Результаты использования практических рекомендаций по организации внутреннего контроля качества и безопасности медицинской деятельности вне медицинской организации

Abstract

The aim of the study was to assess the results of application of the criteria for controlling the quality and safety of medical activity in the provision of emergency, including specialized emergency, medical care and medical evacuation. Materials and research methods. The results of treatment of 763 emergency patients admitted to the hospital from September 2021 to September 2022 were analyzed. The work of general medical teams of the hospital in rendering emergency medical aid was studied based on medical documents (case histories): 451 patients received medical care during routine activities; 312 patients received medical care within an emergency situation. During the study, methods of expert review and comparative analysis were used. Thirty physicians with the highest medical category in the specialty “organization of health care and public health” and with work experience of not less than 5 years were involved as experts. In order to check sufficiency of criteria for quality control of medical care, the authors developed a special questionnaire, in which experts were asked to assess on a 10-point scale the significance of each indicator and their sufficiency for a complete description of all possible clinical situations. The results were assessed by statistical analysis using the capabilities of Microsoft Excel tables. Study results and their analysis. The results of the study showed that the most significant criterion of quality control of field forms of work in pre-hospital and hospital periods is the timeliness of medical evacuation, as well as the need to include additional indicators to assess patients with especially dangerous infections in the practical recommendations for the organization of internal quality control and safety of medical activity outside a medical organization.