THE RATIONALE FOR THE NEED TO IMPROVE INSTITUTIONAL ARRANGEMENTS FOR HAND HYGIENE IN THE SYSTEM OF PROVIDING QUALITY OF HEALTH CARE

Abstract

Introduction. The article substantiates the necessity of the improvement of organizational measures on hand hygiene in the system of providing high-quality medical care. The safety of medical activities is noted to take one of the leading positions among the main criteria for assessing the quality of medical care. In this regard, the most important task of health care is to develop and improve the safety of medical care. Material and methods. The article presents up-to-date statistical data on the amount of social and economic damage associated with the insufficient safety of medical care in foreign countries and in the Russian Federation. The active development and introduction of new high-tech methods of diagnosis and treatment in medical organizations were noted to give rise the emergence of new risks, determines the need for continuous improvement of technologies, methods, and means of ensuring the safety of medical care. There was made a draw that the prevention of risks of the emergence of adverse consequences for the health and life of patients is determined by the effectiveness of technologies providing the safety of medical care. Results. There are presented results of sociological research conducted by the authors on issues of the compliance with mandatory requirements for the safety of medical care, in particular, on compliance with the requirements for hygienic treatment hands and the use of gloves by medical personnel in medical organizations of Moscow. Conclusion. There is made a conclusion on the basis of the obtained data on the need to develop and implement additional measures aimed at ensuring the safety of medical care. These measures include: - the development and implementation of standards of performance of procedures significant from the point of view of the safety in divisions of the medical facilities; - systematic training of personnel; - control for the compliance with mandatory requirements at each critically important stage; - providing materials of the required quality and in the required quantity for the provision of safe assistance; - development and implementation of measures of the administrative response in cases of violations of mandatory requirements by personnel.