phpinfo()
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PHP Version 5.6.40

System Windows NT iZ4r4b31413jd2Z 10.0 build 14393 (Windows Server 2016) AMD64
Build Date Jan 9 2019 15:05:36
Compiler MSVC11 (Visual C++ 2012)
Architecture x64
Configure Command cscript /nologo configure.js "--enable-snapshot-build" "--enable-debug-pack" "--disable-zts" "--disable-isapi" "--disable-nsapi" "--without-mssql" "--without-pdo-mssql" "--without-pi3web" "--with-pdo-oci=c:\php-sdk\oracle\x64\instantclient_12_1\sdk,shared" "--with-oci8-12c=c:\php-sdk\oracle\x64\instantclient_12_1\sdk,shared" "--with-enchant=shared" "--enable-object-out-dir=../obj/" "--enable-com-dotnet=shared" "--with-mcrypt=static" "--without-analyzer" "--with-pgo"
Server API CGI/FastCGI
Virtual Directory Support disabled
Configuration File (php.ini) Path C:\Windows
Loaded Configuration File D:\PHPWEB\php\php.ini
Scan this dir for additional .ini files (none)
Additional .ini files parsed (none)
PHP API 20131106
PHP Extension 20131226
Zend Extension 220131226
Zend Extension Build API220131226,NTS,VC11
PHP Extension Build API20131226,NTS,VC11
Debug Build no
Thread Safety disabled
Zend Signal Handling disabled
Zend Memory Manager enabled
Zend Multibyte Support provided by mbstring
IPv6 Support enabled
DTrace Support disabled
Registered PHP Streamsphp, file, glob, data, http, ftp, zip, compress.zlib, compress.bzip2, https, ftps, phar
Registered Stream Socket Transportstcp, udp, ssl, sslv3, tls, tlsv1.0, tlsv1.1, tlsv1.2
Registered Stream Filtersconvert.iconv.*, mcrypt.*, mdecrypt.*, string.rot13, string.toupper, string.tolower, string.strip_tags, convert.*, consumed, dechunk, zlib.*, bzip2.*
Zend logo This program makes use of the Zend Scripting Language Engine:
Zend Engine v2.6.0, Copyright (c) 1998-2016 Zend Technologies

Configuration

bcmath

BCMath support enabled
DirectiveLocal ValueMaster Value
bcmath.scale00

bz2

BZip2 Support Enabled
Stream Wrapper support compress.bzip2://
Stream Filter support bzip2.decompress, bzip2.compress
BZip2 Version 1.0.6, 6-Sept-2010

calendar

Calendar support enabled

cgi-fcgi

DirectiveLocal ValueMaster Value
cgi.check_shebang_line11
cgi.discard_path00
cgi.fix_pathinfo11
cgi.force_redirect00
cgi.nph00
cgi.redirect_status_envno valueno value
cgi.rfc2616_headers00
fastcgi.impersonate11
fastcgi.logging11

Core

PHP Version 5.6.40
DirectiveLocal ValueMaster Value
allow_url_fopenOnOn
allow_url_includeOffOff
always_populate_raw_post_data00
arg_separator.input&&
arg_separator.output&&
asp_tagsOffOff
auto_append_fileno valueno value
auto_globals_jitOnOn
auto_prepend_fileno valueno value
browscapno valueno value
default_charsetUTF-8UTF-8
default_mimetypetext/htmltext/html
disable_classesno valueno value
disable_functionsexec,system,passthru,popen,pclose,shell_exec,proc_open,dl,chmodexec,system,passthru,popen,pclose,shell_exec,proc_open,dl,chmod
display_errorsOffOff
display_startup_errorsOffOff
doc_rootno valueno value
docref_extno valueno value
docref_rootno valueno value
enable_dlOffOff
enable_post_data_readingOnOn
error_append_stringno valueno value
error_logsyslogsyslog
error_prepend_stringno valueno value
error_reporting022527
exit_on_timeoutOffOff
expose_phpOnOn
extension_dir./ext./ext
file_uploadsOnOn
highlight.comment#FF8000#FF8000
highlight.default#0000BB#0000BB
highlight.html#000000#000000
highlight.keyword#007700#007700
highlight.string#DD0000#DD0000
html_errorsOnOn
ignore_repeated_errorsOffOff
ignore_repeated_sourceOffOff
ignore_user_abortOffOff
implicit_flushOffOff
include_path.;C:\php\pear;D:\wwwroot\yyjg.net\wwwroot\core/Extend/Vendor/.;C:\php\pear
input_encodingno valueno value
internal_encodingno valueno value
log_errorsOnOn
log_errors_max_len10241024
mail.add_x_headerOnOn
mail.force_extra_parametersno valueno value
mail.logno valueno value
max_execution_time180180
max_file_uploads200200
max_input_nesting_level6464
max_input_time6060
max_input_vars10001000
memory_limit128M128M
open_basedirno valueno value
output_buffering40964096
output_encodingno valueno value
output_handlerno valueno value
post_max_size200M200M
precision1414
realpath_cache_size16K16K
realpath_cache_ttl120120
register_argc_argvOffOff
report_memleaksOnOn
report_zend_debugOnOn
request_orderCGPCGP
sendmail_fromno valueno value
sendmail_pathno valueno value
serialize_precision1717
short_open_tagOnOn
SMTPlocalhostlocalhost
smtp_port2525
sql.safe_modeOffOff
sys_temp_dirno valueno value
track_errorsOffOff
unserialize_callback_funcno valueno value
upload_max_filesize200M200M
upload_tmp_dirD:\PHPWEB\php\temp\D:\PHPWEB\php\temp\
user_dirno valueno value
user_ini.cache_ttl300300
user_ini.filename.user.ini.user.ini
variables_orderGPCSGPCS
windows.show_crt_warningOffOff
xmlrpc_error_number00
xmlrpc_errorsOffOff
zend.detect_unicodeOnOn
zend.enable_gcOnOn
zend.multibyteOffOff
zend.script_encodingno valueno value

ctype

ctype functions enabled

curl

cURL support enabled
cURL Information 7.59.0
Age 4
Features
AsynchDNS Yes
CharConv No
Debug No
GSS-Negotiate No
IDN Yes
IPv6 Yes
krb4 No
Largefile Yes
libz Yes
NTLM Yes
NTLMWB No
SPNEGO Yes
SSL Yes
SSPI Yes
TLS-SRP No
Protocols dict, file, ftp, ftps, gopher, http, https, imap, imaps, ldap, pop3, pop3s, rtsp, scp, sftp, smb, smbs, smtp, smtps, telnet, tftp
Host x86_64-pc-win32
SSL Version OpenSSL/1.0.2q
ZLib Version 1.2.7.3
libSSH Version libssh2/1.8.0

date

date/time support enabled
"Olson" Timezone Database Version 2016.10
Timezone Database internal
Default timezone PRC
DirectiveLocal ValueMaster Value
date.default_latitude31.766731.7667
date.default_longitude35.233335.2333
date.sunrise_zenith90.58333390.583333
date.sunset_zenith90.58333390.583333
date.timezonePRCPRC

dom

DOM/XML enabled
DOM/XML API Version 20031129
libxml Version 2.9.4
HTML Support enabled
XPath Support enabled
XPointer Support enabled
Schema Support enabled
RelaxNG Support enabled

ereg

Regex Library Bundled library enabled

exif

EXIF Support enabled
EXIF Version 1.4 $Id: cad29b729548e4206f0697710cc9e177f26fdff3 $
Supported EXIF Version 0220
Supported filetypes JPEG,TIFF
DirectiveLocal ValueMaster Value
exif.decode_jis_intelJISJIS
exif.decode_jis_motorolaJISJIS
exif.decode_unicode_intelUCS-2LEUCS-2LE
exif.decode_unicode_motorolaUCS-2BEUCS-2BE
exif.encode_jisno valueno value
exif.encode_unicodeISO-8859-15ISO-8859-15

