Пути совершенствования внутреннего контроля качества и безопасности медицинской деятельности: как использовать результаты контроля в сфере обязательного медицинского страхования.

Abstract

R e l e v a n c e . Currently, the issues of ensuring the quality and safety of medical activities are one of the priority areas in healthcare management. The legislation of the Russian Federation has determined the organization and conduct of internal quality control and safety of medical activities as a licensing requirement. Identified inconsistencies/violations in the provision of medical care are one of the elements of risk management and should be used to improve the efficiency of medical organizations. T h e p u r p o s e of the study is to develop management practices to improve the quality and safety of medical activities using the results of external audits in the field of compulsory health insurance. M a t e r i a l s a n d m e t h o d s . The analysis of modern requirements of normative legal acts of quality control and safety of medical activity has been carried out, the main tools used in conducting external audits in the system of compulsory medical insurance have been systematized. R e s u l t s . The modern architecture of quality control and safety of medical activities includes 5 levels of control. The tools for monitoring the quality of medical care for identifying violations, applying financial sanctions to a medical organization are described. In order to improve the quality and safety of medical activities, the development of corrective measures and various management practices is recommended. C o n c l u s i o n s . The results of external audits are an important element of the modern model of quality management and safety of medical activities, which should be integrated into the work of a medical organization of any profile for use in a system of continuous quality improvement.