 tr\u00ec; (2) nghi\u00ean c\u1ee9u ph\u1ed1i h\u1ee3p th\u1ef1c hi\u1ec7n; (3) tham gia cung c\u1ea5p s\u1ed1 li\u1ec7u; (4) l\u00e0 \u0111\u1ecba \u0111i\u1ec3m nghi\u00ean c\u1ee9u cho \u0111\u01a1n v\u1ecb kh\u00e1c th\u1ef1c hi\u1ec7n. 9. H\u1ee3p t\u00e1c v\u00e0 cung c\u1ea5p th\u00f4ng tin, s\u1ed1 li\u1ec7u, t\u00e0i li\u1ec7u \u0111\u1ea7y \u0111\u1ee7 cho c\u00e1c c\u01a1 quan qu\u1ea3n l\u00fd v\u00e0 c\u00e1c \u0111\u01a1n v\u1ecb \u0111\u01b0\u1ee3c giao ti\u1ebfn h\u00e0nh nghi\u00ean c\u1ee9u khoa h\u1ecdc ph\u1ee5c v\u1ee5 cho vi\u1ec7c x\u00e2y d\u1ef1ng chi\u1ebfn l\u01b0\u1ee3c, ch\u00ednh s\u00e1ch y t\u1ebf (khi \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u). 10. B\u00e1c s\u1ef9, \u0111i\u1ec1u d\u01b0\u1ee1ng v\u00e0 c\u00e1c nh\u00e2n vi\u00ean y t\u1ebf c\u00f3 tham gia c\u00e1c ho\u1ea1t \u0111\u1ed9ng nghi\u00ean c\u1ee9u khoa h\u1ecdc nh\u01b0 x\u00e2y d\u1ef1ng c\u00e2u h\u1ecfi, thu th\u1eadp s\u1ed1 li\u1ec7u, vi\u1ebft b\u00e1o c\u00e1o, vi\u1ebft lu\u1eadn v\u0103n, lu\u1eadn \u00e1n t\u1ed1t nghi\u1ec7p, vi\u1ebft b\u00e0i b\u00e1o khoa h\u1ecdc\u2026 11. Trong n\u0103m b\u1ec7nh vi\u1ec7n ch\u1ee7 tr\u00ec x\u00e2y d\u1ef1ng v\u00e0 t\u1ef1 ti\u1ebfn h\u00e0nh \u00edt nh\u1ea5t m\u1ed9t nghi\u00ean c\u1ee9u khoa h\u1ecdc (nh\u01b0 c\u00e1c \u0111\u00e1nh gi\u00e1, nghi\u00ean c\u1ee9u c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng d\u1ecbch v\u1ee5 v\u00e0 chuy\u00ean m\u00f4n b\u1ec7nh vi\u1ec7n), c\u00f3 b\u00e1o c\u00e1o k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u v\u00e0 \u0111\u00e3 \u0111\u01b0\u1ee3c h\u1ed9i \u0111\u1ed3ng c\u1ea5p b\u1ec7nh vi\u1ec7n ho\u1eb7c c\u1ea5p cao h\u01a1n nghi\u1ec7m thu. 12. T\u1eadp th\u1ec3, c\u00e1 nh\u00e2n b\u1ec7nh vi\u1ec7n ch\u1ee7 tr\u00ec\/ch\u1ee7 nhi\u1ec7m th\u1ef1c hi\u1ec7n \u00edt nh\u1ea5t 03 c\u00f4ng tr\u00ecnh nghi\u00ean c\u1ee9u khoa h\u1ecdc \u0111\u01b0\u1ee3c nghi\u1ec7m thu. 13. C\u00f3 \u00edt nh\u1ea5t 01 c\u00f4ng tr\u00ecnh \u0111\u01b0\u1ee3c nghi\u1ec7m thu \u1edf c\u1ea5p B\u1ed9, t\u1ec9nh\/th\u00e0nh ph\u1ed1 tr\u1edf l\u00ean. 14. B\u1ec7nh vi\u1ec7n c\u00f3 \u00edt nh\u1ea5t 03 b\u00e0i b\u00e1o khoa h\u1ecdc v\u1ec1 c\u00e1c \u0111\u1ec1 t\u00e0i th\u1ef1c hi\u1ec7n t\u1ea1i b\u1ec7nh vi\u1ec7n, do nh\u00e2n vi\u00ean b\u1ec7nh vi\u1ec7n th\u1ef1c hi\u1ec7n \u0111\u0103ng tr\u00ean c\u00e1c t\u1ea1p ch\u00ed khoa h\u1ecdc trong n\u01b0\u1edbc. 15. C\u00f3 \u00edt nh\u1ea5t 02 b\u00e0i b\u00e1o khoa h\u1ecdc \u0111\u01b0\u1ee3c \u0111\u0103ng tr\u00ean c\u00e1c t\u1ea1p ch\u00ed qu\u1ed1c t\u1ebf c\u00f3 nh\u00e2n vi\u00ean c\u1ee7a b\u1ec7nh vi\u1ec7n tham gia \u0111\u1ed3ng t\u00e1c gi\u1ea3. 16. Trong n\u0103m c\u00f3 \u00edt nh\u1ea5t 01 b\u00e0i b\u00e1o khoa h\u1ecdc \u0111\u0103ng tr\u00ean c\u00e1c t\u1ea1p ch\u00ed khoa h\u1ecdc qu\u1ed1c t\u1ebf, do nh\u00e2n vi\u00ean c\u01a1 h\u1eefu c\u1ee7a b\u1ec7nh vi\u1ec7n \u0111\u1ee9ng \u0111\u1ea7u trong s\u1ed1 danh s\u00e1ch t\u00ean c\u00e1c t\u00e1c gi\u1ea3. 17. C\u00f3 c\u00f4ng tr\u00ecnh nghi\u00ean c\u1ee9u do c\u00e1 nh\u00e2n\/t\u1eadp th\u1ec3 b\u1ec7nh vi\u1ec7n l\u00e0m ch\u1ee7 nhi\u1ec7m\/ch\u1ee7 tr\u00ec \u0111\u1ea1t c\u00e1c gi\u1ea3i th\u01b0\u1edfng khoa h\u1ecdc trong n\u01b0\u1edbc c\u1ea5p qu\u1ed1c gia ho\u1eb7c gi\u1ea3i th\u01b0\u1edfng khoa h\u1ecdc qu\u1ed1c t\u1ebf. 113","C10.2 \u00c1p d\u1ee5ng k\u00ea\u0301t qua\u0309 nghi\u00ean c\u1ee9u khoa h\u1ecdc v\u00e0o vi\u1ec7c ca\u0309i ti\u00ea\u0301n ch\u1ea5t l\u01b0\u1ee3ng kh\u00e1m, ch\u1eefa C\u0103n c\u1ee9 b\u1ec7nh v\u00e0 n\u00e2ng cao ho\u1ea1t \u0111\u1ed9ng b\u1ec7nh vi\u1ec7n \u0111\u1ec1 xu\u1ea5t v\u00e0 \u00fd \uf0b7 Vi\u1ec7c \u00e1p d\u1ee5ng k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u khoa h\u1ecdc v\u00e0o th\u1ef1c ti\u1ec5n gi\u00fap th\u00fac \u0111\u1ea9y n\u00e2ng cao ngh\u0129a ch\u1ea5t l\u01b0\u1ee3ng ho\u1ea1t \u0111\u1ed9ng chuy\u00ean m\u00f4n v\u00e0 qu\u1ea3n l\u00fd; \u0111\u1ed3ng th\u1eddi th\u00fac \u0111\u1ea9y t\u00ecm t\u00f2i, th\u1ef1c M\u1ee9c 1 hi\u1ec7n c\u00e1c nghi\u00ean c\u1ee9u khoa h\u1ecdc mang \u00fd ngh\u0129a thi\u1ebft th\u1ef1c, ph\u00f9 h\u1ee3p v\u1edbi nhu c\u1ea7u th\u1ef1c ti\u1ec5n cu\u1ed9c s\u1ed1ng, gi\u00fap ti\u1ebft ki\u1ec7m ngu\u1ed3n l\u1ef1c trong nghi\u00ean c\u1ee9u. M\u1ee9c 2 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 3 M\u1ee9c 4 1. Kh\u00f4ng \u00e1p d\u1ee5ng k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u khoa h\u1ecdc (do b\u1ec7nh vi\u1ec7n th\u1ef1c hi\u1ec7n ho\u1eb7c nghi\u00ean c\u1ee9u trong n\u01b0\u1edbc, qu\u1ed1c t\u1ebf) \u0111\u00e3 \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 v\u00e0o vi\u1ec7c c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 5 kh\u00e1m, ch\u1eefa b\u1ec7nh v\u00e0 n\u00e2ng cao ho\u1ea1t \u0111\u1ed9ng b\u1ec7nh vi\u1ec7n. 2. C\u00f3 ti\u1ebfn h\u00e0nh thu th\u1eadp, t\u00ecm ki\u1ebfm v\u00e0 t\u1ed5ng h\u1ee3p k\u1ebft qu\u1ea3 c\u00e1c nghi\u00ean c\u1ee9u ho\u1eb7c s\u00e1ng ki\u1ebfn, th\u00e0nh c\u00f4ng c\u1ee7a \u0111\u01a1n v\u1ecb kh\u00e1c (trong v\u00e0 ng\u01b0\u1eddi n\u01b0\u1edbc) ph\u1ee5c v\u1ee5 cho vi\u1ec7c c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng kh\u00e1m, ch\u1eefa b\u1ec7nh v\u00e0 n\u00e2ng cao ho\u1ea1t \u0111\u1ed9ng b\u1ec7nh vi\u1ec7n. 3. L\u1eadp danh m\u1ee5c c\u00e1c k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u ti\u1ec1m n\u0103ng, khuy\u1ebfn ngh\u1ecb mang t\u00ednh kh\u1ea3 thi, c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng t\u1ea1i b\u1ec7nh vi\u1ec7n \u0111\u1ec3 c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng kh\u00e1m, ch\u1eefa b\u1ec7nh v\u00e0 n\u00e2ng cao ho\u1ea1t \u0111\u1ed9ng b\u1ec7nh vi\u1ec7n. 4. C\u00f3 x\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch v\u00e0 l\u1ed9 tr\u00ecnh tri\u1ec3n khai \u00e1p d\u1ee5ng c\u00e1c k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u\/s\u00e1ng ki\u1ebfn \u0111\u1ec3 c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng kh\u00e1m, ch\u1eefa b\u1ec7nh v\u00e0 n\u00e2ng cao ho\u1ea1t \u0111\u1ed9ng b\u1ec7nh vi\u1ec7n. 5. C\u00f3 tri\u1ec3n khai \u00e1p d\u1ee5ng \u00edt nh\u1ea5t 03 k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u v\u00e0o th\u1ef1c ti\u1ec5n \u0111\u1ec3 c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng kh\u00e1m, ch\u1eefa b\u1ec7nh v\u00e0 n\u00e2ng cao ho\u1ea1t \u0111\u1ed9ng b\u1ec7nh vi\u1ec7n. 6. C\u00f3 tri\u1ec3n khai \u00e1p d\u1ee5ng \u00edt nh\u1ea5t 04 k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u v\u00e0o th\u1ef1c ti\u1ec5n \u0111\u1ec3 c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng kh\u00e1m, ch\u1eefa b\u1ec7nh v\u00e0 n\u00e2ng cao ho\u1ea1t \u0111\u1ed9ng b\u1ec7nh vi\u1ec7n. 7. C\u00f3 kh\u1ea3o s\u00e1t, \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 vi\u1ec7c \u00e1p d\u1ee5ng k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u v\u00e0o th\u1ef1c ti\u1ec5n, c\u00f3 so s\u00e1nh tr\u01b0\u1edbc \u2013 sau khi \u00e1p d\u1ee5ng. 8. C\u00f3 tri\u1ec3n khai \u00e1p d\u1ee5ng \u00edt nh\u1ea5t 05 k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u v\u00e0o th\u1ef1c ti\u1ec5n \u0111\u1ec3 c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng kh\u00e1m, ch\u1eefa b\u1ec7nh v\u00e0 n\u00e2ng cao ho\u1ea1t \u0111\u1ed9ng b\u1ec7nh vi\u1ec7n. 9. C\u00f3 \u00edt nh\u1ea5t 01 s\u00e1ng ki\u1ebfn ho\u1eb7c gi\u1ea3i ph\u00e1p m\u1edbi v\u1ec1 c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng kh\u00e1m, ch\u1eefa b\u1ec7nh d\u1ef1a tr\u00ean nghi\u00ean c\u1ee9u; \u0111\u01b0\u1ee3c \u0111\u0103ng k\u00fd b\u1ea3n quy\u1ec1n s\u1edf h\u1eefu tr\u00ed tu\u1ec7. 10. C\u00f3 b\u00e1o c\u00e1o \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 vi\u1ec7c \u00e1p d\u1ee5ng c\u00e1c s\u00e1ng ki\u1ebfn ho\u1eb7c gi\u1ea3i ph\u00e1p m\u1edbi v\u00e0 kh\u1eafc ph\u1ee5c c\u00e1c nh\u01b0\u1ee3c \u0111i\u1ec3m (n\u1ebfu c\u00f3), li\u00ean t\u1ee5c c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng d\u1ef1a tr\u00ean c\u00e1c b\u1eb1ng ch\u1ee9ng khoa h\u1ecdc. 114","PH\u1ea6N D. HO\u1ea0T \u0110\u1ed8NG C\u1ea2I TI\u1ebeN CH\u1ea4T L\u01af\u1ee2NG CH\u01af\u01a0NG D1. THI\u1ebeT L\u1eacP H\u1ec6 TH\u1ed0NG V\u00c0 C\u1ea2I TI\u1ebeN CH\u1ea4T L\u01af\u1ee2NG D1.1 Thi\u00ea\u0301t l\u1eadp h\u1ec7 th\u1ed1ng qua\u0309n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 19\/2013\/TT-BYT ng\u00e0y 12\/7\/2013 c\u1ee7a B\u1ed9 Y t\u1ebf v\u1ec1 vi\u1ec7c h\u01b0\u1edbng d\u1eabn v\u00e0 \u00fd qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng d\u1ecbch v\u1ee5 kh\u00e1m, ch\u1eefa b\u1ec7nh t\u1ea1i b\u1ec7nh vi\u1ec7n. ngh\u0129a M\u1ee9c 1 \uf0b7 Thi\u1ebft l\u1eadp h\u1ec7 th\u1ed1ng t\u1ed5 ch\u1ee9c qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng gi\u00fap b\u1ec7nh vi\u1ec7n tri\u1ec3n khai c\u00e1c M\u1ee9c 2 ho\u1ea1t \u0111\u1ed9ng can thi\u1ec7p, c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng, \u0111\u00e1p \u1ee9ng s\u1ef1 h\u00e0i l\u00f2ng ng\u01b0\u1eddi b\u1ec7nh. M\u1ee9c 3 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng 1. Ch\u01b0a th\u00e0nh l\u1eadp h\u1ed9i \u0111\u1ed3ng qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n. M\u1ee9c 4 2. Ch\u01b0a th\u00e0nh l\u1eadp ph\u00f2ng\/t\u1ed5 qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng. M\u1ee9c 5 3. \u0110\u00e3 th\u00e0nh l\u1eadp h\u1ed9i \u0111\u1ed3ng qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n. 4. \u0110\u00e3 th\u00e0nh l\u1eadp \u0111\u1ea7y \u0111\u1ee7 m\u1ea1ng l\u01b0\u1edbi qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n. Ghi ch\u00fa 5. \u0110\u00e3 x\u00e2y d\u1ef1ng \u0111\u1ec1 \u00e1n th\u00e0nh l\u1eadp ph\u00f2ng\/t\u1ed5 qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng. 6. \u0110\u1ec1 \u00e1n th\u00e0nh l\u1eadp ph\u00f2ng\/t\u1ed5 qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng c\u00f3 quy \u0111\u1ecbnh r\u00f5 c\u00e1c v\u1ecb tr\u00ed vi\u1ec7c l\u00e0m qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng (ho\u1eb7c x\u00e2y d\u1ef1ng \u0111\u1ec1 \u00e1n v\u1ecb tr\u00ed vi\u1ec7c l\u00e0m ri\u00eang c\u1ee7a ph\u00f2ng, ho\u1eb7c l\u1ed3ng gh\u00e9p trong \u0111\u1ec1 \u00e1n v\u1ecb tr\u00ed vi\u1ec7c l\u00e0m chung c\u1ee7a b\u1ec7nh vi\u1ec7n). 7. B\u1ec7nh vi\u1ec7n \u0111a khoa h\u1ea1ng I v\u00e0 \u0111\u1eb7c bi\u1ec7t \u0111\u00e3 th\u00e0nh l\u1eadp ph\u00f2ng qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng; c\u00e1c b\u1ec7nh vi\u1ec7n kh\u00e1c \u0111\u00e3 th\u00e0nh l\u1eadp t\u1ed5 (ho\u1eb7c ph\u00f2ng) qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng. 8. \u0110\u00e3 x\u00e2y d\u1ef1ng quy ch\u1ebf ho\u1ea1t \u0111\u1ed9ng c\u1ee7a h\u1ed9i \u0111\u1ed3ng qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n. 9. Ph\u00f2ng (ho\u1eb7c t\u1ed5 qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng) c\u00f3 \u00edt nh\u1ea5t 3 nh\u00e2n vi\u00ean l\u00e0m vi\u1ec7c. 10. Ph\u00f2ng (ho\u1eb7c t\u1ed5 qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng) c\u00f3 \u00edt nh\u1ea5t m\u1ed9t nh\u00e2n vi\u00ean chuy\u00ean tr\u00e1ch v\u1ec1 qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng (l\u00e0m 100% th\u1eddi gian, kh\u00f4ng ki\u00eam nhi\u1ec7m). 11. \u0110\u00e3 tuy\u1ec3n \u0111\u01b0\u1ee3c \u00edt nh\u1ea5t 60% s\u1ed1 l\u01b0\u1ee3ng nh\u00e2n vi\u00ean c\u1ee7a ph\u00f2ng\/t\u1ed5 qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng theo k\u1ebf ho\u1ea1ch v\u00e0 v\u1ecb tr\u00ed vi\u1ec7c l\u00e0m, trong \u0111\u00f3 v\u1ecb tr\u00ed tr\u01b0\u1edfng ph\u00f2ng\/t\u1ed5 tr\u01b0\u1edfng tuy\u1ec3n d\u1ee5ng \u0111\u01b0\u1ee3c \u0111\u00fang \u0111\u1ed1i t\u01b0\u1ee3ng nh\u01b0 trong k\u1ebf ho\u1ea1ch. 12. H\u1ed9i \u0111\u1ed3ng qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng t\u1ed5 ch\u1ee9c c\u00e1c cu\u1ed9c h\u1ecdp \u0111\u1ecbnh k\u1ef3 theo \u0111\u00fang k\u1ebf ho\u1ea1ch. 13. \u0110\u00e3 x\u00e2y d\u1ef1ng v\u00e0 ban h\u00e0nh c\u00e1c v\u0103n b\u1ea3n v\u1ec1 qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng trong b\u1ec7nh vi\u1ec7n. 14. C\u00f3 \u00edt nh\u1ea5t 01 l\u00e3nh \u0111\u1ea1o ph\u00f2ng (tr\u01b0\u1edfng, ph\u00f3 ph\u00f2ng ho\u1eb7c t\u1ed5 tr\u01b0\u1edfng, t\u1ed5 ph\u00f3) qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng l\u00e0 nh\u00e2n vi\u00ean chuy\u00ean tr\u00e1ch, kh\u00f4ng ki\u00eam nhi\u1ec7m ch\u1ee9c danh l\u00e3nh \u0111\u1ea1o b\u1ec7nh vi\u1ec7n ho\u1eb7c l\u00e3nh \u0111\u1ea1o c\u00e1c khoa\/ph\u00f2ng kh\u00e1c. 15. \u0110\u00e3 tuy\u1ec3n \u0111\u01b0\u1ee3c \u00edt nh\u1ea5t 80% s\u1ed1 l\u01b0\u1ee3ng nh\u00e2n vi\u00ean c\u1ee7a ph\u00f2ng\/t\u1ed5 qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng theo \u0111\u1ec1 \u00e1n v\u1ecb tr\u00ed vi\u1ec7c l\u00e0m, trong \u0111\u00f3 v\u1ecb tr\u00ed tr\u01b0\u1edfng ph\u00f2ng\/t\u1ed5 tr\u01b0\u1edfng tuy\u1ec3n d\u1ee5ng \u0111\u01b0\u1ee3c \u0111\u00fang \u0111\u1ed1i t\u01b0\u1ee3ng c\u00f3 c\u00e1c b\u1eb1ng c\u1ea5p v\u00e0 ch\u1ee9ng ch\u1ec9 nh\u01b0 trong \u0111\u1ec1 \u00e1n. 16. C\u00f3 \u00edt nh\u1ea5t 50% nh\u00e2n vi\u00ean c\u1ee7a ph\u00f2ng\/t\u1ed5 qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng tham gia c\u00e1c l\u1edbp \u0111\u00e0o t\u1ea1o v\u1ec1 qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng* v\u00e0 c\u00f3 ch\u1ee9ng ch\u1ec9 (ho\u1eb7c ch\u1ee9ng nh\u1eadn). 17. C\u00f3 \u00edt nh\u1ea5t 20% nh\u00e2n vi\u00ean c\u1ee7a m\u1ea1ng l\u01b0\u1edbi qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng tham gia c\u00e1c l\u1edbp \u0111\u00e0o t\u1ea1o v\u1ec1 qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng* v\u00e0 c\u00f3 ch\u1ee9ng ch\u1ec9 (ho\u1eb7c ch\u1ee9ng nh\u1eadn). 18. \u0110\u00e3 tuy\u1ec3n d\u1ee5ng \u0111\u1ee7 s\u1ed1 l\u01b0\u1ee3ng nh\u00e2n vi\u00ean c\u1ee7a ph\u00f2ng\/t\u1ed5 qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng theo \u0111\u1ec1 \u00e1n v\u00e0 \u0111\u00fang c\u01a1 c\u1ea5u theo v\u1ecb tr\u00ed vi\u1ec7c l\u00e0m. 19. C\u00f3 \u00edt nh\u1ea5t 80% nh\u00e2n vi\u00ean c\u1ee7a ph\u00f2ng\/t\u1ed5 qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng tham gia c\u00e1c l\u1edbp \u0111\u00e0o t\u1ea1o v\u1ec1 qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng* v\u00e0 c\u00f3 ch\u1ee9ng ch\u1ec9 (ho\u1eb7c ch\u1ee9ng nh\u1eadn). 20. C\u00f3 \u00edt nh\u1ea5t 50% nh\u00e2n vi\u00ean y t\u1ebf c\u1ee7a m\u1ea1ng l\u01b0\u1edbi ch\u1ea5t l\u01b0\u1ee3ng tham gia c\u00e1c l\u1edbp \u0111\u00e0o t\u1ea1o v\u1ec1 qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng* v\u00e0 c\u00f3 ch\u1ee9ng ch\u1ec9 (ho\u1eb7c ch\u1ee9ng nh\u1eadn). 21. Tr\u01b0\u1edfng ph\u00f2ng (ho\u1eb7c t\u1ed5 tr\u01b0\u1edfng) qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng l\u00e0 nh\u00e2n vi\u00ean chuy\u00ean tr\u00e1ch, kh\u00f4ng ki\u00eam nhi\u1ec7m c\u00e1c ch\u1ee9c danh l\u00e3nh \u0111\u1ea1o kh\u00e1c. \uf0b7 *L\u1edbp \u0111\u00e0o t\u1ea1o theo c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh \u0111\u01b0\u1ee3c B\u1ed9 Y t\u1ebf ph\u00ea duy\u1ec7t. \u0110\u01a1n v\u1ecb t\u1ed5 ch\u1ee9c c\u00f3 ch\u1ee9c n\u0103ng \u0111\u00e0o t\u1ea1o v\u1ec1 QLCL v\u00e0 ch\u1ee9ng ch\u1ec9 \u0111\u01b0\u1ee3c c\u1ea5p m\u00e3 \u0111\u00e0o t\u1ea1o li\u00ean t\u1ee5c. 115","D1.2 X\u00e2y d\u1ef1ng, tri\u1ec3n khai k\u00ea\u0301 ho\u1ea1ch v\u00e0 \u0111\u1ec1 \u00e1n ca\u0309i ti\u00ea\u0301n ch\u1ea5t l\u01b0\u1ee3ng C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 19\/2013\/TT-BYT ng\u00e0y 12\/7\/2013 c\u1ee7a B\u1ed9 Y t\u1ebf v\u1ec1 vi\u1ec7c h\u01b0\u1edbng d\u1eabn v\u00e0 \u00fd qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng d\u1ecbch v\u1ee5 kh\u00e1m, ch\u1eefa b\u1ec7nh t\u1ea1i b\u1ec7nh vi\u1ec7n. ngh\u0129a \uf0b7 Vi\u1ec7c x\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n l\u00e0 m\u1ed9t ho\u1ea1t \u0111\u1ed9ng quan M\u1ee9c 1 tr\u1ecdng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh th\u1ef1c tr\u1ea1ng, v\u1ea5n \u0111\u1ec1 t\u1ed3n t\u1ea1i, \u01b0u ti\u00ean, gi\u1ea3i ph\u00e1p\u2026 v\u00e0 gi\u00fap x\u00e1c M\u1ee9c 2 \u0111\u1ecbnh c\u00e1c c\u00f4ng vi\u1ec7c c\u1ee5 th\u1ec3 nh\u1eb1m c\u1ea3i ti\u1ebfn v\u00e0 n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n. M\u1ee9c 3 \uf0b7 Tri\u1ec3n khai k\u1ebf ho\u1ea1ch v\u00e0 \u0111\u1ec1 \u00e1n c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n c\u00f3 \u00fd ngh\u0129a mang l\u1ea1i c\u00e1c l\u1ee3i \u00edch th\u1ef1c ti\u1ec5n cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 nh\u00e2n vi\u00ean y t\u1ebf. M\u1ee9c 4 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 5 1. Ch\u01b0a x\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng chung c\u1ee7a to\u00e0n b\u1ec7nh vi\u1ec7n. 2. \u0110\u00e3 x\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng chung c\u1ee7a to\u00e0n b\u1ec7nh vi\u1ec7n cho n\u0103m hi\u1ec7n t\u1ea1i (ho\u1eb7c giai \u0111o\u1ea1n t\u1eeb 1 \u0111\u1ebfn 3 n\u0103m ti\u1ebfp theo). 3. Trong k\u1ebf ho\u1ea1ch c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng c\u00f3 \u0111\u01b0a ra c\u00e1c m\u1ee5c ti\u00eau ch\u1ea5t l\u01b0\u1ee3ng v\u00e0 k\u1ebft qu\u1ea3 \u0111\u1ea7u ra c\u1ee5 th\u1ec3, c\u00f3 th\u1ec3 l\u01b0\u1ee3ng gi\u00e1 \u0111\u01b0\u1ee3c. 4. H\u1ed9i \u0111\u1ed3ng qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng x\u00e2y d\u1ef1ng b\u1ea3ng ki\u1ec3m h\u01b0\u1edbng d\u1eabn c\u1ee5 th\u1ec3 vi\u1ec7c th\u1ef1c hi\u1ec7n k\u1ebf ho\u1ea1ch c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng v\u00e0 \u0111\u00e1nh gi\u00e1 c\u00e1c vi\u1ec7c \u0111\u00e3 ho\u00e0n th\u00e0nh. 5. Trong b\u1ea3n k\u1ebf ho\u1ea1ch c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng chung c\u00f3 ghi r\u00f5 t\u00ean k\u1ebf ho\u1ea1ch, n\u1ed9i dung ho\u1ea1t \u0111\u1ed9ng, k\u1ebft qu\u1ea3 \u0111\u1ea7u ra, th\u1eddi gian, \u0111\u1ecba \u0111i\u1ec3m, ng\u01b0\u1eddi ch\u1ecbu tr\u00e1ch nhi\u1ec7m ch\u00ednh, kinh ph\u00ed v\u00e0 c\u00e1c ngu\u1ed3n l\u1ef1c kh\u00e1c \u0111\u1ec3 th\u1ef1c hi\u1ec7n. 6. Trong b\u1ea3n k\u1ebf ho\u1ea1ch c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng chung c\u1ee7a b\u1ec7nh vi\u1ec7n c\u00f3 x\u00e1c \u0111\u1ecbnh s\u1ed1 l\u01b0\u1ee3ng c\u00e1c \u0111\u1ec1 \u00e1n c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng theo t\u1eebng m\u1ee5c ti\u00eau, ngu\u1ed3n kinh ph\u00ed d\u1ef1 ki\u1ebfn v\u00e0 \u0111\u1ecba ch\u1ec9 khoa\/ph\u00f2ng \u0111\u1ea7u m\u1ed1i th\u1ef1c hi\u1ec7n. 7. H\u1ed9i \u0111\u1ed3ng qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng h\u01b0\u1edbng d\u1eabn c\u00e1c khoa\/ph\u00f2ng tri\u1ec3n khai c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng theo nh\u01b0 k\u1ebf ho\u1ea1ch. 8. H\u1ed9i \u0111\u1ed3ng qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng h\u01b0\u1edbng d\u1eabn c\u00e1c th\u00e0nh vi\u00ean c\u1ee7a m\u1ea1ng l\u01b0\u1edbi x\u00e2y d\u1ef1ng c\u00e1c \u0111\u1ec1 \u00e1n c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng chi ti\u1ebft cho t\u1eebng khoa\/ph\u00f2ng. 9. X\u00e2y d\u1ef1ng v\u00e0 tri\u1ec3n khai \u0111\u01b0\u1ee3c \u00edt nh\u1ea5t 03 \u0111\u1ec1 \u00e1n c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng (tr\u00ean quy m\u00f4 khoa\/ph\u00f2ng ho\u1eb7c to\u00e0n b\u1ec7nh vi\u1ec7n). 