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Main arrow Archive of previous Issues arrow ╣6 2012 (28) arrow Scientific-organizational aspects of ensuring the quality of rendering medical assistance in multi-field hospital
Scientific-organizational aspects of ensuring the quality of rendering medical assistance in multi-field hospital Print
Wednesday, 09 January 2013

T.N. Baklanova, V.K. Popovich, I.B. Shikina
City hospital ╣ 17 Departments of public health services of a city of Moscow

Summary. Health care quality assurance is one of the most important and complicated problems of modern medicine. In the last decade the healthcare system of Russia has developed a medical practice quality control system which combines public, departmental, and internal control. In this context, the role and significance of the medical commission as the body established under each healthcare institution have been increasing. The adoption of the Law ôOn Health Protection of Citizens of the Russian Federationö has legally fixed the status of the medical commission in the medical organization, which is attributed by many healthcare experts to one of the amendments of medical law. The fundamental function of the medical commission in health care quality is the study of each case of death of patients in order to identify the causes of death. The objective of this work is to reveal the instruments of improvement of health care quality in a multi-field hospital on the basis of the analysis of fatal cases as a general criterion of health care quality.

The study shows the practice of continuous monitoring (2009 - early 2012) of deaths of patients, methods of quantitative and qualitative analysis of the study of such cases by the medical commission in a multi-field hospital in Moscow, as well as separate areas of organizational and methodological support of the work of the subcommission on the study of fatal cases.

The practical results of the work of the medical commission are considered as system indicators of health care quality assurance and efficiency of diagnostic and treatment measures in a multi-field hospital, as well as the basis for timely development by the administration of effective measures to eliminate and prevent violations in patient diagnostic and treatment processes.

Conclusions. Systematic compilation of the results of statistical analysis of deaths in the medical organization, results of the analysis of the quality of the diagnostic and treatment process, keeping of medical records, results of post mortem studies in combination with the practice of collective decision-making by members of the medical commission and collective discussion of decisions with the medical staff:

  • facilitate the formation of professional self-consciousness in the medical organization;
  • generate processes of self-regulation of professional activity within the medical communities based on individual and corporate responsibility for the results;
  • serve as an efficient instrument for ensuring the quality of medical services.

Keywords. The medical commission, a subcommittee on research of lethal outcomes, an analysis algorithm of medical documentation, reviewing of stories of diseases.

References

  1. Obespecheniye kachestva meditsinskoy pomoshchi - prioritet sistemy zdravookhraneniya [Quality of health care is a priority target of a healthcare system]. In: Obespecheniye i kontrol kachestva meditsinskoy i sotsialnoy pomoshchi naseleniyu. Nauchnyye trudy Rossiyskoy nauchno-prakticheskoy konferentsii 25-26 maya 2005. Editors Starodubov V.I., Mikhailova Yu.V., Korotkov Yu.A. Moscow: FGU "TsNIIOIZ" Roszdrava; 2005. P. 4-9.
  2. Vystupleniye Predsedatelya Pravitelstva RF D.V.Medvedeva na pervom Vserossiyskom (natsionalnom) syezde vrachey RF [Report of D.A.Medvedev, the Prime Minister of the RF at the First All-Russian (national) Congress of Doctors]. [Internet]. 2012 [cited 2012 Nov 22]. Available from http://www.government.ru/docs/21008/
  3. Federalnyy zakon ot 22.11.2011 ╣323-FZ "Ob osnovakh okhrany zdorovya grazhdan v Rossiyskoy Federatsii" ["On the basics of health protection in the citizens of the Russian Federation", the Federal Law of November 22, 2011., ╣323-FZ]. Rossiyskaya gazeta ľ Federalnyy vypusk 2011; 263 (5639).
  4. Prikaz Ministerstva zdravookhraneniya i sotsialnogo razvitiya RF ot 24.09.2008 ╣513n "Ob organizatsii deyatelnosti vrachebnoy komissii meditsinskoy organizatsii" ["On organization of a medical commission of health care facility", the Regulation of the MoH&SD of the RF of September 24; 2008, ╣513Ý]. Rossiyskaya gazeta 2009;(2).
  5. Chibisov V.N., Trishin V.M., Vorobyev S.L., et al. Opyt organizatsii kliniko-anatomicheskoy raboty v Leningradskoy oblastnoy klinicheskoy bolnitse [An experience in organization of clinical and anatomical work in Leningrad regional clinical hospital]. In: Aktualnyye voprosy klinicheskoy meditsiny: Sbornik nauchnykh trudov. T. 1. SPb.: LOKB; 2003. P. 67-73.
  6. Prikaz Ministerstva zdravookhraneniya i sotsialnogo razvitiya RF ot 05.05.2012 ╣502n "Ob utverzhdenii poryadka sozdaniya i deyatelnosti vrachebnoy komissii meditsinskoy organizatsii" ["On approving the order for organization and activity of a medical commission of health care facility", the Regulation of the MoH&SD of the RF of May 05, 2012, ╣502Ý]. Rossiyskaya gazeta 2012;(141).
  7. Vorobyev S.L., Chibisov V.N. Rol kliniko-anatomicheskikh konferentsiy v sovershenstvovanii kachestva okazaniya meditsinskoy pomoshchi v statsionare [The role of clinical and anatomical conferences in improving the quality of medical care in hospitals]. In: Materialy nauchno-prakticheskoy konferentsii molodykh uchenykh. SPb. 2004. P. 71-72.
  8. Vorobyev S.L. Nauchnoye obosnovaniye sovershenstvovaniya sistemy analiza letalnykh iskhodov [Research grounds for improving a system of fatal case analysis]. [PhD. Dissertation]. SPb. 2009. 192 p.

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