filter

Input Validation and Filtering enabled
Revision $Id: 5b79667bd9a68977a9b4f7505223a8e216e04908 $
DirectiveLocal ValueMaster Value
filter.defaultunsafe_rawunsafe_raw
filter.default_flagsno valueno value

ftp

FTP support enabled

gd

GD Support enabled
GD Version bundled (2.1.0 compatible)
FreeType Support enabled
FreeType Linkage with freetype
FreeType Version 2.7.0
GIF Read Support enabled
GIF Create Support enabled
JPEG Support enabled
libJPEG Version 9 compatible
PNG Support enabled
libPNG Version 1.5.26
WBMP Support enabled
XPM Support enabled
libXpm Version 30512
XBM Support enabled
WebP Support enabled
DirectiveLocal ValueMaster Value
gd.jpeg_ignore_warning00

hash

hash support enabled
Hashing Engines md2 md4 md5 sha1 sha224 sha256 sha384 sha512 ripemd128 ripemd160 ripemd256 ripemd320 whirlpool tiger128,3 tiger160,3 tiger192,3 tiger128,4 tiger160,4 tiger192,4 snefru snefru256 gost gost-crypto adler32 crc32 crc32b fnv132 fnv1a32 fnv164 fnv1a64 joaat haval128,3 haval160,3 haval192,3 haval224,3 haval256,3 haval128,4 haval160,4 haval192,4 haval224,4 haval256,4 haval128,5 haval160,5 haval192,5 haval224,5 haval256,5

iconv

iconv support enabled
iconv implementation "libiconv"
iconv library version 1.14
DirectiveLocal ValueMaster Value
iconv.input_encodingno valueno value
iconv.internal_encodingno valueno value
iconv.output_encodingno valueno value

json

json support enabled
json version 1.2.1

libxml

libXML support active
libXML Compiled Version 2.9.4
libXML Loaded Version 20904
libXML streams enabled

mbstring

Multibyte Support enabled
Multibyte string engine libmbfl
HTTP input encoding translation disabled
libmbfl version 1.3.2
mbstring extension makes use of "streamable kanji code filter and converter", which is distributed under the GNU Lesser General Public License version 2.1.
Multibyte (japanese) regex support enabled
Multibyte regex (oniguruma) version 5.9.5
DirectiveLocal ValueMaster Value
mbstring.detect_orderno valueno value
mbstring.encoding_translationOffOff
mbstring.func_overload00
mbstring.http_inputno valueno value
mbstring.http_outputno valueno value
mbstring.http_output_conv_mimetypes^(text/|application/xhtml\+xml)^(text/|application/xhtml\+xml)
mbstring.internal_encodingno valueno value
mbstring.languageneutralneutral
mbstring.strict_detectionOffOff
mbstring.substitute_characterno valueno value

mcrypt

mcrypt supportenabled
mcrypt_filter supportenabled
Version 2.5.8
Api No 20021217
Supported ciphers cast-128 gost rijndael-128 twofish cast-256 loki97 rijndael-192 saferplus wake blowfish-compat des rijndael-256 serpent xtea blowfish enigma rc2 tripledes arcfour
Supported modes cbc cfb ctr ecb ncfb nofb ofb stream
DirectiveLocal ValueMaster Value
mcrypt.algorithms_dirno valueno value
mcrypt.modes_dirno valueno value

mhash

MHASH support Enabled
MHASH API Version Emulated Support

mysql

MySQL Supportenabled
Active Persistent Links 0
Active Links 1
Client API version mysqlnd 5.0.11-dev - 20120503 - $Id: 76b08b24596e12d4553bd41fc93cccd5bac2fe7a $
DirectiveLocal ValueMaster Value
mysql.allow_local_infileOnOn
mysql.allow_persistentOnOn
mysql.connect_timeout6060
mysql.default_hostno valueno value
mysql.default_passwordno valueno value
mysql.default_portno valueno value
mysql.default_socketno valueno value
mysql.default_userno valueno value
mysql.max_linksUnlimitedUnlimited
mysql.max_persistentUnlimitedUnlimited
mysql.trace_modeOffOff

mysqli

MysqlI Supportenabled
Client API library version mysqlnd 5.0.11-dev - 20120503 - $Id: 76b08b24596e12d4553bd41fc93cccd5bac2fe7a $
Active Persistent Links 0
Inactive Persistent Links 0
Active Links 0
DirectiveLocal ValueMaster Value
mysqli.allow_local_infileOnOn
mysqli.allow_persistentOnOn
mysqli.default_hostno valueno value
mysqli.default_port33063306
mysqli.default_pwno valueno value
mysqli.default_socketno valueno value
mysqli.default_userno valueno value
mysqli.max_linksUnlimitedUnlimited
mysqli.max_persistentUnlimitedUnlimited
mysqli.reconnectOffOff
mysqli.rollback_on_cached_plinkOffOff

mysqlnd

mysqlndenabled
Version mysqlnd 5.0.11-dev - 20120503 - $Id: 76b08b24596e12d4553bd41fc93cccd5bac2fe7a $
Compression supported
core SSL supported
extended SSL not supported
Command buffer size 4096
Read buffer size 32768
Read timeout 31536000
Collecting statistics Yes
Collecting memory statistics No
Tracing n/a
Loaded plugins mysqlnd,debug_trace,auth_plugin_mysql_native_password,auth_plugin_mysql_clear_password
API Extensions mysql,mysqli,pdo_mysql
mysqlnd statistics
bytes_sent 608610
bytes_received 12976626
packets_sent 13088
packets_received 116321
protocol_overhead_in 465284
protocol_overhead_out 52352
bytes_received_ok_packet 0
bytes_received_eof_packet 0
bytes_received_rset_header_packet 51921
bytes_received_rset_field_meta_packet 0
bytes_received_rset_row_packet 36771
bytes_received_prepare_response_packet 4926036
bytes_received_change_user_packet 7917323
packets_sent_command 6324
packets_received_ok 0
packets_received_eof 0
packets_received_rset_header 5769
packets_received_rset_field_meta 0
packets_received_rset_row 5995
packets_received_prepare_response 71149
packets_received_change_user 32968
result_set_queries 5659
non_result_set_queries 324
no_index_used 3737
bad_index_used 0
slow_queries 0
buffered_sets 5659
unbuffered_sets 0
ps_buffered_sets 0
ps_unbuffered_sets 0
flushed_normal_sets 0
flushed_ps_sets 0
ps_prepared_never_executed 0
ps_prepared_once_executed 0
rows_fetched_from_server_normal 27309
rows_fetched_from_server_ps 0
rows_buffered_from_client_normal 27309
rows_buffered_from_client_ps 0
rows_fetched_from_client_normal_buffered 27309
rows_fetched_from_client_normal_unbuffered 0
rows_fetched_from_client_ps_buffered 0
rows_fetched_from_client_ps_unbuffered 0
rows_fetched_from_client_ps_cursor 0
rows_affected_normal 95
rows_affected_ps 0
rows_skipped_normal 27309
rows_skipped_ps 0
copy_on_write_saved 145696
copy_on_write_performed 189538
command_buffer_too_small 0
connect_success 110
connect_failure 0
connection_reused 0
reconnect 0
pconnect_success 0
active_connections 18446744073709551508
active_persistent_connections 0
explicit_close 109
implicit_close 0
disconnect_close 0
in_middle_of_command_close 0
explicit_free_result 5658
implicit_free_result 0
explicit_stmt_close 0
implicit_stmt_close 0
mem_emalloc_count 0
mem_emalloc_amount 0
mem_ecalloc_count 0
mem_ecalloc_amount 0
mem_erealloc_count 0
mem_erealloc_amount 0
mem_efree_count 0
mem_efree_amount 0
mem_malloc_count 0
mem_malloc_amount 0
mem_calloc_count 0
mem_calloc_amount 0
mem_realloc_count 0
mem_realloc_amount 0
mem_free_count 0
mem_free_amount 0
mem_estrndup_count 0
mem_strndup_count 0
mem_estndup_count 0
mem_strdup_count 0
proto_text_fetched_null 0
proto_text_fetched_bit 0
proto_text_fetched_tinyint 21932
proto_text_fetched_short 75295
proto_text_fetched_int24 6970
proto_text_fetched_int 8119
proto_text_fetched_bigint 39
proto_text_fetched_decimal 0
proto_text_fetched_float 0
proto_text_fetched_double 0
proto_text_fetched_date 0
proto_text_fetched_year 0
proto_text_fetched_time 0
proto_text_fetched_datetime 0
proto_text_fetched_timestamp 0
proto_text_fetched_string 177022
proto_text_fetched_blob 0
proto_text_fetched_enum 21766
proto_text_fetched_set 0
proto_text_fetched_geometry 0
proto_text_fetched_other 0
proto_binary_fetched_null 0
proto_binary_fetched_bit 0
proto_binary_fetched_tinyint 0
proto_binary_fetched_short 0
proto_binary_fetched_int24 0
proto_binary_fetched_int 0
proto_binary_fetched_bigint 0
proto_binary_fetched_decimal 0
proto_binary_fetched_float 0
proto_binary_fetched_double 0
proto_binary_fetched_date 0
proto_binary_fetched_year 0
proto_binary_fetched_time 0
proto_binary_fetched_datetime 0
proto_binary_fetched_timestamp 0
proto_binary_fetched_string 0
proto_binary_fetched_json 0
proto_binary_fetched_blob 0
proto_binary_fetched_enum 0
proto_binary_fetched_set 0
proto_binary_fetched_geometry 0
proto_binary_fetched_other 0
init_command_executed_count 0
init_command_failed_count 0
com_quit 109
com_init_db 110
com_query 5995
com_field_list 0
com_create_db 0
com_drop_db 0
com_refresh 0
com_shutdown 0
com_statistics 0
com_process_info 0
com_connect 0
com_process_kill 0
com_debug 0
com_ping 0
com_time 0
com_delayed_insert 0
com_change_user 0
com_binlog_dump 0
com_table_dump 0
com_connect_out 0
com_register_slave 0
com_stmt_prepare 0
com_stmt_execute 0
com_stmt_send_long_data 0
com_stmt_close 0
com_stmt_reset 0
com_stmt_set_option 110
com_stmt_fetch 0
com_deamon 0
bytes_received_real_data_normal 7448055
bytes_received_real_data_ps 0