10. B\u1ea3n k\u1ebf ho\u1ea1ch c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng chung c\u1ee7a b\u1ec7nh vi\u1ec7n \u0111\u01b0\u1ee3c tri\u1ec3n khai \u0111\u1ea7y \u0111\u1ee7 c\u00e1c m\u1ee5c theo nh\u01b0 b\u1ea3ng ki\u1ec3m \u0111\u00e1nh gi\u00e1. 11. T\u1ef7 l\u1ec7 c\u00e1c khoa\/ph\u00f2ng x\u00e2y d\u1ef1ng \u0111\u1ec1 \u00e1n c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng ri\u00eang c\u1ee7a t\u1eebng khoa\/ph\u00f2ng chi\u1ebfm t\u1eeb 50% t\u1ed5ng s\u1ed1 khoa\/ph\u00f2ng tr\u1edf l\u00ean. 12. M\u1ed7i \u0111\u1ec1 \u00e1n c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng c\u00f3 \u0111\u01b0a ra \u00edt nh\u1ea5t 1 m\u1ee5c ti\u00eau v\u00e0 1 k\u1ebft qu\u1ea3 \u0111\u1ea7u ra c\u1ee5 th\u1ec3, ph\u00f9 h\u1ee3p v\u1edbi k\u1ebf ho\u1ea1ch c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng chung c\u1ee7a b\u1ec7nh vi\u1ec7n. 13. C\u00e1c khoa\/ph\u00f2ng tri\u1ec3n khai c\u00e1c \u0111\u1ec1 \u00e1n c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a t\u1eebng khoa\/ph\u00f2ng theo l\u1ed9 tr\u00ecnh trong \u0111\u1ec1 \u00e1n. 14. T\u1ef7 l\u1ec7 c\u00e1c khoa\/ph\u00f2ng x\u00e2y d\u1ef1ng \u0111\u1ec1 \u00e1n c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng ri\u00eang c\u1ee7a t\u1eebng khoa\/ph\u00f2ng chi\u1ebfm t\u1eeb 90% t\u1ed5ng s\u1ed1 khoa\/ph\u00f2ng tr\u1edf l\u00ean. 15. Ti\u1ebfn h\u00e0nh kh\u1ea3o s\u00e1t, \u0111\u00e1nh gi\u00e1 c\u00e1c m\u1ee5c ti\u00eau c\u1ee7a k\u1ebf ho\u1ea1ch c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng chung b\u1ec7nh vi\u1ec7n v\u00e0 \u0111o l\u01b0\u1eddng c\u00e1c k\u1ebft qu\u1ea3 \u0111\u1ea7u ra c\u1ee5 th\u1ec3. 16. Ho\u00e0n th\u00e0nh v\u00e0 \u0111\u1ea1t \u0111\u01b0\u1ee3c tr\u00ean 90% c\u00e1c m\u1ee5c ti\u00eau \u0111\u00e3 n\u00eau trong b\u1ea3n k\u1ebf ho\u1ea1ch c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng chung to\u00e0n b\u1ec7nh vi\u1ec7n. 17. Ti\u1ebfn h\u00e0nh \u0111\u00e1nh gi\u00e1 v\u00e0 c\u00f4ng b\u1ed1 k\u1ebft qu\u1ea3 th\u1ef1c hi\u1ec7n c\u00e1c \u0111\u1ec1 \u00e1n c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng 116","ri\u00eang c\u1ee7a t\u1eebng khoa\/ph\u00f2ng. 18. \u0110\u00e1nh gi\u00e1, ph\u00e2n lo\u1ea1i thi \u0111ua, khen th\u01b0\u1edfng c\u00e1c khoa\/ph\u00f2ng d\u1ef1a tr\u00ean vi\u1ec7c ho\u00e0n th\u00e0nh c\u00e1c \u0111\u1ec1 \u00e1n c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng ri\u00eang c\u1ee7a t\u1eebng khoa\/ph\u00f2ng. 19. X\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n v\u00e0 gi\u1ea3i ph\u00e1p kh\u1eafc ph\u1ee5c c\u00e1c \u0111\u1ec1 \u00e1n c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng ch\u01b0a ho\u00e0n th\u00e0nh v\u00e0 x\u00e2y d\u1ef1ng ph\u01b0\u01a1ng \u00e1n, tri\u1ec3n khai th\u1ef1c hi\u1ec7n \u0111\u1ea7y \u0111\u1ee7 c\u00e1c \u0111\u1ec1 \u00e1n c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng \u0111\u00e3 x\u00e2y d\u1ef1ng. 20. \u0110\u1ec1 xu\u1ea5t v\u00e0 \u00e1p d\u1ee5ng c\u00e1c s\u00e1ng ki\u1ebfn, gi\u1ea3i ph\u00e1p c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng; c\u00f3 \u0111\u00e1nh gi\u00e1 t\u00e1c \u0111\u1ed9ng, so s\u00e1nh tr\u01b0\u1edbc-sau v\u00e0 c\u00f3 b\u1eb1ng ch\u1ee9ng c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng c\u1ee5 th\u1ec3 sau khi \u00e1p d\u1ee5ng c\u00e1c s\u00e1ng ki\u1ebfn, gi\u1ea3i ph\u00e1p. 117","D1.3 X\u00e2y d\u1ef1ng v\u0103n h\u00f3a ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 V\u0103n h\u00f3a ch\u1ea5t l\u01b0\u1ee3ng l\u00e0 \u201cgi\u00e1 tr\u1ecb c\u1ed1t l\u00f5i\u201d c\u1ee7a b\u1ec7nh vi\u1ec7n, l\u00e0 nh\u1eefng g\u00ec \u201c\u0111\u1ecdng l\u1ea1i\u201d v\u00e0 \u00fd trong l\u00f2ng ng\u01b0\u1eddi b\u1ec7nh sau khi ra vi\u1ec7n ho\u1eb7c ng\u01b0\u1eddi b\u1ec7nh ngh\u0129 \u0111\u1ebfn \u0111\u1ea7u ti\u00ean khi n\u00f3i ngh\u0129a \u0111\u1ebfn t\u00ean c\u1ee7a b\u1ec7nh vi\u1ec7n. M\u1ee9c 1 \uf0b7 V\u0103n h\u00f3a ch\u1ea5t l\u01b0\u1ee3ng v\u00e0 uy t\u00edn c\u1ea7n th\u1eddi gian l\u00e2u d\u00e0i \u0111\u1ec3 x\u00e2y d\u1ef1ng v\u00e0 b\u1ed3i \u0111\u1eafp, t\u1ea1o n\u00ean \u201cth\u01b0\u01a1ng hi\u1ec7u\u201d v\u00e0 s\u1ee9c h\u00fat cho b\u1ec7nh vi\u1ec7n, l\u00e0 y\u1ebfu t\u1ed1 s\u1ed1ng c\u00f2n t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn s\u1ef1 M\u1ee9c 2 t\u1ed3n t\u1ea1i v\u00e0 ph\u00e1t tri\u1ec3n c\u1ee7a b\u1ec7nh vi\u1ec7n. M\u1ee9c 3 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 4 1. B\u00e1o ch\u00ed v\u00e0 c\u01a1 quan truy\u1ec1n th\u00f4ng kh\u00e1c ph\u1ea3n \u00e1nh v\u1ec1 tai bi\u1ebfn\/s\u1ef1 c\u1ed1 y khoa ho\u1eb7c vi ph\u1ea1m y \u0111\u1ee9c nghi\u00eam tr\u1ecdng, g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u00ecnh \u1ea3nh c\u1ee7a b\u1ec7nh vi\u1ec7n v\u00e0 ng\u00e0nh y (sau khi x\u00e1c minh l\u00e0 \u0111\u00fang). 2. B\u00e1o ch\u00ed v\u00e0 c\u00e1c c\u01a1 quan truy\u1ec1n th\u00f4ng c\u00f3 ph\u1ea3n \u00e1nh v\u1ec1 c\u00e1c bi\u1ec3u hi\u1ec7n m\u1ea5t \u0111o\u00e0n k\u1ebft, d\u00e2n ch\u1ee7 c\u1ee7a b\u1ec7nh vi\u1ec7n (sau khi x\u00e1c minh l\u00e0 \u0111\u00fang). 3. Trong n\u0103m c\u00f3 x\u1ea3y ra s\u1ef1 c\u1ed1 y khoa nghi\u00eam tr\u1ecdng ho\u1eb7c c\u00e1c v\u1ee5 vi\u1ec7c ngo\u00e0i chuy\u00ean m\u00f4n trong cung \u1ee9ng d\u1ecbch v\u1ee5 c\u1ee7a b\u1ec7nh vi\u1ec7n, g\u00e2y \u1ea3nh h\u01b0\u1edfng l\u1edbn tr\u00ean ph\u1ea1m vi to\u00e0n qu\u1ed1c \u0111\u1ebfn h\u00ecnh \u1ea3nh v\u00e0 uy t\u00edn c\u1ee7a ng\u00e0nh y t\u1ebf. 4. B\u1ec7nh vi\u1ec7n t\u1ef1 qu\u1ea3ng c\u00e1o\/g\u1eafn sao kh\u00f4ng \u0111\u00fang v\u1edbi n\u0103ng l\u1ef1c chuy\u00ean m\u00f4n th\u1ef1c t\u1ebf; ho\u1eb7c qu\u1ea3ng c\u00e1o\/g\u1eafn sao cho c\u00e1c ph\u1ea1m tr\u00f9\/l\u0129nh v\u1ef1c kh\u00e1c ngo\u00e0i chuy\u00ean m\u00f4n c\u00f3 th\u1ec3 g\u00e2y hi\u1ec3u nh\u1ea7m v\u1edbi ch\u1ea5t l\u01b0\u1ee3ng chuy\u00ean m\u00f4n. 5. Kh\u00f4ng x\u1ea3y ra s\u1ef1 c\u1ed1 y khoa nghi\u00eam tr\u1ecdng ho\u1eb7c c\u00e1c v\u1ee5 vi\u1ec7c ngo\u00e0i chuy\u00ean m\u00f4n trong cung \u1ee9ng d\u1ecbch v\u1ee5 c\u1ee7a b\u1ec7nh vi\u1ec7n (c\u00f3 th\u1ec3 c\u00f3 s\u1ef1 c\u1ed1 y khoa ho\u1eb7c s\u1ef1 c\u1ed1 ngo\u00e0i chuy\u00ean m\u00f4n nh\u01b0ng ch\u01b0a g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn uy t\u00edn v\u00e0 h\u00ecnh \u1ea3nh c\u1ee7a ng\u00e0nh y t\u1ebf). 6. C\u00f3 bi\u1ec3u tr\u01b0ng (l\u00f4-g\u00f4) mang \u00fd ngh\u0129a v\u00e0 \u0111\u1eb7c tr\u01b0ng c\u1ee7a b\u1ec7nh vi\u1ec7n. 7. X\u00e2y d\u1ef1ng kh\u1ea9u hi\u1ec7u (slogan) mang \u00fd ngh\u0129a v\u00e0 \u0111\u1eb7c tr\u01b0ng c\u1ee7a b\u1ec7nh vi\u1ec7n. 8. C\u00f3 trang th\u00f4ng tin \u0111i\u1ec7n t\u1eed c\u1ee7a b\u1ec7nh vi\u1ec7n; th\u00f4ng tin c\u1eadp nh\u1eadt th\u01b0\u1eddng xuy\u00ean \u00edt nh\u1ea5t 1 tu\u1ea7n 1 l\u1ea7n. 9. Trang th\u00f4ng tin \u0111i\u1ec7n t\u1eed c\u1ee7a b\u1ec7nh vi\u1ec7n cung c\u1ea5p c\u00e1c th\u00f4ng tin chung v\u1ec1 b\u1ec7nh vi\u1ec7n: l\u1ecbch s\u1eed h\u00ecnh th\u00e0nh v\u00e0 ph\u00e1t tri\u1ec3n; th\u00e0nh t\u00edch; s\u01a1 \u0111\u1ed3 t\u1ed5 ch\u1ee9c; b\u1ed9 m\u00e1y nh\u00e2n s\u1ef1, l\u00e3nh \u0111\u1ea1o; bi\u1ec3u tr\u01b0ng, kh\u1ea9u hi\u1ec7u, l\u1ecbch l\u00e0m vi\u1ec7c, gi\u00e1 d\u1ecbch v\u1ee5 y t\u1ebf, truy\u1ec1n th\u00f4ng gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe; \u01b0u, nh\u01b0\u1ee3c \u0111i\u1ec3m v\u1ec1 c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n\u2026 10. X\u00e2y d\u1ef1ng b\u1ed9 nh\u1eadn di\u1ec7n th\u01b0\u01a1ng hi\u1ec7u v\u00e0 quy \u0111\u1ecbnh s\u1eed d\u1ee5ng b\u1ed9 nh\u1eadn di\u1ec7n th\u01b0\u01a1ng hi\u1ec7u. 11. \u00c1p d\u1ee5ng b\u1ed9 nh\u1eadn di\u1ec7n th\u01b0\u01a1ng hi\u1ec7u tr\u00ean to\u00e0n b\u1ed9 c\u00e1c ho\u1ea1t \u0111\u1ed9ng ch\u00ednh th\u1ee9c c\u1ee7a b\u1ec7nh vi\u1ec7n. 12. C\u00f4ng b\u1ed1 b\u1ed9 nh\u1eadn di\u1ec7n th\u01b0\u01a1ng hi\u1ec7u v\u00e0 s\u1eed d\u1ee5ng th\u1ed1ng nh\u1ea5t tr\u00ean ph\u1ea1m vi to\u00e0n b\u1ec7nh vi\u1ec7n. 13. C\u00f3 h\u00ecnh th\u1ee9c khuy\u1ebfn kh\u00edch c\u00e1c khoa\/ph\u00f2ng x\u00e2y d\u1ef1ng c\u00e1c kh\u1ea9u hi\u1ec7u, m\u1ee5c ti\u00eau ch\u1ea5t l\u01b0\u1ee3ng c\u1ee5 th\u1ec3 c\u1ee7a ri\u00eang t\u1eebng khoa\/ph\u00f2ng \u0111\u1ec3 nh\u00e2n vi\u00ean c\u00f9ng ph\u1ea5n \u0111\u1ea5u v\u00e0 h\u01b0\u1edbng t\u1edbi c\u00e1c m\u1ee5c ti\u00eau ch\u1ea5t l\u01b0\u1ee3ng. 14. C\u00f3 \u00edt nh\u1ea5t 30% khoa\/ph\u00f2ng \u0111\u00e3 x\u00e2y d\u1ef1ng c\u00e1c kh\u1ea9u hi\u1ec7u, m\u1ee5c ti\u00eau ch\u1ea5t l\u01b0\u1ee3ng. 15. C\u00f3 \u00edt nh\u1ea5t 10% c\u00e1c kh\u1ea9u hi\u1ec7u, m\u1ee5c ti\u00eau ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a khoa\/ph\u00f2ng mang \u00fd ngh\u0129a \u0111\u1eb7c tr\u01b0ng cho t\u00ednh ch\u1ea5t c\u00f4ng vi\u1ec7c c\u1ee7a khoa\/ph\u00f2ng \u0111\u00f3. 16. C\u00f3 h\u00ecnh th\u1ee9c khuy\u1ebfn kh\u00edch, th\u00fac \u0111\u1ea9y nh\u00e2n vi\u00ean y t\u1ebf c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng. 118","M\u1ee9c 5 17. C\u00f3 \u0111o\u1ea1n phim ng\u1eafn trong v\u00f2ng 5-10 ph\u00fat gi\u1edbi thi\u1ec7u v\u1ec1 b\u1ec7nh vi\u1ec7n, c\u00f3 l\u1eddi b\u00ecnh b\u1eb1ng ti\u1ebfng Vi\u1ec7t, ph\u1ee5 \u0111\u1ec1 ti\u1ebfng Anh (ho\u1eb7c ng\u01b0\u1ee3c l\u1ea1i). 18. C\u00f3 \u00edt nh\u1ea5t 70% khoa\/ph\u00f2ng \u0111\u00e3 x\u00e2y d\u1ef1ng c\u00e1c kh\u1ea9u hi\u1ec7u, m\u1ee5c ti\u00eau ch\u1ea5t l\u01b0\u1ee3ng. 19. C\u00f3 \u00edt nh\u1ea5t 50% c\u00e1c kh\u1ea9u hi\u1ec7u, m\u1ee5c ti\u00eau ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a khoa\/ph\u00f2ng mang \u00fd ngh\u0129a \u0111\u1eb7c tr\u01b0ng cho t\u00ednh ch\u1ea5t c\u00f4ng vi\u1ec7c c\u1ee7a khoa\/ph\u00f2ng \u0111\u00f3. 20. T\u1eebng b\u01b0\u1edbc x\u00e2y d\u1ef1ng \u201cv\u0103n h\u00f3a ch\u1ea5t l\u01b0\u1ee3ng\u201d th\u00f4ng qua c\u00e1c h\u00ecnh th\u1ee9c khuy\u1ebfn kh\u00edch, th\u00fac \u0111\u1ea9y to\u00e0n b\u1ed9 nh\u00e2n vi\u00ean y t\u1ebf h\u01b0\u1edbng t\u1edbi c\u00e1c m\u1ee5c ti\u00eau ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a b\u1ec7nh vi\u1ec7n v\u00e0 c\u1ee7a t\u1eebng khoa\/ph\u00f2ng. 21. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 \u00fd ki\u1ebfn t\u00edch c\u1ef1c v\u1ec1 phong c\u00e1ch v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng d\u1ecbch v\u1ee5 kh\u00e1m, ch\u1eefa b\u1ec7nh (d\u1ef1a tr\u00ean c\u00e1c k\u00eanh ph\u1ea3n h\u1ed3i th\u00f4ng tin c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh). 22. L\u00e0 m\u00f4 h\u00ecnh ki\u1ec3u m\u1eabu ho\u1eb7c t\u1ea5m g\u01b0\u01a1ng, \u201c\u0111i\u1ec3m s\u00e1ng\u201d v\u1ec1 c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cho c\u00e1c b\u1ec7nh vi\u1ec7n kh\u00e1c h\u1ecdc t\u1eadp. 119","CH\u01af\u01a0NG D2. PH\u00d2NG NG\u1eeaA C\u00c1C S\u1ef0 C\u1ed0 V\u00c0 KH\u1eaeC PH\u1ee4C D2.1 Ph\u00f2ng ng\u1eeba c\u00e1c nguy c\u01a1, di\u1ec5n bi\u00ea\u0301n b\u1ea5t th\u01b0\u1eddng xa\u0309y ra v\u1edbi ng\u01b0\u1eddi b\u1ec7nh C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Lu\u1eadt kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh s\u1ed1 40\/2009\/QH12 ng\u00e0y 23\/11\/2009. v\u00e0 \u00fd ngh\u0129a \uf0b7 Quy ch\u1ebf c\u1ea5p c\u1ee9u (Quy\u1ebft \u0111\u1ecbnh s\u1ed1 01\/2008\/Q\u0110-BYT). M\u1ee9c 1 \uf0b7 Trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb, ng\u01b0\u1eddi b\u1ec7nh g\u1eb7p ph\u1ea3i c\u00e1c t\u00ecnh hu\u1ed1ng nguy hi\u1ec3m ho\u1eb7c M\u1ee9c 2 di\u1ec5n bi\u1ebfn x\u1ea5u c\u1ea7n c\u00f3 nh\u00e2n vi\u00ean y t\u1ebf x\u1eed tr\u00ed k\u1ecbp th\u1eddi \u0111\u1ec3 ph\u00f2ng tr\u00e1nh c\u00e1c r\u1ee7i ro, M\u1ee9c 3 bi\u1ebfn ch\u1ee9ng, tai bi\u1ebfn x\u1ea3y ra. M\u1ee9c 4 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 5 1. C\u00f3 tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi b\u1ec7nh g\u1eb7p di\u1ec5n bi\u1ebfn x\u1ea5u nh\u01b0ng kh\u00f4ng g\u1ecdi \u0111\u01b0\u1ee3c nh\u00e2n vi\u00ean y t\u1ebf, g\u00e2y h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng (t\u1eed vong ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng kh\u00f4ng h\u1ed3i ph\u1ee5c). 2. C\u00f3 bi\u1ec3n b\u00e1o, h\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi b\u1ec7nh c\u00e1ch g\u1ecdi nh\u00e2n vi\u00ean y t\u1ebf trong tr\u01b0\u1eddng h\u1ee3p kh\u1ea9n c\u1ea5p t\u1ea1i c\u00e1c v\u1ecb tr\u00ed d\u1ec5 quan s\u00e1t. 3. C\u00f3 chu\u00f4ng (ho\u1eb7c h\u00ecnh th\u1ee9c kh\u00e1c) \u0111\u1ec3 li\u00ean h\u1ec7 ho\u1eb7c b\u00e1o g\u1ecdi nh\u00e2n vi\u00ean y t\u1ebf t\u1ea1i c\u00e1c khoa l\u00e2m s\u00e0ng trong tr\u01b0\u1eddng h\u1ee3p c\u1ea7n thi\u1ebft. 4. Gi\u01b0\u1eddng chuy\u00ean d\u00f9ng cho h\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u c\u00f3 h\u1ec7 th\u1ed1ng b\u00e1o g\u1ecdi. 5. C\u00f3 h\u1ec7 th\u1ed1ng chu\u00f4ng ho\u1eb7c \u0111\u00e8n b\u00e1o \u0111\u1ea7u gi\u01b0\u1eddng t\u1ea1i to\u00e0n b\u1ed9 c\u00e1c gi\u01b0\u1eddng b\u1ec7nh c\u1ea5p c\u1ee9u v\u00e0 c\u00e1c gi\u01b0\u1eddng c\u00f3 ng\u01b0\u1eddi b\u1ec7nh ch\u0103m s\u00f3c c\u1ea5p I. 6. C\u00f3 h\u1ec7 th\u1ed1ng \u00f4-xy trung t\u00e2m cho ph\u00f2ng c\u1ea5p c\u1ee9u c\u1ee7a khoa. 7. C\u00e1c m\u00e1y th\u1edf, m\u00e1y theo d\u00f5i li\u00ean t\u1ee5c cho ng\u01b0\u1eddi b\u1ec7nh, m\u00e1y truy\u1ec1n d\u1ecbch\u2026 t\u1ea1i gi\u01b0\u1eddng c\u1ea5p c\u1ee9u c\u00f3 c\u1ea3nh b\u00e1o t\u1ef1 \u0111\u1ed9ng n\u1ebfu g\u1eb7p t\u00ecnh hu\u1ed1ng nguy hi\u1ec3m. 8. C\u00f3 c\u00e1n b\u1ed9 y t\u1ebf tr\u1ef1c theo d\u00f5i camera ho\u1eb7c theo d\u00f5i tr\u1ef1c ti\u1ebfp bu\u1ed3ng b\u1ec7nh 24\/24 gi\u1edd \u0111\u1ed1i v\u1edbi c\u00e1c bu\u1ed3ng b\u1ec7nh c\u1ea5p c\u1ee9u, \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c. 9. \u0110\u1ecbnh k\u1ef3 \u00edt nh\u1ea5t 6 th\u00e1ng 1 l\u1ea7n ti\u1ebfn h\u00e0nh r\u00e0 so\u00e1t v\u00e0 \u0111\u00e1nh gi\u00e1 d\u1ef1a tr\u00ean b\u1ea3ng ki\u1ec3m vi\u1ec7c th\u1ef1c hi\u1ec7n ph\u00f2ng ng\u1eeba c\u00e1c nguy c\u01a1, di\u1ec5n bi\u1ebfn x\u1ea5u x\u1ea3y ra v\u1edbi ng\u01b0\u1eddi b\u1ec7nh t\u1ea1i c\u00e1c khu v\u1ef1c c\u00f3 nguy c\u01a1 cao ho\u1eb7c \u0111\u00e3 x\u1ea3y ra c\u00e1c s\u1ef1 c\u1ed1, trong \u0111\u00f3 c\u00f3 ph\u00e1t hi\u1ec7n nh\u1eefng nh\u01b0\u1ee3c \u0111i\u1ec3m c\u1ea7n kh\u1eafc ph\u1ee5c, ph\u00e2n t\u00edch c\u00e1c s\u1ef1 c\u1ed1 y khoa \u0111\u00e3 x\u1ea3y ra (n\u1ebfu c\u00f3). 10. C\u00e1c m\u00e1y th\u1edf, m\u00e1y theo d\u00f5i li\u00ean t\u1ee5c cho ng\u01b0\u1eddi b\u1ec7nh, m\u00e1y truy\u1ec1n d\u1ecbch\u2026 t\u1ea1i c\u00e1c gi\u01b0\u1eddng b\u1ec7nh \u0111\u1ec1u c\u00f3 c\u1ea3nh b\u00e1o t\u1ef1 \u0111\u1ed9ng n\u1ebfu g\u1eb7p t\u00ecnh hu\u1ed1ng nguy hi\u1ec3m. 11. C\u00f3 h\u1ec7 th\u1ed1ng \u00f4-xy trung t\u00e2m cho to\u00e0n b\u1ed9 gi\u01b0\u1eddng b\u1ec7nh c\u1ee7a b\u1ec7nh vi\u1ec7n. 12. C\u00f3 h\u1ec7 th\u1ed1ng chu\u00f4ng ho\u1eb7c \u0111\u00e8n b\u00e1o \u0111\u1ea7u gi\u01b0\u1eddng t\u1ea1i to\u00e0n b\u1ed9 c\u00e1c gi\u01b0\u1eddng b\u1ec7nh. 13. B\u00ean trong to\u00e0n b\u1ed9 c\u00e1c bu\u1ed3ng v\u1ec7 sinh c\u00f3 chu\u00f4ng b\u00e1o g\u1ecdi tr\u1ee3 gi\u00fap trong tr\u01b0\u1eddng h\u1ee3p c\u1ea7n thi\u1ebft (t\u1ef7 l\u1ec7 100% c\u00e1c bu\u1ed3ng v\u1ec7 sinh c\u00f3 chu\u00f4ng b\u00e1o g\u1ecdi). 14. C\u00f3 camera theo d\u00f5i ng\u01b0\u1eddi b\u1ec7nh theo y\u00eau c\u1ea7u c\u1ee7a ng\u01b0\u1eddi nh\u00e0 ng\u01b0\u1eddi b\u1ec7nh. 15. Ti\u1ebfn h\u00e0nh c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng, ph\u00f2ng ng\u1eeba c\u00e1c nguy c\u01a1, di\u1ec5n bi\u1ebfn x\u1ea5u x\u1ea3y ra v\u1edbi ng\u01b0\u1eddi b\u1ec7nh d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1 theo b\u1ea3ng ki\u1ec3m. 120","D2.2 X\u00e2y d\u1ef1ng h\u1ec7 th\u1ed1ng b\u00e1o c\u00e1o, ph\u00e2n t\u00edch s\u1ef1 c\u1ed1 y khoa v\u00e0 ti\u00ea\u0301n h\u00e0nh c\u00e1c gia\u0309i ph\u00e1p C\u0103n c\u1ee9 kh\u1eafc ph\u1ee5c \u0111\u1ec1 xu\u1ea5t v\u00e0 \u00fd \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 19\/2013\/TT-BYT ng\u00e0y 12\/7\/2013 c\u1ee7a B\u1ed9 Y t\u1ebf v\u1ec1 vi\u1ec7c h\u01b0\u1edbng d\u1eabn ngh\u0129a qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng d\u1ecbch v\u1ee5 kh\u00e1m, ch\u1eefa b\u1ec7nh t\u1ea1i b\u1ec7nh vi\u1ec7n. M\u1ee9c 1 \uf0b7 Trong th\u1eddi gian g\u1ea7n \u0111\u00e2y, c\u00e1c s\u1ef1 c\u1ed1 y khoa \u0111\u00e3 x\u1ea3y ra t\u1ea1i nhi\u1ec1u b\u1ec7nh vi\u1ec7n; c\u00f3 M\u1ee9c 2 nh\u1eefng s\u1ef1 c\u1ed1 g\u00e2y h\u1eadu qu\u1ea3 cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 ng\u00e0nh y t\u1ebf. M\u1ee9c 3 \uf0b7 \u0110a s\u1ed1 c\u00e1c s\u1ef1 c\u1ed1 y khoa \u0111\u01b0\u1ee3c b\u00e1o ch\u00ed v\u00e0 c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n truy\u1ec1n th\u00f4ng ph\u00e1t hi\u1ec7n v\u00e0 \u0111\u0103ng t\u1ea3i tr\u01b0\u1edbc khi \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o v\u1edbi c\u00e1c c\u01a1 quan qu\u1ea3n l\u00fd. M\u1ee9c 4 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 5 1. Kh\u00f4ng tri\u1ec3n khai h\u1ec7 th\u1ed1ng b\u00e1o c\u00e1o s\u1ef1 c\u1ed1 y khoa (b\u1eb1ng s\u1ed5 s\u00e1ch ho\u1eb7c ph\u1ea7n m\u1ec1m m\u00e1y t\u00ednh). 2. Ph\u00e1t hi\u1ec7n th\u1ea5y b\u1ec7nh vi\u1ec7n c\u00f3 s\u1ef1 c\u1ed1 y khoa \u0111\u00e3 x\u1ea3y ra trong n\u0103m nh\u01b0ng kh\u00f4ng \u0111\u01b0\u1ee3c h\u1ec7 th\u1ed1ng b\u00e1o c\u00e1o s\u1ef1 c\u1ed1 y khoa ghi nh\u1eadn. 3. C\u00f3 h\u1ec7 th\u1ed1ng b\u00e1o c\u00e1o s\u1ef1 c\u1ed1 y khoa chung c\u1ee7a to\u00e0n b\u1ec7nh vi\u1ec7n. 4. H\u1ec7 th\u1ed1ng b\u00e1o c\u00e1o s\u1ef1 c\u1ed1 y khoa c\u00f3 ghi nh\u1eadn c\u00e1c s\u1ef1 c\u1ed1 x\u1ea3y ra. 5. To\u00e0n b\u1ed9 c\u00e1c s\u1ef1 c\u1ed1 y khoa x\u1ea3y ra trong n\u0103m \u0111\u01b0\u1ee3c h\u1ec7 th\u1ed1ng b\u00e1o c\u00e1o s\u1ef1 c\u1ed1 y khoa chung c\u1ee7a b\u1ec7nh vi\u1ec7n ghi nh\u1eadn \u0111\u1ea7y \u0111\u1ee7, kh\u00f4ng b\u1ecf s\u00f3t c\u00e1c s\u1ef1 c\u1ed1. 6. B\u1ec7nh vi\u1ec7n c\u00f3 quy \u0111\u1ecbnh v\u1ec1 vi\u1ec7c qu\u1ea3n l\u00fd s\u1ef1 c\u1ed1 y khoa. 7. 100% c\u00e1c khoa l\u00e2m s\u00e0ng, c\u1eadn l\u00e2m s\u00e0ng v\u00e0 c\u00e1c khoa\/ph\u00f2ng tri\u1ec3n khai h\u1ec7 th\u1ed1ng b\u00e1o c\u00e1o s\u1ef1 c\u1ed1 y khoa theo quy \u0111\u1ecbnh c\u1ee7a b\u1ec7nh vi\u1ec7n. 8. H\u1ec7 th\u1ed1ng b\u00e1o c\u00e1o s\u1ef1 c\u1ed1 y khoa c\u00f3 ghi \u0111\u1ea7y \u0111\u1ee7, trung th\u1ef1c c\u00e1c th\u00f4ng tin, th\u1eddi gian, di\u1ec5n bi\u1ebfn s\u1ef1 c\u1ed1 x\u1ea3y ra; cung c\u1ea5p \u0111\u01b0\u1ee3c \u0111\u1ee7 th\u00f4ng tin cho vi\u1ec7c ph\u00e2n t\u00edch s\u1ef1 c\u1ed1 \u0111\u1ec3 r\u00fat kinh nghi\u1ec7m. 9. Tri\u1ec3n khai th\u1ef1c hi\u1ec7n phi\u1ebfu b\u00e1o c\u00e1o s\u1ef1 c\u1ed1 y khoa t\u1ef1 nguy\u1ec7n (ho\u1eb7c h\u00ecnh th\u1ee9c b\u00e1o c\u00e1o t\u1ef1 nguy\u1ec7n kh\u00e1c) cho nh\u00e2n vi\u00ean y t\u1ebf. 10. Nh\u00e2n vi\u00ean c\u00f3 b\u00e1o c\u00e1o s\u1ef1 c\u1ed1 y khoa \u0111\u1ea7y \u0111\u1ee7 theo phi\u1ebfu b\u00e1o c\u00e1o khi x\u1ea3y ra s\u1ef1 c\u1ed1 y khoa (ho\u1eb7c theo c\u00e1c h\u00ecnh th\u1ee9c b\u00e1o c\u00e1o t\u1ef1 nguy\u1ec7n kh\u00e1c c\u1ee7a b\u1ec7nh vi\u1ec7n). 