Клинические рекомендации как определяющий фактор качества оказания медицинской помощи в дерматовенерологии

Abstract

The Federal Clinical Guidelines of the Russian Society of Dermatovenerologists and Cosmetologists and the standards of the medical care for individual clinical entities are used to ensure health care accuracy and to assess its correctness. By following the algorithms, we can improve the quality of life and prevent diagnostic errors and treatment complications. Diagnostic errors result from the low index of suspicion, perfunctory medical examination, incorrect and superficial medical history taking, the incomplete algorithm of microscopic and cultural methods, and the non-adherence to the Federal Clinical Guidelines in terms of making the diagnosis. This paper addresses case studies of fungal infections and their treatment. In these case studies, several diagnostic and strategic errors was made in the outpatient settings despite a high prevalence of these skin disorders and typical clinical manifestations. The authors conclude that strict compliance with the clinical guidelines and the standards of medical care allows to improve clinical thinking skills, the level of professional competency, and the quality of the medical care for dermatovenerological patients. KEYWORDS: dermatovenerology, mycosis, Clinical Guidelines, diagnostic errors, diagnostic algorithm. FOR CITATION: Tlish M.M., Kuznetsova T.G., Naatyzh Zh.Yu. et al. Clinical guidelines determine the quality of medical care in dermatovenerology. Russian Medical Inquiry. 2020;4(10):637–641. DOI: 10.32364/2587-6821-2020-4-10-637-641.