Methods Three second line nurses, who were recruited in Jan, 2005 performed responsibility system of 24 hours, participated the first line duties, performed all duties of first line nurses with 8 working hours, waited for tasks after 8 working hours and were ready at any time when first line nurses had problems.

Ehploration of the service pattern combined the clinical path with the master physician responsibility system;

It indicates that for whatever project,the implementation of overall project contract and responsibility system by project manager can make the contractor effectively coordinate various links and timely solve the problems occurred in the period of contracting,thus speeding up the schedule of the project.

In order to raise the patient-centered idea and change the unreasonable title structure of doctors and improve the basic medical quality,we carried out the responsibility system of attending doctors.

Characteristics of Attending responsible system, the problems and counterpart strategies in practice, parts which need to be improved and the practice of medical quality assurance under the Attending responsible system are introduced.

Analysis on problems existing in implementation of system of chief inspector responsibility;