11. C\u00f3 \u0111i\u1ec1u tra, ph\u00e2n t\u00edch, t\u00ecm nguy\u00ean nh\u00e2n g\u1ed1c r\u1ec5 v\u00e0 \u0111\u1ec1 xu\u1ea5t gi\u1ea3i ph\u00e1p c\u1ea3i ti\u1ebfn tr\u00e1nh l\u1eb7p l\u1ea1i c\u00e1c s\u1ef1 c\u1ed1 y khoa \u0111\u00e3 x\u1ea3y ra. 12. C\u00f3 ph\u00e2n t\u00edch s\u1ef1 c\u1ed1 y khoa theo \u0111\u1ecbnh k\u1ef3 \u00edt nh\u1ea5t 1 l\u1ea7n trong 6 th\u00e1ng v\u00e0 ph\u1ea3n h\u1ed3i cho c\u00e1 nh\u00e2n v\u00e0 t\u1eadp th\u1ec3 li\u00ean quan. 13. C\u00f3 h\u00ecnh th\u1ee9c \u0111\u1ed9ng vi\u00ean, khuy\u1ebfn kh\u00edch cho ng\u01b0\u1eddi t\u1ef1 gi\u00e1c, t\u1ef1 nguy\u1ec7n b\u00e1o c\u00e1o s\u1ef1 c\u1ed1 y khoa. 14. C\u00f3 t\u1ed5ng h\u1ee3p, ph\u00e2n t\u00edch s\u1ed1 li\u1ec7u v\u1ec1 s\u1ef1 c\u1ed1 y khoa x\u1ea3y ra t\u1ea1i b\u1ec7nh vi\u1ec7n \u0111\u1ecbnh k\u1ef3 h\u1eb1ng n\u0103m v\u00e0 g\u1eedi b\u00e1o c\u00e1o t\u1edbi c\u00e1c khoa\/ph\u00f2ng. 15. C\u00f3 x\u00e2y d\u1ef1ng c\u00e1c gi\u1ea3i ph\u00e1p kh\u1eafc ph\u1ee5c s\u1ef1 c\u1ed1 y khoa \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o. 16. C\u00f3 ti\u1ebfn h\u00e0nh r\u00e0 so\u00e1t, \u0111\u00e1nh gi\u00e1 l\u1ea1i \u00edt nh\u1ea5t 1 l\u1ea7n trong n\u0103m vi\u1ec7c ghi ch\u00e9p, b\u00e1o c\u00e1o v\u1ec1 s\u1ef1 c\u1ed1 y khoa t\u1ea1i b\u1ec7nh vi\u1ec7n, trong \u0111\u00f3 x\u00e1c \u0111\u1ecbnh nh\u1eefng vi\u1ec7c \u0111\u00e3 l\u00e0m, ch\u01b0a l\u00e0m \u0111\u01b0\u1ee3c, ho\u1eb7c ch\u01b0a \u0111\u1ea1t y\u00eau c\u1ea7u v\u00e0 c\u00e1c m\u1eb7t h\u1ea1n ch\u1ebf c\u1ea7n kh\u1eafc ph\u1ee5c. 17. \u00c1p d\u1ee5ng c\u00f4ng ngh\u1ec7 th\u00f4ng tin \u0111\u1ec3 x\u00e2y d\u1ef1ng h\u1ec7 th\u1ed1ng ghi nh\u1eadn v\u00e0 qu\u1ea3n l\u00fd c\u00e1c s\u1ef1 c\u1ed1 y khoa b\u1eb1ng ph\u1ea7n m\u1ec1m \u0111i\u1ec7n t\u1eed. 18. Ph\u1ea7n m\u1ec1m c\u00f4ng ngh\u1ec7 th\u00f4ng tin t\u1ef1 \u0111\u1ed9ng ph\u00e2n t\u00edch v\u00e0 chi\u1ebft xu\u1ea5t k\u1ebft qu\u1ea3 d\u01b0\u1edbi 121","d\u1ea1ng h\u00ecnh v\u1ebd, bi\u1ec3u \u0111\u1ed3\u2026 c\u00e1c s\u1ef1 c\u1ed1 y khoa \u0111\u00e3 x\u1ea3y ra theo \u0111\u1ecba \u0111i\u1ec3m, th\u1eddi gian, t\u1ea7n su\u1ea5t\u2026 x\u1ea3y ra. 19. C\u00e1c s\u1ef1 c\u1ed1 y khoa x\u1ea3y ra \u0111\u01b0\u1ee3c xem x\u00e9t v\u00e0 t\u00ecm ra nguy\u00ean nh\u00e2n g\u1ed1c d\u1ef1a v\u00e0o c\u00e1c ph\u01b0\u01a1ng ph\u00e1p, m\u00f4 h\u00ecnh ph\u00e2n t\u00edch nguy\u00ean nh\u00e2n g\u1ed1c r\u1ec5. 20. Ti\u1ebfn h\u00e0nh c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng h\u1ec7 th\u1ed1ng b\u00e1o c\u00e1o s\u1ef1 c\u1ed1 y khoa, \u0111\u1eb7c bi\u1ec7t h\u1ec7 th\u1ed1ng b\u00e1o c\u00e1o s\u1ef1 c\u1ed1 t\u1ef1 nguy\u1ec7n v\u00e0 c\u00e1c phi\u1ebfu b\u00e1o c\u00e1o s\u1ef1 c\u1ed1. 21. X\u00e2y d\u1ef1ng \u201cv\u0103n h\u00f3a t\u1ef1 gi\u00e1c\u201d b\u00e1o c\u00e1o s\u1ef1 c\u1ed1 y khoa: kh\u00f4ng c\u00f3 nh\u00e2n vi\u00ean y t\u1ebf che gi\u1ea5u c\u00e1c s\u1ef1 c\u1ed1 y khoa \u0111\u00e3 x\u1ea3y ra v\u00e0 s\u1ef1 c\u1ed1 \u201cg\u1ea7n nh\u01b0 s\u1eafp x\u1ea3y ra\u201d (near miss). 122","D2.3 Th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba \u0111\u1ec3 gia\u0309m thi\u1ec3u c\u00e1c s\u1ef1 c\u1ed1 y khoa C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 19\/2013\/TT-BYT ng\u00e0y 12\/7\/2013 c\u1ee7a B\u1ed9 Y t\u1ebf v\u1ec1 vi\u1ec7c h\u01b0\u1edbng d\u1eabn v\u00e0 \u00fd qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng d\u1ecbch v\u1ee5 kh\u00e1m, ch\u1eefa b\u1ec7nh t\u1ea1i b\u1ec7nh vi\u1ec7n. ngh\u0129a \uf0b7 C\u00e1c s\u1ef1 c\u1ed1 x\u1ea3y ra s\u1ebd \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn an to\u00e0n v\u00e0 t\u00ednh m\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh. Vi\u1ec7c M\u1ee9c 1 ph\u00f2ng ng\u1eeba s\u1ef1 c\u1ed1 l\u00e0 v\u1ea5n \u0111\u1ec1 quan tr\u1ecdng, \u0111\u01b0\u1ee3c quan t\u00e2m hi\u1ec7n nay. M\u1ee9c 2 \uf0b7 Nhi\u1ec1u s\u1ef1 c\u1ed1 c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba \u0111\u01b0\u1ee3c v\u00e0 n\u1ebfu l\u00e0m t\u1ed1t s\u1ebd h\u1ea1n ch\u1ebf \u0111\u01b0\u1ee3c nhi\u1ec1u tai M\u1ee9c 3 bi\u1ebfn, s\u1ef1 c\u1ed1 y khoa; gi\u00fap n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng kh\u00e1m ch\u1eefa b\u1ec7nh. M\u1ee9c 4 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng 1. B\u1ec7nh vi\u1ec7n ch\u01b0a tri\u1ec3n khai c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba c\u00e1c s\u1ef1 c\u1ed1 y khoa. 2. *C\u00f3 c\u00e1c b\u1ea3ng ki\u1ec3m an to\u00e0n ph\u1eabu thu\u1eadt, th\u1ee7 thu\u1eadt trong ph\u00f2ng m\u1ed5 v\u00e0 ph\u00f2ng l\u00e0m th\u1ee7 thu\u1eadt h\u01b0\u1edbng d\u1eabn ki\u1ec3m tra, r\u00e0 so\u00e1t qu\u00e1 tr\u00ecnh l\u00e0m th\u1ee7 thu\u1eadt, ch\u1ed1ng th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt\/th\u1ee7 thu\u1eadt sai v\u1ecb tr\u00ed, sai ng\u01b0\u1eddi b\u1ec7nh, sai thu\u1ed1c, sai \u0111\u01b0\u1eddng\/k\u1ef9 thu\u1eadt th\u1ef1c hi\u1ec7n\u2026 3. C\u00f3 quy t\u1eafc, quy ch\u1ebf ki\u1ec3m tra l\u1ea1i thu\u1ed1c v\u00e0 d\u1ecbch truy\u1ec1n tr\u01b0\u1edbc khi \u0111\u01b0a thu\u1ed1c ho\u1eb7c ti\u00eam, truy\u1ec1n cho ng\u01b0\u1eddi b\u1ec7nh. 4. C\u00f3 b\u1ea3n danh s\u00e1ch th\u1ed1ng k\u00ea c\u00e1c s\u1ef1 c\u1ed1 y khoa th\u01b0\u1eddng x\u1ea3y ra v\u00e0 c\u00e1c quy tr\u00ecnh k\u1ef9 thu\u1eadt c\u00f3 li\u00ean quan th\u01b0\u1eddng x\u1ea3y ra c\u00e1c s\u1ef1 c\u1ed1 y khoa. 5. *Tri\u1ec3n khai \u00e1p d\u1ee5ng b\u1ea3ng ki\u1ec3m an to\u00e0n ph\u1eabu thu\u1eadt, th\u1ee7 thu\u1eadt t\u1ea1i ph\u00f2ng m\u1ed5 cho \u00edt nh\u1ea5t 50% s\u1ed1 ca ph\u1eabu thu\u1eadt tr\u1edf l\u00ean. 6. C\u00f3 x\u00e2y d\u1ef1ng b\u1ea3ng ki\u1ec3m \u0111\u00e1nh gi\u00e1 vi\u1ec7c tu\u00e2n th\u1ee7 cho \u00edt nh\u1ea5t 5 quy tr\u00ecnh k\u1ef9 thu\u1eadt (\u01b0u ti\u00ean c\u00e1c quy tr\u00ecnh \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n th\u01b0\u1eddng xuy\u00ean t\u1ea1i b\u1ec7nh vi\u1ec7n). 7. C\u00f3 ki\u1ec3m tra (\u0111\u1ecbnh k\u1ef3 th\u01b0\u1eddng xuy\u00ean ho\u1eb7c \u0111\u1ed9t xu\u1ea5t) vi\u1ec7c tu\u00e2n th\u1ee7 quy tr\u00ecnh k\u1ef9 thu\u1eadt theo c\u00e1c b\u1ea3ng ki\u1ec3m \u0111\u00e3 x\u00e2y d\u1ef1ng, c\u00f3 bi\u00ean b\u1ea3n ki\u1ec3m tra l\u01b0u tr\u1eef. 8. C\u00f3 ghi l\u1ea1i v\u00e0 c\u00f3 b\u00e1o c\u00e1o c\u00e1c h\u00e0nh vi \u0111\u00e3 x\u1ea3y ra tr\u00ean th\u1ef1c t\u1ebf, c\u00f3 th\u1ec3 g\u00e2y ra h\u1eadu qu\u1ea3 nh\u01b0ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 ng\u0103n ch\u1eb7n k\u1ecbp th\u1eddi (l\u00e0 c\u00e1c s\u1ef1 c\u1ed1 \u201cg\u1ea7n nh\u01b0 s\u1eafp x\u1ea3y ra\u201d. 9. C\u00f3 x\u00e2y d\u1ef1ng b\u1ea3ng ki\u1ec3m \u0111\u00e1nh gi\u00e1 t\u00ecnh h\u00ecnh th\u1ef1c t\u1ebf \u00e1p d\u1ee5ng b\u1ea3ng ki\u1ec3m an to\u00e0n ph\u1eabu thu\u1eadt, th\u1ee7 thu\u1eadt t\u1ea1i ph\u00f2ng ph\u1eabu thu\u1eadt, ph\u00f2ng th\u1ee7 thu\u1eadt. 10. C\u00f3 ti\u1ebfn h\u00e0nh gi\u00e1m s\u00e1t vi\u1ec7c \u00e1p d\u1ee5ng b\u1ea3ng ki\u1ec3m an to\u00e0n ph\u1eabu thu\u1eadt, th\u1ee7 thu\u1eadt theo h\u00ecnh th\u1ee9c ki\u1ec3m tra ng\u1eabu nhi\u00ean, kh\u00f4ng b\u00e1o tr\u01b0\u1edbc t\u1ea1i c\u00e1c ph\u00f2ng ph\u1eabu thu\u1eadt, ph\u00f2ng th\u1ee7 thu\u1eadt (ph\u00f2ng qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng l\u00e0m \u0111\u1ea7u m\u1ed1i gi\u00e1m s\u00e1t ho\u1eb7c do h\u1ed9i \u0111\u1ed3ng ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a b\u1ec7nh vi\u1ec7n ph\u00e2n c\u00f4ng). 11. *C\u00f3 b\u00e1o c\u00e1o gi\u00e1m s\u00e1t vi\u1ec7c \u00e1p d\u1ee5ng b\u1ea3ng ki\u1ec3m an to\u00e0n ph\u1eabu thu\u1eadt, th\u1ee7 thu\u1eadt, trong \u0111\u00f3 c\u00f3 ph\u00e2n t\u00edch s\u1ed1 li\u1ec7u, bi\u1ec3u \u0111\u1ed3, t\u00ednh to\u00e1n t\u1ef7 l\u1ec7 tu\u00e2n th\u1ee7 \u00e1p d\u1ee5ng b\u1ea3ng ki\u1ec3m chia theo k\u00edp m\u1ed5 (ho\u1eb7c k\u00edp l\u00e0m th\u1ee7 thu\u1eadt); chia theo khoa l\u00e2m s\u00e0ng (ho\u1eb7c ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n\u2026). 12. X\u00e2y d\u1ef1ng b\u1ea3ng ki\u1ec3m \u0111\u00e1nh gi\u00e1 vi\u1ec7c tu\u00e2n th\u1ee7 cho \u00edt nh\u1ea5t 10 quy tr\u00ecnh k\u1ef9 thu\u1eadt (\u01b0u ti\u00ean c\u00e1c quy tr\u00ecnh \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n th\u01b0\u1eddng xuy\u00ean t\u1ea1i b\u1ec7nh vi\u1ec7n). 13. C\u00e1c s\u1ef1 c\u1ed1 \u201cg\u1ea7n nh\u01b0 s\u1eafp x\u1ea3y ra\u201d \u0111\u01b0\u1ee3c thu th\u1eadp, t\u1ed5ng h\u1ee3p v\u00e0 r\u00fat kinh nghi\u1ec7m tr\u00ean to\u00e0n b\u1ec7nh vi\u1ec7n. 14. C\u00f3 b\u00e1o c\u00e1o \u0111\u00e1nh gi\u00e1 ho\u1eb7c nghi\u00ean c\u1ee9u v\u1ec1 s\u1ef1 c\u1ed1 v\u00e0 ph\u00e2n t\u00edch xu h\u01b0\u1edbng, nguy\u00ean nh\u00e2n v\u00e0 \u0111\u1ec1 xu\u1ea5t gi\u1ea3i ph\u00e1p h\u1ea1n ch\u1ebf s\u1ef1 c\u1ed1 y khoa. 123","M\u1ee9c 5 15. B\u00e1o c\u00e1o \u0111\u00e1nh gi\u00e1, nghi\u00ean c\u1ee9u v\u1ec1 s\u1ef1 c\u1ed1 y khoa c\u00f3 t\u1ef7 l\u1ec7 s\u1ef1 c\u1ed1 y khoa c\u1ee5 th\u1ec3 t\u1ea1i Ghi chu\u0301 m\u1ed9t s\u1ed1 l\u0129nh v\u1ef1c, khoa\/ph\u00f2ng v\u00e0 \u0111\u1ec1 xu\u1ea5t gi\u1ea3i ph\u00e1p c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng. 16. \u00c1p d\u1ee5ng c\u00e1c k\u1ebft qu\u1ea3 ph\u00e2n t\u00edch, \u0111\u00e1nh gi\u00e1 v\u00e0o vi\u1ec7c tri\u1ec3n khai c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba \u0111\u1ec3 gi\u1ea3m thi\u1ec3u c\u00e1c s\u1ef1 c\u1ed1 y khoa. 17. C\u00f3 b\u1ea3n tin an to\u00e0n y t\u1ebf \u0111\u1ecbnh k\u1ef3, \u00edt nh\u1ea5t 2 l\u1ea7n trong 1 n\u0103m; trong b\u1ea3n tin c\u00f3 th\u00f4ng tin s\u1ef1 c\u1ed1 y khoa, c\u00e1c h\u01b0\u1edbng d\u1eabn, gi\u1ea3i ph\u00e1p ph\u00f2ng ng\u1eeba... 18. Kh\u1eafc ph\u1ee5c \u0111\u1ea7y \u0111\u1ee7, kh\u00f4ng \u0111\u1ec3 l\u1eb7p l\u1ea1i c\u00e1c s\u1ef1 c\u1ed1 y khoa do \u201cl\u1ed7i h\u1ec7 th\u1ed1ng\u201d \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n. 19. Tri\u1ec3n khai c\u00e1c gi\u1ea3i ph\u00e1p c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng, h\u1ea1n ch\u1ebf kh\u00f4ng l\u1eb7p l\u1ea1i c\u00e1c s\u1ef1 c\u1ed1 y khoa t\u01b0\u01a1ng t\u1ef1. * Kh\u00f4ng \u00e1p d\u1ee5ng n\u1ebfu b\u1ec7nh vi\u1ec7n kh\u00f4ng c\u00f3 ph\u00f2ng m\u1ed5, kh\u00f4ng th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt 124","D2.4 Ba\u0309o \u0111a\u0309m x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c ng\u01b0\u1eddi b\u1ec7nh khi cung c\u1ea5p d\u1ecbch v\u1ee5 C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 19\/2013\/TT-BYT ng\u00e0y 12\/7\/2013 c\u1ee7a B\u1ed9 Y t\u1ebf v\u1ec1 vi\u1ec7c h\u01b0\u1edbng d\u1eabn v\u00e0 \u00fd qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng d\u1ecbch v\u1ee5 kh\u00e1m, ch\u1eefa b\u1ec7nh t\u1ea1i b\u1ec7nh vi\u1ec7n. ngh\u0129a M\u1ee9c 1 \uf0b7 M\u1ed9t s\u1ed1 b\u1ec7nh vi\u1ec7n \u0111\u00e3 c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng cung c\u1ea5p nh\u1ea7m d\u1ecbch v\u1ee5 cho ng\u01b0\u1eddi b\u1ec7nh nh\u01b0 ph\u1eabu thu\u1eadt nh\u1ea7m b\u1ed9 ph\u1eadn, t\u1ea1ng, b\u00ean g\u00e2y n\u00ean nh\u1eefng t\u1ed5n th\u01b0\u01a1ng kh\u00f4ng h\u1ed3i ph\u1ee5c. M\u1ee9c 2 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 3 1. Ph\u00e1t hi\u1ec7n b\u1ec7nh vi\u1ec7n c\u00f3 nh\u1ea7m l\u1eabn ng\u01b0\u1eddi b\u1ec7nh khi cung c\u1ea5p d\u1ecbch v\u1ee5, g\u00e2y h\u1eadu qu\u1ea3 M\u1ee9c 4 nghi\u00eam tr\u1ecdng \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh v\u1ec1 m\u1eb7t th\u1ec3 ch\u1ea5t ho\u1eb7c tinh th\u1ea7n, v\u00ed d\u1ee5 \u0111\u01b0a nh\u1ea7m con sau khi sinh, c\u00f3 di ch\u1ee9ng, t\u1ed5n th\u01b0\u01a1ng kh\u00f4ng kh\u1eafc ph\u1ee5c \u0111\u01b0\u1ee3c do ph\u1eabu thu\u1eadt M\u1ee9c 5 nh\u01b0 ph\u1eabu thu\u1eadt nh\u1ea7m v\u1ecb tr\u00ed, c\u1eaft nh\u1ea7m b\u1ed9 ph\u1eadn c\u01a1 th\u1ec3\u2026 ho\u1eb7c ng\u01b0\u1eddi b\u1ec7nh t\u1eed vong. 2. C\u00f3 x\u00e2y d\u1ef1ng quy \u0111\u1ecbnh\/quy tr\u00ecnh v\u1ec1 x\u00e1c nh\u1eadn v\u00e0 kh\u1eb3ng \u0111\u1ecbnh \u0111\u00fang ng\u01b0\u1eddi b\u1ec7nh, \u0111\u00fang lo\u1ea1i d\u1ecbch v\u1ee5 s\u1ebd cung c\u1ea5p cho ng\u01b0\u1eddi b\u1ec7nh tr\u01b0\u1edbc khi ti\u1ebfn h\u00e0nh c\u00e1c d\u1ecbch v\u1ee5 ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb, ph\u1eabu thu\u1eadt, th\u1ee7 thu\u1eadt... 3. C\u00f3 b\u1ea3ng t\u00f3m t\u1eaft c\u00e1c b\u01b0\u1edbc c\u1ea7n kh\u1eb3ng \u0111\u1ecbnh ch\u00ednh x\u00e1c ng\u01b0\u1eddi b\u1ec7nh v\u00e0 \u0111\u1eb7t t\u1ea1i c\u00e1c v\u1ecb tr\u00ed d\u1ec5 th\u1ea5y \u0111\u1ec3 nh\u1eafc nh\u1edf ng\u01b0\u1eddi cung c\u1ea5p d\u1ecbch v\u1ee5. 4. C\u00f3 x\u00e2y d\u1ef1ng quy \u0111\u1ecbnh v\u1ec1 vi\u1ec7c x\u00e1c nh\u1eadn b\u00e0n giao \u0111\u00fang ng\u01b0\u1eddi b\u1ec7nh gi\u1eefa c\u00e1c nh\u00e2n vi\u00ean y t\u1ebf. 5. Ph\u1ed5 bi\u1ebfn cho nh\u00e2n vi\u00ean y t\u1ebf c\u00e1c quy \u0111\u1ecbnh\/quy tr\u00ecnh v\u1ec1 x\u00e1c nh\u1eadn \u0111\u00fang ng\u01b0\u1eddi b\u1ec7nh v\u00e0 d\u1ecbch v\u1ee5 cung c\u1ea5p. 6. C\u00f3 danh s\u00e1ch nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh b\u1ecb cung c\u1ea5p nh\u1ea7m d\u1ecbch v\u1ee5 \u0111\u00e3 x\u1ea3y ra trong n\u0103m. 7. Ng\u01b0\u1eddi cung c\u1ea5p d\u1ecbch v\u1ee5 b\u1ea3o \u0111\u1ea3m th\u1ef1c hi\u1ec7n \u0111\u1ea7y \u0111\u1ee7 c\u00e1c b\u01b0\u1edbc \u0111\u1ec3 kh\u1eb3ng \u0111\u1ecbnh ch\u00ednh x\u00e1c ng\u01b0\u1eddi b\u1ec7nh. 8. C\u00f3 x\u00e2y d\u1ef1ng c\u00e1c b\u1ea3ng ki\u1ec3m \u0111\u1ec3 th\u1ef1c hi\u1ec7n ki\u1ec3m tra, \u0111\u1ed1i chi\u1ebfu ng\u01b0\u1eddi b\u1ec7nh v\u00e0 d\u1ecbch v\u1ee5 cung c\u1ea5p. 9. \u00c1p d\u1ee5ng b\u1ea3ng ki\u1ec3m th\u1ef1c hi\u1ec7n tra, chi\u1ebfu \u0111\u1ec3 x\u00e1c nh\u1eadn v\u00e0 kh\u1eb3ng \u0111\u1ecbnh l\u1ea1i t\u00ean, n\u0103m sinh, \u0111\u1eb7c \u0111i\u1ec3m b\u1ec7nh t\u1eadt\u2026 c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh tr\u01b0\u1edbc khi cung c\u1ea5p d\u1ecbch v\u1ee5 (trong tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng th\u1ec3 tr\u1ea3 l\u1eddi c\u1ea7n x\u00e1c nh\u1eadn th\u00f4ng qua ng\u01b0\u1eddi nh\u00e0 ng\u01b0\u1eddi b\u1ec7nh). 10. \u00c1p d\u1ee5ng c\u00e1c h\u00ecnh th\u1ee9c th\u1ee7 c\u00f4ng (ho\u1eb7c c\u00f4ng ngh\u1ec7 th\u00f4ng tin) nh\u01b0 ghi t\u00ean, ghi s\u1ed1, ph\u00e1t s\u1ed1\u2026 cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 c\u00e1c m\u1eabu b\u1ec7nh ph\u1ea9m, d\u1ee5ng c\u1ee5, thu\u1ed1c, v\u1eadt t\u01b0\u2026 c\u00f3 li\u00ean quan \u0111\u1ebfn ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ec3 tr\u00e1nh nh\u1ea7m l\u1eabn khi cung c\u1ea5p d\u1ecbch v\u1ee5. 11. Th\u00f4ng tin ghi tr\u00ean m\u1eabu b\u1ec7nh ph\u1ea9m b\u1ea3o \u0111\u1ea3m c\u00f3 \u00edt nh\u1ea5t c\u00e1c th\u00f4ng tin c\u01a1 b\u1ea3n nh\u01b0 h\u1ecd v\u00e0 t\u00ean, n\u0103m sinh, gi\u1edbi c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. 12. T\u1ea5t c\u1ea3 ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c cung c\u1ea5p m\u00e3 s\u1ed1\/m\u00e3 v\u1ea1ch duy nh\u1ea5t trong qu\u00e1 tr\u00ecnh kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i b\u1ec7nh vi\u1ec7n \u0111\u1ec3 b\u1ea3o \u0111\u1ea3m kh\u00f4ng nh\u1ea7m l\u1eabn ng\u01b0\u1eddi b\u1ec7nh khi cung c\u1ea5p d\u1ecbch v\u1ee5. 13. \u00c1p d\u1ee5ng gi\u1ea3i ph\u00e1p c\u00f4ng ngh\u1ec7 th\u00f4ng tin, c\u00e1c trang thi\u1ebft b\u1ecb \u0111i\u1ec7n t\u1eed v\u00e0 m\u00e3 s\u1ed1\/m\u00e3 v\u1ea1ch \u0111\u1ec3 x\u00e1c nh\u1eadn t\u00ean v\u00e0 d\u1ecbch v\u1ee5 cung c\u1ea5p cho ng\u01b0\u1eddi b\u1ec7nh. 14. Kh\u00f4ng c\u00f3 tr\u01b0\u1eddng h\u1ee3p nh\u1ea7m l\u1eabn ng\u01b0\u1eddi b\u1ec7nh trong x\u00e9t nghi\u1ec7m, ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh, th\u0103m d\u00f2 ch\u1ee9c n\u0103ng, ph\u00e1t thu\u1ed1c cho ng\u01b0\u1eddi b\u1ec7nh. 15. Trong n\u0103m kh\u00f4ng c\u00f3 nh\u1ea7m l\u1eabn khi cung c\u1ea5p t\u1ea5t c\u1ea3 c\u00e1c d\u1ecbch v\u1ee5 cho ng\u01b0\u1eddi b\u1ec7nh. 16. Ti\u1ebfn h\u00e0nh r\u00e0 so\u00e1t, \u0111\u00e1nh gi\u00e1 theo \u0111\u1ecbnh k\u1ef3 (\u00edt nh\u1ea5t 1 l\u1ea7n trong n\u0103m) vi\u1ec7c tri\u1ec3n khai th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ch\u1ed1ng nh\u1ea7m l\u1eabn ng\u01b0\u1eddi b\u1ec7nh \u0111ang tri\u1ec3n khai. 17. C\u00f3 b\u00e1o c\u00e1o, \u0111\u00e1nh gi\u00e1 trong \u0111\u00f3 c\u00f3 x\u00e1c \u0111\u1ecbnh c\u00e1c y\u1ebfu t\u1ed1, h\u00e0nh vi, k\u1ef9 thu\u1eadt\u2026 c\u00f3 nguy c\u01a1 g\u00e2y nh\u1ea7m l\u1eabn v\u00e0 \u0111\u1ec1 xu\u1ea5t gi\u1ea3i ph\u00e1p kh\u1eafc ph\u1ee5c. 18. Ti\u1ebfn h\u00e0nh c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng, ch\u1ed1ng nh\u1ea7m l\u1eabn ng\u01b0\u1eddi b\u1ec7nh d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 r\u00e0 so\u00e1t, \u0111\u00e1nh gi\u00e1. 125","D2.5 Ph\u00f2ng ng\u1eeba nguy c\u01a1 ng\u01b0\u1eddi b\u1ec7nh b\u1ecb tr\u01b0\u1ee3t ng\u00e3 C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 19\/2013\/TT-BYT ng\u00e0y 12\/7\/2013 c\u1ee7a B\u1ed9 Y t\u1ebf v\u1ec1 vi\u1ec7c h\u01b0\u1edbng d\u1eabn v\u00e0 \u00fd qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng d\u1ecbch v\u1ee5 kh\u00e1m, ch\u1eefa b\u1ec7nh t\u1ea1i b\u1ec7nh vi\u1ec7n. ngh\u0129a \uf0b7 Quy\u1ebft \u0111\u1ecbnh 09\/2008\/Q\u0110-BXD c\u1ee7a B\u1ed9 tr\u01b0\u1edfng B\u1ed9 X\u00e2y d\u1ef1ng ng\u00e0y 06 th\u00e1ng 6 M\u1ee9c 1 n\u0103m 2008 v\u1ec1 vi\u1ec7c ban h\u00e0nh Quy chu\u1ea9n x\u00e2y d\u1ef1ng Vi\u1ec7t nam \u201cNh\u00e0 \u1edf v\u00e0 c\u00f4ng tr\u00ecnh c\u00f4ng c\u1ed9ng- An to\u00e0n sinh m\u1ea1ng v\u00e0 s\u1ee9c kho\u1ebb\u201d. M\u1ee9c 2 \uf0b7 Do \u0111\u1eb7c \u0111i\u1ec3m s\u1ee9c kh\u1ecfe gi\u1ea3m s\u00fat v\u00e0 t\u00ecnh tr\u1ea1ng b\u1ec7nh t\u1eadt n\u00ean ng\u01b0\u1eddi b\u1ec7nh khi \u0111i\u1ec1u M\u1ee9c 3 tr\u1ecb t\u1ea1i b\u1ec7nh vi\u1ec7n c\u00f3 nhi\u1ec1u nguy c\u01a1 b\u1ecb tr\u01b0\u1ee3t ng\u00e3. M\u1ee9c 4 \uf0b7 \u0110\u00e3 c\u00f3 m\u1ed9t s\u1ed1 v\u1ee5 vi\u1ec7c ng\u01b0\u1eddi b\u1ec7nh b\u1ecb tr\u01b0\u1ee3t ng\u00e3, g\u1eb7p h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng t\u1ea1i m\u1ed9t s\u1ed1 b\u1ec7nh vi\u1ec7n. C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng 1. C\u00f3 v\u1ee5 vi\u1ec7c ng\u01b0\u1eddi b\u1ec7nh, nh\u00e2n vi\u00ean y t\u1ebf b\u1ecb tr\u01b0\u1ee3t ng\u00e3, tai n\u1ea1n trong khu\u00f4n vi\u00ean b\u1ec7nh vi\u1ec7n, g\u00e2y h\u1eadu qu\u1ea3 c\u1ea7n \u0111i\u1ec1u tr\u1ecb v\u00e0 ch\u0103m s\u00f3c y khoa nh\u01b0ng kh\u00f4ng \u0111\u01b0\u1ee3c h\u1ec7 th\u1ed1ng b\u00e1o c\u00e1o s\u1ef1 c\u1ed1 y khoa ghi nh\u1eadn. 2. C\u00f3 v\u1ee5 vi\u1ec7c ng\u01b0\u1eddi b\u1ec7nh, nh\u00e2n vi\u00ean y t\u1ebf, ng\u01b0\u1eddi \u0111\u1ebfn th\u0103m b\u1ecb tr\u01b0\u1ee3t ng\u00e3, tai n\u1ea1n d\u1eabn \u0111\u1ebfn h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng nh\u01b0 ch\u1ea5n th\u01b0\u01a1ng s\u1ecd n\u00e3o, g\u00e3y ch\u00e2n tay\u2026 trong khu\u00f4n vi\u00ean b\u1ec7nh vi\u1ec7n. 3. C\u00f3 v\u1ee5 vi\u1ec7c ng\u01b0\u1eddi b\u1ec7nh, tr\u1ebb em b\u1ecb r\u01a1i kh\u1ecfi xe ho\u1eb7c c\u00e1ng trong qu\u00e1 tr\u00ecnh v\u1eadn chuy\u1ec3n ng\u01b0\u1eddi b\u1ec7nh trong khu\u00f4n vi\u00ean b\u1ec7nh vi\u1ec7n. 4. C\u00f3 b\u1ea3n danh s\u00e1ch th\u1ed1ng k\u00ea nh\u1eefng ng\u01b0\u1eddi b\u1ecb tr\u01b0\u1ee3t ng\u00e3 (k\u1ec3 c\u1ea3 t\u1ef1 t\u1eed) t\u1ea1i b\u1ec7nh vi\u1ec7n trong n\u0103m, ph\u00e2n theo c\u00e1c m\u1ee9c \u0111\u1ed9 h\u1eadu qu\u1ea3 nh\u01b0 t\u1eed vong; g\u00e3y ch\u00e2n, tay; ch\u1ea5n th\u01b0\u01a1ng s\u1ecd n\u00e3o; ch\u1ea5n th\u01b0\u01a1ng ph\u1ee7 t\u1ea1ng; ch\u1ea3y m\u00e1u\u2026 5. Kh\u00f4ng c\u00f3 v\u1ee5 vi\u1ec7c ng\u01b0\u1eddi b\u1ec7nh b\u1ecb r\u01a1i ra kh\u1ecfi xe ho\u1eb7c c\u00e1ng trong qu\u00e1 tr\u00ecnh v\u1eadn chuy\u1ec3n trong khu\u00f4n vi\u00ean b\u1ec7nh vi\u1ec7n. 6. C\u00f3 ti\u1ebfn h\u00e0nh r\u00e0 so\u00e1t t\u1ed5ng th\u1ec3 \u00edt nh\u1ea5t 1 l\u1ea7n trong 1 n\u0103m v\u00e0 l\u1eadp danh s\u00e1ch c\u00e1c v\u1ecb tr\u00ed c\u00f3 nguy c\u01a1 tr\u01b0\u1ee3t ng\u00e3 do thi\u1ebft k\u1ebf, do c\u01a1 s\u1edf h\u1ea1 t\u1ea7ng kh\u00f4ng \u0111\u1ed3ng b\u1ed9 ho\u1eb7c xu\u1ed1ng c\u1ea5p ho\u1eb7c do l\u00fd do b\u1ea5t k\u1ef3 kh\u00e1c d\u1eabn t\u1edbi nguy c\u01a1 tr\u01b0\u1ee3t ng\u00e3. 