odbc

ODBC Supportenabled
Active Persistent Links 0
Active Links 0
ODBC library Win32
DirectiveLocal ValueMaster Value
odbc.allow_persistentOnOn
odbc.check_persistentOnOn
odbc.default_cursortypeStatic cursorStatic cursor
odbc.default_dbno valueno value
odbc.default_pwno valueno value
odbc.default_userno valueno value
odbc.defaultbinmodereturn as isreturn as is
odbc.defaultlrlreturn up to 4096 bytesreturn up to 4096 bytes
odbc.max_linksUnlimitedUnlimited
odbc.max_persistentUnlimitedUnlimited

openssl

OpenSSL support enabled
OpenSSL Library Version OpenSSL 1.0.2q 20 Nov 2018
OpenSSL Header Version OpenSSL 1.0.2q 20 Nov 2018
Openssl default config c:/usr/local/ssl/openssl.cnf
DirectiveLocal ValueMaster Value
openssl.cafileno valueno value
openssl.capathno valueno value

pcre

PCRE (Perl Compatible Regular Expressions) Support enabled
PCRE Library Version 8.38 2015-11-23
DirectiveLocal ValueMaster Value
pcre.backtrack_limit10000001000000
pcre.recursion_limit100000100000

PDO

PDO supportenabled
PDO drivers mysql, odbc, pgsql, sqlite

pdo_mysql

PDO Driver for MySQLenabled
Client API version mysqlnd 5.0.11-dev - 20120503 - $Id: 76b08b24596e12d4553bd41fc93cccd5bac2fe7a $

PDO_ODBC

PDO Driver for ODBC (Win32)enabled
ODBC Connection Pooling Enabled, strict matching

pdo_pgsql

PDO Driver for PostgreSQLenabled
PostgreSQL(libpq) Version 9.6.2
Module version 1.0.2
Revision $Id: 0e858dd2051ca8c2fd3c781909a0670ab5fecd36 $

pdo_sqlite

PDO Driver for SQLite 3.xenabled
SQLite Library 3.8.10.2

pgsql

PostgreSQL Supportenabled
PostgreSQL(libpq) Version 9.6.2
PostgreSQL(libpq) PostgreSQL 9.6.2 (win32)
Multibyte character support enabled
SSL support enabled
Active Persistent Links 0
Active Links 0
DirectiveLocal ValueMaster Value
pgsql.allow_persistentOnOn
pgsql.auto_reset_persistentOffOff
pgsql.ignore_noticeOffOff
pgsql.log_noticeOffOff
pgsql.max_linksUnlimitedUnlimited
pgsql.max_persistentUnlimitedUnlimited

Phar

Phar: PHP Archive supportenabled
Phar EXT version 2.0.2
Phar API version 1.1.1
SVN revision $Id: 6e5cec2462a6ded53d4379ea9a69487a60d5c43c $
Phar-based phar archives enabled
Tar-based phar archives enabled
ZIP-based phar archives enabled
gzip compression enabled
bzip2 compression enabled
OpenSSL support enabled
Phar based on pear/PHP_Archive, original concept by Davey Shafik.
Phar fully realized by Gregory Beaver and Marcus Boerger.
Portions of tar implementation Copyright (c) 2003-2009 Tim Kientzle.
DirectiveLocal ValueMaster Value
phar.cache_listno valueno value
phar.readonlyOnOn
phar.require_hashOnOn

Reflection

Reflectionenabled
Version $Id: 5f15287237d5f78d75b19c26915aa7bd83dee8b8 $

session

Session Support enabled
Registered save handlers files user
Registered serializer handlers php_serialize php php_binary wddx
DirectiveLocal ValueMaster Value
session.auto_startOffOff
session.cache_expire180180
session.cache_limiternocachenocache
session.cookie_domainno valueno value
session.cookie_httponlyOffOff
session.cookie_lifetime00
session.cookie_path//
session.cookie_secureOffOff
session.entropy_fileno valueno value
session.entropy_length00
session.gc_divisor10001000
session.gc_maxlifetime14401440
session.gc_probability11
session.hash_bits_per_character55
session.hash_function00
session.namePHPSESSIDPHPSESSID
session.referer_checkno valueno value
session.save_handlerfilesfiles
session.save_pathD:\PHPWEB\php\temp\D:\PHPWEB\php\temp\
session.serialize_handlerphpphp
session.upload_progress.cleanupOnOn
session.upload_progress.enabledOnOn
session.upload_progress.freq1%1%
session.upload_progress.min_freq11
session.upload_progress.namePHP_SESSION_UPLOAD_PROGRESSPHP_SESSION_UPLOAD_PROGRESS
session.upload_progress.prefixupload_progress_upload_progress_
session.use_cookiesOnOn
session.use_only_cookiesOnOn
session.use_strict_modeOffOff
session.use_trans_sid00

SimpleXML

Simplexml supportenabled
Revision $Id: d7077fc935154236afb4fe70814ba358efdbdca4 $
Schema support enabled

