Articles with tag: «quality and safety of medical activities»
2020 № 7 Legal regulation of involuntary hospitalization of persons with coronavirus infection what needs to be done
The article presents an analysis of legal acts regulating the procedure for hospitalization and / or isolation in cases of
coronavirus infection. It is shown that currently, in accordance with the law, medical intervention is allowed without the consent of a citizen in respect of persons suffering from diseases that pose a danger to others. At the same time, the authors prove that the concepts of “medical intervention” and “hospitalization” are not identical. In turn, the legislation does not provide for involuntary hospitalization and involuntary isolation of persons suffering from diseases that pose a danger to others. The lack of clear legal regulation of these issues makes it difficult to implement effective measures to prevent the spread of coronavirus infection. The article proposes to define and legislate the procedure for involuntary hospitalization and involuntary isolation in cases of diseases that pose a danger to others.
2021 № 1 Identification of patients as a safety in providing medical care (practical experience)
Patient safety is one of the priorities in medical care. The leading place in it is occupied by “correct patient
identification”. According to research by experts from the World Health Organization (WHO), “misidentification of a patient is the cause of many errors.” The purpose of this work is to assess the implementation of a patient identification system using bracelets in a multidisciplinary hospital. The main idea of the project is based on the use of personal identifiers, made in the form of a disposable white bracelet worn on the patient’s arm, as well as the use of color-coded bracelets (red, yellow, red-yellow), which allows identifying patients at risk of developing life-threatening conditions: high risk falling of the patient and the presence of an allergological history. The introduction of identification bracelets with patient data and a barcode on them increased the percentage of identification performance increased from 67% to 89%. After the introduction of the system of prevention of falls and color identification by bracelets, the number of falls of patients decreased by more than 4 times. Successful integration of the automatic identification system into the workflow of a multidisciplinary hospital significantly reduces the influence of the human factor on the number of medical errors and related preventable consequences for patient health.
2014 № 11 Сontents of internal control quality and safety of medical activities in medical organizations: what should it be and what hinders it (Saint Petersburg; Irkutsk State Medical Academy of Continuing Education, Irkutsk, Russia)
The issue deals with the fact that today in most medical organizations in the country is not built system of internal control quality and safety of medical activities, as provided by applicable law. In this context, the article presents and justified proposals for the filling of the internal control quality and safety of medical activities specific areas of work corresponding to the requirements of state control. The factors hindering the development of internal quality control and safety of medical activities.
2017 № 5 The integration of the systems of internal control of the quality and safety of medical activity and quality management of medical organizations
For example, regarding the system of quality management large dental enterprises in conformity to national standard of Russian Federation GOST R ISO 9001–2015 «quality management System. Requirements» shown the possibility and feasibility of the integration of the system of internal control of the quality and safety of medical activities in specific internal standards and the documents of QMS of the medical organization. The integration of the two systems will allow to avoid the duplication of monitoring procedures and its documenting, will provide a more detailed study of the internal control procedures of the quality and safety of medical activities by binding them to the production processes in medical organizations
2016 № 5 Legal regulation of internal control of the quality and safety of medical activity
The article shows and proves what the Federal legislation should be analyzed and used in medical organization in the field of internal control of the quality and safety of medical activity. Presents directions for internal control of quality and safety of medical activities with regard to regulation of each Federal legislation.
2020 № 9 On the implementation of certain “medical” amendments to the constitution of the Russian Federation
The article suggests legislative implementation of certain “medical” amendments to the Constitution of the
Russian Federation. The authors propose to add two articles to the Federal law “on the basics of public health protection in the Russian Federation” dated 21.11.2011 N323-FZ. In one article, it is proposed to reveal and specify the
content of the newly introduced in the Constitution of the Russian Federation concept “unified legal bases of the health
care system”. Another proposed article reveals the forms and content of work on the coordination of health issues,
again referred by the Constitution of the Russian Federation to the joint responsibility of the Russian Federation and the
subjects of the Russian Federation. According to the authors, the proposed changes in legislation will allow to ensure
in practice the proper implementation of “medical” amendments to the Constitution of the Russian Federation, which in
turn will ensure the improvement of legal regulation of the organization and activities of health care, and strengthen its
material and technical base.
2021 № 9 What has changed for medical organization with the adoption of the new regulation on federal state control (supervision) quality and safety of medical activity
The article analyzes the Regulations on the Federal state control (supervision) of the quality and safety of medical activities, approved by the Decree of the Government of the Russian Federation № 1048 of June 29, 2021. The following is noted: The Regulation defines a broader list of issues that are now the subject of federal state control of the quality and safety of medical activities; The regulation ensures continuity with the Federal Law № 248-FZ of 31.07.2020 «On State Control (Supervision) and Municipal Control in the Russian Federation», on the one hand, and with the Requirements for the organization and Conduct of internal quality control and Safety of Medical Activities approved by the Decree of the Ministry of Health of the Russian Federation № 785n of 31.07.2020, on the other hand; for the first time, the risk profile of causing harm (damage) to the life and health of citizens is fixed for supervisory
authorities as the most important area of work in the field of state control of the quality and safety of medical activities.
2022 № 3 Control (Supervision) without interaction with a controlled person, as a new form of control over the provision of paid medical services: what the heads of medical organizations need to know
Currently, Roszdravnadzor and Rospotrebnadzor in the established areas of state control (supervision) over the provision of paid medical services are entitled to exercise control (supervision) without interaction with a controlled person, in which the following are carried out: monitoring compliance with mandatory requirements and on-site follow-up. Due to the fact that control (supervisory) measures without interaction with the controlled person are implemented without prior notification of the controlled persons, the conduct of these measures by the supervisory authorities is likely to entail an increase in the number of unscheduled inspections of medical organizations, including
control procurement. The emergence of a new type of control (supervisory) measures without interaction with a controlled person is one of the significant factors that increase the responsibility of medical organizations in terms of compliance with the requirements established by law for the procedure and conditions for the provision of paid medical services.
2017 № 2 New tasks and directions of work of the medical commision in the system of providing and controlling the quality and safety of medical activities
The article deals with the reasons of insufficiently work of medical commissions of medical organizations. It was noted that today the medical Commission, continuing to be the third level of quality control of medical care in medical organization, often is the third level of quality control and safety of medical activities. In the publication of the proposals to improve the efficiency of the medical Commission, including revealed the contents of its work in accordance with the objectives and functions set by law, which often remain outside the purview of heads of medical organizations.