7. C\u00f3 c\u1ea3nh b\u00e1o nguy hi\u1ec3m t\u1ea1i t\u1ea5t c\u1ea3 c\u00e1c v\u1ecb tr\u00ed c\u00f3 nguy c\u01a1 tr\u01b0\u1ee3t, ng\u00e3 nh\u01b0 s\u00e0n tr\u01a1n, nh\u00e0 v\u1ec7 sinh, c\u1ea7u thang, v\u1ecb tr\u00ed kh\u00f4ng b\u1eb1ng ph\u1eb3ng... 8. C\u00e1c v\u1ecb tr\u00ed c\u00f3 nguy c\u01a1 tr\u01b0\u1ee3t, v\u1ea5p, ng\u00e3 do c\u01a1 s\u1edf h\u1ea1 t\u1ea7ng kh\u00f4ng \u0111\u1ed3ng b\u1ed9, do thi\u1ebft k\u1ebf x\u00e2y d\u1ef1ng ho\u1eb7c xu\u1ed1ng c\u1ea5p \u0111\u01b0\u1ee3c \u01b0u ti\u00ean x\u1eed l\u00fd. 9. Chi\u1ec1u cao c\u1ee7a lan can v\u00e0 ch\u1ea5n song c\u1eeda s\u1ed5 \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf \u0111\u1ee7 cao, b\u1ea3o \u0111\u1ea3m t\u1eeb 1m40 tr\u1edf l\u00ean \u0111\u1ec3 kh\u00f4ng c\u00f3 ng\u01b0\u1eddi b\u1ecb ng\u00e3 xu\u1ed1ng do v\u00f4 \u00fd (ch\u1ea5p nh\u1eadn c\u00e1c kh\u1ed1i nh\u00e0 c\u0169 x\u00e2y tr\u01b0\u1edbc 2016 c\u00f3 lan cao cao t\u1eeb 1m35 tr\u1edf l\u00ean). 10. Lan can v\u00e0 ch\u1ea5n song c\u1eeda s\u1ed5 \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf \u0111\u1ee7 h\u1eb9p kh\u00f4ng c\u00f3 l\u1ed7 h\u1ed5ng \u0111\u00fat l\u1ecdt qu\u1ea3 c\u1ea7u \u0111\u01b0\u1eddng k\u00ednh t\u1eeb 10 cm tr\u1edf l\u00ean \u0111\u1ec3 ph\u00f2ng ch\u1ed1ng tr\u1ebb em chui l\u1ecdt qua. 11. Gi\u01b0\u1eddng b\u1ec7nh cho ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nguy c\u01a1 tr\u01b0\u1ee3t ng\u00e3 cao (tr\u1ebb em, ng\u01b0\u1eddi cao tu\u1ed5i, ng\u01b0\u1eddi b\u1ecb t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh\u2026) c\u00f3 thanh ch\u1eafn ph\u00f2ng ng\u01b0\u1eddi b\u1ec7nh tr\u01b0\u1ee3t ng\u00e3. 12. Kh\u00f4ng c\u00f3 ng\u01b0\u1eddi b\u1ec7nh b\u1ecb r\u01a1i t\u1eeb c\u00e1c b\u00e0n ph\u1eabu thu\u1eadt, th\u1ee7 thu\u1eadt. 13. Kh\u00f4ng c\u00f3 v\u1ee5 vi\u1ec7c ng\u01b0\u1eddi b\u1ec7nh b\u1ecb tr\u01b0\u1ee3t ng\u00e3, g\u1eb7p h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng. 14. R\u00e0 so\u00e1t v\u00e0 \u0111\u00e1nh gi\u00e1 to\u00e0n b\u1ed9 c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ecb tr\u01b0\u1ee3t ng\u00e3 theo danh s\u00e1ch \u0111\u00e3 th\u1ed1ng k\u00ea, trong \u0111\u00f3 c\u00f3 ph\u00e2n t\u00edch c\u00e1c nguy\u00ean nh\u00e2n b\u1ecb tr\u01b0\u1ee3t ng\u00e3 v\u00e0 \u0111\u1ec1 xu\u1ea5t c\u00e1c gi\u1ea3i ph\u00e1p h\u1ea1n ch\u1ebf tr\u01b0\u1ee3t ng\u00e3. 126","M\u1ee9c 5 15. C\u00e1c gi\u01b0\u1eddng b\u1ec7nh \u0111\u01b0\u1ee3c b\u1ec7nh vi\u1ec7n mua m\u1edbi t\u1eeb 2016 c\u00f3 thi\u1ebft k\u1ebf an to\u00e0n, c\u00f3 th\u00e0nh gi\u01b0\u1eddng ho\u1eb7c thanh ch\u1eafn h\u1ea1n ch\u1ebf nguy c\u01a1 b\u1ecb r\u01a1i, ng\u00e3. 16. C\u00f3 d\u00e1n c\u00e1c v\u1eadt li\u1ec7u t\u0103ng ma s\u00e1t t\u1ea1i c\u00e1c v\u1ecb tr\u00ed c\u00f3 nguy c\u01a1 tr\u01b0\u1ee3t ng\u00e3 nh\u01b0 c\u1ea7u thang, l\u1ed1i \u0111i d\u1ed1c\u2026 17. T\u1ea1i c\u00e1c v\u1ecb tr\u00ed chuy\u1ec3n ti\u1ebfp kh\u00f4ng b\u1eb1ng ph\u1eb3ng c\u1ee7a s\u00e0n nh\u00e0 c\u00f3 d\u00e1n c\u00e1c v\u1eadt li\u1ec7u thay \u0111\u1ed5i m\u00e0u s\u1eafc \u0111\u1ec3 d\u1ec5 nh\u1eadn bi\u1ebft, tr\u00e1nh v\u1ea5p, ng\u00e3 (ho\u1eb7c s\u1eed d\u1ee5ng v\u1eadt li\u1ec7u x\u00e2y d\u1ef1ng c\u1ed1 \u0111\u1ecbnh c\u00f3 m\u00e0u s\u1eafc kh\u00e1c nhau) ho\u1eb7c b\u1ed5 sung tay v\u1ecbn. 18. C\u00f3 gi\u1ea3i ph\u00e1p ph\u00f2ng ch\u1ed1ng t\u1ef1 t\u1eed t\u1ea1i c\u00e1c v\u1ecb tr\u00ed \u0111\u00e3 c\u00f3 ng\u01b0\u1eddi t\u1ef1 t\u1eed ho\u1eb7c v\u1ecb tr\u00ed c\u00f3 nguy c\u01a1 cao (l\u1eafp l\u01b0\u1edbi an to\u00e0n b\u1ea3o v\u1ec7 khi r\u01a1i, camera quan s\u00e1t\u2026). 19. To\u00e0n b\u1ed9 c\u00e1c gi\u01b0\u1eddng b\u1ec7nh \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf an to\u00e0n, c\u00f3 th\u00e0nh gi\u01b0\u1eddng ho\u1eb7c thanh ch\u1eafn h\u1ea1n ch\u1ebf nguy c\u01a1 b\u1ecb r\u01a1i, ng\u00e3 v\u00e0 \u0111\u01b0\u1ee3c nh\u00e2n vi\u00ean y t\u1ebf h\u01b0\u1edbng d\u1eabn cho c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng c\u00f3 nguy c\u01a1 s\u1eed d\u1ee5ng th\u01b0\u1eddng xuy\u00ean. 20. Tri\u1ec3n khai th\u1ef1c hi\u1ec7n c\u00e1c gi\u1ea3i ph\u00e1p kh\u1eafc ph\u1ee5c to\u00e0n b\u1ed9 nh\u1eefng nguy\u00ean nh\u00e2n d\u1eabn \u0111\u1ebfn c\u00e1c tr\u01b0\u1eddng h\u1ee3p tr\u01b0\u1ee3t ng\u00e3 \u0111\u00e3 x\u1ea3y ra trong danh s\u00e1ch th\u1ed1ng k\u00ea. 21. Kh\u00f4ng c\u00f3 ng\u01b0\u1eddi b\u1ec7nh b\u1ecb tr\u01b0\u1ee3t ng\u00e3 v\u00ec l\u00ed do c\u01a1 s\u1edf h\u1ea1 t\u1ea7ng. 127","CH\u01af\u01a0NG D3. \u0110\u00c1NH GI\u00c1, \u0110O L\u01af\u1edcNG, H\u1ee2P T\u00c1C V\u00c0 C\u1ea2I TI\u1ebeN CH\u1ea4T L\u01af\u1ee2NG D3.1 \u0110\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c th\u1ef1c tr\u1ea1ng v\u00e0 c\u00f4ng b\u1ed1 c\u00f4ng khai ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 19\/2013\/TT-BYT ng\u00e0y 12\/7\/2013 c\u1ee7a B\u1ed9 Y t\u1ebf v\u1ec1 vi\u1ec7c h\u01b0\u1edbng d\u1eabn v\u00e0 \u00fd qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng d\u1ecbch v\u1ee5 kh\u00e1m, ch\u1eefa b\u1ec7nh t\u1ea1i b\u1ec7nh vi\u1ec7n. ngh\u0129a \uf0b7 \u0110\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c th\u1ef1c tr\u1ea1ng ch\u1ea5t l\u01b0\u1ee3ng gi\u00fap \u0111\u1ecbnh v\u1ecb \u0111\u01b0\u1ee3c b\u1ec7nh vi\u1ec7n \u0111ang \u1edf M\u1ee9c 1 m\u1ee9c ch\u1ea5t l\u01b0\u1ee3ng n\u00e0o, t\u1eeb \u0111\u00f3 x\u00e1c \u0111\u1ecbnh c\u00e1c t\u1ed3n t\u1ea1i, v\u1ea5n \u0111\u1ec1 \u01b0u ti\u00ean c\u1ea7n c\u1ea3i ti\u1ebfn. M\u1ee9c 2 \uf0b7 Vi\u1ec7c b\u00e1o c\u00e1o v\u00e0 c\u00f4ng b\u1ed1 c\u00f4ng khai ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n gi\u00fap c\u01a1 quan qu\u1ea3n l\u00fd v\u00e0 M\u1ee9c 3 ng\u01b0\u1eddi d\u00e2n n\u1eafm b\u1eaft \u0111\u01b0\u1ee3c th\u1ef1c tr\u1ea1ng b\u1ec7nh vi\u1ec7n, gi\u00fap cung c\u1ea5p th\u00f4ng tin cho vi\u1ec7c c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng v\u00e0 l\u1ef1a ch\u1ecdn c\u1ee7a ng\u01b0\u1eddi d\u00e2n khi \u0111i kh\u00e1m, ch\u1eefa b\u1ec7nh. M\u1ee9c 4 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 5 1. B\u1ec7nh vi\u1ec7n kh\u00f4ng ti\u1ebfn h\u00e0nh \u0111\u00e1nh gi\u00e1 ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n theo h\u01b0\u1edbng d\u1eabn c\u1ee7a B\u1ed9 Y t\u1ebf, ho\u1eb7c kh\u00f4ng c\u00f3 \u201cB\u00e1o c\u00e1o ki\u1ec3m tra, \u0111\u00e1nh gi\u00e1 b\u1ec7nh vi\u1ec7n h\u00e0ng n\u0103m\u201d. 2. T\u1ed5 ch\u1ee9c t\u1ef1 ti\u1ebfn h\u00e0nh \u0111\u00e1nh gi\u00e1 ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n theo c\u00e1c ti\u00eau ch\u00ed v\u00e0 g\u1eedi\/n\u1ed9p \u201cB\u00e1o c\u00e1o \u0111\u00e1nh gi\u00e1 ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n\u201d cho c\u01a1 quan qu\u1ea3n l\u00fd \u0111\u1ea7y \u0111\u1ee7 theo quy \u0111\u1ecbnh. 3. *T\u1ef7 l\u1ec7 c\u00e1c ti\u00eau ch\u00ed c\u00f3 \u0111i\u1ec3m do b\u1ec7nh vi\u1ec7n t\u1ef1 \u0111\u00e1nh gi\u00e1 cao h\u01a1n \u0111i\u1ec3m c\u1ee7a \u0111o\u00e0n b\u00ean ngo\u00e0i \u0111\u00e1nh gi\u00e1 (c\u01a1 quan qu\u1ea3n l\u00fd ho\u1eb7c t\u1ed5 ch\u1ee9c \u0111\u1ed9c l\u1eadp) d\u01b0\u1edbi 10%. 4. C\u00f3 t\u1ed5 ch\u1ee9c \u0111\u00e1nh gi\u00e1 ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n 6 th\u00e1ng \u0111\u1ea7u n\u0103m v\u00e0o th\u1eddi \u0111i\u1ec3m gi\u1eefa n\u0103m; c\u00f3 quy\u1ebft \u0111\u1ecbnh, bi\u00ean b\u1ea3n ki\u1ec3m tra, trong \u0111\u00f3 c\u00f3 ch\u1ec9 ra nh\u1eefng v\u1ea5n \u0111\u1ec1 c\u1ea7n \u01b0u ti\u00ean kh\u1eafc ph\u1ee5c, c\u1ea3i ti\u1ebfn. 5. C\u00f3 b\u1ea3ng th\u1ed1ng k\u00ea c\u00e1c ti\u1ec3u m\u1ee5c theo t\u1eebng ti\u00eau ch\u00ed trong \u201cB\u1ed9 ti\u00eau ch\u00ed ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n\u201d ch\u01b0a \u0111\u1ea1t y\u00eau c\u1ea7u. v\u00e0 l\u00fd do ch\u01b0a \u0111\u1ea1t. 6. C\u00f4ng b\u1ed1 v\u00e0 ph\u1ed5 bi\u1ebfn k\u1ebft qu\u1ea3 \u201cB\u00e1o c\u00e1o \u0111\u00e1nh gi\u00e1 ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n\u201d cho c\u00e1c khoa\/ph\u00f2ng, nh\u00e2n vi\u00ean y t\u1ebf. 7. C\u00f4ng b\u1ed1 c\u00f4ng khai t\u00f3m t\u1eaft k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1 ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 ng\u01b0\u1eddi nh\u00e0 ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c bi\u1ebft t\u1ea1i c\u00e1c b\u1ea3ng tin\/g\u00f3c truy\u1ec1n th\u00f4ng\u2026 c\u1ee7a b\u1ec7nh vi\u1ec7n. 8. Trong b\u00e1o c\u00e1o c\u00f3 ph\u00e2n t\u00edch r\u00f5 m\u1eb7t m\u1ea1nh, m\u1eb7t y\u1ebfu, kh\u00f3 kh\u0103n v\u1ec1 ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n, nh\u1eefng t\u1ed3n t\u1ea1i v\u00e0 bi\u1ec7n ph\u00e1p kh\u1eafc ph\u1ee5c. 9. *T\u1ef7 l\u1ec7 c\u00e1c ti\u00eau ch\u00ed c\u00f3 \u0111i\u1ec3m do b\u1ec7nh vi\u1ec7n t\u1ef1 \u0111\u00e1nh gi\u00e1 cao h\u01a1n \u0111i\u1ec3m c\u1ee7a \u0111o\u00e0n b\u00ean ngo\u00e0i \u0111\u00e1nh gi\u00e1 (c\u01a1 quan qu\u1ea3n l\u00fd ho\u1eb7c t\u1ed5 ch\u1ee9c \u0111\u1ed9c l\u1eadp) d\u01b0\u1edbi 7%. 10. C\u00f3 b\u1ea3ng th\u1ed1ng k\u00ea c\u00e1c ti\u1ec3u m\u1ee5c theo t\u1eebng ti\u00eau ch\u00ed trong \u201cB\u1ed9 ti\u00eau ch\u00ed ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n\u201d ch\u01b0a \u0111\u1ea1t y\u00eau c\u1ea7u, l\u00fd do ch\u01b0a \u0111\u1ea1t, tr\u00e1ch nhi\u1ec7m c\u1ee7a khoa\/ph\u00f2ng v\u00e0 n\u1ed9i dung c\u1ea7n c\u1ea3i ti\u1ebfn. 11. C\u00f3 t\u1ed5 ch\u1ee9c \u0111\u00e1nh gi\u00e1 ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n th\u01b0\u1eddng xuy\u00ean h\u00e0ng th\u00e1ng (ho\u1eb7c h\u00e0ng qu\u00fd) v\u00e0 r\u00e0 so\u00e1t nh\u1eefng n\u1ed9i dung c\u1ea7n c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng nh\u01b0ng ch\u01b0a th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c ho\u1eb7c ch\u01b0a \u0111\u00fang ti\u1ebfn \u0111\u1ed9. 12. T\u1ef1 ti\u1ebfn h\u00e0nh \u0111\u00e1nh gi\u00e1 ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n v\u00e0 c\u00f4ng b\u1ed1 c\u00f4ng khai \u201cB\u00e1o c\u00e1o \u0111\u00e1nh gi\u00e1 ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n\u201d tr\u00ean trang th\u00f4ng tin \u0111i\u1ec7n t\u1eed. 13. T\u1ef7 l\u1ec7 c\u00e1c ti\u00eau ch\u00ed c\u00f3 \u0111i\u1ec3m do b\u1ec7nh vi\u1ec7n t\u1ef1 \u0111\u00e1nh gi\u00e1 cao h\u01a1n \u0111i\u1ec3m c\u1ee7a \u0111o\u00e0n b\u00ean ngo\u00e0i \u0111\u00e1nh gi\u00e1 (c\u01a1 quan qu\u1ea3n l\u00fd ho\u1eb7c t\u1ed5 ch\u1ee9c \u0111\u1ed9c l\u1eadp) d\u01b0\u1edbi 5%. 14. C\u00f3 b\u1ea3n danh s\u00e1ch theo d\u00f5i th\u01b0\u1eddng xuy\u00ean h\u00e0ng th\u00e1ng k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1 ch\u1ea5t l\u01b0\u1ee3ng v\u1edbi vi\u1ec7c c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng \u0111\u00e3 th\u1ef1c hi\u1ec7n. 128","Ghi ch\u00fa 15. B\u00e1o c\u00e1o t\u1ef1 \u0111\u00e1nh gi\u00e1 ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n cu\u1ed1i n\u0103m c\u00f3 \u0111\u1ea7y \u0111\u1ee7 th\u00f4ng tin c\u00e1c kh\u00eda c\u1ea1nh ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n v\u00e0 b\u1ea3o \u0111\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1 li\u1ec7u. 16. T\u1ef7 l\u1ec7 c\u00e1c ti\u00eau ch\u00ed c\u00f3 \u0111i\u1ec3m do b\u1ec7nh vi\u1ec7n t\u1ef1 \u0111\u00e1nh gi\u00e1 cao h\u01a1n \u0111i\u1ec3m c\u1ee7a \u0111o\u00e0n b\u00ean ngo\u00e0i \u0111\u00e1nh gi\u00e1 (c\u01a1 quan qu\u1ea3n l\u00fd ho\u1eb7c t\u1ed5 ch\u1ee9c \u0111\u1ed9c l\u1eadp) d\u01b0\u1edbi 2,5%. - \u0110\u00e1nh gi\u00e1 ti\u00eau ch\u00ed n\u00e0y sau khi \u0111\u00e3 \u0111\u00e1nh gi\u00e1 xong to\u00e0n b\u1ed9 c\u00e1c ti\u00eau ch\u00ed kh\u00e1c. - N\u1ebfu b\u1ec7nh vi\u1ec7n ch\u01b0a c\u00f3 \u0111o\u00e0n b\u00ean ngo\u00e0i \u0111\u00e1nh gi\u00e1 th\u00ec c\u00e1c ti\u1ec3u m\u1ee5c c\u00f3 d\u1ea5u * t\u1ea1m th\u1eddi \u0111\u01b0\u1ee3c ch\u1ea5m l\u00e0 \u0111\u1ea1t v\u00e0 s\u1ebd \u0111i\u1ec1u ch\u1ec9nh l\u1ea1i sau khi c\u00f3 k\u1ebft qu\u1ea3 c\u1ee7a \u0111o\u00e0n b\u00ean ngo\u00e0i. - N\u1ebfu b\u1ec7nh vi\u1ec7n ch\u01b0a \u0111\u01b0\u1ee3c \u0111o\u00e0n b\u00ean ngo\u00e0i \u0111\u00e1nh gi\u00e1, t\u1ea1m th\u1eddi x\u1ebfp b\u1ec7nh vi\u1ec7n t\u1ed1i \u0111a \u0111\u1ea1t m\u1ee9c 3 do ch\u01b0a t\u00ednh \u0111\u01b0\u1ee3c ty\u0309 l\u1ec7 ch\u00eanh l\u1ec7ch \u0111i\u1ec3m n\u00ean m\u1ee9c 4 v\u00e0 m\u1ee9c 5 ch\u01b0a x\u00e9t. - Ty\u0309 l\u1ec7 ch\u00eanh l\u1ec7ch \u0111i\u1ec3m \u0111\u01b0\u1ee3c t\u00ednh b\u1eb1ng t\u1ed5ng s\u1ed1 ti\u00eau ch\u00ed c\u00f3 \u0111i\u1ec3m c\u1ee7a b\u1ec7nh vi\u1ec7n cao h\u01a1n \u0111i\u1ec3m c\u1ee7a \u0111o\u00e0n \u0111\u00e1nh gi\u00e1 chia cho t\u1ed5ng s\u1ed1 ti\u00eau ch\u00ed \u00e1p d\u1ee5ng. 129","D3.2 \u0110o l\u01b0\u1eddng v\u00e0 gi\u00e1m s\u00e1t ca\u0309i ti\u00ea\u0301n ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 19\/2013\/TT-BYT ng\u00e0y 12\/7\/2013 c\u1ee7a B\u1ed9 Y t\u1ebf v\u1ec1 vi\u1ec7c h\u01b0\u1edbng d\u1eabn v\u00e0 \u00fd qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng d\u1ecbch v\u1ee5 kh\u00e1m, ch\u1eefa b\u1ec7nh t\u1ea1i b\u1ec7nh vi\u1ec7n. ngh\u0129a \uf0b7 \u0110o l\u01b0\u1eddng v\u00e0 gi\u00e1m s\u00e1t c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng c\u00f3 \u00fd ngh\u0129a quan tr\u1ecdng trong vi\u1ec7c x\u00e1c M\u1ee9c 1 \u0111\u1ecbnh th\u1ef1c tr\u1ea1ng v\u00e0 th\u00fac \u0111\u1ea9y c\u1ea3i ti\u1ebfn. Ch\u1ea5t l\u01b0\u1ee3ng r\u1ea5t kh\u00f3 c\u00f3 th\u1ec3 c\u1ea3i ti\u1ebfn n\u1ebfu kh\u00f4ng M\u1ee9c 2 \u0111o l\u01b0\u1eddng \u0111\u01b0\u1ee3c ho\u1eb7c \u0111o l\u01b0\u1eddng sai th\u1ef1c t\u1ebf. M\u1ee9c 3 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 4 1. Kh\u00f4ng ti\u1ebfn h\u00e0nh t\u1ef1 \u0111\u00e1nh gi\u00e1 ch\u1ea5t l\u01b0\u1ee3ng n\u1ed9i b\u1ed9 b\u1ec7nh vi\u1ec7n. M\u1ee9c 5 2. Kh\u00f4ng x\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng theo B\u1ed9 ti\u00eau ch\u00ed c\u1ee7a B\u1ed9 Y t\u1ebf. 3. C\u00f3 b\u1ea3n k\u1ebf ho\u1ea1ch c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng, trong \u0111\u00f3 c\u00f3 \u0111\u1ec1 c\u1eadp \u0111\u1ebfn n\u1ed9i dung \u0111o l\u01b0\u1eddng v\u00e0 gi\u00e1m s\u00e1t ch\u1ea5t l\u01b0\u1ee3ng. 4. Trong k\u1ebf ho\u1ea1ch c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng c\u00f3 x\u00e2y d\u1ef1ng \u00edt nh\u1ea5t 5 ch\u1ec9 s\u1ed1 ch\u1ea5t l\u01b0\u1ee3ng c\u1ee5 th\u1ec3 nh\u1eb1m \u0111\u00e1nh gi\u00e1 v\u00e0 theo d\u00f5i ch\u1ea5t l\u01b0\u1ee3ng chuy\u00ean m\u00f4n, ch\u1ea5t l\u01b0\u1ee3ng d\u1ecbch v\u1ee5. 5. C\u00f3 tr\u00ean 50% khoa\/ph\u00f2ng x\u00e2y d\u1ef1ng \u0111\u01b0\u1ee3c \u00edt nh\u1ea5t 1 ch\u1ec9 s\u1ed1 ch\u1ea5t l\u01b0\u1ee3ng c\u1ee5 th\u1ec3 nh\u1eb1m \u0111\u00e1nh gi\u00e1 v\u00e0 theo d\u00f5i ch\u1ea5t l\u01b0\u1ee3ng ho\u1ea1t \u0111\u1ed9ng c\u1ee7a khoa\/ph\u00f2ng \u0111\u00f3. 6. C\u00f3 b\u1ea3n t\u1ed5ng h\u1ee3p danh s\u00e1ch c\u00e1c ch\u1ec9 s\u1ed1 ch\u1ea5t l\u01b0\u1ee3ng (chung c\u1ee7a b\u1ec7nh vi\u1ec7n v\u00e0 c\u00e1c khoa\/ph\u00f2ng) \u0111\u01b0\u1ee3c theo d\u00f5i, gi\u00e1m s\u00e1t. 7. X\u00e2y d\u1ef1ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p v\u00e0 thu th\u1eadp s\u1ed1 li\u1ec7u c\u1ea7n thi\u1ebft \u0111\u1ec3 ph\u1ee5c v\u1ee5 cho vi\u1ec7c \u0111o l\u01b0\u1eddng, gi\u00e1m s\u00e1t c\u00e1c ch\u1ec9 s\u1ed1 ch\u1ea5t l\u01b0\u1ee3ng trong danh s\u00e1ch. 8. Ti\u1ebfn h\u00e0nh \u0111o l\u01b0\u1eddng v\u00e0 c\u00f3 s\u1ed1 li\u1ec7u k\u1ebft qu\u1ea3 th\u1ef1c hi\u1ec7n c\u00e1c ch\u1ec9 s\u1ed1 ch\u1ea5t l\u01b0\u1ee3ng \u0111\u00e3 n\u00eau trong danh s\u00e1ch. 9. Ho\u00e0n th\u00e0nh \u0111\u1ea1t \u0111\u01b0\u1ee3c \u00edt nh\u1ea5t 60% c\u00e1c ch\u1ec9 s\u1ed1 ch\u1ea5t l\u01b0\u1ee3ng \u0111\u00e3 n\u00eau trong b\u1ea3n k\u1ebf ho\u1ea1ch c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng chung to\u00e0n b\u1ec7nh vi\u1ec7n. 10. C\u00f4ng b\u1ed1, ph\u1ed5 bi\u1ebfn k\u1ebft qu\u1ea3 \u0111o l\u01b0\u1eddng c\u00e1c ch\u1ec9 s\u1ed1 trong danh s\u00e1ch cho nh\u00e2n vi\u00ean y t\u1ebf b\u1eb1ng c\u00e1c h\u00ecnh th\u1ee9c kh\u00e1c nhau (b\u00e1o c\u00e1o, th\u00f4ng b\u00e1o, g\u1eedi th\u01b0 \u0111i\u1ec7n t\u1eed\u2026) 11. Theo d\u00f5i k\u1ebft qu\u1ea3 \u0111o l\u01b0\u1eddng c\u00e1c ch\u1ec9 s\u1ed1 ch\u1ea5t l\u01b0\u1ee3ng b\u1eb1ng v\u1ebd bi\u1ec3u \u0111\u1ed3 (theo c\u00e1c m\u1ed1c th\u1eddi gian). 