SPL

SPL supportenabled
Interfaces Countable, OuterIterator, RecursiveIterator, SeekableIterator, SplObserver, SplSubject
Classes AppendIterator, ArrayIterator, ArrayObject, BadFunctionCallException, BadMethodCallException, CachingIterator, CallbackFilterIterator, DirectoryIterator, DomainException, EmptyIterator, FilesystemIterator, FilterIterator, GlobIterator, InfiniteIterator, InvalidArgumentException, IteratorIterator, LengthException, LimitIterator, LogicException, MultipleIterator, NoRewindIterator, OutOfBoundsException, OutOfRangeException, OverflowException, ParentIterator, RangeException, RecursiveArrayIterator, RecursiveCachingIterator, RecursiveCallbackFilterIterator, RecursiveDirectoryIterator, RecursiveFilterIterator, RecursiveIteratorIterator, RecursiveRegexIterator, RecursiveTreeIterator, RegexIterator, RuntimeException, SplDoublyLinkedList, SplFileInfo, SplFileObject, SplFixedArray, SplHeap, SplMinHeap, SplMaxHeap, SplObjectStorage, SplPriorityQueue, SplQueue, SplStack, SplTempFileObject, UnderflowException, UnexpectedValueException

sqlite3

SQLite3 supportenabled
SQLite3 module version 0.7-dev
SQLite Library 3.8.10.2
DirectiveLocal ValueMaster Value
sqlite3.extension_dirno valueno value

standard

Dynamic Library Support enabled
Internal Sendmail Support for Windows enabled
DirectiveLocal ValueMaster Value
assert.active11
assert.bail00
assert.callbackno valueno value
assert.quiet_eval00
assert.warning11
auto_detect_line_endings00
default_socket_timeout6060
fromno valueno value
url_rewriter.tagsa=href,area=href,frame=src,input=src,form=fakeentrya=href,area=href,frame=src,input=src,form=fakeentry
user_agentno valueno value

tokenizer

Tokenizer Support enabled

wddx

WDDX Supportenabled
WDDX Session Serializer enabled

xml

XML Support active
XML Namespace Support active
libxml2 Version 2.9.4

xmlreader

XMLReader enabled

xmlwriter

XMLWriter enabled

zip

Zip enabled
Zip version 1.12.5
Libzip version 0.11.2

zlib

ZLib Supportenabled
Stream Wrapper compress.zlib://
Stream Filter zlib.inflate, zlib.deflate
Compiled Version 1.2.7.3
Linked Version 1.2.7.3
DirectiveLocal ValueMaster Value
zlib.output_compressionOffOff
zlib.output_compression_level-1-1
zlib.output_handlerno valueno value

Additional Modules

Module Name

Environment

VariableValue
_FCGI_X_PIPE_ \\.\pipe\IISFCGI-885dafe3-3a8c-4d4c-9a1b-8585a6ea0656
PHP_FCGI_MAX_REQUESTS 10000
ALLUSERSPROFILE C:\ProgramData
APPDATA C:\Windows\system32\config\systemprofile\AppData\Roaming
APP_POOL_CONFIG C:\inetpub\temp\apppools\wwwroot\wwwroot.config
APP_POOL_ID wwwroot
CommonProgramFiles C:\Program Files\Common Files
CommonProgramFiles(x86) C:\Program Files (x86)\Common Files
CommonProgramW6432 C:\Program Files\Common Files
COMPUTERNAME iZ4r4b31413jd2Z
ComSpec C:\Windows\system32\cmd.exe
LOCALAPPDATA C:\Windows\system32\config\systemprofile\AppData\Local
NUMBER_OF_PROCESSORS 2
OS Windows_NT
Path C:\Windows\system32;C:\Windows;C:\Windows\System32\Wbem;C:\Windows\System32\WindowsPowerShell\v1.0\;D:\Program Files\Microsoft SQL Server\110\DTS\Binn\;D:\Program Files (x86)\Microsoft SQL Server\110\Tools\Binn\;D:\Program Files\Microsoft SQL Server\110\Tools\Binn\;D:\Program Files (x86)\Microsoft SQL Server\110\Tools\Binn\ManagementStudio\;C:\Program Files (x86)\Microsoft Visual Studio 10.0\Common7\IDE\PrivateAssemblies\;D:\Program Files (x86)\Microsoft SQL Server\110\DTS\Binn\;C:\sslctlw;C:\Windows\system32\config\systemprofile\AppData\Local\Microsoft\WindowsApps
PATHEXT .COM;.EXE;.BAT;.CMD;.VBS;.VBE;.JS;.JSE;.WSF;.WSH;.MSC
PROCESSOR_ARCHITECTURE AMD64
PROCESSOR_IDENTIFIER Intel64 Family 6 Model 85 Stepping 4, GenuineIntel
PROCESSOR_LEVEL 6
PROCESSOR_REVISION 5504
ProgramData C:\ProgramData
ProgramFiles C:\Program Files
ProgramFiles(x86) C:\Program Files (x86)
ProgramW6432 C:\Program Files
PSModulePath C:\Program Files\WindowsPowerShell\Modules;C:\Windows\system32\WindowsPowerShell\v1.0\Modules;D:\Program Files (x86)\Microsoft SQL Server\110\Tools\PowerShell\Modules\
PUBLIC C:\Users\Public
SystemDrive C:
SystemRoot C:\Windows
TEMP C:\Windows\TEMP
TMP C:\Windows\TEMP
USERDOMAIN WORKGROUP
USERNAME iZ4r4b31413jd2Z$
USERPROFILE C:\Windows\system32\config\systemprofile
windir C:\Windows

