Articles with tag: «quality and safety of medical activity»

    Management in health care
  • 2015 № 10 About formation of new content of work of the head of the medical organization to ensure and control the quality and safety of medical activity

    The article deals with the problems and issues that impede the implementation of legislative requirements on ensuring and monitoring the quality and safety of medical activities in medical organizations. The article presents and justifies a specific list of the main activities of the head of the medical organization to ensure and control the quality and safety of medical activity. Proposed and substantiated the areas of control that should be reflected in the internal control of quality and safety of medical activity. Reasonable changes in the activities of medical commissions. Emphasized the need for active and systematic participation of the health authorities and the territorial departments of Roszdravnadzor in the formation of a new content of the work of the head of the medical organization to ensure and control the quality and safety of medical activity.

    Authors: Piven D. V. [33] Kitsul I. S. [32]

    Tags: head of medical organization1 health authorities1 medical commission4 medical organization28 quality and safety of medical activity6 quality of medical care9 territorial departments of roszdravnadzor1

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  • 2018 № 1 About the requirements of the identification and design of preliminary and clinical diagnoses: what you need to pay attention in a medical organization

    The article discusses issues related to the organization of the identification and registration of clinical and preliminary diagnoses in accordance with the requirements of order of Ministry of Public Health from 10.05.2017 № 203н. Practical recommendations for filling approved by the Ministry of the Russian Federation of forms of medical documents (medical card of a patient receiving medical care in outpatient facilities, and medical card of the inpatient), taking into account new requirements for the establishment and design of the preliminary and clinical diagnoses. Brought to the attention of healthcare leaders that we now have a criterion of quality of medical care is the fulfillment of the requirements for the compulsory consultation of doctors in case of difficulty of establishing a clinical diagnosis within the specified time

    Authors: Piven D. V. [33] Kitsul I. S. [32] Ivanov I. V. [11]

    Tags: clinical diagnosis1 criteria for evaluating quality1 doctors2 monitoring of quality of care1 preliminary diagnosis1 quality and safety of medical activity6

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  • Law
  • 2017 № 6 Regulatory framework for providing high-technology ophthalmological medical care under outpatient treatment

    The article analyzes the existing legal basis for providing high-technology ophthalmological medical care through a systematic review of regulatory enactments that directly regulate this type of activity (14 regulatory enactments, including 2 federal laws).
    High-technology medical care is a separately licensed type of medical activity carried out by approved federal or regional medical organizations, financed by subsidy or directly from federal budget, provided for approved types of medical care in a hospital. The source of funding for healthcare determines essential conditions. The existing legal framework creates significant restrictions for providing high-technology ophthalmological medical care under outpatient treatment in the case of healthcare covered by Compulsory Health Insurance or an appropriate budget. The article outlines the ways of solving this problem proposed by the authors, including for a medical institution, without violating the current legislation. Healthcare covered by other sources of funding can be provided in any conditions, including outpatient

    Authors: Borshchuk E. L. [2] Chuprov A. D. [1] Lositskiy A. O. [1]

    Tags: compulsory medical insurance fund1 medical organization28 quality and safety of medical activity6 quality of medical care9 regulatory body of public health service1

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  • Focus of problem
  • 2017 № 10 Criteria for assessing the quality of health care: what to consider and how to ensure compliance in a healthcare organization

    The issue deals with the organization of work on the application of criteria to assess the quality of care in a medical organization. The authors pay attention to a number of characteristics that must be taken into account specified criteria, including note that work on their application not only largely concerned, but also overlap with the functions of the medical Commission of the medical organization. The article shows that the use in a medical organization criteria for evaluating the quality of medical care is one of the tools that ensures the continuity of inter¬nal control of the quality and safety of medical activities with the departmental and state control of the quality and security of medical activity

    Authors: Piven D. V. [33] Kitsul I. S. [32] Ivanov I. V. [11]

    Tags: criteria3 medical commission4 medical organization28 quality and safety of medical activity6 quality control2

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  • 2017 № 5 A new control tool in healthcare: a control without interacting with legal entities and individual entrepreneurs

    The article deal with the emergence of a new monitoring tool in the health sector – organization and conduct of control measures without the cooperation of legal entities and individual entrepreneurs. The authors note that the legislation of the Russian Federation contains a significant amount of the requirements for medical organizations
    to embed and provide information. Thus compliance with these requirements will be validated by the Supervisory authorities by carrying out control activities without interaction with legal entities, individual entrepreneurs. All this increases the responsibility of medical organizations and confronts them with new challenges when conducting internal monitoring the quality and safety of medical activity.

    Authors: Piven D. V. [33] Kitsul I. S. [32] Ivanov I. V. [11]

    Tags: caution1 control without interaction with legal entities and individual entrepreneurs1 medical organization28 quality and safety of medical activity6 requirements1

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  • 2018 № 5 Checklists of healthcare quality control and safety of medical activity: new challenges of medical organizations

    The article substantiates the necessity of analysis and careful study by medical organizations Of checklists (lists of control issues), approved by the order of Roszdravnadzor of December 20, 2017 № 10450. To this end, the authors propose to identify in the test sheets four conditional groups of control issues that have certain features that need to be considered by medical organizations. The article contains a reasonable conclusion that the analysis and careful study of the test sheets should be pre-determined by medical organizations as a mandatory component of internal quality control and safety of medical activities, ensuring its real continuity with the state control of quality and safety of medical activities

    Authors: Piven D. V. [33] Kitsul I. S. [32] Ivanov I. V. [11]

    Tags: checklists1 lists of control questions1 medical organization28 quality and safety of medical activity6

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