12. T\u1ef1 \u0111\u1eb7t c\u00e1c m\u1ee5c ti\u00eau c\u1ea7n \u0111\u1ea1t \u0111\u01b0\u1ee3c cho c\u00e1c ch\u1ec9 s\u1ed1 ch\u1ea5t l\u01b0\u1ee3ng trong danh s\u00e1ch. 13. B\u1ea3n danh s\u00e1ch c\u00e1c ch\u1ec9 s\u1ed1 ch\u1ea5t l\u01b0\u1ee3ng c\u00f3 c\u00e1c c\u1ed9t s\u1ed1 li\u1ec7u nh\u01b0 k\u1ebft qu\u1ea3 th\u1ef1c hi\u1ec7n, ch\u1ec9 ti\u00eau ph\u1ea5n \u0111\u1ea5u, c\u00f3 \u0111\u1ea1t ho\u1eb7c kh\u00f4ng \u0111\u1ea1t ch\u1ec9 ti\u00eau\u2026 14. Ti\u1ebfn h\u00e0nh c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng, \u01b0u ti\u00ean c\u00e1c ch\u1ec9 s\u1ed1 ch\u1ea5t l\u01b0\u1ee3ng ch\u01b0a \u0111\u1ea1t v\u00e0 ti\u1ebfp t\u1ee5c duy tr\u00ec, c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng c\u00e1c ch\u1ec9 s\u1ed1 \u0111\u00e3 \u0111\u1ea1t ch\u1ec9 ti\u00eau \u0111\u1ec1 ra. 15. Ho\u00e0n th\u00e0nh \u0111\u1ea1t \u0111\u01b0\u1ee3c tr\u00ean 90% c\u00e1c ch\u1ec9 s\u1ed1 ch\u1ea5t l\u01b0\u1ee3ng \u0111\u00e3 n\u00eau trong b\u1ea3n k\u1ebf ho\u1ea1ch c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng chung to\u00e0n b\u1ec7nh vi\u1ec7n. 130","D3.3 H\u1ee3p t\u00e1c v\u1edbi c\u01a1 quan qua\u0309n l\u00fd trong vi\u1ec7c x\u00e2y d\u1ef1ng c\u00f4ng c\u1ee5, tri\u1ec3n khai, b\u00e1o c\u00e1o ho\u1ea1t \u0111\u1ed9ng qua\u0309n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n C\u0103n c\u1ee9 \uf0b7 C\u00e1c b\u1ec7nh vi\u1ec7n l\u00e0 n\u01a1i n\u1eafm v\u1eefng t\u00ecnh h\u00ecnh th\u1ef1c t\u1ebf, \u0111\u1ed3ng th\u1eddi tri\u1ec3n khai th\u1ef1c hi\u1ec7n \u0111\u1ec1 xu\u1ea5t c\u00e1c ch\u00ednh s\u00e1ch ch\u1ea5t l\u01b0\u1ee3ng. Vi\u1ec7c c\u00e1c b\u1ec7nh vi\u1ec7n tham gia t\u00edch c\u1ef1c v\u1edbi c\u00e1c c\u01a1 quan v\u00e0 \u00fd qu\u1ea3n l\u00fd trong vi\u1ec7c x\u00e2y d\u1ef1ng c\u00f4ng c\u1ee5 v\u00e0 tri\u1ec3n khai, b\u00e1o c\u00e1o ho\u1ea1t \u0111\u1ed9ng qu\u1ea3n l\u00fd ngh\u0129a ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n s\u1ebd gi\u00fap c\u01a1 quan qu\u1ea3n l\u00fd n\u1eafm b\u1eaft \u0111\u01b0\u1ee3c th\u1ef1c tr\u1ea1ng ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u00e1c \u0111\u01a1n v\u1ecb. \uf0b7 V\u0103n b\u1ea3n, c\u00f4ng c\u1ee5\u2026 c\u1ea7n thi\u1ebft th\u1ef1c, d\u1ec5 \u00e1p d\u1ee5ng, tri\u1ec3n khai trong th\u1ef1c ti\u1ec5n ho\u1ea1t \u0111\u1ed9ng c\u1ee7a b\u1ec7nh vi\u1ec7n, v\u00ec v\u1eady r\u1ea5t c\u1ea7n s\u1ef1 tham gia \u0111\u00f3ng g\u00f3p c\u1ee7a c\u00e1c b\u1ec7nh vi\u1ec7n. \uf0b7 S\u1ef1 tham gia c\u1ee7a b\u1ec7nh vi\u1ec7n trong vi\u1ec7c x\u00e2y d\u1ef1ng c\u00e1c v\u0103n b\u1ea3n, ch\u00ednh s\u00e1ch li\u00ean quan \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n l\u00e0 r\u1ea5t c\u1ea7n thi\u1ebft gi\u00fap n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng c\u00e1c v\u0103n b\u1ea3n, ch\u00ednh s\u00e1ch, c\u00f4ng c\u1ee5\u2026 \u0111\u1ed3ng th\u1eddi gi\u00fap c\u01a1 quan qu\u1ea3n l\u00fd \u0111\u01b0a ra c\u00e1c ch\u00ednh s\u00e1ch ph\u00f9 h\u1ee3p, th\u00fac \u0111\u1ea9y n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng kh\u00e1m, ch\u1eefa b\u1ec7nh. C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 1 1. Kh\u00f4ng ph\u1ea3n h\u1ed3i th\u00f4ng tin ho\u1eb7c kh\u00f4ng g\u1eedi b\u00e1o c\u00e1o* li\u00ean quan \u0111\u1ebfn ho\u1ea1t \u0111\u1ed9ng qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n cho B\u1ed9 Y t\u1ebf ho\u1eb7c c\u00e1c c\u01a1 quan qu\u1ea3n l\u00fd tr\u1ef1c ti\u1ebfp theo nh\u01b0 y\u00eau c\u1ea7u trong c\u00e1c v\u0103n b\u1ea3n ch\u00ednh th\u1ee9c. M\u1ee9c 2 2. C\u00f3 g\u1eedi c\u00f4ng v\u0103n, b\u00e1o c\u00e1o li\u00ean quan \u0111\u1ebfn ho\u1ea1t \u0111\u1ed9ng qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng. M\u1ee9c 3 3. Ph\u00f2ng\/t\u1ed5 qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng c\u00f3 l\u01b0u tr\u1eef c\u00e1c c\u00f4ng v\u0103n \u0111\u1ebfn, \u0111i, b\u00e1o c\u00e1o ph\u1ea3n h\u1ed3i li\u00ean quan \u0111\u1ebfn ho\u1ea1t \u0111\u1ed9ng qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng cho B\u1ed9 Y t\u1ebf, S\u1edf Y t\u1ebf trong n\u0103m. 4. G\u1eedi \u0111\u1ea7y \u0111\u1ee7 s\u1ed1 l\u01b0\u1ee3ng c\u00e1c b\u00e1o c\u00e1o li\u00ean quan \u0111\u1ebfn ho\u1ea1t \u0111\u1ed9ng qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng theo y\u00eau c\u1ea7u c\u1ee7a c\u01a1 quan qu\u1ea3n l\u00fd trong n\u0103m. 5. C\u00e1c b\u00e1o c\u00e1o li\u00ean quan \u0111\u1ebfn ho\u1ea1t \u0111\u1ed9ng qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng \u0111\u1ea7y \u0111\u1ee7 th\u00f4ng tin v\u00e0 l\u00e0m theo \u0111\u00fang h\u01b0\u1edbng d\u1eabn. 6. B\u00e1o c\u00e1o b\u1ea3o \u0111\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1 li\u1ec7u v\u00e0 c\u00e1c th\u00f4ng tin trung th\u1ef1c, ch\u00ednh x\u00e1c. M\u1ee9c 4 7. \u0110\u00e1p \u1ee9ng g\u1eedi c\u00e1c th\u00f4ng tin, \u0111\u00e1nh gi\u00e1, b\u00e1o c\u00e1o, g\u00f3p \u00fd, h\u00ecnh \u1ea3nh\u2026 li\u00ean quan \u0111\u1ebfn qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng theo \u0111\u00fang th\u1eddi h\u1ea1n quy \u0111\u1ecbnh trong c\u00f4ng v\u0103n. 8. B\u00e1o c\u00e1o c\u00f3 nh\u1eefng th\u00f4ng tin gi\u00e1 tr\u1ecb, c\u00f3 \u0111\u1ed9 tin c\u1eady cao. 9. C\u00f3 nh\u00e2n vi\u00ean y t\u1ebf t\u00edch c\u1ef1c tham gia v\u00e0 c\u00f3 \u0111\u00f3ng g\u00f3p c\u1ee5 th\u1ec3 v\u00e0o vi\u1ec7c x\u00e2y d\u1ef1ng c\u00e1c ch\u00ednh s\u00e1ch, ti\u00eau chu\u1ea9n, ti\u00eau ch\u00ed qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a B\u1ed9 Y t\u1ebf (cung c\u1ea5p c\u00e1c b\u1eb1ng ch\u1ee9ng c\u1ee5 th\u1ec3 minh h\u1ecda c\u00e1c \u0111\u00f3ng g\u00f3p). M\u1ee9c 5 10. B\u1ec7nh vi\u1ec7n \u0111\u01b0\u1ee3c m\u1eddi v\u00e0 c\u00f3 b\u00e0i tr\u00ecnh b\u00e0y chia s\u1ebb kinh nghi\u1ec7m c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng t\u1ea1i di\u1ec5n \u0111\u00e0n ho\u1eb7c h\u1ed9i ngh\u1ecb v\u1ec1 qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng kh\u00e1m, ch\u1eefa b\u1ec7nh trong n\u0103m (c\u1ea5p qu\u1ed1c gia nh\u01b0 B\u1ed9 Y t\u1ebf, C\u1ee5c Qu\u1ea3n l\u00fd Kh\u00e1m, ch\u1eefa b\u1ec7nh ho\u1eb7c qu\u1ed1c t\u1ebf). 11. Ch\u1ee7 \u0111\u1ed9ng x\u00e2y d\u1ef1ng c\u00e1c c\u00f4ng c\u1ee5, t\u00e0i li\u1ec7u, h\u01b0\u1edbng d\u1eabn, ph\u1ea7n m\u1ec1m\u2026 v\u1ec1 qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng v\u00e0 b\u00e1o c\u00e1o, chia s\u1ebb v\u1edbi B\u1ed9 Y t\u1ebf \u0111\u1ec3 ti\u1ebfp t\u1ee5c chia s\u1ebb r\u1ed9ng r\u00e3i cho c\u00e1c b\u1ec7nh vi\u1ec7n kh\u00e1c tr\u00ean ph\u1ea1m vi to\u00e0n qu\u1ed1c. \uf0b7 B\u1ed9 Y t\u1ebf, C\u1ee5c Qu\u1ea3n l\u00fd Kh\u00e1m, ch\u1eefa b\u1ec7nh s\u1ebd c\u00f4ng b\u1ed1 danh s\u00e1ch c\u00e1c v\u0103n b\u1ea3n c\u1ee5 th\u1ec3 Ghi ch\u00fa c\u1ea7n g\u1eedi b\u00e1o c\u00e1o theo t\u1eebng n\u0103m t\u1ea1i c\u00f4ng v\u0103n h\u01b0\u1edbng d\u1eabn ki\u1ec3m tra, \u0111\u00e1nh gi\u00e1 ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n h\u1eb1ng n\u0103m v\u00e0 tr\u00ean trang th\u00f4ng tin \u0111i\u1ec7n t\u1eed c\u1ee7a C\u1ee5c Qu\u1ea3n l\u00fd Kh\u00e1m, ch\u1eefa b\u1ec7nh: kcb.vn. 131","PH\u1ea6N E. TI\u00caU CH\u00cd \u0110\u1eb6C TH\u00d9 CHUY\u00caN KHOA CH\u01af\u01a0NG E1. TI\u00caU CH\u00cd S\u1ea2N KHOA (\u00c1P D\u1ee4NG CHO B\u1ec6NH VI\u1ec6N C\u00d3 KH\u00c1M CH\u1eeeA B\u1ec6NH S\u1ea2N KHOA) E1.1 Thi\u00ea\u0301t l\u1eadp h\u1ec7 th\u1ed1ng t\u1ed5 ch\u1ee9c ch\u0103m s\u00f3c sa\u0309n khoa v\u00e0 s\u01a1 sinh C\u0103n c\u1ee9 \uf0b7 Thi\u1ebft l\u1eadp h\u1ec7 th\u1ed1ng t\u1ed5 ch\u1ee9c ch\u0103m s\u00f3c s\u1ea3n khoa, s\u01a1 sinh v\u00e0 nhi khoa g\u00f3p ph\u1ea7n b\u1ea3o \u0111\u1ec1 xu\u1ea5t \u0111\u1ea3m c\u00f4ng t\u00e1c ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe b\u00e0 m\u1eb9, tr\u1ebb em \u0111\u01b0\u1ee3c t\u1ed1t v\u00e0 th\u1ef1c hi\u1ec7n th\u00e0nh c\u00f4ng v\u00e0 \u00fd c\u00e1c m\u1ee5c ti\u00eau Thi\u00ean ni\u00ean k\u1ef7. ngh\u0129a \uf0b7 Quy\u1ebft \u0111\u1ecbnh 1142\/Q\u0110-BYT ng\u00e0y 18\/4\/2011 v\u1ec1 vi\u1ec7c h\u01b0\u1edbng d\u1eabn tri\u1ec3n khai \u0111\u01a1n nguy\u00ean s\u01a1 sinh. C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 1 1. Kh\u00f4ng c\u00f3 b\u00e1c s\u1ef9 chuy\u00ean khoa s\u1ea3n, k\u1ec3 c\u1ea3 chuy\u00ean khoa s\u01a1 b\u1ed9\/\u0111\u1ecbnh h\u01b0\u1edbng. 2. Kh\u00f4ng c\u00f3 h\u1ed9 sinh trung c\u1ea5p tr\u1edf l\u00ean. M\u1ee9c 2 3. C\u00f3 b\u00e1c s\u1ef9 chuy\u00ean khoa s\u1ea3n (chuy\u00ean khoa s\u01a1 b\u1ed9\/\u0111\u1ecbnh h\u01b0\u1edbng ho\u1eb7c cao h\u01a1n). 4. C\u00f3 h\u1ed9 sinh trung c\u1ea5p tr\u1edf l\u00ean. 5. C\u00f3 ph\u00f2ng kh\u00e1m ph\u1ee5 khoa ri\u00eang v\u1edbi \u0111\u1ea7y \u0111\u1ee7 c\u00e1c trang thi\u1ebft b\u1ecb c\u01a1 b\u1ea3n (theo quy \u0111\u1ecbnh c\u1ee7a B\u1ed9 Y t\u1ebf), c\u00f3 b\u1ee5c l\u00ean xu\u1ed1ng b\u00e0n kh\u00e1m. 6. C\u00f3 ph\u00f2ng th\u1ee7 thu\u1eadt ri\u00eang bi\u1ec7t. M\u1ee9c 3 7. C\u00f3 b\u00e1c s\u1ef9 chuy\u00ean khoa s\u1ea3n c\u1ea5p I (ho\u1eb7c th\u1ea1c s\u1ef9 v\u1ec1 chuy\u00ean khoa s\u1ea3n) tr\u1edf l\u00ean. 8. T\u1ef7 l\u1ec7 h\u1ed9 sinh c\u00f3 tr\u00ecnh \u0111\u1ed9 c\u1eed nh\u00e2n tr\u1edf l\u00ean chi\u1ebfm \u00edt nh\u1ea5t 30% t\u1ed5ng s\u1ed1 h\u1ed9 sinh c\u1ee7a khoa s\u1ea3n (ho\u1eb7c c\u1ee7a t\u1ed5ng c\u00e1c khoa s\u1ea3n tr\u00ean to\u00e0n b\u1ec7nh vi\u1ec7n chuy\u00ean khoa)*. 9. C\u00f3 tri\u1ec3n khai th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt m\u1ed5 \u0111\u1ebb (m\u1ed5 l\u1ea5y thai) mang t\u00ednh th\u01b0\u1eddng quy. 10. C\u00f3 g\u00f3c s\u01a1 sinh trong ph\u00f2ng \u0111\u1ebb (ho\u1eb7c c\u00f3 \u0111\u01a1n nguy\u00ean s\u01a1 sinh ri\u00eang bi\u1ec7t v\u00e0 cao h\u01a1n). M\u1ee9c 4 11. C\u00f3 \u0111\u01a1n nguy\u00ean\/khoa s\u01a1 sinh ri\u00eang bi\u1ec7t trong b\u1ec7nh vi\u1ec7n, \u0111\u1ea7y \u0111\u1ee7 nh\u00e2n l\u1ef1c, c\u01a1 s\u1edf v\u1eadt ch\u1ea5t, trang thi\u1ebft b\u1ecb theo quy \u0111\u1ecbnh c\u1ee7a B\u1ed9 Y t\u1ebf. 12. C\u00f3 b\u00e1c s\u1ef9 chuy\u00ean khoa s\u1ea3n c\u1ea5p II (ho\u1eb7c ti\u1ebfn s\u1ef9 v\u1ec1 chuy\u00ean khoa s\u1ea3n) tr\u1edf l\u00ean. 13. T\u1ef7 l\u1ec7 h\u1ed9 sinh c\u00f3 tr\u00ecnh \u0111\u1ed9 c\u1eed nh\u00e2n tr\u1edf l\u00ean chi\u1ebfm \u00edt nh\u1ea5t 40% t\u1ed5ng s\u1ed1 h\u1ed9 sinh c\u1ee7a khoa s\u1ea3n (ho\u1eb7c c\u1ee7a t\u1ed5ng c\u00e1c khoa s\u1ea3n tr\u00ean to\u00e0n b\u1ec7nh vi\u1ec7n chuy\u00ean khoa)*. M\u1ee9c 5 14. T\u1ef7 l\u1ec7 h\u1ed9 sinh c\u00f3 tr\u00ecnh \u0111\u1ed9 c\u1eed nh\u00e2n tr\u1edf l\u00ean chi\u1ebfm \u00edt nh\u1ea5t 50% t\u1ed5ng s\u1ed1 h\u1ed9 sinh c\u1ee7a khoa s\u1ea3n (ho\u1eb7c c\u1ee7a t\u1ed5ng c\u00e1c khoa s\u1ea3n tr\u00ean to\u00e0n b\u1ec7nh vi\u1ec7n chuy\u00ean khoa)*. 15. T\u1ef7 l\u1ec7 b\u00e1c s\u1ef9 s\u1ea3n khoa tham gia \u0111\u1ea7y \u0111\u1ee7 \u0111\u00e0o t\u1ea1o li\u00ean t\u1ee5c trong n\u0103m chi\u1ebfm t\u1eeb 70% tr\u1edf l\u00ean (trong s\u1ed1 c\u00e1c b\u00e1c s\u1ef9 s\u1ea3n khoa). 16. Tr\u01b0\u1edfng ho\u1eb7c ph\u00f3 khoa s\u1ea3n (ho\u1eb7c c\u00f3 \u00edt nh\u1ea5t 1 ng\u01b0\u1eddi trong ban gi\u00e1m \u0111\u1ed1c \u0111\u1ed1i v\u1edbi b\u1ec7nh vi\u1ec7n chuy\u00ean khoa s\u1ea3n) c\u00f3 tr\u00ecnh \u0111\u1ed9 chuy\u00ean khoa II ho\u1eb7c ti\u1ebfn s\u1ef9 v\u1ec1 s\u1ea3n khoa. 17. C\u00f3 khoa\/trung t\u00e2m chuy\u00ean s\u00e2u v\u1ec1 ph\u1ee5 s\u1ea3n (trung t\u00e2m s\u1ea3n b\u1ec7nh, trung t\u00e2m h\u1ed7 tr\u1ee3 sinh s\u1ea3n\u2026). Ghi chu\u0301 * N\u1ebfu b\u1ec7nh vi\u1ec7n chuy\u00ean khoa s\u1ea3n nhi th\u00ec ch\u1ec9 t\u00ednh t\u1ed5ng \u0111i\u1ec1u d\u01b0\u1ee1ng c\u1ee7a c\u00e1c khoa s\u1ea3n trong to\u00e0n b\u1ec7nh vi\u1ec7n. 132","E1.2 Ho\u1ea1t \u0111\u1ed9ng truy\u1ec1n th\u00f4ng v\u1ec1 s\u1ee9c kh\u1ecfe sinh sa\u0309n, s\u1ee9c kh\u1ecfe b\u00e0 m\u1eb9, tr\u1ebb em C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Ch\u1ec9 th\u1ecb s\u1ed1 07\/CT-BYT ng\u00e0y 19\/06\/2014 c\u1ee7a B\u1ed9 tr\u01b0\u1edfng B\u1ed9 Y t\u1ebf v\u1ec1 t\u0103ng c\u01b0\u1eddng v\u00e0 \u00fd c\u00f4ng t\u00e1c truy\u1ec1n th\u00f4ng, cung c\u1ea5p th\u00f4ng tin y t\u1ebf. ngh\u0129a \uf0b7 C\u00f4ng t\u00e1c truy\u1ec1n th\u00f4ng y t\u1ebf c\u00f3 vai tr\u00f2 quan tr\u1ecdng vi\u1ec7c cung c\u1ea5p ki\u1ebfn th\u1ee9c, g\u00f3p M\u1ee9c 1 ph\u1ea7n thay \u0111\u1ed5i th\u00e1i \u0111\u1ed9, h\u00e0nh vi c\u1ee7a ng\u01b0\u1eddi d\u00e2n v\u1ec1 ch\u0103m s\u00f3c b\u00e0 m\u1eb9 v\u00e0 tr\u1ebb em. M\u1ee9c 2 M\u1ee9c 3 \uf0b7 Th\u1ef1c hi\u1ec7n t\u1ed1t truy\u1ec1n th\u00f4ng s\u1ee9c kh\u1ecfe sinh s\u1ea3n, s\u1ee9c kh\u1ecfe b\u00e0 m\u1eb9, tr\u1ebb em gi\u00fap n\u00e2ng cao s\u1ee9c kh\u1ecfe sinh s\u1ea3n, g\u00f3p ph\u1ea7n gi\u1ea3m t\u1eed vong m\u1eb9 v\u00e0 t\u1eed vong tr\u1ebb em. M\u1ee9c 4 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 5 1. Kh\u00f4ng c\u00f3 tranh \u1ea3nh, t\u1edd r\u01a1i, b\u0103ng h\u00ecnh\u2026 tuy\u00ean truy\u1ec1n li\u00ean quan \u0111\u1ebfn ch\u0103m s\u00f3c s\u1ee9c Ghi ch\u00fa kh\u1ecfe sinh s\u1ea3n, s\u1ee9c kh\u1ecfe b\u00e0 m\u1eb9, tr\u1ebb em. 2. C\u00f3 tranh \u1ea3nh, t\u1edd r\u01a1i tuy\u00ean truy\u1ec1n v\u1ec1 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe sinh s\u1ea3n, s\u1ee9c kh\u1ecfe b\u00e0 m\u1eb9, tr\u1ebb em t\u1ea1i ph\u00f2ng kh\u00e1m v\u00e0 c\u00e1c khoa s\u1ea3n; \u0111\u1eb7t \u1edf v\u1ecb tr\u00ed d\u1ec5 quan s\u00e1t cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 ng\u01b0\u1eddi nh\u00e0 ng\u01b0\u1eddi b\u1ec7nh. 3. C\u00f3 th\u1ef1c hi\u1ec7n t\u01b0 v\u1ea5n v\u1ec1 s\u1ee9c kh\u1ecfe sinh s\u1ea3n v\u00e0 ch\u0103m s\u00f3c tr\u01b0\u1edbc sinh, sau sinh, ch\u0103m s\u00f3c v\u00e0 nu\u00f4i d\u01b0\u1ee1ng tr\u1ebb nh\u1ecf cho ph\u1ee5 n\u1eef mang thai. 4. C\u00f3 b\u1ea3ng th\u00f4ng tin* v\u00e0 truy\u1ec1n th\u00f4ng v\u1ec1 s\u1ee9c kh\u1ecfe sinh s\u1ea3n v\u00e0 ch\u0103m s\u00f3c tr\u01b0\u1edbc sinh, sau sinh \u0111\u1eb7t t\u1ea1i ph\u00f2ng kh\u00e1m, ch\u1ed7 d\u1ec5 quan s\u00e1t cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 ng\u01b0\u1eddi th\u0103m\/nu\u00f4i ng\u01b0\u1eddi b\u1ec7nh. 5. C\u00f3 h\u1ed9p ph\u00e1t t\u1edd r\u01a1i mi\u1ec5n ph\u00ed truy\u1ec1n th\u00f4ng v\u1ec1 s\u1ee9c kh\u1ecfe sinh s\u1ea3n v\u00e0 ch\u0103m s\u00f3c tr\u01b0\u1edbc sinh, sau sinh\u2026 6. C\u00f3 nh\u00e2n vi\u00ean t\u01b0 v\u1ea5n ki\u00eam nhi\u1ec7m\/chuy\u00ean tr\u00e1ch v\u1ec1 s\u1ee9c kh\u1ecfe sinh s\u1ea3n v\u00e0 ch\u0103m s\u00f3c tr\u01b0\u1edbc sinh, sau sinh, tr\u00ecnh \u0111\u1ed9 t\u1eeb cao \u0111\u1eb3ng\/c\u1eed nh\u00e2n \u0111i\u1ec1u d\u01b0\u1ee1ng tr\u1edf l\u00ean ho\u1eb7c b\u00e1c s\u1ef9. 7. C\u00f3 ph\u00f2ng t\u01b0 v\u1ea5n v\u1ec1 s\u1ee9c kh\u1ecfe sinh s\u1ea3n v\u00e0 ch\u0103m s\u00f3c tr\u01b0\u1edbc sinh, sau sinh. 8. C\u00f3 t\u00e0i li\u1ec7u cho c\u00e1c l\u1edbp h\u1ecdc ti\u1ec1n v\u00e0 h\u1eadu s\u1ea3n cung c\u1ea5p cho c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng ph\u1ee5 n\u1eef, ng\u01b0\u1eddi nh\u00e0 ng\u01b0\u1eddi b\u1ec7nh (trong \u0111\u00f3 c\u00f3 n\u1ed9i dung h\u01b0\u1edbng d\u1eabn nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9). 9. C\u00f3 t\u1ed5 ch\u1ee9c l\u1edbp h\u1ecdc ti\u1ec1n s\u1ea3n \u0111\u1ecbnh k\u1ef3 cho ph\u1ee5 n\u1eef mang thai, b\u00e0 m\u1eb9 cho con b\u00fa v\u00e0 c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng kh\u00e1c m\u1ed7i th\u00e1ng \u00edt nh\u1ea5t 1 l\u1ea7n; n\u1ed9i dung v\u1ec1 theo d\u00f5i, ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe b\u00e0 m\u1eb9, thai nhi v\u00e0 s\u01a1 sinh; ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng, nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9, \u0103n b\u1ed5 sung h\u1ee3p l\u00fd \u2026 10. Khu v\u1ef1c khoa\/ph\u00f2ng kh\u00e1m b\u1ec7nh, ph\u00f2ng ch\u1edd c\u00f3 ti-vi m\u00e0n h\u00ecnh t\u1eeb 40 inch tr\u1edf l\u00ean, th\u01b0\u1eddng xuy\u00ean ph\u00e1t c\u00e1c b\u0103ng h\u00ecnh v\u1ec1 s\u1ee9c kh\u1ecfe sinh s\u1ea3n, ch\u0103m s\u00f3c tr\u01b0\u1edbc sinh; trong v\u00e0 ngay sau sinh; sau sinh. 11. C\u00f3 c\u1eadp nh\u1eadt, b\u1ed5 sung t\u00e0i li\u1ec7u cho c\u00e1c l\u1edbp h\u1ecdc ti\u1ec1n s\u1ea3n \u0111\u1ecbnh k\u1ef3 cho c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng ph\u1ee5 n\u1eef, ng\u01b0\u1eddi nh\u00e0 ng\u01b0\u1eddi b\u1ec7nh v\u00e0 ph\u00e1t cho h\u1ecdc vi\u00ean. 12. C\u00e1c l\u1edbp h\u1ecdc ti\u1ec1n s\u1ea3n \u0111\u01b0\u1ee3c t\u1ed5 ch\u1ee9c theo l\u1ecbch c\u1ed1 \u0111\u1ecbnh \u00edt nh\u1ea5t 1 l\u1ea7n trong tu\u1ea7n v\u00e0 c\u00f4ng b\u1ed1 c\u00f4ng khai cho ng\u01b0\u1eddi d\u00e2n \u0111\u01b0\u1ee3c bi\u1ebft. 13. C\u00f3 ti\u1ebfn h\u00e0nh \u0111\u00e1nh gi\u00e1 ki\u1ebfn th\u1ee9c c\u1ee7a c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng h\u1ecdc vi\u00ean sau khi t\u1eadp hu\u1ea5n. 14. Ti\u1ebfn h\u00e0nh c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng c\u00e1c l\u1edbp d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1. * B\u1ea3ng th\u00f4ng tin c\u00f3 c\u00e1c th\u00f4ng \u0111i\u1ec7p truy\u1ec1n th\u00f4ng, h\u00ecnh \u1ea3nh, ki\u1ebfn th\u1ee9c, s\u1ed1 li\u1ec7u\u2026 c\u1ee5 th\u1ec3 v\u1ec1 s\u1ee9c kh\u1ecfe sinh s\u1ea3n v\u00e0 ch\u0103m s\u00f3c tr\u01b0\u1edbc sinh, sau sinh. 133","E1.3 Th\u1ef1c h\u00e0nh t\u1ed1t nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9 C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Ngh\u1ecb \u0111\u1ecbnh 100\/2014\/N\u0110-CP ng\u00e0y 06\/11\/2014 c\u1ee7a Ch\u00ednh ph\u1ee7 quy \u0111\u1ecbnh Quy \u0111\u1ecbnh v\u00e0 \u00fd v\u1ec1 kinh doanh v\u00e0 s\u1eed d\u1ee5ng s\u1ea3n ph\u1ea9m dinh d\u01b0\u1ee1ng d\u00f9ng cho tr\u1ebb nh\u1ecf, b\u00ecnh b\u00fa v\u00e0 v\u00fa ngh\u0129a ng\u1eadm nh\u00e2n t\u1ea1o. M\u1ee9c 1 \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 38\/2016\/TT-BYT ng\u00e0y 31\/10\/2016 quy \u0111\u1ecbnh m\u1ed9t s\u1ed1 bi\u1ec7n ph\u00e1p th\u00fac \u0111\u1ea9y nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9 t\u1ea1i c\u00e1c c\u01a1 s\u1edf kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh. M\u1ee9c 2 \uf0b7 Quy\u1ebft \u0111\u1ecbnh s\u1ed1 4673\/Q\u0110-BYT ng\u00e0y 10\/11\/2014 c\u1ee7a B\u1ed9 tr\u01b0\u1edfng B\u1ed9 Y t\u1ebf ph\u00ea duy\u1ec7t M\u1ee9c 3 t\u00e0i li\u1ec7u h\u01b0\u1edbng d\u1eabn chuy\u00ean m\u00f4n ch\u0103m s\u00f3c thi\u1ebft y\u1ebfu b\u00e0 m\u1eb9, tr\u1ebb s\u01a1 sinh trong v\u00e0 ngay sau \u0111\u1ebb. \uf0b7 S\u1eefa m\u1eb9 l\u00e0 ngu\u1ed3n dinh d\u01b0\u1ee1ng \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng \u0111\u1ed1i v\u1edbi tr\u1ebb s\u01a1 sinh v\u00e0 tr\u1ebb nh\u1ecf, gi\u00fap t\u0103ng c\u01b0\u1eddng h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch. \uf0b7 T\u1ed5 ch\u1ee9c Y t\u1ebf th\u1ebf gi\u1edbi v\u00e0 Qu\u1ef9 Nhi \u0111\u1ed3ng Li\u00ean hi\u1ec7p qu\u1ed1c (WHO v\u00e0 UNICEF) \u0111\u00e3 c\u00f3 c\u00e1c khuy\u1ebfn c\u00e1o cho to\u00e0n c\u1ea7u c\u1ea7n th\u1ef1c h\u00e0nh t\u1ed1t nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9 (NCBSM). C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng 1. Kh\u00f4ng tri\u1ec3n khai c\u00e1c h\u01b0\u1edbng d\u1eabn NCBSM theo quy \u0111\u1ecbnh c\u1ee7a B\u1ed9 Y t\u1ebf. 2. Ph\u00e1t hi\u1ec7n th\u1ea5y c\u00f3 tranh, \u1ea3nh, t\u1edd r\u01a1i, nh\u00e2n vi\u00ean ti\u1ebfp th\u1ecb, t\u00e0i tr\u1ee3 h\u1ed9i ngh\u1ecb, h\u1ed9i th\u1ea3o ho\u1eb7c h\u00ecnh th\u1ee9c kh\u00e1c qu\u1ea3ng c\u00e1o s\u1eefa c\u00f4ng th\u1ee9c cho tr\u1ebb d\u01b0\u1edbi 24 th\u00e1ng tu\u1ed5i trong khu\u00f4n vi\u00ean ho\u1eb7c h\u00e0ng r\u00e0o b\u1ec7nh vi\u1ec7n. 3. Trong n\u0103m b\u1ecb ph\u00e1t hi\u1ec7n vi ph\u1ea1m c\u00e1c quy \u0111\u1ecbnh c\u1ee7a Ngh\u1ecb \u0111\u1ecbnh 100\/2014\/N\u0110-CP ng\u00e0y 06\/11\/2014 ho\u1eb7c Th\u00f4ng t\u01b0 s\u1ed1 38\/2016\/TT-BYT ng\u00e0y 31\/10\/2016 (b\u1ecb x\u1eed ph\u1ea1t ho\u1eb7c n\u00eau tr\u00ean c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n th\u00f4ng tin \u0111\u1ea1i ch\u00fang). 