PHP Variables

VariableValue
_REQUEST["aid"]14377
_REQUEST["_URL_"]
Array
(
    [0] => index
    [1] => view
    [2] => aid
    [3] => 14377
)
_GET["aid"]14377
_GET["_URL_"]
Array
(
    [0] => index
    [1] => view
    [2] => aid
    [3] => 14377
)
_SERVER["_FCGI_X_PIPE_"]\\.\pipe\IISFCGI-885dafe3-3a8c-4d4c-9a1b-8585a6ea0656
_SERVER["PHP_FCGI_MAX_REQUESTS"]10000
_SERVER["ALLUSERSPROFILE"]C:\ProgramData
_SERVER["APPDATA"]C:\Windows\system32\config\systemprofile\AppData\Roaming
_SERVER["APP_POOL_CONFIG"]C:\inetpub\temp\apppools\wwwroot\wwwroot.config
_SERVER["APP_POOL_ID"]wwwroot
_SERVER["CommonProgramFiles"]C:\Program Files\Common Files
_SERVER["CommonProgramFiles(x86)"]C:\Program Files (x86)\Common Files
_SERVER["CommonProgramW6432"]C:\Program Files\Common Files
_SERVER["COMPUTERNAME"]iZ4r4b31413jd2Z
_SERVER["ComSpec"]C:\Windows\system32\cmd.exe
_SERVER["LOCALAPPDATA"]C:\Windows\system32\config\systemprofile\AppData\Local
_SERVER["NUMBER_OF_PROCESSORS"]2
_SERVER["OS"]Windows_NT
_SERVER["Path"]C:\Windows\system32;C:\Windows;C:\Windows\System32\Wbem;C:\Windows\System32\WindowsPowerShell\v1.0\;D:\Program Files\Microsoft SQL Server\110\DTS\Binn\;D:\Program Files (x86)\Microsoft SQL Server\110\Tools\Binn\;D:\Program Files\Microsoft SQL Server\110\Tools\Binn\;D:\Program Files (x86)\Microsoft SQL Server\110\Tools\Binn\ManagementStudio\;C:\Program Files (x86)\Microsoft Visual Studio 10.0\Common7\IDE\PrivateAssemblies\;D:\Program Files (x86)\Microsoft SQL Server\110\DTS\Binn\;C:\sslctlw;C:\Windows\system32\config\systemprofile\AppData\Local\Microsoft\WindowsApps
_SERVER["PATHEXT"].COM;.EXE;.BAT;.CMD;.VBS;.VBE;.JS;.JSE;.WSF;.WSH;.MSC
_SERVER["PROCESSOR_ARCHITECTURE"]AMD64
_SERVER["PROCESSOR_IDENTIFIER"]Intel64 Family 6 Model 85 Stepping 4, GenuineIntel
_SERVER["PROCESSOR_LEVEL"]6
_SERVER["PROCESSOR_REVISION"]5504
_SERVER["ProgramData"]C:\ProgramData
_SERVER["ProgramFiles"]C:\Program Files
_SERVER["ProgramFiles(x86)"]C:\Program Files (x86)
_SERVER["ProgramW6432"]C:\Program Files
_SERVER["PSModulePath"]C:\Program Files\WindowsPowerShell\Modules;C:\Windows\system32\WindowsPowerShell\v1.0\Modules;D:\Program Files (x86)\Microsoft SQL Server\110\Tools\PowerShell\Modules\
_SERVER["PUBLIC"]C:\Users\Public
_SERVER["SystemDrive"]C:
_SERVER["SystemRoot"]C:\Windows
_SERVER["TEMP"]C:\Windows\TEMP
_SERVER["TMP"]C:\Windows\TEMP
_SERVER["USERDOMAIN"]WORKGROUP
_SERVER["USERNAME"]iZ4r4b31413jd2Z$
_SERVER["USERPROFILE"]C:\Windows\system32\config\systemprofile
_SERVER["windir"]C:\Windows
_SERVER["ORIG_PATH_INFO"]/index.php/index-view-aid-14377.html
_SERVER["URL"]/index.php
_SERVER["SERVER_SOFTWARE"]Microsoft-IIS/10.0
_SERVER["SERVER_PROTOCOL"]HTTP/1.1
_SERVER["SERVER_PORT_SECURE"]1
_SERVER["SERVER_PORT"]443
_SERVER["SERVER_NAME"]yyjg.net
_SERVER["SCRIPT_NAME"]/index.php
_SERVER["SCRIPT_FILENAME"]D:\wwwroot\yyjg.net\wwwroot\index.php
_SERVER["REQUEST_URI"]/index.php/index-view-aid-14377.html
_SERVER["REQUEST_METHOD"]GET
_SERVER["REMOTE_USER"]no value
_SERVER["REMOTE_PORT"]26398
_SERVER["REMOTE_HOST"]216.73.216.32
_SERVER["REMOTE_ADDR"]216.73.216.32
_SERVER["QUERY_STRING"]no value
_SERVER["PATH_TRANSLATED"]D:\wwwroot\yyjg.net\wwwroot\index.php\index-view-aid-14377.html
_SERVER["PATH_INFO"]/index-view-aid-14377
_SERVER["LOGON_USER"]no value
_SERVER["LOCAL_ADDR"]172.16.121.93
_SERVER["INSTANCE_META_PATH"]/LM/W3SVC/1
_SERVER["INSTANCE_NAME"]WWWROOT
_SERVER["INSTANCE_ID"]1
_SERVER["HTTPS_SERVER_SUBJECT"]CN=www.yyjg.net
_SERVER["HTTPS_SERVER_ISSUER"]C=PL, O=Asseco Data Systems S.A., CN=Certum DV TLS G2 R39 CA
_SERVER["HTTPS_SECRETKEYSIZE"]2048
_SERVER["HTTPS_KEYSIZE"]256
_SERVER["HTTPS"]on
_SERVER["GATEWAY_INTERFACE"]CGI/1.1
_SERVER["DOCUMENT_ROOT"]D:\wwwroot\yyjg.net\wwwroot
_SERVER["CONTENT_TYPE"]no value
_SERVER["CONTENT_LENGTH"]0
_SERVER["CERT_SUBJECT"]no value
_SERVER["CERT_SERIALNUMBER"]no value
_SERVER["CERT_ISSUER"]no value
_SERVER["CERT_FLAGS"]no value
_SERVER["CERT_COOKIE"]no value
_SERVER["AUTH_USER"]no value
_SERVER["AUTH_PASSWORD"]no value
_SERVER["AUTH_TYPE"]no value
_SERVER["APPL_PHYSICAL_PATH"]D:\wwwroot\yyjg.net\wwwroot\
_SERVER["APPL_MD_PATH"]/LM/W3SVC/1/ROOT
_SERVER["IIS_UrlRewriteModule"]7.1.0871.0
_SERVER["HTTP_USER_AGENT"]Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)
_SERVER["HTTP_HOST"]yyjg.net
_SERVER["HTTP_ACCEPT_ENCODING"]gzip, br, zstd, deflate
_SERVER["HTTP_ACCEPT"]*/*
_SERVER["HTTP_CONNECTION"]close
_SERVER["FCGI_ROLE"]RESPONDER
_SERVER["PHP_SELF"]/index.php/index-view-aid-14377.html
_SERVER["REQUEST_TIME_FLOAT"]1789274638.1522
_SERVER["REQUEST_TIME"]1789274638

