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重症医学科是一个相对年轻、发展迅速、肩负生命重托的学科,近10年来取得了飞速发展,学科不断壮大,环境及设备不断完善,技术能力不断提升.但飞速的提升,管理模式的多样化,也带来了医疗质量隐忧.信阳市中心医院为河南省较大的地市级三级甲等综合医院,作为医院重症医学科科主任和信阳市重症医学学科带头人,现从科室管理的角度出发,阐述如何通过建立“规范化、制度化、流程化”的管理模式,保障医疗质量和医疗安全;“以重症医学质量控制为抓手,以规范查房落实重症理念为培养手段,以不良事件自查自纠为监督机制”,建立起重症患者的管理体系,为提升重症医学学科质量和可持续发展奠定基础.“,”Critical care medicine is a relatively young, fast-growing discipline, but it also bears the burden of heavy life. In the past 10 years, critical care medicine has made rapid progress. It has been growing to be mature and complete, its environment and equipment have been improved, and the technical ability has been continuously upgraded. However, the rapid improvement and the diversification of management modes have also brought about some concerns about medical quality. Xinyang Central Hospital is a large prefecture-grade tertiary-class A general hospital in Henan Province. As the director of the department of critical care medicine and the discipline leader of critical care medicine in Xinyang City, the author shared his opinion about how to establish a “standardized, institutionalized and procedural”management model from the perspective of department management in order to ensure medical quality and safety. We should “start from the quality control of critical care medicine, implement the concept of critical care through ward rounds, supervise the quality from the self-examination and self-correction of adverse events”, in order to establish a management system for critical care patients and lay a foundation for improving medical quality and sustainable developing of critical care medicine.