4. C\u00f3 b\u1ea3n quy \u0111\u1ecbnh v\u1ec1 vi\u1ec7c th\u1ef1c hi\u1ec7n 10 \u0111i\u1ec1u ki\u1ec7n nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9, \u0111\u01b0\u1ee3c vi\u1ebft b\u1eb1ng ng\u00f4n ng\u1eef th\u00f4ng d\u1ee5ng, d\u1ec5 hi\u1ec3u, s\u1eb5n c\u00f3 cho nh\u00e2n vi\u00ean y t\u1ebf tham gia ch\u0103m s\u00f3c b\u00e0 m\u1eb9 v\u00e0 tr\u1ebb em; \u0111\u01b0\u1ee3c treo \u1edf nh\u1eefng n\u01a1i d\u1ec5 quan s\u00e1t. 5. Khoa s\u1ea3n, nhi tuy\u00ean truy\u1ec1n, h\u01b0\u1edbng d\u1eabn c\u00e1c b\u00e0 m\u1eb9 kh\u00f4ng s\u1eed d\u1ee5ng b\u00ecnh b\u00fa, s\u1eefa thay th\u1ebf s\u1eefa m\u1eb9 cho tr\u1ebb d\u01b0\u1edbi 24 th\u00e1ng n\u1ebfu kh\u00f4ng c\u00f3 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u1ef9. 6. T\u1ef7 l\u1ec7 c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111\u1ebb th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ea7y \u0111\u1ee7 c\u1eaft r\u1ed1n ch\u1eadm, da k\u1ec1 da, b\u00fa s\u1edbm trong 1 gi\u1edd \u0111\u1ea7u sau sinh \u0111\u1ea1t t\u1ed1i thi\u1ec3u 50%. 7. T\u1ef7 l\u1ec7 tr\u1ebb s\u01a1 sinh t\u1ea1i khoa s\u1ea3n \u0111\u01b0\u1ee3c \\\"b\u00fa m\u1eb9 ho\u00e0n to\u00e0n\\\"* t\u1eeb 50% tr\u1edf l\u00ean. 8. Nh\u00e2n vi\u00ean khoa s\u1ea3n \u0111\u01b0\u1ee3c t\u1eadp hu\u1ea5n v\u1ec1 t\u01b0 v\u1ea5n v\u00e0 h\u1ed7 tr\u1ee3 b\u00e0 m\u1eb9 nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9 chi\u1ebfm t\u1eeb 80% tr\u1edf l\u00ean. 9. C\u00f3 c\u00e1c h\u00ecnh \u1ea3nh tuy\u00ean truy\u1ec1n v\u1ec1 nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9, \u0111\u01b0\u1ee3c treo \u1edf n\u01a1i d\u1ec5 quan s\u00e1t. 10. C\u00f3 th\u1ef1c hi\u1ec7n t\u01b0 v\u1ea5n v\u1ec1 nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9. 11. C\u00f3 ghi th\u00f4ng tin v\u1ec1 t\u00ecnh h\u00ecnh tr\u1ebb b\u00fa m\u1eb9 v\u00e0o h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n ho\u1eb7c phi\u1ebfu ch\u0103m s\u00f3c. 12. Khoa s\u1ea3n c\u00f3 s\u1ed1 li\u1ec7u th\u1ed1ng k\u00ea theo d\u00f5i t\u00ecnh h\u00ecnh th\u1ef1c h\u00e0nh NCBSM, bao g\u1ed3m tr\u1ebb \u0111\u1ebb th\u01b0\u1eddng v\u00e0 m\u1ed5 \u0111\u1ebb. 13. C\u00e1c b\u00e0 m\u1eb9 \u0111\u1ebb th\u01b0\u1eddng \u0111\u01b0\u1ee3c n\u1eb1m c\u00f9ng con su\u1ed1t 24 gi\u1edd trong ng\u00e0y \u0111\u1ea1t 80% (ngo\u1ea1i tr\u1eeb c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u00f3 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u1ef9 kh\u00f4ng \u0111\u01b0\u1ee3c n\u1eb1m c\u00f9ng). 14. T\u1ef7 l\u1ec7 c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111\u1ebb th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ea7y \u0111\u1ee7 c\u1eaft r\u1ed1n ch\u1eadm, da k\u1ec1 da, b\u00fa s\u1edbm trong 1 gi\u1edd \u0111\u1ea7u sau sinh \u0111\u1ea1t t\u1ed1i thi\u1ec3u 80%. 15. T\u1ef7 l\u1ec7 tr\u1ebb s\u01a1 sinh t\u1ea1i khoa s\u1ea3n \u0111\u01b0\u1ee3c \\\"b\u00fa m\u1eb9 ho\u00e0n to\u00e0n*\\\" t\u1eeb 70% tr\u1edf l\u00ean. 16. T\u1ef7 l\u1ec7 c\u00e1c tr\u01b0\u1eddng h\u1ee3p m\u1ed5 \u0111\u1ebb \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ea7y \u0111\u1ee7 c\u1eaft r\u1ed1n ch\u1eadm, da k\u1ec1 da, b\u00fa s\u1edbm trong 1 gi\u1edd \u0111\u1ea7u sau sinh \u0111\u1ea1t t\u1ed1i thi\u1ec3u 30% s\u1ed1 tr\u01b0\u1eddng h\u1ee3p \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n \u00e1p d\u1ee5ng. 134","E1.3 Th\u1ef1c h\u00e0nh t\u1ed1t nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9 M\u1ee9c 4 17. Nh\u00e2n vi\u00ean khoa s\u1ea3n \u0111\u01b0\u1ee3c t\u1eadp hu\u1ea5n v\u1ec1 t\u01b0 v\u1ea5n v\u00e0 h\u1ed7 tr\u1ee3 b\u00e0 m\u1eb9 nu\u00f4i con b\u1eb1ng s\u1eefa M\u1ee9c 5 m\u1eb9 chi\u1ebfm t\u1eeb 95% tr\u1edf l\u00ean. Ghi ch\u00fa 18. C\u00f3 nh\u00e2n vi\u00ean chuy\u00ean tr\u00e1ch t\u01b0 v\u1ea5n NCBSM \u0111\u00e3 tham d\u1ef1 l\u1edbp t\u1eadp hu\u1ea5n\/\u0111\u00e0o t\u1ea1o v\u1ec1 nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9 v\u00e0 c\u00f3 ch\u1ee9ng ch\u1ec9\/ch\u1ee9ng nh\u1eadn. 19. C\u00f3 nh\u00f3m h\u1ed7 tr\u1ee3 b\u00e0 m\u1eb9 nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9 ho\u1ea1t \u0111\u1ed9ng th\u01b0\u1eddng xuy\u00ean (th\u00e0nh vi\u00ean l\u00e0 c\u00e1c \u0111i\u1ec1u d\u01b0\u1ee1ng, h\u1ed9 sinh\u2026) c\u00f3 ki\u1ebfn th\u1ee9c v\u00e0 k\u1ef9 n\u0103ng t\u01b0 v\u1ea5n, h\u01b0\u1edbng d\u1eabn, h\u1ed7 tr\u1ee3 c\u00e1c b\u00e0 m\u1eb9 nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9, th\u00f4ng t\u1eafc tia s\u1eefa, c\u00e1ch cho tr\u1ebb b\u00fa \u0111\u00fang, c\u00e1ch duy tr\u00ec ngu\u1ed3n s\u1eefa m\u1eb9. 20. T\u1ef7 l\u1ec7 b\u00e0 m\u1eb9 sau sinh \u0111\u01b0\u1ee3c c\u00e1n b\u1ed9 y t\u1ebf t\u01b0 v\u1ea5n v\u00e0 gi\u00fap \u0111\u1ee1 nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9 \u0111\u00fang c\u00e1ch \u0111\u1ea1t 80% tr\u1edf l\u00ean trong s\u1ed1 b\u00e0 m\u1eb9 sinh t\u1ea1i b\u1ec7nh vi\u1ec7n. 21. T\u1ef7 l\u1ec7 c\u00e1c b\u00e0 m\u1eb9 \u0111\u1ebb th\u01b0\u1eddng \u0111\u01b0\u1ee3c n\u1eb1m c\u00f9ng con su\u1ed1t 24 gi\u1edd trong ng\u00e0y \u0111\u1ea1t t\u1eeb 95% tr\u1edf l\u00ean (ngo\u1ea1i tr\u1eeb c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u00f3 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u1ef9 kh\u00f4ng \u0111\u01b0\u1ee3c n\u1eb1m c\u00f9ng). 22. T\u1ef7 l\u1ec7 c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111\u1ebb th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ea7y \u0111\u1ee7 c\u1eaft r\u1ed1n ch\u1eadm, da k\u1ec1 da, b\u00fa s\u1edbm trong 1 gi\u1edd \u0111\u1ea7u sau sinh \u0111\u1ea1t t\u1ed1i thi\u1ec3u 80%. 23. T\u1ef7 l\u1ec7 c\u00e1c tr\u01b0\u1eddng h\u1ee3p m\u1ed5 \u0111\u1ebb \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ea7y \u0111\u1ee7 c\u1eaft r\u1ed1n ch\u1eadm, da k\u1ec1 da, b\u00fa s\u1edbm trong 1 gi\u1edd \u0111\u1ea7u sau sinh \u0111\u1ea1t t\u1ed1i thi\u1ec3u 50% s\u1ed1 tr\u01b0\u1eddng h\u1ee3p \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n \u00e1p d\u1ee5ng. 24. T\u1ef7 l\u1ec7 tr\u1ebb s\u01a1 sinh t\u1ea1i khoa s\u1ea3n \u0111\u01b0\u1ee3c b\u00fa m\u1eb9 ho\u00e0n to\u00e0n \u0111\u1ea1t t\u1eeb 90% tr\u1edf l\u00ean. 25. T\u1ef7 l\u1ec7 tr\u1ebb s\u01a1 sinh t\u1ea1i khoa s\u1ea3n \u0111\u01b0\u1ee3c b\u00fa m\u1eb9 ho\u00e0n to\u00e0n \u0111\u1ea1t t\u1eeb 95% tr\u1edf l\u00ean. 26. T\u1ef7 l\u1ec7 c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111\u1ebb th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ea7y \u0111\u1ee7 c\u1eaft r\u1ed1n ch\u1eadm, da k\u1ec1 da, b\u00fa s\u1edbm trong 1 gi\u1edd \u0111\u1ea7u sau sinh \u0111\u1ea1t t\u1ed1i thi\u1ec3u 95% (ngo\u1ea1i tr\u1eeb c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u00f3 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u1ef9 kh\u00f4ng \u0111\u01b0\u1ee3c n\u1eb1m c\u00f9ng). 27. T\u1ef7 l\u1ec7 c\u00e1c tr\u01b0\u1eddng h\u1ee3p m\u1ed5 \u0111\u1ebb \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ea7y \u0111\u1ee7 c\u1eaft r\u1ed1n ch\u1eadm, da k\u1ec1 da, b\u00fa s\u1edbm trong 1 gi\u1edd \u0111\u1ea7u sau sinh \u0111\u1ea1t t\u1ed1i thi\u1ec3u 80% s\u1ed1 tr\u01b0\u1eddng h\u1ee3p \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n \u00e1p d\u1ee5ng. 28. C\u00f3 ng\u00e2n h\u00e0ng s\u1eefa m\u1eb9 t\u1ea1i b\u1ec7nh vi\u1ec7n v\u00e0 c\u00f3 h\u00ecnh th\u1ee9c t\u01b0 v\u1ea5n, khuy\u1ebfn kh\u00edch c\u00e1c b\u00e0 m\u1eb9 chia s\u1ebb s\u1eefa cho c\u00e1c ch\u00e1u kh\u00f4ng ho\u1eb7c ch\u01b0a c\u00f3 s\u1eefa m\u1eb9 khi sinh t\u1ea1i b\u1ec7nh vi\u1ec7n. 29. C\u00e1c b\u00e0 m\u1eb9 cho s\u1eefa t\u1ea1i b\u1ec7nh vi\u1ec7n \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m c\u00e1c b\u1ec7nh truy\u1ec1n nhi\u1ec5m v\u00e0 c\u00e1c b\u1ec7nh c\u00f3 nguy c\u01a1 l\u00e2y truy\u1ec1n qua s\u1eefa m\u1eb9, b\u1ea3o \u0111\u1ea3m \u00e2m t\u00ednh v\u1edbi c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 \u0111\u1ea1t 100%. \uf0b7 T\u00e0i li\u1ec7u h\u01b0\u1edbng d\u1eabn nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9 tham kh\u1ea3o t\u1ea1i trang th\u00f4ng tin \u0111i\u1ec7n t\u1eed c\u1ee7a V\u1ee5 S\u1ee9c kh\u1ecfe B\u00e0 m\u1eb9 Tr\u1ebb em v\u00e0 UNICEF. \uf0b7 C\u00e1c th\u1ef1c h\u00e0nh li\u00ean quan \u0111\u1ebfn NCBSM trong quy tr\u00ecnh ch\u0103m s\u00f3c thi\u1ebft y\u1ebfu b\u00e0 m\u1eb9, tr\u1ebb s\u01a1 sinh trong v\u00e0 ngay sau \u0111\u1ebb (Early Essential Newborn Care - EENC) ch\u1ec9 \u0111\u00e1nh gi\u00e1 tr\u00ean c\u00e1c th\u1ef1c h\u00e0nh sau: (1) c\u1eaft r\u1ed1n ch\u1eadm, (2) da k\u1ec1 da, (3) b\u00fa s\u1edbm trong 1 gi\u1edd \u0111\u1ea7u sau sinh. \uf0b7 \\\"B\u00fa m\u1eb9 ho\u00e0n to\u00e0n\\\" l\u00e0 kh\u00f4ng \u0103n th\u1ee9c \u0103n g\u00ec kh\u00e1c ngo\u00e0i s\u1eefa m\u1eb9, ngo\u1ea1i tr\u1eeb c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u00f3 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u1ef9 nh\u01b0: \u2013 Tr\u1ebb c\u00f3 m\u1eb9 b\u1ecb b\u1ec7nh n\u1eb7ng kh\u00f4ng th\u1ec3 cho tr\u1ebb b\u00fa s\u1eefa ho\u1eb7c v\u1eaft s\u1eefa \u0111\u01b0\u1ee3c. \u2013 Tr\u1ebb c\u00f3 m\u1eb9 \u0111ang b\u1ecb chi\u1ebfu tia x\u1ea1 ho\u1eb7c ph\u1ea3i d\u00f9ng thu\u1ed1c ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh cho con b\u00fa nh\u01b0 c\u00e1c thu\u1ed1c kh\u00e1ng gi\u00e1p tr\u1ea1ng, thu\u1ed1c ch\u1ed1ng ung th\u01b0\u2026 \u2013 Tr\u1ebb m\u1eafc c\u00e1c b\u1ec7nh chuy\u1ec3n ho\u00e1 kh\u00f4ng dung n\u1ea1p \u0111\u01b0\u1ee3c s\u1eefa m\u1eb9. 135","CH\u01af\u01a0NG E2. TI\u00caU CH\u00cd NHI KHOA (\u00c1P D\u1ee4NG CHO B\u1ec6NH VI\u1ec6N C\u00d3 KH\u00c1M CH\u1eeeA B\u1ec6NH NHI KHOA) E2.1 B\u1ec7nh vi\u1ec7n thi\u00ea\u0301t l\u1eadp h\u1ec7 th\u1ed1ng t\u1ed5 ch\u1ee9c ch\u0103m s\u00f3c nhi khoa C\u0103n c\u1ee9 \uf0b7 Quy\u1ebft \u0111\u1ecbnh 1142\/Q\u0110-BYT ng\u00e0y 18 th\u00e1ng 4 n\u0103m 2011 v\u1ec1 vi\u1ec7c ph\u00ea duy\u1ec7t t\u00e0i li\u1ec7u \u0111\u1ec1 xu\u1ea5t chuy\u00ean m\u00f4n \u201cH\u01b0\u1edbng d\u1eabn t\u1ed5 ch\u1ee9c th\u1ef1c hi\u1ec7n \u0111\u01a1n nguy\u00ean s\u01a1 sinh v\u00e0 g\u00f3c s\u01a1 sinh t\u1ea1i v\u00e0 \u00fd c\u00e1c tuy\u1ebfn y t\u1ebf\u201d. ngh\u0129a \uf0b7 Thi\u1ebft l\u1eadp h\u1ec7 th\u1ed1ng t\u1ed5 ch\u1ee9c ch\u0103m s\u00f3c nhi khoa g\u00f3p ph\u1ea7n b\u1ea3o \u0111\u1ea3m c\u00f4ng t\u00e1c ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe b\u00e0 m\u1eb9 tr\u1ebb em, duy tr\u00ec th\u00e0nh qu\u1ea3 th\u1ef1c hi\u1ec7n c\u00e1c m\u1ee5c ti\u00eau ph\u00e1t tri\u1ec3n Thi\u00ean ni\u00ean k\u1ef7, ti\u1ebfn t\u1edbi th\u1ef1c hi\u1ec7n c\u00e1c m\u1ee5c ti\u00eau ph\u00e1t tri\u1ec3n b\u1ec1n v\u1eefng. C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 1 1. Kh\u00f4ng c\u00f3 b\u00e1c s\u1ef9 chuy\u00ean khoa nhi, k\u1ec3 c\u1ea3 chuy\u00ean khoa s\u01a1 b\u1ed9\/\u0111\u1ecbnh h\u01b0\u1edbng. 2. Kh\u00f4ng c\u00f3 \u0111i\u1ec1u d\u01b0\u1ee1ng nhi*. 3. C\u00f3 b\u00e1c s\u1ef9 chuy\u00ean khoa nhi (chuy\u00ean khoa s\u01a1 b\u1ed9\/\u0111\u1ecbnh h\u01b0\u1edbng ho\u1eb7c cao h\u01a1n). M\u1ee9c 2 4. T\u1ef7 l\u1ec7 \u0111i\u1ec1u d\u01b0\u1ee1ng \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o v\u1ec1 nhi chi\u1ebfm t\u1eeb 30% t\u1ed5ng s\u1ed1 \u0111i\u1ec1u d\u01b0\u1ee1ng c\u1ee7a khoa. M\u1ee9c 3 5. C\u00f3 b\u1ea3n m\u00f4 t\u1ea3 v\u1ecb tr\u00ed vi\u1ec7c l\u00e0m cho c\u00e1c v\u1ecb tr\u00ed c\u00f4ng vi\u1ec7c trong khoa \u0111i\u1ec1u tr\u1ecb nhi. 6. C\u00f3 b\u00e1c s\u1ef9 chuy\u00ean khoa nhi c\u1ea5p I (ho\u1eb7c th\u1ea1c s\u1ef9 v\u1ec1 chuy\u00ean khoa nhi) tr\u1edf l\u00ean. 7. T\u1ef7 l\u1ec7 \u0111i\u1ec1u d\u01b0\u1ee1ng c\u00f3 tr\u00ecnh \u0111\u1ed9 c\u1eed nh\u00e2n tr\u1edf l\u00ean chi\u1ebfm \u00edt nh\u1ea5t 30% t\u1ed5ng s\u1ed1 \u0111i\u1ec1u d\u01b0\u1ee1ng c\u1ee7a khoa nhi (ho\u1eb7c c\u1ee7a t\u1ed5ng c\u00e1c khoa nhi tr\u00ean to\u00e0n b\u1ec7nh vi\u1ec7n chuy\u00ean khoa)*. 8. T\u1ef7 l\u1ec7 \u0111i\u1ec1u d\u01b0\u1ee1ng \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o v\u1ec1 nhi chi\u1ebfm t\u1eeb 50% t\u1ed5ng s\u1ed1 \u0111i\u1ec1u d\u01b0\u1ee1ng c\u1ee7a khoa nhi (ho\u1eb7c c\u1ee7a t\u1ed5ng c\u00e1c khoa nhi tr\u00ean to\u00e0n b\u1ec7nh vi\u1ec7n chuy\u00ean khoa)*. 9. C\u00f3 \u0111\u01a1n nguy\u00ean s\u01a1 sinh (ho\u1eb7c cao h\u01a1n) \u0111\u1ea7y \u0111\u1ee7 nh\u00e2n l\u1ef1c, c\u01a1 s\u1edf v\u1eadt ch\u1ea5t, trang thi\u1ebft b\u1ecb v\u00e0 n\u0103ng l\u1ef1c chuy\u00ean m\u00f4n theo quy \u0111\u1ecbnh c\u1ee7a B\u1ed9 Y t\u1ebf v\u1edbi t\u1eebng tuy\u1ebfn. M\u1ee9c 4 10. C\u00f3 b\u00e1c s\u1ef9 chuy\u00ean khoa nhi c\u1ea5p II (ho\u1eb7c ti\u1ebfn s\u1ef9 v\u1ec1 chuy\u00ean khoa nhi) tr\u1edf l\u00ean. 11. T\u1ef7 l\u1ec7 \u0111i\u1ec1u d\u01b0\u1ee1ng c\u00f3 tr\u00ecnh \u0111\u1ed9 c\u1eed nh\u00e2n tr\u1edf l\u00ean chi\u1ebfm \u00edt nh\u1ea5t 40% t\u1ed5ng s\u1ed1 \u0111i\u1ec1u d\u01b0\u1ee1ng c\u1ee7a khoa nhi (ho\u1eb7c c\u1ee7a t\u1ed5ng c\u00e1c khoa nhi tr\u00ean to\u00e0n b\u1ec7nh vi\u1ec7n chuy\u00ean khoa)*. 12. T\u1ef7 l\u1ec7 \u0111i\u1ec1u d\u01b0\u1ee1ng \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o v\u1ec1 nhi chi\u1ebfm t\u1eeb 70% t\u1ed5ng s\u1ed1 \u0111i\u1ec1u d\u01b0\u1ee1ng c\u1ee7a khoa nhi (ho\u1eb7c c\u1ee7a t\u1ed5ng c\u00e1c khoa nhi tr\u00ean to\u00e0n b\u1ec7nh vi\u1ec7n chuy\u00ean khoa)*. 13. T\u1ef7 l\u1ec7 \u0111i\u1ec1u d\u01b0\u1ee1ng c\u00f3 tr\u00ecnh \u0111\u1ed9 c\u1eed nh\u00e2n tr\u1edf l\u00ean chi\u1ebfm \u00edt nh\u1ea5t 50% t\u1ed5ng s\u1ed1 \u0111i\u1ec1u d\u01b0\u1ee1ng c\u1ee7a khoa nhi (ho\u1eb7c c\u1ee7a t\u1ed5ng c\u00e1c khoa nhi tr\u00ean to\u00e0n b\u1ec7nh vi\u1ec7n chuy\u00ean M\u1ee9c 5 khoa)*. 14. T\u1ef7 l\u1ec7 b\u00e1c s\u1ef9 nhi khoa tham gia \u0111\u1ea7y \u0111\u1ee7 \u0111\u00e0o t\u1ea1o li\u00ean t\u1ee5c trong n\u0103m \u0111\u1ea1t t\u1eeb 70% tr\u1edf l\u00ean. 15. Tr\u01b0\u1edfng ho\u1eb7c ph\u00f3 khoa nhi (ho\u1eb7c c\u00f3 \u00edt nh\u1ea5t 1 ng\u01b0\u1eddi trong ban gi\u00e1m \u0111\u1ed1c \u0111\u1ed1i v\u1edbi b\u1ec7nh vi\u1ec7n chuy\u00ean khoa) c\u00f3 tr\u00ecnh \u0111\u1ed9 chuy\u00ean khoa II ho\u1eb7c ti\u1ebfn s\u1ef9 v\u1ec1 nhi khoa. 16. C\u00f3 trung t\u00e2m b\u1ec7nh l\u00fd nhi khoa chuy\u00ean s\u00e2u (tim m\u1ea1ch, h\u1ed3i s\u1ee9c, ngo\u1ea1i nhi, truy\u1ec1n nhi\u1ec5m\u2026). Ghi chu\u0301 * N\u1ebfu b\u1ec7nh vi\u1ec7n chuy\u00ean khoa S\u1ea3n Nhi th\u00ec c\u00e1c ty\u0309 l\u1ec7 n\u00e0y t\u00ednh tr\u00ean t\u1ed5ng s\u1ed1 b\u00e1c s\u1ef9 ho\u1eb7c \u0111i\u1ec1u d\u01b0\u1ee1ng c\u1ee7a c\u00e1c khoa nhi trong b\u1ec7nh vi\u1ec7n. 136","PH\u1ee4 L\u1ee4C M\u1eaaU B\u00c1O C\u00c1O KI\u1ec2M TRA, \u0110\u00c1NH GI\u00c1 CH\u1ea4T L\u01af\u1ee2NG B\u1ec6NH VI\u1ec6N V\u00c0 C\u00c1C TI\u00caU CH\u00cd \u00c1P D\u1ee4NG TH\u00cd \u0110I\u1ec2M 137","PH\u1ee4 L\u1ee4C 1 M\u1eaaU B\u00c1O C\u00c1O T\u1ef0 KI\u1ec2M TRA, \u0110\u00c1NH GI\u00c1 CH\u1ea4T L\u01af\u1ee2NG B\u1ec6NH VI\u1ec6N (\u00c1P D\u1ee4NG CHO C\u00c1C B\u1ec6NH VI\u1ec6N T\u1ef0 KI\u1ec2M TRA, \u0110\u00c1NH GI\u00c1) TH\u00d4NG TIN H\u00c0NH CH\u00cdNH a. T\u00ean b\u1ec7nh vi\u1ec7n: b. \u0110\u1ecba ch\u1ec9: c. Tuy\u1ebfn: d. H\u1ea1ng: e. H\u1ecd v\u00e0 t\u00ean Gi\u00e1m \u0111\u1ed1c b\u1ec7nh vi\u1ec7n: f. H\u1ecd v\u00e0 t\u00ean th\u01b0 k\u00fd H\u1ed9i \u0111\u1ed3ng ki\u1ec3m tra: g. \u0110i\u1ec7n tho\u1ea1i li\u00ean h\u1ec7: h. \u0110\u1ecba ch\u1ec9 Email: T\u00d3M T\u1eaeT K\u1ebeT QU\u1ea2 T\u1ef0 KI\u1ec2M TRA CH\u1ea4T L\u01af\u1ee2NG B\u1ec6NH VI\u1ec6N 1. T\u1ed4NG S\u1ed0 C\u00c1C TI\u00caU CH\u00cd \u0110\u01af\u1ee2C \u00c1P D\u1ee4NG \u0110\u00c1NH GI\u00c1: \u2026\u2026\u2026....... \/83 TI\u00caU CH\u00cd 2. T\u1ef6 L\u1ec6 TI\u00caU CH\u00cd \u00c1P D\u1ee4NG SO V\u1edaI 83 TI\u00caU CH\u00cd: \u2026\u2026\u2026....... 100% 3. T\u1ed4NG S\u1ed0 \u0110I\u1ec2M C\u1ee6A C\u00c1C TI\u00caU CH\u00cd \u00c1P D\u1ee4NG: \u2026\u2026\u2026....... \u0110I\u1ec2M 4. \u0110I\u1ec2M TRUNG B\u00ccNH CHUNG C\u1ee6A C\u00c1C TI\u00caU CH\u00cd: \u2026\u2026\u2026\u2026\u2026 \u0110I\u1ec2M K\u1ebeT QU\u1ea2 CHUNG CHIA THEO M\u01af\u0301C: M\u1ee9c M\u1ee9c M\u1ee9c M\u1ee9c M\u1ee9c T\u1ed5ng s\u1ed1 5. S\u1ed0 L\u01af\u1ee2NG TI\u00caU CH\u00cd \u0110\u1ea0T: 1 2 3 4 5 ti\u00eau ch\u00ed 6. T\u1ef6 L\u1ec6 C\u00c1C M\u01af\u0301C \u0110\u1ea0T \u0110\u01af\u1ee2C (%): 100% NG\u01af\u1edcI \u0110I\u1ec0N TH\u00d4NG TIN Ng\u00e0y, th\u00e1ng, n\u0103m (k\u00fd t\u00ean) GI\u00c1M \u0110\u1ed0C B\u1ec6NH VI\u1ec6N (k\u00fd t\u00ean v\u00e0 \u0111\u00f3ng d\u1ea5u) 138","K\u1ebeT QU\u1ea2 T\u1ef0 KI\u1ec2M TRA, \u0110\u00c1NH GI\u00c1 1. K\u1ebeT QU\u1ea2 T\u1ef0 KI\u1ec2M TRA, \u0110\u00c1NH GI\u00c1 C\u00c1C TI\u00caU CH\u00cd CH\u1ea4T L\u01af\u1ee2NG STT PH\u1ea6N, CH\u01af\u01a0NG, M\u00c3 S\u1ed0, T\u00caN TI\u00caU CH\u00cd V\u00c0 S\u1ed0 L\u01af\u1ee2NG \u0110i\u1ec3m PH\u1ea6N A. H\u01af\u1edaNG \u0110\u1ebeN NG\u01af\u1edcI B\u1ec6NH (19) CH\u01af\u01a0NG A1. CH\u1ec8 D\u1eaaN, \u0110\u00d3N TI\u1ebeP, H\u01af\u1edaNG D\u1eaaN NG\u01af\u1edcI B\u1ec6NH (6) 1 A1.1 Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c ch\u1ec9 d\u1eabn r\u00f5 r\u00e0ng, \u0111\u00f3n ti\u1ebfp v\u00e0 h\u01b0\u1edbng d\u1eabn khoa h\u1ecdc, c\u1ee5 th\u1ec3 2 A1.2 Ng\u01b0\u1eddi b\u1ec7nh, ng\u01b0\u1eddi nh\u00e0 ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c ch\u1edd \u0111\u1ee3i trong ph\u00f2ng \u0111\u1ea7y \u0111\u1ee7 ti\u1ec7n nghi v\u00e0 \u0111\u01b0\u1ee3c v\u1eadn chuy\u1ec3n ph\u00f9 h\u1ee3p v\u1edbi t\u00ecnh tr\u1ea1ng b\u1ec7nh t\u1eadt 3 A1.3 C\u1ea3i ti\u1ebfn quy tr\u00ecnh kh\u00e1m b\u1ec7nh, \u0111\u00e1p \u1ee9ng s\u1ef1 h\u00e0i l\u00f2ng ng\u01b0\u1eddi b\u1ec7nh 4 A1.4 B\u1ec7nh vi\u1ec7n b\u1ea3o \u0111\u1ea3m c\u00e1c \u0111i\u1ec1u ki\u1ec7n c\u1ea5p c\u1ee9u ng\u01b0\u1eddi b\u1ec7nh k\u1ecbp th\u1eddi 5 A1.5 Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c l\u00e0m c\u00e1c th\u1ee7 t\u1ee5c \u0111\u0103ng k\u00fd, kh\u00e1m b\u1ec7nh theo \u0111\u00fang th\u1ee9 t\u1ef1 b\u1ea3o \u0111\u1ea3m t\u00ednh c\u00f4ng b\u1eb1ng v\u00e0 m\u1ee9c \u01b0u ti\u00ean 6 A1.6 Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn v\u00e0 b\u1ed1 tr\u00ed l\u00e0m x\u00e9t nghi\u1ec7m, ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh, th\u0103m d\u00f2 ch\u1ee9c n\u0103ng theo tr\u00ecnh t\u1ef1 thu\u1eadn ti\u1ec7n CH\u01af\u01a0NG A2. \u0110I\u1ec0U KI\u1ec6N C\u01a0 S\u1ede V\u1eacT CH\u1ea4T PH\u1ee4C V\u1ee4 NG\u01af\u1edcI B\u1ec6NH (5) 7 A2.1 Ng\u01b0\u1eddi b\u1ec7nh \u0111i\u1ec1u tr\u1ecb n\u1ed9i tr\u00fa \u0111\u01b0\u1ee3c n\u1eb1m m\u1ed9t ng\u01b0\u1eddi m\u1ed9t gi\u01b0\u1eddng 8 A2.2 Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng bu\u1ed3ng v\u1ec7 sinh s\u1ea1ch s\u1ebd v\u00e0 \u0111\u1ea7y \u0111\u1ee7 c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n 9 A2.3 Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c cung c\u1ea5p v\u1eadt d\u1ee5ng c\u00e1 nh\u00e2n \u0111\u1ea7y \u0111\u1ee7, s\u1ea1ch s\u1ebd, ch\u1ea5t l\u01b0\u1ee3ng t\u1ed1t 10 A2.4 Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c h\u01b0\u1edfng c\u00e1c ti\u1ec7n nghi b\u1ea3o \u0111\u1ea3m