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医疗守法执业专项执法行动检查表
医疗机构暗访检查情况登记表
县（市、区） 日期：
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机构名称
机构许可情况
医护资质情况
执业范围情况
医护师资质公示情况
日常监管情况
假劣药品情况
消毒隔离情况
垃圾处理情况
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填表说明：机构许可情况填写 无（没有或已过期）、有（在有效期内）、过期未发证；医护资质情况填写 百分数，分母为检查的医护总人数，分子为有医护资格证书人数；执业范围情况中机构里填写 正常（执业）或超范围（并将超范围项目直接标注在备注栏），人员里填写百分数，分母为检查的医护人数，分子为在执业范围内执业人数（超范围执业人员情况直接标注在备注栏）；医护师资质公示情况填写 百分数，分母为检查的医护总人数，分子为公示的人数；日常监管情况通过询问医护人员和检查当年的监督意见书或处罚决定书的方法检查一份以上，直接填写合格或者不合格；假劣药品、消毒隔离和垃圾处理情况直接填写合格和不合格，不合格原因填写在备注栏，如备注栏不够用可以在本页背面书写。县医院为必查单位，其他单位根据工作情况尽量选择多种类型如中医、口腔、民营、社区（村所）等，数量五家，结合实际情况可以适当增加。检查为暗访，发现无证的严重违法情况可以直接与当地卫生监督机构联系并交由当地处理，必要时可以督办或直接查办。
several group number, then with b ± a, =c,c is is methyl b two vertical box between of accurate size. Per-2~3 measurement, such as proceeds of c values are equal and equal to the design value, then the vertical installation accurate. For example a, b, and c valueswhile on horizontal vertical errors for measurement, General in iron angle code bit at measurement level points grid errors, specific method is from baseline to methyl vertical box center line distance for a,, to b vertical box distance for b, list can measured
several group number, then with b ± a, =c,c is is methyl b two vertical box between of accurate size. Per-2~3 measurement, such as proceeds of c values are equal and equal to the design value, then the vertical installation accurate. For example a, b, and c valueswhile on horizontal vertical errors for measurement, General in iron angle code bit at measurement level points grid errors, specific method is from baseline to methyl vertical box center line distance for a,, to b vertical box distance for b, list can measured
要时可以督办或直接查办。
several group number, then with b ± a, =c,c is is methy