PHP Credits

PHP Group
Thies C. Arntzen, Stig Bakken, Shane Caraveo, Andi Gutmans, Rasmus Lerdorf, Sam Ruby, Sascha Schumann, Zeev Suraski, Jim Winstead, Andrei Zmievski
Language Design & Concept
Andi Gutmans, Rasmus Lerdorf, Zeev Suraski, Marcus Boerger
PHP Authors
ContributionAuthors
Zend Scripting Language Engine Andi Gutmans, Zeev Suraski, Stanislav Malyshev, Marcus Boerger, Dmitry Stogov, Xinchen Hui, Nikita Popov
Extension Module API Andi Gutmans, Zeev Suraski, Andrei Zmievski
UNIX Build and Modularization Stig Bakken, Sascha Schumann, Jani Taskinen
Windows Port Shane Caraveo, Zeev Suraski, Wez Furlong, Pierre-Alain Joye, Anatol Belski
Server API (SAPI) Abstraction Layer Andi Gutmans, Shane Caraveo, Zeev Suraski
Streams Abstraction Layer Wez Furlong, Sara Golemon
PHP Data Objects Layer Wez Furlong, Marcus Boerger, Sterling Hughes, George Schlossnagle, Ilia Alshanetsky
Output Handler Zeev Suraski, Thies C. Arntzen, Marcus Boerger, Michael Wallner
SAPI Modules
ContributionAuthors
AOLserver Sascha Schumann
Apache 1.3 (apache_hooks) Rasmus Lerdorf, Zeev Suraski, Stig Bakken, David Sklar, George Schlossnagle, Lukas Schroeder
Apache 1.3 Rasmus Lerdorf, Zeev Suraski, Stig Bakken, David Sklar
Apache 2.0 Filter Sascha Schumann, Aaron Bannert
Apache 2.0 Handler Ian Holsman, Justin Erenkrantz (based on Apache 2.0 Filter code)
Caudium / Roxen David Hedbor
CGI / FastCGI Rasmus Lerdorf, Stig Bakken, Shane Caraveo, Dmitry Stogov
CLI Edin Kadribasic, Marcus Boerger, Johannes Schlueter, Moriyoshi Koizumi, Xinchen Hui
Continuity Alex Leigh (based on nsapi code)
Embed Edin Kadribasic
FastCGI Process Manager Andrei Nigmatulin, dreamcat4, Antony Dovgal, Jerome Loyet
ISAPI Andi Gutmans, Zeev Suraski
litespeed George Wang
NSAPI Jayakumar Muthukumarasamy, Uwe Schindler
phpdbg Felipe Pena, Joe Watkins, Bob Weinand
phttpd Thies C. Arntzen
pi3web Holger Zimmermann
Sendmail Milter Harald Radi
thttpd Sascha Schumann
tux Sascha Schumann
WebJames Alex Waugh
Module Authors
ModuleAuthors
BC Math Andi Gutmans
Bzip2 Sterling Hughes
Calendar Shane Caraveo, Colin Viebrock, Hartmut Holzgraefe, Wez Furlong
COM and .Net Wez Furlong
ctype Hartmut Holzgraefe
cURL Sterling Hughes
Date/Time Support Derick Rethans
DB-LIB (MS SQL, Sybase) Wez Furlong, Frank M. Kromann
DBA Sascha Schumann, Marcus Boerger
DOM Christian Stocker, Rob Richards, Marcus Boerger
enchant Pierre-Alain Joye, Ilia Alshanetsky
ereg Rasmus Lerdorf, Jim Winstead, Jaakko Hyvätti
EXIF Rasmus Lerdorf, Marcus Boerger
fileinfo Ilia Alshanetsky, Pierre Alain Joye, Scott MacVicar, Derick Rethans
Firebird driver for PDO Ard Biesheuvel
FTP Stefan Esser, Andrew Skalski
GD imaging Rasmus Lerdorf, Stig Bakken, Jim Winstead, Jouni Ahto, Ilia Alshanetsky, Pierre-Alain Joye, Marcus Boerger
GetText Alex Plotnick
GNU GMP support Stanislav Malyshev
Iconv Rui Hirokawa, Stig Bakken, Moriyoshi Koizumi
IMAP Rex Logan, Mark Musone, Brian Wang, Kaj-Michael Lang, Antoni Pamies Olive, Rasmus Lerdorf, Andrew Skalski, Chuck Hagenbuch, Daniel R Kalowsky
Input Filter Rasmus Lerdorf, Derick Rethans, Pierre-Alain Joye, Ilia Alshanetsky
InterBase Jouni Ahto, Andrew Avdeev, Ard Biesheuvel
Internationalization Ed Batutis, Vladimir Iordanov, Dmitry Lakhtyuk, Stanislav Malyshev, Vadim Savchuk, Kirti Velankar
JSON Omar Kilani, Scott MacVicar
LDAP Amitay Isaacs, Eric Warnke, Rasmus Lerdorf, Gerrit Thomson, Stig Venaas
LIBXML Christian Stocker, Rob Richards, Marcus Boerger, Wez Furlong, Shane Caraveo
mcrypt Sascha Schumann, Derick Rethans
MS SQL Frank M. Kromann
Multibyte String Functions Tsukada Takuya, Rui Hirokawa
MySQL driver for PDO George Schlossnagle, Wez Furlong, Ilia Alshanetsky, Johannes Schlueter
MySQL Zeev Suraski, Zak Greant, Georg Richter, Andrey Hristov
MySQLi Zak Greant, Georg Richter, Andrey Hristov, Ulf Wendel
MySQLnd Andrey Hristov, Ulf Wendel, Georg Richter, Johannes Schlüter
OCI8 Stig Bakken, Thies C. Arntzen, Andy Sautins, David Benson, Maxim Maletsky, Harald Radi, Antony Dovgal, Andi Gutmans, Wez Furlong, Christopher Jones, Oracle Corporation
ODBC driver for PDO Wez Furlong
ODBC Stig Bakken, Andreas Karajannis, Frank M. Kromann, Daniel R. Kalowsky
OpenSSL Stig Venaas, Wez Furlong, Sascha Kettler, Scott MacVicar
Oracle (OCI) driver for PDO Wez Furlong
pcntl Jason Greene, Arnaud Le Blanc
Perl Compatible Regexps Andrei Zmievski
PHP Archive Gregory Beaver, Marcus Boerger
PHP Data Objects Wez Furlong, Marcus Boerger, Sterling Hughes, George Schlossnagle, Ilia Alshanetsky
PHP hash Sara Golemon, Rasmus Lerdorf, Stefan Esser, Michael Wallner, Scott MacVicar
Posix Kristian Koehntopp
PostgreSQL driver for PDO Edin Kadribasic, Ilia Alshanetsky
PostgreSQL Jouni Ahto, Zeev Suraski, Yasuo Ohgaki, Chris Kings-Lynne
Pspell Vlad Krupin
Readline Thies C. Arntzen
Recode Kristian Koehntopp
Reflection Marcus Boerger, Timm Friebe, George Schlossnagle, Andrei Zmievski, Johannes Schlueter
Sessions Sascha Schumann, Andrei Zmievski
Shared Memory Operations Slava Poliakov, Ilia Alshanetsky
SimpleXML Sterling Hughes, Marcus Boerger, Rob Richards
SNMP Rasmus Lerdorf, Harrie Hazewinkel, Mike Jackson, Steven Lawrance, Johann Hanne, Boris Lytochkin
SOAP Brad Lafountain, Shane Caraveo, Dmitry Stogov
Sockets Chris Vandomelen, Sterling Hughes, Daniel Beulshausen, Jason Greene
SPL Marcus Boerger, Etienne Kneuss
SQLite 3.x driver for PDO Wez Furlong
SQLite3 Scott MacVicar, Ilia Alshanetsky, Brad Dewar
Sybase-CT Zeev Suraski, Tom May, Timm Friebe
System V Message based IPC Wez Furlong
System V Semaphores Tom May
System V Shared Memory Christian Cartus
tidy John Coggeshall, Ilia Alshanetsky
tokenizer Andrei Zmievski, Johannes Schlueter
WDDX Andrei Zmievski
XML Stig Bakken, Thies C. Arntzen, Sterling Hughes
XMLReader Rob Richards
xmlrpc Dan Libby
XMLWriter Rob Richards, Pierre-Alain Joye
XSL Christian Stocker, Rob Richards
Zip Pierre-Alain Joye, Remi Collet
Zlib Rasmus Lerdorf, Stefan Roehrich, Zeev Suraski, Jade Nicoletti, Michael Wallner
PHP Documentation
Authors Mehdi Achour, Friedhelm Betz, Antony Dovgal, Nuno Lopes, Hannes Magnusson, Georg Richter, Damien Seguy, Jakub Vrana, Adam Harvey, Peter Cowburn
Editor Philip Olson
User Note Maintainers Daniel P. Brown, Thiago Henrique Pojda
Other Contributors Previously active authors, editors and other contributors are listed in the manual.
PHP Quality Assurance Team
Ilia Alshanetsky, Joerg Behrens, Antony Dovgal, Stefan Esser, Moriyoshi Koizumi, Magnus Maatta, Sebastian Nohn, Derick Rethans, Melvyn Sopacua, Jani Taskinen, Pierre-Alain Joye, Dmitry Stogov, Felipe Pena, David Soria Parra, Stanislav Malyshev, Julien Pauli, Stephen Zarkos, Anatol Belski, Remi Collet, Ferenc Kovacs
Websites and Infrastructure team
PHP Websites Team Rasmus Lerdorf, Hannes Magnusson, Philip Olson, Lukas Kahwe Smith, Pierre-Alain Joye, Kalle Sommer Nielsen, Peter Cowburn, Adam Harvey, Ferenc Kovacs, Levi Morrison
Event Maintainers Damien Seguy, Daniel P. Brown
Network Infrastructure Daniel P. Brown
Windows Infrastructure Alex Schoenmaker

PHP License

This program is free software; you can redistribute it and/or modify it under the terms of the PHP License as published by the PHP Group and included in the distribution in the file: LICENSE

This program is distributed in the hope that it will be useful, but WITHOUT ANY WARRANTY; without even the implied warranty of MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE.

If you did not receive a copy of the PHP license, or have any questions about PHP licensing, please contact license@php.net.

医院经营管理网

行业资讯Industry information

首页>行业资讯>政策解读
北京市全面提升医疗质量行动方案(2023-2025年)印发
提交者: 发表时间:2023-7-26 点击次数:5105 来源:北京卫健委
  北京市全面提升医疗质量行动方案(2023-2025年)
  
  一、指导思想
  
  以习近平新时代中国特色社会主义思想为指导,深入贯彻党的二十大和二十届一中、二中全会精神,认真落实学习贯彻习近平新时代中国特色社会主义思想主题教育要求,坚持以人民为中心的发展思想和健康优先发展战略,牢牢把握首都城市战略定位,推进“健康北京”建设,把保障人民健康放在优先发展的战略位置,以满足人民日益增长的美好生活需要为根本目的,以推动医疗卫生服务高质量发展为主题,以提高供给质量为主攻方向,中西医并重,加强全面质量安全管理,促进优质医疗资源扩容和区域均衡布局,不断增强人民群众获得感、幸福感、安全感。
  
  二、行动目标
  

  利用3年时间,进一步树立质量安全意识,完善质量安全管理体系和管理机制,进一步健全政府监管、机构自治、行业参与、社会监督的医疗质量安全管理多元共治机制,进一步巩固基础医疗质量安全管理,提升医疗质量安全管理精细化、科学化、规范化程度,进一步优化医疗资源配置和服务均衡性,提升重大疾病诊疗能力和医疗质量安全水平,持续改善人民群众对医疗服务的满意度。