s\u1ee9c kh\u1ecfe, n\u00e2ng cao th\u1ec3 tr\u1ea1ng v\u00e0 t\u00e2m l\u00fd 11 A2.5 Ng\u01b0\u1eddi khuy\u1ebft t\u1eadt \u0111\u01b0\u1ee3c ti\u1ebfp c\u1eadn \u0111\u1ea7y \u0111\u1ee7 v\u1edbi c\u00e1c khoa, ph\u00f2ng v\u00e0 d\u1ecbch v\u1ee5 kh\u00e1m, ch\u1eefa b\u1ec7nh trong b\u1ec7nh vi\u1ec7n CH\u01af\u01a0NG A3. \u0110I\u1ec0U KI\u1ec6N CH\u0102M S\u00d3C NG\u01af\u1edcI B\u1ec6NH (2) 12 A3.1 Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb trong m\u00f4i tr\u01b0\u1eddng, c\u1ea3nh quan xanh, s\u1ea1ch, \u0111\u1eb9p 13 A3.2 Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb trong khoa, ph\u00f2ng g\u1ecdn g\u00e0ng, ng\u0103n n\u1eafp CH\u01af\u01a0NG A4. QUY\u1ec0N V\u00c0 L\u1ee2I \u00cdCH C\u1ee6A NG\u01af\u1edcI B\u1ec6NH (6) 14 A4.1 Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c cung c\u1ea5p th\u00f4ng tin v\u00e0 tham gia v\u00e0o qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb 15 A4.2 Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c t\u00f4n tr\u1ecdng quy\u1ec1n ri\u00eang t\u01b0 16 A4.3 Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c n\u1ed9p vi\u1ec7n ph\u00ed thu\u1eadn ti\u1ec7n, c\u00f4ng khai, minh b\u1ea1ch, ch\u00ednh x\u00e1c 17 A4.4 Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c h\u01b0\u1edfng l\u1ee3i t\u1eeb ch\u1ee7 tr\u01b0\u01a1ng x\u00e3 h\u1ed9i h\u00f3a y t\u1ebf 18 A4.5 Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 \u00fd ki\u1ebfn ph\u00e0n n\u00e0n, th\u1eafc m\u1eafc ho\u1eb7c khen ng\u1ee3i \u0111\u01b0\u1ee3c b\u1ec7nh vi\u1ec7n ti\u1ebfp nh\u1eadn, ph\u1ea3n h\u1ed3i, gi\u1ea3i quy\u1ebft k\u1ecbp th\u1eddi 19 A4.6 B\u1ec7nh vi\u1ec7n th\u1ef1c hi\u1ec7n kh\u1ea3o s\u00e1t, \u0111\u00e1nh gi\u00e1 s\u1ef1 h\u00e0i l\u00f2ng ng\u01b0\u1eddi b\u1ec7nh v\u00e0 ti\u1ebfn h\u00e0nh c\u00e1c bi\u1ec7n ph\u00e1p can thi\u1ec7p 139","STT PH\u1ea6N, CH\u01af\u01a0NG, M\u00c3 S\u1ed0, T\u00caN TI\u00caU CH\u00cd V\u00c0 S\u1ed0 L\u01af\u1ee2NG \u0110i\u1ec3m PH\u1ea6N B. PH\u00c1T TRI\u1ec2N NGU\u1ed2N NH\u00c2N L\u1ef0C B\u1ec6NH VI\u1ec6N(14) CH\u01af\u01a0NG B1. S\u1ed0 L\u01af\u1ee2NG V\u00c0 C\u01a0 C\u1ea4U NH\u00c2N L\u1ef0C B\u1ec6NH VI\u1ec6N (3) 20 B1.1 X\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch ph\u00e1t tri\u1ec3n nh\u00e2n l\u1ef1c b\u1ec7nh vi\u1ec7n 21 B1.2 B\u1ea3o \u0111\u1ea3m v\u00e0 duy tr\u00ec \u1ed5n \u0111\u1ecbnh s\u1ed1 l\u01b0\u1ee3ng nh\u00e2n l\u1ef1c b\u1ec7nh vi\u1ec7n 22 B1.3 B\u1ea3o \u0111\u1ea3m c\u01a1 c\u1ea5u ch\u1ee9c danh ngh\u1ec1 nghi\u1ec7p v\u00e0 x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed vi\u1ec7c l\u00e0m c\u1ee7a nh\u00e2n l\u1ef1c b\u1ec7nh vi\u1ec7n CH\u01af\u01a0NG B2. CH\u1ea4T L\u01af\u1ee2NG NGU\u1ed2N NH\u00c2N L\u1ef0C (3) 23 B2.1 Nh\u00e2n vi\u00ean y t\u1ebf \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o li\u00ean t\u1ee5c v\u00e0 ph\u00e1t tri\u1ec3n k\u1ef9 n\u0103ng ngh\u1ec1 nghi\u1ec7p 24 B2.2 Nh\u00e2n vi\u00ean y t\u1ebf \u0111\u01b0\u1ee3c n\u00e2ng cao k\u1ef9 n\u0103ng \u1ee9ng x\u1eed, giao ti\u1ebfp, y \u0111\u1ee9c 25 B2.3 B\u1ec7nh vi\u1ec7n duy tr\u00ec v\u00e0 ph\u00e1t tri\u1ec3n b\u1ec1n v\u1eefng ch\u1ea5t l\u01b0\u1ee3ng ngu\u1ed3n nh\u00e2n l\u1ef1c CH\u01af\u01a0NG B3. CH\u1ebe \u0110\u1ed8 \u0110\u00c3I NG\u1ed8 V\u00c0 \u0110I\u1ec0U KI\u1ec6N, M\u00d4I TR\u01af\u1edcNG L\u00c0M VI\u1ec6C (4) 26 B3.1 B\u1ea3o \u0111\u1ea3m ch\u00ednh s\u00e1ch ti\u1ec1n l\u01b0\u01a1ng, ch\u1ebf \u0111\u1ed9 \u0111\u00e3i ng\u1ed9 c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf 27 B3.2 B\u1ea3o \u0111\u1ea3m \u0111i\u1ec1u ki\u1ec7n l\u00e0m vi\u1ec7c v\u00e0 v\u1ec7 sinh lao \u0111\u1ed9ng cho nh\u00e2n vi\u00ean y t\u1ebf 28 B3.3 S\u1ee9c kh\u1ecfe, \u0111\u1eddi s\u1ed1ng tinh th\u1ea7n c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf \u0111\u01b0\u1ee3c quan t\u00e2m v\u00e0 c\u1ea3i thi\u1ec7n 29 B3.4 T\u1ea1o d\u1ef1ng m\u00f4i tr\u01b0\u1eddng l\u00e0m vi\u1ec7c t\u00edch c\u1ef1c v\u00e0 n\u00e2ng cao tr\u00ecnh \u0111\u1ed9 chuy\u00ean m\u00f4n CH\u01af\u01a0NG B4. L\u00c3NH \u0110\u1ea0O B\u1ec6NH VI\u1ec6N (4) 30 B4.1 X\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch, chi\u1ebfn l\u01b0\u1ee3c ph\u00e1t tri\u1ec3n b\u1ec7nh vi\u1ec7n v\u00e0 c\u00f4ng b\u1ed1 c\u00f4ng khai 31 B4.2 Tri\u1ec3n khai th\u1ef1c hi\u1ec7n v\u0103n b\u1ea3n ch\u1ec9 \u0111\u1ea1o d\u00e0nh cho b\u1ec7nh vi\u1ec7n 32 B4.3 B\u1ea3o \u0111\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng ngu\u1ed3n nh\u00e2n l\u1ef1c qu\u1ea3n l\u00fd b\u1ec7nh vi\u1ec7n 33 B4.4 B\u1ed3i d\u01b0\u1ee1ng, ph\u00e1t tri\u1ec3n \u0111\u1ed9i ng\u0169 l\u00e3nh \u0111\u1ea1o v\u00e0 qu\u1ea3n l\u00fd k\u1ebf c\u1eadn PH\u1ea6N C. HO\u1ea0T \u0110\u1ed8NG CHUY\u00caN M\u00d4N (35) CH\u01af\u01a0NG C1. AN NINH, TR\u1eacT T\u1ef0 V\u00c0 AN TO\u00c0N CH\u00c1Y N\u1ed4 (2) 34 C1.1 B\u1ea3o \u0111\u1ea3m an ninh, tr\u1eadt t\u1ef1 b\u1ec7nh vi\u1ec7n 35 C1.2 B\u1ea3o \u0111\u1ea3m an to\u00e0n \u0111i\u1ec7n v\u00e0 ph\u00f2ng ch\u00e1y, ch\u1eefa ch\u00e1y CH\u01af\u01a0NG C2. QU\u1ea2N L\u00dd H\u1ed2 S\u01a0 B\u1ec6NH \u00c1N (2) 36 C2.1 H\u1ed3 s\u01a1 b\u1ec7nh \u00e1n \u0111\u01b0\u1ee3c l\u1eadp \u0111\u1ea7y \u0111\u1ee7, ch\u00ednh x\u00e1c, khoa h\u1ecdc 37 C2.2 H\u1ed3 s\u01a1 b\u1ec7nh \u00e1n \u0111\u01b0\u1ee3c qu\u1ea3n l\u00fd ch\u1eb7t ch\u1ebd, \u0111\u1ea7y \u0111\u1ee7, khoa h\u1ecdc CH\u01af\u01a0NG C3. C\u00d4NG NGH\u1ec6 TH\u00d4NG TIN Y T\u1ebe (2) 38 C3.1 Qu\u1ea3n l\u00fd t\u1ed1t c\u01a1 s\u1edf d\u1eef li\u1ec7u v\u00e0 th\u00f4ng tin y t\u1ebf 39 C3.2 Th\u1ef1c hi\u1ec7n c\u00e1c gi\u1ea3i ph\u00e1p \u1ee9ng d\u1ee5ng c\u00f4ng ngh\u1ec7 th\u00f4ng tin trong qu\u1ea3n l\u00fd v\u00e0 ho\u1ea1t \u0111\u1ed9ng chuy\u00ean m\u00f4n CH\u01af\u01a0NG C4. PH\u00d2NG NG\u1eeaA V\u00c0 KI\u1ec2M SO\u00c1T NHI\u1ec4M KHU\u1ea8N (6) 40 C4.1 Thi\u1ebft l\u1eadp v\u00e0 ho\u00e0n thi\u1ec7n h\u1ec7 th\u1ed1ng ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n 41 C4.2 X\u00e2y d\u1ef1ng v\u00e0 h\u01b0\u1edbng d\u1eabn nh\u00e2n vi\u00ean y t\u1ebf th\u1ef1c hi\u1ec7n c\u00e1c quy tr\u00ecnh ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n trong b\u1ec7nh vi\u1ec7n 140","STT PH\u1ea6N, CH\u01af\u01a0NG, M\u00c3 S\u1ed0, T\u00caN TI\u00caU CH\u00cd V\u00c0 S\u1ed0 L\u01af\u1ee2NG \u0110i\u1ec3m 42 C4.3 Tri\u1ec3n khai ch\u01b0\u01a1ng tr\u00ecnh v\u00e0 gi\u00e1m s\u00e1t tu\u00e2n th\u1ee7 v\u1ec7 sinh tay 43 C4.4 Gi\u00e1m s\u00e1t, \u0111\u00e1nh gi\u00e1 vi\u1ec7c tri\u1ec3n khai ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n trong b\u1ec7nh vi\u1ec7n 44 C4.5 Ch\u1ea5t th\u1ea3i r\u1eafn y t\u1ebf \u0111\u01b0\u1ee3c qu\u1ea3n l\u00fd ch\u1eb7t ch\u1ebd, x\u1eed l\u00fd an to\u00e0n v\u00e0 tu\u00e2n th\u1ee7 theo \u0111\u00fang quy \u0111\u1ecbnh 45 C4.6 Ch\u1ea5t th\u1ea3i l\u1ecfng y t\u1ebf \u0111\u01b0\u1ee3c qu\u1ea3n l\u00fd ch\u1eb7t ch\u1ebd, x\u1eed l\u00fd an to\u00e0n v\u00e0 tu\u00e2n th\u1ee7 theo \u0111\u00fang quy \u0111\u1ecbnh CH\u01af\u01a0NG C5. CH\u1ea4T L\u01af\u1ee2NG L\u00c2M S\u00c0NG (5) 46 C5.1 Th\u1ef1c hi\u1ec7n danh m\u1ee5c k\u1ef9 thu\u1eadt theo ph\u00e2n tuy\u1ebfn k\u1ef9 thu\u1eadt 47 C5.2 Nghi\u00ean c\u1ee9u v\u00e0 tri\u1ec3n khai \u00e1p d\u1ee5ng c\u00e1c k\u1ef9 thu\u1eadt m\u1edbi, ph\u01b0\u01a1ng ph\u00e1p m\u1edbi 48 C5.3 \u00c1p d\u1ee5ng c\u00e1c h\u01b0\u1edbng d\u1eabn quy tr\u00ecnh k\u1ef9 thu\u1eadt kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh v\u00e0 tri\u1ec3n khai c\u00e1c bi\u1ec7n ph\u00e1p gi\u00e1m s\u00e1t ch\u1ea5t l\u01b0\u1ee3ng 49 C5.4 X\u00e2y d\u1ef1ng c\u00e1c h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb 50 C5.5 \u00c1p d\u1ee5ng c\u00e1c h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u00e3 ban h\u00e0nh v\u00e0 gi\u00e1m s\u00e1t vi\u1ec7c th\u1ef1c hi\u1ec7n CH\u01af\u01a0NG C6. HO\u1ea0T \u0110\u1ed8NG \u0110I\u1ec0U D\u01af\u1ee0NG V\u00c0 CH\u0102M S\u00d3C NG\u01af\u1edcI B\u1ec6NH (3) 51 C6.1 H\u1ec7 th\u1ed1ng qu\u1ea3n l\u00fd \u0111i\u1ec1u d\u01b0\u1ee1ng \u0111\u01b0\u1ee3c thi\u1ebft l\u1eadp \u0111\u1ea7y \u0111\u1ee7 v\u00e0 ho\u1ea1t \u0111\u1ed9ng hi\u1ec7u qu\u1ea3 52 C6.2 Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n, gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe khi \u0111i\u1ec1u tr\u1ecb v\u00e0 tr\u01b0\u1edbc khi ra vi\u1ec7n 53 C6.3 Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c theo d\u00f5i, ch\u0103m s\u00f3c ph\u00f9 h\u1ee3p v\u1edbi t\u00ecnh tr\u1ea1ng b\u1ec7nh v\u00e0 ph\u00e2n c\u1ea5p ch\u0103m s\u00f3c CH\u01af\u01a0NG C7. DINH D\u01af\u1ee0NG V\u00c0 TI\u1ebeT CH\u1ebe (5) 54 C7.1 H\u1ec7 th\u1ed1ng t\u1ed5 ch\u1ee9c th\u1ef1c hi\u1ec7n c\u00f4ng t\u00e1c dinh d\u01b0\u1ee1ng v\u00e0 ti\u1ebft ch\u1ebf \u0111\u01b0\u1ee3c thi\u1ebft l\u1eadp \u0111\u1ea7y \u0111\u1ee7 55 C7.2 B\u1ea3o \u0111\u1ea3m c\u01a1 s\u1edf v\u1eadt ch\u1ea5t th\u1ef1c hi\u1ec7n c\u00f4ng t\u00e1c dinh d\u01b0\u1ee1ng v\u00e0 ti\u1ebft ch\u1ebf 56 C7.3 Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1, theo d\u00f5i t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng trong th\u1eddi gian n\u1eb1m vi\u1ec7n 57 C7.4 Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn, t\u01b0 v\u1ea5n ch\u1ebf \u0111\u1ed9 \u0103n ph\u00f9 h\u1ee3p v\u1edbi b\u1ec7nh l\u00fd 58 C7.5 Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c cung c\u1ea5p ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng ph\u00f9 h\u1ee3p v\u1edbi b\u1ec7nh l\u00fd trong th\u1eddi gian n\u1eb1m vi\u1ec7n CH\u01af\u01a0NG C8. CH\u1ea4T L\u01af\u1ee2NG X\u00c9T NGHI\u1ec6M (2) 59 C8.1 B\u1ea3o \u0111\u1ea3m n\u0103ng l\u1ef1c th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m theo ph\u00e2n tuy\u1ebfn k\u1ef9 thu\u1eadt 60 C8.2 Th\u1ef1c hi\u1ec7n qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng c\u00e1c x\u00e9t nghi\u1ec7m CH\u01af\u01a0NG C9. QU\u1ea2N L\u00dd CUNG \u01af\u0301NG V\u00c0 S\u1eec D\u1ee4NG THU\u1ed0C (6) 61 C9.1 B\u1ec7nh vi\u1ec7n thi\u1ebft l\u1eadp h\u1ec7 th\u1ed1ng t\u1ed5 ch\u1ee9c ho\u1ea1t \u0111\u1ed9ng d\u01b0\u1ee3c 62 C9.2 B\u1ea3o \u0111\u1ea3m c\u01a1 s\u1edf v\u1eadt ch\u1ea5t v\u00e0 c\u00e1c quy tr\u00ecnh k\u1ef9 thu\u1eadt cho ho\u1ea1t \u0111\u1ed9ng d\u01b0\u1ee3c 63 C9.3 Cung \u1ee9ng thu\u1ed1c v\u00e0 v\u1eadt t\u01b0 y t\u1ebf ti\u00eau hao \u0111\u1ea7y \u0111\u1ee7, k\u1ecbp th\u1eddi, b\u1ea3o \u0111\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng 64 C9.4 S\u1eed d\u1ee5ng thu\u1ed1c an to\u00e0n, h\u1ee3p l\u00fd 141","STT PH\u1ea6N, CH\u01af\u01a0NG, M\u00c3 S\u1ed0, T\u00caN TI\u00caU CH\u00cd V\u00c0 S\u1ed0 L\u01af\u1ee2NG \u0110i\u1ec3m 65 C9.5 Th\u00f4ng tin thu\u1ed1c, theo d\u00f5i v\u00e0 b\u00e1o c\u00e1o ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i c\u1ee7a thu\u1ed1c k\u1ecbp th\u1eddi, \u0111\u1ea7y \u0111\u1ee7 v\u00e0 c\u00f3 ch\u1ea5t l\u01b0\u1ee3ng 66 C9.6 H\u1ed9i \u0111\u1ed3ng thu\u1ed1c v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c thi\u1ebft l\u1eadp v\u00e0 ho\u1ea1t \u0111\u1ed9ng hi\u1ec7u qu\u1ea3 CH\u01af\u01a0NG C10. NGHI\u00caN C\u01af\u0301U KHOA H\u1eccC (2) 67 C10.1 T\u00edch c\u1ef1c tri\u1ec3n khai ho\u1ea1t \u0111\u1ed9ng nghi\u00ean c\u1ee9u khoa h\u1ecdc 68 C10.2 \u00c1p d\u1ee5ng k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u khoa h\u1ecdc v\u00e0o vi\u1ec7c c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng kh\u00e1m, ch\u1eefa b\u1ec7nh v\u00e0 n\u00e2ng cao ho\u1ea1t \u0111\u1ed9ng b\u1ec7nh vi\u1ec7n PH\u1ea6N D. HO\u1ea0T \u0110\u1ed8NG C\u1ea2I TI\u1ebeN CH\u1ea4T L\u01af\u1ee2NG (11) CH\u01af\u01a0NG D1. THI\u1ebeT L\u1eacP H\u1ec6 TH\u1ed0NG V\u00c0 C\u1ea2I TI\u1ebeN CH\u1ea4T L\u01af\u1ee2NG (3) 69 D1.1 Thi\u1ebft l\u1eadp h\u1ec7 th\u1ed1ng qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n 70 D1.2 X\u00e2y d\u1ef1ng, tri\u1ec3n khai k\u1ebf ho\u1ea1ch v\u00e0 \u0111\u1ec1 \u00e1n c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng 71 D1.3 X\u00e2y d\u1ef1ng v\u0103n h\u00f3a ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n CH\u01af\u01a0NG D2. PH\u00d2NG NG\u1eeaA C\u00c1C S\u1ef0 C\u1ed0 V\u00c0 KH\u1eaeC PH\u1ee4C (5) 72 D2.1 Ph\u00f2ng ng\u1eeba c\u00e1c nguy c\u01a1, di\u1ec5n bi\u1ebfn b\u1ea5t th\u01b0\u1eddng x\u1ea3y ra v\u1edbi ng\u01b0\u1eddi b\u1ec7nh 73 D2.2 X\u00e2y d\u1ef1ng h\u1ec7 th\u1ed1ng b\u00e1o c\u00e1o, ph\u00e2n t\u00edch s\u1ef1 c\u1ed1 y khoa v\u00e0 ti\u1ebfn h\u00e0nh c\u00e1c gi\u1ea3i ph\u00e1p kh\u1eafc ph\u1ee5c 74 D2.3 Th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba \u0111\u1ec3 gi\u1ea3m thi\u1ec3u c\u00e1c s\u1ef1 c\u1ed1 y khoa 75 D2.4 B\u1ea3o \u0111\u1ea3m x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c ng\u01b0\u1eddi b\u1ec7nh khi cung c\u1ea5p d\u1ecbch v\u1ee5 76 D2.5 Ph\u00f2ng ng\u1eeba nguy c\u01a1 ng\u01b0\u1eddi b\u1ec7nh b\u1ecb tr\u01b0\u1ee3t ng\u00e3 CH\u01af\u01a0NG D3. \u0110\u00c1NH GI\u00c1, \u0110O L\u01af\u1edcNG, H\u1ee2P T\u00c1C V\u00c0 C\u1ea2I TI\u1ebeN CH\u1ea4T L\u01af\u1ee2NG (3) 77 D3.1 \u0110\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c th\u1ef1c tr\u1ea1ng v\u00e0 c\u00f4ng b\u1ed1 c\u00f4ng khai ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n 78 D3.2 \u0110o l\u01b0\u1eddng v\u00e0 gi\u00e1m s\u00e1t c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n 79 D3.3 H\u1ee3p t\u00e1c v\u1edbi c\u01a1 quan qu\u1ea3n l\u00fd trong vi\u1ec7c x\u00e2y d\u1ef1ng c\u00f4ng c\u1ee5, tri\u1ec3n khai, b\u00e1o c\u00e1o ho\u1ea1t \u0111\u1ed9ng qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n PH\u1ea6N E. TI\u00caU CH\u00cd \u0110\u1eb6C TH\u00d9 CHUY\u00caN KHOA (4) CH\u01af\u01a0NG E1. TI\u00caU CH\u00cd S\u1ea2N KHOA 80 E1.1 Thi\u1ebft l\u1eadp h\u1ec7 th\u1ed1ng t\u1ed5 ch\u1ee9c ch\u0103m s\u00f3c s\u1ea3n khoa v\u00e0 s\u01a1 sinh 81 E1.2 Ho\u1ea1t \u0111\u1ed9ng truy\u1ec1n th\u00f4ng v\u1ec1 s\u1ee9c kh\u1ecfe sinh s\u1ea3n, s\u1ee9c kh\u1ecfe b\u00e0 m\u1eb9, tr\u1ebb em 82 E1.3 Th\u1ef1c h\u00e0nh t\u1ed1t nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9 CH\u01af\u01a0NG E2. TI\u00caU CH\u00cd NHI KHOA 83 E2.1 B\u1ec7nh vi\u1ec7n thi\u1ebft l\u1eadp h\u1ec7 th\u1ed1ng t\u1ed5 ch\u1ee9c ch\u0103m s\u00f3c nhi khoa 142","2. B\u1ea2NG T\u1ed4NG H\u1ee2P K\u1ebeT QU\u1ea2 CHUNG STT PH\u1ea6N, M\u1ee4C V\u00c0 S\u1ed0 L\u01af\u1ee2NG C\u00c1C S\u1ed1 l\u01b0\u1ee3ng ti\u00eau ch\u00ed \u0111\u1ea1t c\u00e1c m\u1ee9c: \u0110i\u1ec3m S\u1ed1 TI\u00caU CH\u00cd trung M\u1ee9c M\u1ee9c M\u1ee9c M\u1ee9c M\u1ee9c b\u00ecnh TC \u00e1p 12345 d\u1ee5ng A H\u01af\u1edaNG \u0110\u1ebeN NG\u01af\u1edcI B\u1ec6NH (19) A1. Ch\u1ec9 d\u1eabn, \u0111\u00f3n ti\u1ebfp, h\u01b0\u1edbng d\u1eabn NB (6) A2. \u0110i\u1ec1u ki\u1ec7n c\u01a1 s\u1edf v\u1eadt ch\u1ea5t (5) A3. \u0110i\u1ec1u ki\u1ec7n ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh (2) A4. Quy\u1ec1n v\u00e0 l\u1ee3i \u00edch c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh (6) B PH\u00c1T TRI\u1ec2N NH\u00c2N L\u1ef0C (14) B1. S\u1ed1 l\u01b0\u1ee3ng v\u00e0 c\u01a1 c\u1ea5u nh\u00e2n l\u1ef1c (3) B2. Ch\u1ea5t l\u01b0\u1ee3ng ngu\u1ed3n nh\u00e2n l\u1ef1c (3) B3. Ch\u1ebf \u0111\u1ed9 \u0111\u00e3i ng\u1ed9, m\u00f4i tr\u01b0\u1eddng l\u00e0m vi\u1ec7c (4) B4. L\u00e3nh \u0111\u1ea1o b\u1ec7nh vi\u1ec7n (4) C HO\u1ea0T \u0110\u1ed8NG CHUY\u00caN M\u00d4N (35) C1. An ninh, tr\u1eadt t\u1ef1 v\u00e0 an to\u00e0n ch\u00e1y n\u1ed5 (2) C2. Qu\u1ea3n l\u00fd h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n (2) C3. C\u00f4ng ngh\u1ec7 th\u00f4ng tin y t\u1ebf (2) C4. Ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n (6) C5. Ch\u1ea5t l\u01b0\u1ee3ng l\u00e2m s\u00e0ng (5) C6. Ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec1u d\u01b0\u1ee1ng v\u00e0 ch\u0103m s\u00f3c (3) C7. Dinh d\u01b0\u1ee1ng v\u00e0 ti\u1ebft ch\u1ebf (5) C8. Ch\u1ea5t l\u01b0\u1ee3ng x\u00e9t nghi\u1ec7m (2) C9. Qu\u1ea3n l\u00fd cung \u1ee9ng v\u00e0 s\u1eed d\u1ee5ng thu\u1ed1c (6) C10. Nghi\u00ean c\u1ee9u khoa h\u1ecdc (2) D C\u1ea2I TI\u1ebeN CH\u1ea4T L\u01af\u1ee2NG (11) D1. Thi\u1ebft l\u1eadp h\u1ec7 th\u1ed1ng v\u00e0 c\u1ea3i ti\u1ebfn (3) D2. Ph\u00f2ng ng\u1eeba s\u1ef1 c\u1ed1 v\u00e0 kh\u1eafc ph\u1ee5c (2) D3. \u0110\u00e1nh gi\u00e1, \u0111o l\u01b0\u1eddng, c\u1ea3i ti\u1ebfn (3) E TI\u00caU CH\u00cd CHUY\u00caN KHOA (4) E1. Ti\u00eau ch\u00ed s\u1ea3n khoa (3) E2. Ti\u00eau ch\u00ed nhi khoa (1) E S\u1ed0 L\u01af\u1ee2NG TI\u00caU CH\u00cd \u0110\u1ea0T C\u00c1C M\u01af\u0301C \/83 & T\u1ed4NG S\u1ed0 TI\u00caU CH\u00cd \u00c1P D\u1ee4NG: E T\u1ef6 L\u1ec6 C\u00c1C M\u01af\u0301C \u0110\u1ea0T \u0110\u01af\u1ee2C (%) 100% & \u0110I\u1ec2M TRUNG B\u00ccNH CHUNG 143","3. T\u00d3M T\u1eaeT C\u00d4NG VI\u1ec6C T\u1ef0 KI\u1ec2M TRA B\u1ec6NH VI\u1ec6N 1. T\u1ed5 ch\u1ee9c \u0111o\u00e0n, ti\u1ebfn \u0111\u1ed9 th\u1eddi gian v\u00e0 kh\u1ed1i l\u01b0\u1ee3ng c\u00f4ng vi\u1ec7c \u0111\u00e3 th\u1ef1c hi\u1ec7n\u2026 2. S\u1ed1 l\u01b0\u1ee3ng ti\u00eau ch\u00ed \u00e1p d\u1ee5ng, k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1 chung, \u0111i\u1ec3m, s\u1ed1 l\u01b0\u1ee3ng ti\u00eau ch\u00ed theo c\u00e1c m\u1ee9c, t\u1ef7 l\u1ec7 c\u00e1c m\u1ee9c\u2026 3. S\u1ed1 l\u01b0\u1ee3ng ti\u00eau ch\u00ed kh\u00f4ng \u00e1p d\u1ee5ng; m\u00e3 v\u00e0 t\u00ean ti\u00eau ch\u00ed; l\u00fd do kh\u00f4ng \u00e1p d\u1ee5ng. 4. BI\u1ec2U \u0110\u1ed2 C\u00c1C KH\u00cdA C\u1ea0NH CH\u1ea4T L\u01af\u1ee2NG B\u1ec6NH VI\u1ec6N B\u1ec7nh vi\u1ec7n v\u1ebd bi\u1ec3u \u0111\u1ed3 \u201cm\u1ea1ng nh\u1ec7n\u201d chung cho c\u00e1c ph\u1ea7n v\u00e0 ri\u00eang cho c\u00e1c m\u1ee5c trong t\u1eebng ph\u1ea7n (d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 \u0111i\u1ec3m trung b\u00ecnh chung c\u1ee7a t\u1eebng ph\u1ea7n v\u00e0 t\u1eebng m\u1ee5c) \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh \u0111i\u1ec3m m\u1ea1nh, \u0111i\u1ec3m y\u1ebfu trong ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n. C\u00e1ch v\u1ebd nh\u01b0 sau: 1. T\u00ednh t\u1ed5ng c\u1ed9ng \u0111i\u1ec3m c\u1ee7a c\u00e1c ti\u00eau ch\u00ed \u0111\u1ea1t \u0111\u01b0\u1ee3c cho t\u1eebng ph\u1ea7n, t\u1eebng m\u1ee5c. 2. T\u00ednh \u0111i\u1ec3m trung b\u00ecnh chung cho t\u1eebng ph\u1ea7n, t\u1eebng m\u1ee5c (dao \u0111\u1ed9ng t\u1eeb 1 \u0111\u1ebfn 5). 3. S\u1eed d\u1ee5ng ph\u1ea7n m\u1ec1m Excel, ch\u1ecdn m\u1ee5c v\u1ebd bi\u1ec3u \u0111\u1ed3 \u201cm\u1ea1ng nh\u1ec7n\u201d. 4. \u0110i\u1ec1n c\u00e1c th\u00f4ng tin ch\u00fa gi\u1ea3i cho bi\u1ec3u \u0111\u1ed3. 5. \u0110i\u1ec1n s\u1ed1 \u0111i\u1ec3m c\u1ee7a t\u1eebng ph\u1ea7n, m\u1ee5c v\u00e0o c\u00e1c sheet c\u1ee7a Excel v\u00e0 xu\u1ea5t ra bi\u1ec3u \u0111\u1ed3 (h\u00ecnh d\u1ea1ng bi\u1ec3u \u0111\u1ed3 tham kh\u1ea3o h\u00ecnh d\u01b0\u1edbi). 