Technical management specification for radiofrequency ablation therapy for tumors

Basic requirements of technical management (1) Strictly abide by the operation specification and diagnosis and treatment guideline of tumor radiofrequency ablation treatment technology, correctly master the indications and contraindications of tumor radiofrequency ablation treatment technology, and decide the comprehensive treatment plan according to the patient’s condition, the available treatment means and the patient’s economic ability. (2) To be carried out by the physicians of the hospital who have the corresponding clinical application ability of tumor radiofrequency ablation treatment technology, and to formulate reasonable treatment and management plan. (3) Before the implementation of tumor radiofrequency ablation treatment, patients and family members should be informed of the purpose of treatment, treatment risks, post-treatment precautions, possible complications and preventive measures, etc., and sign the informed consent form. (4) The process of percutaneous ablation must be performed under image guidance and monitoring to improve the safety and reliability of treatment. (5) The condition of the tumor should be closely observed after the tumor radiofrequency ablation treatment, and the possible complications should be dealt with in a timely manner. (6) Establish and improve the technical evaluation and follow-up system of tumor radiofrequency ablation treatment, and make records according to regulations. (7) Medical institutions and physicians should, in accordance with relevant regulations, regularly undergo clinical application assessment of tumor radiofrequency ablation treatment technology, including case selection, treatment success rate, serious complications, death cases, medical incidents, post-treatment patient management, patient survival quality, follow-up and medical record quality. (H) The medical institutions should complete no less than 50 cases of tumor radiofrequency ablation treatment each year; no medical accidents related to tumor radiofrequency ablation treatment. (ix) Other technical management requirements 1. Use the tumor radiofrequency ablation treatment equipment approved by the national drug supervision and management department. 2.No illegal reuse of disposable tumor radiofrequency ablation treatment equipment, no improper benefits through equipment. 3.Establish regular instrument and equipment testing, maintenance system and use registration system. IV. Training The physician to be engaged in tumor radiofrequency ablation therapy should receive at least 6 months of systematic training. (A) training base designated by the administrative department of Zhejiang Provincial Health Department, and has the following conditions: 1, tertiary hospitals. With medical oncology, surgical oncology, radiotherapy oncology, ultrasound, radiology, general surgery, cardiothoracic surgery and other related departments. 2.With the ability of clinical application of tumor radiofrequency ablation treatment technology, the annual completion of various types of tumor radiofrequency ablation treatment cases is not less than 60 cases. 3.The total number of beds for medical oncology and surgical oncology (or general surgery) and interventional treatment is not less than 150. 4.There are at least 4 instructing physicians with the ability of clinical application of tumor radiofrequency ablation treatment technology (including image guidance), among which at least 1 is the chief physician. 5.There are personnel, technology, equipment and facilities that are suitable for the training of tumor radiofrequency ablation therapy. 6. The clinical application of tumor radiofrequency ablation therapy has been carried out for more than 5 years. (2) Basic requirements of training base 1.Training materials and training syllabus are approved by Zhejiang Provincial Health Department. 2.To ensure that the trained physicians complete the required training within the specified time. 3, the end of training, the physician undergoing training examinations, assessments, and issued conclusions on whether to pass. 4.For each physician receiving training to establish training and examination, examination files. 5.Decide the number of physicians to be trained according to the actual situation and training capacity. (3) Training requirements for physicians in clinical application of tumor radiofrequency ablation therapy 1. Participate in completing no less than 15 cases of tumor radiofrequency ablation therapy under the guidance of superior physicians and pass the examination. 2. Under the guidance of superior physician, participate in the whole process management of tumor RF ablation treatment patients, including preoperative evaluation, interpretation of diagnostic test results, joint consultation with other disciplines, tumor RF ablation treatment operation, tumor RF ablation treatment process record, perioperative treatment, intensive care treatment and post-operative follow-up, etc. 3. Physicians who have received tumor radiofrequency ablation treatment system training outside the province for more than 6 months and have completed the required number of cases, have the training certificate from the training institution, and have passed the examination and assessment of the training base, can be recognized as having met the prescribed training requirements. V. Other management requirements (a) Before the implementation of this specification, physicians with the following conditions can carry out tumor radiofrequency ablation therapy without training and evaluation of clinical application of tumor radiofrequency ablation therapy: 1. High professional ethics, peer expert evaluation of high professional and technical level, and get the recommendation of more than 2 chief physicians of this specialty, at least 1 of which is a physician from outside the hospital. 2. The candidate has been continuously engaged in clinical work of tumor radiofrequency ablation treatment in tertiary hospitals for more than 5 years, and has the qualification of professional technical position of associate chief physician or above. 3. In the past 5 years, they have independently completed more than 100 cases of tumor radiofrequency ablation treatment, and no medical accident related to tumor radiofrequency ablation treatment above the second level has occurred, and the complication rate is less than 0.5%, and the mortality rate related to tumor radiofrequency ablation treatment is less than 0.1%. (2) Strictly implement national price and financial policies and charge according to regulations.