医院管理咨询

  
  三、行动范围
  
  本市二级及以上医疗机构
  
  四、组织管理
  
  市卫生健康委主管领导、医政医管处、综合监督处、药械处、应急办、妇幼处、市中医局医政处、市卫生健康大数据与政策研究中心、市医疗卫生服务指导中心等主要负责人成立领导小组,负责制定行动方案、加强业务指导、及时总结经验并加强宣传交流。市卫生健康大数据与政策研究中心负责行动效果监测指标及相关医疗质量安全数据的收集整理工作,加强信息化平台建设,做好技术支持。市医疗卫生服务指导中心负责行动方案的具体组织实施,并对全市行动开展情况进行检查和评估。
  
  市医管中心,各区卫生健康行政部门建立相应工作机制,制定具体工作方案,负责对所辖医疗机构行动的组织实施情况进行监督、指导和评估,并定期向市卫生健康委进行报告。
  
  市级各相关专业质控中心负责制订本专业质量安全改进工作计划并组织实施;监测、分析本专业医疗质量安全情况,研究提出医疗质量安全改进目标和质控工作改进目标,加强质量安全改进策略研究。区级质控组织按照本级卫生健康行政部门及上级质控中心要求落实有关工作。
  
  各级各类医疗机构是行动的责任主体,医疗机构主要负责人是第一责任人。医疗机构要按照行动方案要求,强化医疗质量安全主体责任,完善医疗质量安全管理体系,按时上报行动效果监测指标数据及医疗质量安全有关数据,落实各项具体工作任务,强化人员教育,培育质量安全文化,提升医疗质量安全水平。
  
  五、工作任务
  
  (一)加强基础质量安全管理
  
  1.健全完善制度机制。医疗机构要健全院、科两级医疗质量安全管理体系,成立由医疗机构主要负责人担任主任的医疗质量管理委员会,指定或者成立专门部门具体负责医疗质量安全日常管理工作。医疗机构主要负责人每月召开医疗质量管理委员会专题会议,研究部署医疗质量安全工作。建立院周会反馈质量安全工作机制,创办质量安全月刊,督促指导各部门、各科室精准开展医疗质量安全改进工作。
  
  各业务科室成立由主要负责人担任组长的医疗质量管理工作小组,指定专人负责日常具体工作。各部门、各临床科室及医技科室主要负责人每月召开专门会议,研究本部门、本科室医疗质量安全工作。
  
  医疗机构要严格按照法律法规要求,充分运用《北京市医疗机构依法执业自查系统》,夯实依法合规的基础;建立健全本机构各项质量安全管理制度,强化重点环节和重点领域的日常管理,结合本机构实际,细化完善并严格落实18项医疗质量安全核心制度,运用信息化手段提高精细化管理水平。
  
  2.加强医疗要素管理。医疗机构要依法依规强化医师、护士及医技人员准入和执业管理,规范医师多点执业和定期考核,以临床诊疗指南、技术规范、操作规程等为重点,对全体医务人员加强基本理论、基本知识、基本技能培训及考核,不断提升医务人员业务能力。
  
  医疗机构要依法依规确定本机构药品器械供应目录。遇国家基本药物、医保谈判等药品目录调整,应于3个月内召开药事会,结合患者需求和学科特点做好本院目录衔接。要加强重点监控合理用药药品、抗微生物药物、抗肿瘤药物以及放射影像设备、植入类器械等常用设备器械的管理,做好药品器械不良反应的监测报告,对不良反应多且安全隐患突出的药品器械要及时依法依规清退出供应目录。
  
  医疗机构要全面梳理本机构医疗技术临床应用情况,以限制类技术、内镜和介入技术等为重点加强质量安全管理,强化新技术、新项目机构内准入管理,完善技术授权和动态管理等相应的管理制度及工作流程,在保障医疗质量安全的基础上,加强新技术临床应用和适宜技术推广。中医医疗技术操作要严格按照《中医医疗技术相关性感染预防与控制指南(试行)》要求,严格落实感控管理各项要求。
  
  3.加强医疗资源统筹。医疗机构要严格执行首诊负责制,加强门急诊专业人员和技术力量配备,优化门急诊诊疗工作流程,优化门诊疑难病例会诊和多学科门诊诊疗服务,加强门诊手术、门诊化疗、门诊输液等门诊服务的质量安全管理,并把门急诊工作质量作为考核科室和医务人员的重要内容。要强化院前医疗急救与院内急诊的无缝衔接机制,畅通院前医疗急救与院内急诊信息,强化预检分诊,优化急诊就诊和绿色通道流程,完善急危重症患者,特别是心血管疾病、多发性创伤、心脏骤停等急危重症患者的多学科协作救治机制,提升患者救治效果。
  
  医疗机构要严格落实手术分级管理制度,强化手术分级和医生授权动态管理,确保三、四级手术逐项授予和动态调整。全面加强手术患者术前评估、麻醉评估,落实术前讨论制度,准确把握手术适应证和禁忌证,科学制订手术方案。严格落实手术安全核查制度,强化围手术期管理。要进一步完善日间医疗质量管理组织体系,加强日间医疗病种和技术管理,强化日间医疗科室和医师审核授权管理,不断扩充日间医疗服务范围,提升日间医疗服务供给能力。加强日间医疗患者评估和随访,及时发现患者病情变化并予以干预,保障日间医疗患者安全。
  
  医疗机构要进一步强化“以患者为中心,以疾病为链条”的理念,打破传统学科划分和专业设置壁垒,以多学科协作(MDT)为基础,探索专病中心建设,为患者提供重大疾病诊疗一站式服务。要加强患者随访管理,根据不同疾病特点及诊疗规律,明确随访时间、频次、形式和内容等,安排专门人员进行随访并准确记录,为有需要的患者提供出院后连续、安全的延伸性医疗服务。重点加强四级手术、恶性肿瘤患者的随访管理,重点关注患者出院后发生并发症、非预期再入院治疗和不良转归等情况。
  
  (二)强化关键环节和行为管理
  
  4.加强医务人员行为管理。医疗机构和医务人员要严格遵循临床诊疗指南、临床技术操作规范、行业标准和临床路径等有关要求开展诊疗工作,严格遵守医疗质量安全核心制度,掌握各类检查、治疗的适应证,做到合理检查、合理用药、合理治疗。严格落实三级查房制度,保障临床科室对患者的查房频次、形式和内容符合规定。倡导医疗、护理、药事联合查房,倡导中西医联合查房,对四级手术患者和疑难危重患者要进行重点查房,推行多学科联合查房。
  
  医疗机构在患者住院当日、围手术(治疗)期、出院前等关键时间节点要强化患者评估,密切监测患者病情变化及心理状态,并及时进行再评估,根据评估情况科学调整诊疗方案,保障诊疗措施的及时性、规范性。
  
  医疗机构要持续扩大优质护理服务覆盖面,落实护理核心制度,做实责任制整体护理,夯实基础护理质量,实现优质护理服务扩面提质。完善护理质量监测与反馈,基于循证基础和临床需求开展持续改进工作,提高护理同质化水平。
  
  5.关注重点环节管理。医疗机构要以提升病历内涵质量和完整性、及时性为核心任务,加强编码管理和病历质量培训,规范病历书写。以首次病程、上级医师查房、手术记录、阶段小结、出院小结等为重点强化管理,推行门(急)诊结构化病历,提高病历记录的规范性、完整性及电子病历使用比例。
  
  医疗机构要进一步完善会诊制度,明确各类会诊的具体流程,加强会诊人员资质管理,统一会诊单格式及填写规范,追踪会诊意见执行情况和执行效果。加强中医、营养、康复、精神、检验、病理、影像、药学等科室的多学科会诊参与度,充分发挥营养和康复治疗对提升治疗效果的积极作用。
  
  医疗机构要建立健全覆盖检查、检验全过程的质量管理制度,加强室内质量控制,重点关注即时检验(POCT)质量管理,配合做好室间质量评价工作,优化危急值项目管理目录和识别机制,强化危急值报告的及时性、准确性。要规范医师处方行为,按照安全、有效、经济、适宜的合理用药原则开具处方。推行临床药师制,发挥药师在处方审核、处方点评、药学监护等合理用药管理方面的作用。强化合理用药教育与培训,对不合理用药行为及时采取干预措施。在儿科等重点科室配备驻科药师,参与药物治疗管理。
  