1 2 4 3.5 3 2.5 62 1.5 1 0.5 0 53 6. S\u1ed1 l\u01b0\u1ee3ng c\u00e1c4 bi\u1ec3u \u0111\u1ed3 m\u1ea1ng nh\u1ec7n c\u1ea7n v\u1ebd nh\u01b0 sau: a. Bi\u1ec3u \u0111\u1ed3 chung cho 5 ph\u1ea7n (t\u1eeb ph\u1ea7n A \u0111\u1ebfn ph\u1ea7n D ho\u1eb7c E) b. Bi\u1ec3u \u0111\u1ed3 ri\u00eang cho ph\u1ea7n A (t\u1eeb A1 \u0111\u1ebfn A4) c. Bi\u1ec3u \u0111\u1ed3 ri\u00eang cho ph\u1ea7n B (t\u1eeb B1 \u0111\u1ebfn B4) d. Bi\u1ec3u \u0111\u1ed3 ri\u00eang cho ph\u1ea7n C (t\u1eeb C1 \u0111\u1ebfn C10) e. Bi\u1ec3u \u0111\u1ed3 ri\u00eang cho ph\u1ea7n D (t\u1eeb D1 \u0111\u1ebfn D4) 5. T\u1ef0 \u0110\u00c1NH GI\u00c1 V\u1ec0 C\u00c1C \u01afU \u0110I\u1ec2M CH\u1ea4T L\u01af\u1ee2NG B\u1ec6NH VI\u1ec6N (D\u1ef1a tr\u00ean ti\u00eau ch\u00ed \u0111\u1ea1t \u0111i\u1ec3m cao v\u00e0 c\u00e1c ho\u1ea1t \u0111\u1ed9ng tr\u1ecdng t\u00e2m c\u1ee7a b\u1ec7nh vi\u1ec7n) 6. T\u1ef0 \u0110\u00c1NH GI\u00c1 V\u1ec0 C\u00c1C NH\u01af\u1ee2C \u0110I\u1ec2M, V\u1ea4N \u0110\u1ec0 T\u1ed2N T\u1ea0I (X\u00e1c \u0111\u1ecbnh c\u00e1c v\u1ea5n \u0111\u1ec1 c\u00f2n y\u1ebfu k\u00e9m li\u00ean quan \u0111\u1ebf ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n, d\u1ef1a tr\u00ean c\u00e1c ti\u00eau ch\u00ed c\u00f3 \u0111i\u1ec3m th\u1ea5p m\u1ee9c 1 v\u00e0 2). 7. K\u1ebeT QU\u1ea2 T\u1ef0 KH\u1ea2O S\u00c1T H\u00c0I L\u00d2NG NG\u01af\u1edcI B\u1ec6NH N\u1ed8I TR\u00da, NGO\u1ea0I TR\u00da V\u00c0 NH\u00c2N VI\u00caN Y T\u1ebe (D\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 kh\u1ea3o s\u00e1t do b\u1ec7nh vi\u1ec7n t\u1ef1 th\u1ef1c hi\u1ec7n \u1edf c\u00e1c \u0111\u1ee3t \u0111i\u1ec1u tra trong n\u0103m, c\u00e1c ph\u00e1t hi\u1ec7n ch\u00ednh, nh\u1eefng v\u1ea5n \u0111\u1ec1 n\u1ed5i c\u1ed9m, t\u1ed3n t\u1ea1i, t\u1ef7 l\u1ec7 h\u00e0i l\u00f2ng c\u1ee7a c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng; gi\u1ea3i ph\u00e1p can thi\u1ec7p \u0111\u00e3 th\u1ef1c hi\u1ec7n). 144","8. X\u00c1C \u0110\u1ecaNH C\u00c1C V\u1ea4N \u0110\u1ec0 \u01afU TI\u00caN C\u1ea2I TI\u1ebeN CH\u1ea4T L\u01af\u1ee2NG (D\u1ef1a tr\u00ean ph\u00e2n t\u00edch th\u1ef1c tr\u1ea1ng ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n v\u00e0 \u0111\u00e1nh gi\u00e1 c\u00e1c ti\u00eau ch\u00ed) \u2013 C\u00e1c v\u1ea5n \u0111\u1ec1 c\u1ea7n \u01b0u ti\u00ean gi\u1ea3i quy\u1ebft ngay trong 6 th\u00e1ng t\u1edbi \u2013 C\u00e1c v\u1ea5n \u0111\u1ec1 kh\u00e1c \u01b0u ti\u00ean gi\u1ea3i quy\u1ebft trong 1 n\u0103m, 2 n\u0103m t\u1edbi 9. GI\u1ea2I PH\u00c1P, L\u1ed8 TR\u00ccNH, TH\u1edcI GIAN C\u1ea2I TI\u1ebeN CH\u1ea4T L\u01af\u1ee2NG 10. CAM K\u1ebeT, QUY\u1ebeT T\u00c2M C\u1ee6A B\u1ec6NH VI\u1ec6N C\u1ea2I TI\u1ebeN CH\u1ea4T L\u01af\u1ee2NG Ng\u00e0y, th\u00e1ng, n\u0103m NG\u01af\u1edcI \u0110I\u1ec0N TH\u00d4NG TIN GI\u00c1M \u0110\u1ed0C B\u1ec6NH VI\u1ec6N (k\u00fd t\u00ean) (k\u00fd t\u00ean v\u00e0 \u0111\u00f3ng d\u1ea5u) 10. PH\u1ee4 L\u1ee4C C\u1ee6A B\u00c1O C\u00c1O Ph\u1ea7n \u0111i\u1ec1n c\u1ee7a b\u1ec7nh vi\u1ec7n STT Th\u00f4ng tin (n\u1ebfu kh\u00f4ng c\u00f3 th\u00f4ng tin ghi r\u00f5 ch\u1eef kh\u00f4ng c\u00f3) 1 \u0110\u1ecba ch\u1ec9 \u0111\u1ea7y \u0111\u1ee7 (ghi to\u00e0n b\u1ed9 n\u1ebfu c\u00f3 t\u1eeb 2 c\u01a1 s\u1edf tr\u1edf l\u00ean) 3 \u0110\u1ecba ch\u1ec9 t\u1ecda \u0111\u1ed9 GPS c\u1ee7a c\u1ed5ng ch\u00ednh (s\u1eed d\u1ee5ng \u0111i\u1ec7n tho\u1ea1i th\u00f4ng minh \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh) 2 S\u1ed1 \u0111i\u1ec7n tho\u1ea1i li\u00ean l\u1ea1c c\u1ee7a b\u1ec7nh vi\u1ec7n 3 S\u1ed1 \u0111i\u1ec7n tho\u1ea1i \u0111\u01b0\u1eddng d\u00e2y n\u00f3ng 4 \u0110\u1ecba ch\u1ec9 trang \u0111i\u1ec7n t\u1eed (website), (n\u1ebfu c\u00f3) 5 C\u00e2u kh\u1ea9u hi\u1ec7u ng\u1eafn c\u1ee7a b\u1ec7nh vi\u1ec7n, n\u1ebfu \u0111\u00e3 x\u00e2y d\u1ef1ng v\u00e0 c\u00f4ng b\u1ed1 (slogan) 6 Li\u1ec7t k\u00ea t\u1ed1i \u0111a 5 l\u0129nh v\u1ef1c ho\u1eb7c chuy\u00ean khoa m\u0169i nh\u1ecdn c\u1ee7a b\u1ec7nh vi\u1ec7n c\u00f3 ch\u1ea5t l\u01b0\u1ee3ng l\u00e2m s\u00e0ng t\u1ed1t nh\u1ea5t 7 Li\u1ec7t k\u00ea t\u1ed1i \u0111a 5 danh hi\u1ec7u ho\u1eb7c ph\u1ea7n th\u01b0\u1edfng cao nh\u1ea5t c\u1ee7a b\u1ec7nh vi\u1ec7n \u0111\u00e3 \u0111\u1ea1t \u0111\u01b0\u1ee3c 1. Quy\u1ebft \u0111\u1ecbnh c\u1ee7a b\u1ec7nh vi\u1ec7n th\u00e0nh l\u1eadp \u0111o\u00e0n t\u1ef1 ki\u1ec3m tra, \u0111\u00e1nh gi\u00e1 ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n. 2. C\u00e1c h\u00ecnh \u1ea3nh, t\u00e0i li\u1ec7u, v\u0103n b\u1ea3n\u2026 g\u1eedi k\u00e8m minh h\u1ecda cho ho\u1ea1t \u0111\u1ed9ng c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng v\u00e0 \u0111\u00e1nh gi\u00e1 ch\u1ea5t l\u01b0\u1ee3ng. 3. Danh s\u00e1ch ph\u00e2n c\u00f4ng th\u00e0nh vi\u00ean (theo m\u1eabu k\u00e8m theo). 145","11. M\u1eaaU DANH S\u00c1CH PH\u00c2N C\u00d4NG TH\u00c0NH VI\u00caN \u0110O\u00c0N T\u1ef0 KI\u1ec2M TRA C\u00e1c b\u1ec7nh vi\u1ec7n c\u0103n c\u1ee9 tr\u00ean t\u00ecnh h\u00ecnh th\u1ef1c t\u1ebf v\u1ec1 quy m\u00f4, con ng\u01b0\u1eddi, n\u0103ng l\u1ef1c, \u0111\u00e0o t\u1ea1o\u2026 \u0111\u1ec3 ph\u00e2n c\u00f4ng th\u00e0nh vi\u00ean t\u1ef1 \u0111\u00e1nh gi\u00e1 ch\u1ea5t l\u01b0\u1ee3ng v\u00e0o c\u00e1c nh\u00f3m ti\u00eau ch\u00ed cho ph\u00f9 h\u1ee3p, b\u1ea3o \u0111\u1ea3m c\u00e1c nguy\u00ean t\u1eafc sau: 1. \u01afu ti\u00ean ch\u1ecdn ng\u01b0\u1eddi \u0111\u00e1nh gi\u00e1 c\u00f3 ki\u1ebfn th\u1ee9c, tr\u00ecnh \u0111\u1ed9 nh\u1ea5t \u0111\u1ecbnh v\u1ec1 qu\u1ea3n l\u00fd y t\u1ebf v\u00e0 qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng, \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o, t\u1eadp hu\u1ea5n ho\u1eb7c tham gia c\u00e1c h\u1ed9i ngh\u1ecb, h\u1ed9i th\u1ea3o QLCL. 2. Tr\u01b0\u1edfng \u0111o\u00e0n l\u00e0 Gi\u00e1m \u0111\u1ed1c b\u1ec7nh vi\u1ec7n. 3. Th\u01b0 k\u00fd \u0111o\u00e0n l\u00e0 l\u00e3nh \u0111\u1ea1o\/nh\u00e2n vi\u00ean chuy\u00ean tr\u00e1ch ph\u00f2ng Qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng. 4. Th\u00e0nh vi\u00ean \u0111o\u00e0n t\u1ef1 ki\u1ec3m tra b\u1ea3o \u0111\u1ea3m c\u00f3 \u0111\u1ee7 \u0111\u1ea1i di\u1ec7n c\u1ee7a to\u00e0n b\u1ed9 c\u00e1c ph\u00f2ng ch\u1ee9c n\u0103ng v\u00e0 \u0111\u1ea1i di\u1ec7n c\u00e1c khoa l\u00e2m s\u00e0ng, c\u1eadn l\u00e2m s\u00e0ng trong b\u1ec7nh vi\u1ec7n (\u01b0u ti\u00ean th\u00e0nh vi\u00ean m\u1ea1ng l\u01b0\u1edbi qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng). 5. S\u1ed1 l\u01b0\u1ee3ng th\u00e0nh vi\u00ean \u0111o\u00e0n t\u1ef1 ki\u1ec3m tra c\u1ee7a b\u1ec7nh vi\u1ec7n do tr\u01b0\u1edfng \u0111o\u00e0n quy\u1ebft \u0111\u1ecbnh. Nh\u00f3m M\u00e3 s\u1ed1 c\u00e1c ti\u00eau ch\u00ed H\u1ecd v\u00e0 t\u00ean Ch\u1ee9c danh v\u00e0 S\u1ed1 \u0110T \u0110\u00e3 h\u1ecdc v\u1ec1 \u0111\u01b0\u1ee3c ph\u00e2n c\u00f4ng n\u01a1i c\u00f4ng t\u00e1c QLCL Tr\u01b0\u1edfng \u0111o\u00e0n Ph\u00f3 \u0111o\u00e0n 1, 2 Th\u01b0 k\u00fd Nh\u00f3m 1 Nh\u00f3m 2 Nh\u00f3m 3 Nh\u00f3m\u2026 Nh\u00f3m 9: Kh\u1ea3o s\u00e1t h\u00e0i l\u00f2ng ng\u01b0\u1eddi b\u1ec7nh n\u1ed9i, ngo\u1ea1i tr\u00fa Nh\u00f3m 10: Kh\u1ea3o s\u00e1t h\u00e0i l\u00f2ng nh\u00e2n vi\u00ean y t\u1ebf * C\u1ed9t t\u1eadp hu\u1ea5n, ch\u1ee9ng ch\u1ec9, ch\u1ee9ng nh\u1eadn v\u1ec1 QLCL \u0111i\u1ec1n s\u1ed1 t\u01b0\u0300 0 \u0111\u1ebfn 6 theo c\u00e1c m\u00e3 sau: (c\u00f3 th\u1ec3 \u0111i\u1ec1n 1 ho\u1eb7c nhi\u1ec1u s\u1ed1 n\u1ebfu c\u00f3): M\u00e3 s\u1ed1 Ch\u1ee9ng ch\u1ec9, ch\u1ee9ng nh\u1eadn v\u1ec1 Qua\u0309n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng 0 1 Ch\u01b0a h\u1ecdc QLCL, kh\u00f4ng c\u00f3 ch\u1ee9ng ch\u1ec9, ch\u1ee9ng nh\u1eadn v\u1ec1 QLCL 2 3 \u0110\u00e3 h\u1ecdc l\u1edbp Qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng do B\u1ed9 Y t\u1ebf t\u1ed5 ch\u1ee9c (t\u1eeb 3 ng\u00e0y tr\u1edf l\u00ean) 4 \u0110\u00e3 h\u1ecdc l\u1edbp Qu\u1ea3n l\u00fd b\u1ec7nh vi\u1ec7n do B\u1ed9 Y t\u1ebf t\u1ed5 ch\u1ee9c, c\u00f3 n\u1ed9i dung qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng 5 \u0110\u00e3 h\u1ecdc n\u1ed9i dung qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng l\u1ed3ng gh\u00e9p trong c\u00e1c l\u1edbp Qu\u1ea3n l\u00fd b\u1ec7nh vi\u1ec7n, 6 qu\u1ea3n l\u00fd \u0111i\u1ec1u d\u01b0\u1ee1ng\u2026 L\u1edbp do c\u00e1c \u0111\u01a1n v\u1ecb \u0111\u01b0\u1ee3c c\u1ea5p m\u00e3 \u0111\u00e0o t\u1ea1o li\u00ean t\u1ee5c t\u1ed5 ch\u1ee9c 7 \u0110\u00e3 h\u1ecdc Qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng do b\u1ec7nh vi\u1ec7n t\u1ef1 t\u1ed5 ch\u1ee9c ho\u1eb7c c\u00e1c \u0111\u01a1n v\u1ecb trong, ngo\u00e0i ng\u00e0nh y t\u1ebf t\u1ed5 ch\u1ee9c (kh\u00f4ng c\u00f3 m\u00e3 \u0111\u00e0o t\u1ea1o li\u00ean t\u1ee5c) \u0110\u00e3 h\u1ecdc Qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng t\u1ea1i c\u00e1c kh\u00f3a h\u1ecdc \u1edf n\u01b0\u1edbc ngo\u00e0i \u0110\u00e3 tham gia H\u1ed9i ngh\u1ecb qu\u1ed1c gia v\u1ec1 qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n do B\u1ed9 Y t\u1ebf t\u1ed5 ch\u1ee9c ho\u1eb7c c\u00e1c h\u1ed9i th\u1ea3o, h\u1ed9i ngh\u1ecb kh\u00e1c chuy\u00ean s\u00e2u v\u1ec1 qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng C\u00f3 ch\u1ee9ng ch\u1ec9 \u0111\u00e1nh gi\u00e1 vi\u00ean qu\u1ed1c t\u1ebf ho\u1eb7c trong n\u01b0\u1edbc v\u1ec1 \u0111\u00e1nh gi\u00e1 ch\u1ea5t l\u01b0\u1ee3ng 146","PH\u1ee4 L\u1ee4C 2 M\u1eaaU BI\u00caN B\u1ea2N KI\u1ec2M TRA, \u0110\u00c1NH GI\u00c1 CH\u1ea4T L\u01af\u1ee2NG B\u1ec6NH VI\u1ec6N (\u00c1P D\u1ee4NG CHO C\u00c1C \u0110O\u00c0N KI\u1ec2M TRA C\u1ee6A C\u01a0 QUAN QU\u1ea2N L\u00dd) TH\u00d4NG TIN B\u1ec6NH VI\u1ec6N g. \u0110\u1ecba ch\u1ec9 Email: k. S\u1ed1 l\u01b0\u1ee3ng th\u00e0nh vi\u00ean \u0111o\u00e0n: a. T\u00ean b\u1ec7nh vi\u1ec7n: p. \u0110i\u1ec7n tho\u1ea1i li\u00ean h\u1ec7: b. \u0110\u1ecba ch\u1ec9: c. H\u1ecd v\u00e0 t\u00ean Gi\u00e1m \u0111\u1ed1c b\u1ec7nh vi\u1ec7n: d. H\u1ecd v\u00e0 t\u00ean ng\u01b0\u1eddi cung c\u1ea5p th\u00f4ng tin ch\u00ednh: e. \u0110i\u1ec7n tho\u1ea1i li\u00ean h\u1ec7: TH\u00d4NG TIN \u0110O\u00c0N KI\u1ec2M TRA h. S\u1ed1 v\u00e0 tr\u00edch y\u1ebfu c\u1ee7a quy\u1ebft \u0111\u1ecbnh \u0111o\u00e0n ki\u1ec3m tra: i. N\u01a1i ban h\u00e0nh: l. H\u1ecd v\u00e0 t\u00ean Tr\u01b0\u1edfng \u0111o\u00e0n ki\u1ec3m tra: m. V\u1ecb tr\u00ed c\u00f4ng t\u00e1c: n. H\u1ecd v\u00e0 t\u00ean Th\u01b0 k\u00fd \u0111o\u00e0n: o. \u0110\u1ecba ch\u1ec9 Email th\u01b0 k\u00fd \u0111o\u00e0n: T\u00d3M T\u1eaeT K\u1ebeT QU\u1ea2 KI\u1ec2M TRA CH\u1ea4T L\u01af\u1ee2NG B\u1ec6NH VI\u1ec6N 1. T\u1ed4NG S\u1ed0 C\u00c1C TI\u00caU CH\u00cd \u0110\u01af\u1ee2C \u00c1P D\u1ee4NG \u0110\u00c1NH GI\u00c1: \u2026\u2026\u2026....... \/83 TI\u00caU CH\u00cd 2. T\u1ef6 L\u1ec6 TI\u00caU CH\u00cd \u00c1P D\u1ee4NG SO V\u1edaI 83 TI\u00caU CH\u00cd: \u2026\u2026\u2026....... 100% 3. T\u1ed4NG S\u1ed0 \u0110I\u1ec2M C\u1ee6A C\u00c1C TI\u00caU CH\u00cd \u00c1P D\u1ee4NG: \u2026\u2026\u2026....... \u0110I\u1ec2M 4. \u0110I\u1ec2M TRUNG B\u00ccNH CHUNG C\u1ee6A C\u00c1C TI\u00caU CH\u00cd: \u2026\u2026\u2026\u2026\u2026 \u0110I\u1ec2M K\u1ebeT QU\u1ea2 CHUNG CHIA THEO M\u01af\u0301C: M\u1ee9c M\u1ee9c M\u1ee9c M\u1ee9c M\u1ee9c T\u1ed5ng s\u1ed1 1 2 3 4 5 ti\u00eau ch\u00ed 5. S\u1ed0 L\u01af\u1ee2NG TI\u00caU CH\u00cd \u0110\u1ea0T: 6. T\u1ef6 L\u1ec6 C\u00c1C M\u01af\u0301C \u0110\u1ea0T \u0110\u01af\u1ee2C (%): 100% GI\u00c1M \u0110\u1ed0C B\u1ec6NH VI\u1ec6N Ng\u00e0y, th\u00e1ng, n\u0103m TH\u01af K\u00dd \u0110O\u00c0N TR\u01af\u1edeNG \u0110O\u00c0N KI\u1ec2M TRA (k\u00fd t\u00ean) (k\u00fd t\u00ean) (k\u00fd t\u00ean) 147","1. M\u1eaaU DANH S\u00c1CH PH\u00c2N C\u00d4NG TH\u00c0NH VI\u00caN \u0110O\u00c0N \u0110\u00c1NH GI\u00c1 C\u1ee6A C\u01a0 QUAN QU\u1ea2N L\u00dd TR\u1ef0C TI\u1ebeP V\u00c0 \u0110O\u00c0N PH\u00daC TRA C\u1ee6A B\u1ed8 Y T\u1ebe C\u00e1c \u0111o\u00e0n c\u0103n c\u1ee9 tr\u00ean t\u00ecnh h\u00ecnh th\u1ef1c t\u1ebf v\u1ec1 quy m\u00f4, con ng\u01b0\u1eddi c\u1ee7a \u0111\u1ecba ph\u01b0\u01a1ng \u0111\u1ec3 ph\u00e2n c\u00f4ng th\u00e0nh vi\u00ean \u0111\u00e1nh gi\u00e1 c\u00e1c nh\u00f3m ti\u00eau ch\u00ed cho ph\u00f9 h\u1ee3p, b\u1ea3o \u0111\u1ea3m c\u00e1c nguy\u00ean t\u1eafc sau: 1. \u01afu ti\u00ean ch\u1ecdn ng\u01b0\u1eddi \u0111\u00e1nh gi\u00e1 c\u00f3 ki\u1ebfn th\u1ee9c, tr\u00ecnh \u0111\u1ed9 nh\u1ea5t \u0111\u1ecbnh v\u1ec1 qu\u1ea3n l\u00fd y t\u1ebf v\u00e0 qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng, \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o, t\u1eadp hu\u1ea5n ho\u1eb7c tham gia c\u00e1c h\u1ed9i ngh\u1ecb, h\u1ed9i th\u1ea3o QLCL. 2. Tr\u01b0\u1edfng \u0111o\u00e0n l\u00e0 gi\u00e1m \u0111\u1ed1c v\u00e0 ph\u00f3 gi\u00e1m \u0111\u1ed1c c\u1ee7a S\u1edf Y t\u1ebf. 3. Th\u01b0 k\u00fd \u0111o\u00e0n l\u00e0 2 ng\u01b0\u1eddi, bao g\u1ed3m 01 \u0111\u1ea1i di\u1ec7n c\u1ee7a ph\u00f2ng Nghi\u1ec7p v\u1ee5 ho\u1eb7c ph\u00f2ng K\u1ebf ho\u1ea1ch c\u1ee7a S\u1edf Y t\u1ebf v\u00e0 01 \u0111\u1ea1i di\u1ec7n l\u00e0 l\u00e3nh \u0111\u1ea1o\/nh\u00e2n vi\u00ean chuy\u00ean tr\u00e1ch ph\u00f2ng Qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a b\u1ec7nh vi\u1ec7n tr\u1ef1c thu\u1ed9c S\u1edf Y t\u1ebf. 4. C\u00f3 \u0111\u1ea1i di\u1ec7n c\u1ee7a \u00edt nh\u1ea5t 02 b\u1ec7nh vi\u1ec7n c\u00f9ng h\u1ea1ng c\u00f3 \u0111i\u1ec3m t\u1ef1 \u0111\u00e1nh gi\u00e1 th\u1ea5p h\u01a1n ngay s\u00e1t v\u1edbi \u0111i\u1ec3m c\u1ee7a b\u1ec7nh vi\u1ec7n \u0111\u01b0\u1ee3c ch\u1ea5m. N\u1ebfu S\u1edf Y t\u1ebf kh\u00f4ng \u0111\u1ee7 nh\u00e2n l\u1ef1c c\u00f3 ki\u1ebfn th\u1ee9c v\u1ec1 QLCL c\u00f3 th\u1ec3 m\u1eddi th\u00eam nhi\u1ec1u th\u00e0nh vi\u00ean c\u1ee7a c\u00e1c b\u1ec7nh vi\u1ec7n tr\u1ef1c thu\u1ed9c. 5. S\u1ed1 l\u01b0\u1ee3ng th\u00e0nh vi\u00ean \u0111o\u00e0n t\u1eeb 10 \u0111\u1ebfn 16 ng\u01b0\u1eddi. Nh\u00f3m M\u00e3 s\u1ed1 c\u00e1c ti\u00eau ch\u00ed H\u1ecd v\u00e0 t\u00ean Ch\u1ee9c danh v\u00e0 S\u1ed1 \u0110T \u0110\u00e3 h\u1ecdc v\u1ec1 \u0111\u01b0\u1ee3c ph\u00e2n c\u00f4ng n\u01a1i c\u00f4ng t\u00e1c QLCL* Tr\u01b0\u1edfng \u0111o\u00e0n Ph\u00f3 \u0111o\u00e0n 1, 2 Th\u01b0 k\u00fd 1, 2 Nh\u00f3m 1 Nh\u00f3m 2 Nh\u00f3m 3 Nh\u00f3m \u2026 Nh\u00f3m 9: Kh\u1ea3o s\u00e1t h\u00e0i l\u00f2ng ng\u01b0\u1eddi b\u1ec7nh n\u1ed9i, ngo\u1ea1i tr\u00fa Nh\u00f3m 10: Kh\u1ea3o s\u00e1t h\u00e0i l\u00f2ng nh\u00e2n vi\u00ean y t\u1ebf * C\u1ed9t t\u1eadp hu\u1ea5n, ch\u1ee9ng ch\u1ec9, ch\u1ee9ng nh\u1eadn v\u1ec1 QLCL \u0111i\u1ec1n s\u1ed1 t\u01b0\u0300 0 \u0111\u1ebfn 6 theo c\u00e1c m\u00e3 sau: (c\u00f3 th\u1ec3 \u0111i\u1ec1n 1 ho\u1eb7c nhi\u1ec1u s\u1ed1 n\u1ebfu c\u00f3): M\u00e3 s\u1ed1 Ch\u1ee9ng ch\u1ec9, ch\u1ee9ng nh\u1eadn v\u1ec1 Qua\u0309n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng 0 1 Ch\u01b0a h\u1ecdc QLCL, kh\u00f4ng c\u00f3 ch\u1ee9ng ch\u1ec9, ch\u1ee9ng nh\u1eadn v\u1ec1 QLCL 2 3 \u0110\u00e3 h\u1ecdc l\u1edbp Qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng do B\u1ed9 Y t\u1ebf t\u1ed5 ch\u1ee9c (t\u1eeb 3 ng\u00e0y tr\u1edf l\u00ean) 4 \u0110\u00e3 h\u1ecdc l\u1edbp Qu\u1ea3n l\u00fd b\u1ec7nh vi\u1ec7n do B\u1ed9 Y t\u1ebf t\u1ed5 ch\u1ee9c, c\u00f3 n\u1ed9i dung qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng 5 \u0110\u00e3 h\u1ecdc n\u1ed9i dung qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng l\u1ed3ng gh\u00e9p trong c\u00e1c l\u1edbp Qu\u1ea3n l\u00fd b\u1ec7nh vi\u1ec7n, 6 qu\u1ea3n l\u00fd \u0111i\u1ec1u d\u01b0\u1ee1ng\u2026 L\u1edbp do c\u00e1c \u0111\u01a1n v\u1ecb \u0111\u01b0\u1ee3c c\u1ea5p m\u00e3 \u0111\u00e0o t\u1ea1o li\u00ean t\u1ee5c t\u1ed5 ch\u1ee9c 7 \u0110\u00e3 h\u1ecdc Qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng do b\u1ec7nh vi\u1ec7n t\u1ef1 t\u1ed5 ch\u1ee9c ho\u1eb7c c\u00e1c \u0111\u01a1n v\u1ecb trong, ngo\u00e0i ng\u00e0nh y t\u1ebf t\u1ed5 ch\u1ee9c (kh\u00f4ng c\u00f3 m\u00e3 \u0111\u00e0o t\u1ea1o li\u00ean t\u1ee5c) \u0110\u00e3 h\u1ecdc Qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng t\u1ea1i c\u00e1c kh\u00f3a h\u1ecdc \u1edf n\u01b0\u1edbc ngo\u00e0i \u0110\u00e3 tham gia H\u1ed9i ngh\u1ecb qu\u1ed1c gia v\u1ec1 qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n do B\u1ed9 Y t\u1ebf t\u1ed5 ch\u1ee9c ho\u1eb7c c\u00e1c h\u1ed9i th\u1ea3o, h\u1ed9i ngh\u1ecb kh\u00e1c chuy\u00ean s\u00e2u v\u1ec1 qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng C\u00f3 ch\u1ee9ng ch\u1ec9 \u0111\u00e1nh gi\u00e1 vi\u00ean qu\u1ed1c t\u1ebf ho\u1eb7c trong n\u01b0\u1edbc v\u1ec1 \u0111\u00e1nh gi\u00e1 ch\u1ea5t l\u01b0\u1ee3ng 148","2. T\u00d3M T\u1eaeT C\u00d4NG VI\u1ec6C KI\u1ec2M TRA B\u1ec6NH VI\u1ec6N 1. T\u1ed5 ch\u1ee9c \u0111o\u00e0n, ti\u1ebfn \u0111\u1ed9 th\u1eddi gian, kh\u1ed1i l\u01b0\u1ee3ng c\u00f4ng vi\u1ec7c th\u1ef1c hi\u1ec7n\u2026 2. S\u1ed1 l\u01b0\u1ee3ng ti\u00eau ch\u00ed \u00e1p d\u1ee5ng, k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1 chung, \u0111i\u1ec3m, s\u1ed1 l\u01b0\u1ee3ng ti\u00eau ch\u00ed theo c\u00e1c m\u1ee9c, t\u1ef7 l\u1ec7 c\u00e1c m\u1ee9c\u2026 3. S\u1ed1 l\u01b0\u1ee3ng ti\u00eau ch\u00ed kh\u00f4ng \u00e1p d\u1ee5ng; m\u00e3 v\u00e0 t\u00ean ti\u00eau ch\u00ed; l\u00fd do kh\u00f4ng \u00e1p d\u1ee5ng. 3. \u0110O\u00c0N KI\u1ec2M TRA \u0110\u00c1NH GI\u00c1 CHUNG V\u1ec0 CH\u1ea4T L\u01af\u1ee2NG B\u1ec6NH VI\u1ec6N (Nh\u1eadn x\u00e9t d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1 c\u00e1c m\u1ee5c A1, A2, A3... B1, B2\u2026) 4. \u0110\u00c1NH GI\u00c1 K\u1ebeT QU\u1ea2 KH\u1ea2O S\u00c1T H\u00c0I L\u00d2NG NG\u01af\u1edcI B\u1ec6NH N\u1ed8I TR\u00da, NGO\u1ea0I TR\u00da V\u00c0 NH\u00c2N VI\u00caN Y T\u1ebe (Nh\u1eadn x\u00e9t d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 kh\u1ea3o s\u00e1t tr\u01b0\u1edbc ho\u1eb7c trong ng\u00e0y ki\u1ec3m tra b\u1ec7nh vi\u1ec7n) 5. \u0110O\u00c0N KI\u1ec2M TRA \u0110\u00c1NH GI\u00c1 V\u1ec0 \u01afU \u0110I\u1ec2M C\u1ee6A B\u1ec6NH VI\u1ec6N (Nh\u1eadn x\u00e9t d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1 c\u00e1c ti\u00eau ch\u00ed c\u00f3 \u0111i\u1ec3m cao trong c\u00e1c m\u1ee5c A1, A2, A3... B1, B2\u2026) 6. \u0110O\u00c0N KI\u1ec2M TRA \u0110\u00c1NH GI\u00c1 V\u1ec0 NH\u01af\u1ee2C \u0110I\u1ec2M, V\u1ea4N \u0110\u1ec0 T\u1ed2N T\u1ea0I (Nh\u1eadn x\u00e9t d\u1ef1a tr\u00ean c\u00e1c ti\u00eau ch\u00ed c\u00f3 \u0111i\u1ec3m th\u1ea5p m\u1ee9c 1 v\u00e0 2, c\u00e1c v\u1ea5n \u0111\u1ec1 n\u1ed5i c\u1ed9m, b\u1ee9c x\u00fac\u2026 \u0111o\u00e0n ph\u00e1t hi\u1ec7n khi \u0111i \u0111\u00e1nh gi\u00e1). 7. \u0110O\u00c0N KI\u1ec2M TRA \u0110\u1ec0 XU\u1ea4T C\u00c1C V\u1ea4N \u0110\u1ec0 \u01afU TI\u00caN C\u1ea6N C\u1ea2I TI\u1ebeN (\u0110o\u00e0n cho \u00fd ki\u1ebfn v\u1edbi b\u1ec7nh vi\u1ec7n c\u1ea7n \u01b0u ti\u00ean c\u1ea3i ti\u1ebfn ho\u1ea1t \u0111\u1ed9ng n\u00e0o tr\u01b0\u1edbc, kh\u00f4ng qu\u00e1 t\u1ed1n k\u00e9m, kh\u00f4ng c\u1ea7n nhi\u1ec1u ngu\u1ed3n l\u1ef1c, kh\u00f4ng t\u1ed1n nhi\u1ec1u th\u1eddi gian\u2026 v\u00e0 \u0111\u1ea1t k\u1ebft qu\u1ea3 ngay). 8. \u00dd KI\u1ebeN PH\u1ea2N H\u1ed2I C\u1ee6A B\u1ec6NH VI\u1ec6N V\u1ec0 K\u1ebeT QU\u1ea2 KI\u1ec2M TRA (Gi\u1ea3i tr\u00ecnh, \u0111\u1ed3ng t\u00ecnh, ph\u1ea3n \u0111\u1ed1i v\u1edbi c\u00e1c nh\u1eadn x\u00e9t, \u0111\u00e1nh gi\u00e1). 9. K\u1ebeT LU\u1eacN C\u1ee6A TR\u01af\u1edeNG \u0110O\u00c0N KI\u1ec2M TRA Ng\u00e0y, th\u00e1ng, n\u0103m GI\u00c1M \u0110\u1ed0C B\u1ec6NH VI\u1ec6N TH\u01af K\u00dd \u0110O\u00c0N TR\u01af\u1edeNG \u0110O\u00c0N KI\u1ec2M TRA (k\u00fd t\u00ean) (k\u00fd t\u00ean) (k\u00fd t\u00ean) 149"]


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