What are basic quality standards for hospitals in Vietnam from January 1, 2025?

No.

STANDARD

ASSESSMENT RESULT

Yes

ASSESSMENT RESULT

No.

I.

Standards for facilities

1.

The hospital must have a fixed location.*

2.

The hospital must have access for ambulances to enter the emergency area.*

3.

Departments, rooms, specialized divisions:

3.1.

Arranged appropriately with the function of each part*

3.2.

Ensure convenient transportation infrastructure connection between specialized divisions for examination, treatment, and safety for patients, their families, and medical staff.*

4.

There are signs, diagrams, and directional signs to departments, rooms, specialized and administrative divisions.*

5.

There are emergency transport vehicles inside and outside the hospital.*

6.

Standards for the environment:

6.1.

Have measures for handling household waste.

6.2.

Have measures for handling medical waste.

7.

Standards for radiation safety:

7.1.

Have a license for radiation-related activities.

7.2.

Have a document assigning responsibility for radiation safety work.

7.3.

Radiation workers have a radiation worker certificate.

7.4.

Equipped with dosimeters for radiation workers.

8.

Have electricity and water to serve the activities of the medical examination and treatment facility.

II.

Standards for scale and organizational structure

1.

The hospital must have an organizational structure including departments: medical examination, clinical, paraclinical, pharmacy, and auxiliary parts.

2.

The medical examination department must have a reception area, emergency rooms, holding rooms, consultation rooms, and rooms for performing techniques and procedures (if performing techniques and procedures).

3.

Clinical departments:

a) For general hospitals: must have at least two of the following four departments: internal medicine, surgery, obstetrics, pediatrics.

b) For specialized hospitals, traditional medicine hospitals, dental hospitals: at least one clinical department appropriate for the scope of professional activities.

4.

Paraclinical departments must have at least one laboratory and one imaging diagnosis room.

Specifically, for eye specialty hospitals, if there is no imaging diagnosis division, there must be a professional support contract with a licensed medical examination and treatment facility that has an imaging diagnosis division.

5.

The pharmacy department has divisions: pharmaceutical operations, warehouse and dispensing, pharmaceutical statistics, drug information, and clinical pharmacy.

6.

Nutrition department; clinical nutrition division; person in charge of nutritional work; person working in nutrition.

7.

Infection control department; infection control division; person working in infection control.

8.

Other specialized divisions in the hospital appropriate for the scope of professional activities.

9.

Rooms and divisions to perform functions of comprehensive planning, human resource organization, quality management, nursing, finance-accounting, information technology, medical equipment, and other necessary functions.

III.

Standards for personnel 

1.

Practitioners are assigned work appropriate to the scope of practice approved by competent authorities.

2.

Practitioners are regularly updated on medical knowledge.

IV.

Standards for medical equipment

1.

Medical equipment to perform techniques within the scope of professional activities approved by competent authorities, with management records for such equipment.

2.

Regulations on management, use, inspection, maintenance, repair, replacement of parts, and preservation of medical equipment at medical examination and treatment facilities.

3.

Procedures for using, operating, repairing, maintaining, ensuring the quality of medical equipment.

4.

Medical equipment subject to verification, calibration is verified, calibrated according to regulations.

5.

Division and personnel implementing management tasks in using, inspecting, maintaining, repairing, verifying, calibrating medical equipment.

V.

Standards for professional practice

1.

Inpatient treatment, organizing specialized duty service 24/7.

2.

Outpatient examination and treatment procedures.

3.

Popularization, application, and development of professional procedures for examination and treatment:

3.1.

Popularize examination and treatment technical procedures issued by the Ministry of Health or hospitals.

3.2.

Popularize diagnostic and treatment guidelines issued by the Ministry of Health or hospitals.

3.3.

Apply examination and treatment technical procedures issued by the Ministry of Health or hospitals.

3.4.

Apply diagnostic and treatment guidelines issued by the Ministry of Health or hospitals.

3.5.

Train or popularize or guide adherence to prescription regulations.

4.

Quality management:

4.1.

Establish a quality management system.

4.2.

Operating regulations of the hospital quality management board.

4.3.

Quality improvement plan/project for the entire hospital for the current year or for the period from one to three years.

4.4.

Hospital quality indicators and measurement results.

4.5.

Laboratory quality management includes laboratory quality management plan, process guidance development, training for related staff, evaluation of laboratory quality management plan implementation.

4.6.

Reporting medical incidents.

5.

Infection control includes organization, task assignment; process development.