  6.强化患者安全管理。医疗机构要进一步优化绿色通道管理,做好急难危重患者分类,完善抢救资源配置与紧急调配机制,保障各单元抢救设备和药品可用,确保急危重患者优先救治,加强危急值处置管理,提高危急值处置的及时性、规范性。要进一步落实急危重患者抢救制度和疑难病例讨论制度,提高重症患者救治技术能力。要进一步提升医务人员患者安全意识和对医疗质量(安全)不良事件的识别能力,强化医疗质量(安全)不良事件的主动报告,定期对患者医疗质量(安全)不良事件发生情况进行分析,查找存在的共性问题和薄弱环节,开展系统性改进工作。
  
  (三)加强体系建设和检查督导
  
  7.健全质控管理体系。各区卫生健康行政部门要对标市级各专业质控中心,尽快成立相应专业的区级质控组织并加强管理,每季度召开至少1次专题会议,研究质控体系建设运行、推进质量安全提升行动计划等相关工作,发布年度区级医疗服务与质量安全报告。区级质控中组织要按照本级卫生健康行政部门及市级相应专业质控中心的工作要求,配合做好有关工作。
  
  8.调动质控组织能动性。市级各专业质控中心要按照年度国家医疗质量安全改进目标、各专业质控工作改进目标和患者安全目标,结合本市工作实际,提出本市改进目标、目标改进幅度、改进计划等,及时上报市卫生健康委,并督促指导对应专业区级质控中心开展工作,把推动目标实现作为年度质控中心工作重点。市级各专业质控中心要围绕本专业年度质量安全情况进行监测、分析,协助做好监测数据报送工作,形成书面报告。市卫生健康大数据与政策研究中心要依据有关数据监测情况,形成本市有关医疗机构质量安全情况排名,上报市卫生健康委。中医药质控中心按照市中医局有关要求落实。
  
  区级质控组织、各有关医疗机构要合理细化本地区、本机构改进目标并确定目标改进幅度,创新工作机制和方式方法,以点带面提升质量安全水平。
  
  9.发挥考核评估指挥棒作用。医疗机构要将医疗质量管理情况作为绩效考核的重要依据,探索建立以医疗质量安全为导向的绩效分配机制。将科室医疗质量管理情况作为科室负责人综合目标考核以及聘任、晋升、评先评优的重要指标;将科室和医务人员医疗质量管理情况作为医师定期考核、晋升的重要依据。
  
  各级卫生健康行政部门要充分发挥医院评审、公立医院绩效考核、公立医院高质量发展评价、医联体绩效考核、临床专科评估、单病种质量评估等工作的指挥棒作用,将医疗质量管理情况作为考核工作的重要内容,督促指导医疗机构落实相关政策要求。
  
  10.落实专项行动要求。各区、各机构要按照《国家卫生健康委 国家中医药局关于开展全面提升医疗质量行动(2023—2025年)的通知》要求,切实开展手术治疗安全提升行动、“破壁”行动、病历内涵质量提升行动、患者安全专项行动及“织网”行动,保证相关指标达到国家要求。各区卫生健康行政部门要按年度开展优秀病案评比,市病案质控中心要组织开展本市医疗机构优秀病案评比工作,评选百佳病案并加强宣传交流。市医疗卫生服务指导中心要协助持续推动市级质控中心设置工作,到2025年末,全市医疗专业质控中心不少于50个。市中医局要持续推动中医药质控中心建设,组织开展中医药质控中心评估工作,提升中医药质控质量,到2025年末,全市中医药质控中心不少于  20个。各区卫生健康行政部门要持续推动区级医疗专业质控中心设置工作,到2025年末,每个区区级质控中心不少于20个,实现心血管疾病、神经系统疾病、肿瘤、麻醉、重症、药学、院感、护理等专业区级质控中心全覆盖。各区卫生健康行政部门要按年度发布区级医疗服务与质量安全报告,市级各专业质控中心要按年度发布本专业医疗服务与质量安全报告。
  
  11.开展专项督导检查。各区卫生健康行政部门要不定期通过“四不两直”等方式,采取实地查看、病历查阅、审阅资料、案例追踪、现场考核、调查访谈及暗访等方法,对辖区有关医疗机构方案落实情况进行督导检查。重点关注医院质控体系建设、医疗要素及资源管理、关节环节和行为管理、医疗质量安全核心制度落实情况、“三基三严”达标情况等。对检查中发现的问题,要督促医院制定针对性改进措施切实整改,确保检查工作取得实效。
  
  市医疗卫生服务指导中心要组建督导专家组,结合日常数据监测、接诉即办等情况,对本市三级医疗机构不定期开展督导检查,并将检查情况及时反馈市卫生健康委。
  
  六、工作安排
  
  (一)启动阶段(2023年6月-7月)
  
  市卫生健康委联合市中医局制定印发本市行动计划,明确行动效果监测指标报送路径,做出具体工作安排。市医管中心、各区级卫生健康行政部门制定具体工作方案,报市卫生健康委和市中医局备案,部署行动相关工作。
  
  (二)实施阶段(2023年7月-2025年8月)
  
  市医管中心、各区卫生健康行政部门每季度召开至少1次专题会议,研究质控体系建设运行、推进质量安全提升行动计划等相关工作,按年度进行行动工作部署和工作总结,发掘先进做法和典型经验,遴选年度典型案例并进行宣传推广,并于每次专题会议结束后及每年12月15日前,书面反馈会议纪要、工作总结和典型经验、优秀案例等至市医疗卫生服务指导中心,中医医疗机构有关会议纪要、工作总结和典型经验、优秀案例等报至市中医局医政处。
  
  (三)评估总结(2025年9月-12月)
  
  在市医管中心、各区总结的基础上,市卫生健康委和市中医局对本市质量安全提升工作进行总结评估,报送国家卫生健康委和国家中医药局。
  
  七、工作要求
  
  (一)提高思想认识,加强组织领导
  
  各区卫生健康行政部门、各质控组织、各医疗机构要高度重视,切实把质量工作作为核心和重点工作,明确责任分工、层层压实责任,细化行动方案和工作措施,不断调整优化工作策略,推进工作有序开展。医疗机构主要负责人要亲自研究、靠前领导,落实落细各项工作,强化基础医疗安全管理,加强医疗质量安全日常监测、分析和反馈,推动行动顺利开展。
  
  (二)强化科学管理,健全评估机制
  
  各级卫生健康行政部门要加强对医疗机构有关工作的指导,指导医疗机构建立健全相关制度规范并加强日常监管,充分利用医院评审、绩效考核、专科评估等工作抓手,强化医疗质量安全管理。各医疗机构要在健全完善质控体系、相关制度和工作措施的基础上,加强自查自纠,以数据为抓手,真实、准确、及时向市卫生健康大数据与政策研究中心报送医疗质量安全相关数据,提高医疗质量监管的精细度和深入度。
  
  各级卫生健康行政部门、质控组织和医疗机构要密切关注医疗质量安全管理领域前沿进展,吸纳国内外先进管理经验和方法,加强医疗质量安全管理相关学习培训,提升质量安全管理科学化程度和管理效能。
  
  (三)加强宣传引导,建立长效机制
  
  各级卫生健康行政部门和质控组织要从多维度、多层面挖掘行动落实先进典型,形成可推广、可复制的制度和经验,对先进典型进行宣传推广,营造良好氛围,并及时向市卫生健康委、市中医局报告。市卫生健康委、市中医局酌情遴选其中具有代表意义的典型案例予以通报表扬。
  
  各级卫生健康行政部门要在行动期间不断总结经验,进一步巩固全行业质量安全意识和“以病人为中心”服务理念,增强各方参与医疗质量安全管理的意愿,进一步提升行业社会认可度,完善政府监管、机构自治、行业自律、社会监督的医疗质量安全管理多元良性共治长效机制。
  
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