scholarly journals Experience of work of multidisciplinary hospital in conditions of mass admission of patients with COVID-19

2021 ◽  
Vol 38 (3) ◽  
pp. 122-130
Author(s):  
P. P. Konovalov ◽  
I. A. Shperling ◽  
O. V. Arsentyev ◽  
A. L. Buyanov ◽  
A. V. Ankudinova
Keyword(s):  
Medical Care ◽  
Medical Personnel ◽  
The Body ◽  
Management Decision ◽  
Medical Organization ◽  
Medical Responsibility ◽  
Epidemic Period ◽  
Management Decision Making ◽  
Coronavirus Infection ◽  
Effective Use

Objective. Generalization of management decision-making experience and analysis of organizational measures taken during the preparation of a multidisciplinary hospital for mass admission of infectious patients with COVID-19. Materials and methods. The materials of the study included the generalized data on the results of work of a multidisciplinary hospital in conditions of mass admission of patients with COVID-19. The current guidelines, defining the key spheres of work of the head of medical organization and practical results of their implementation are analyzed. Results. The article analyzes the main activities of a multidisciplinary hospital in conditions of mass admission of patients with COVID-19. It is established that a set of measures, including preparatory preventive solutions, timely planning, re-profiling into a multidisciplinary infectious hospital with reserve beds (including resuscitation beds), creation of mobile teams to provide medical care in the foci of the territorial area of medical responsibility, timely training and reallocation of medical personnel to maximize the effective use of staff resources, reasonable routing of infectious patients, introduction of a three-level system for providing medical care to patients with COVID-19, made it possible to effectively use the available forces and resources of a multidisciplinary hospital during the COVID-19 pandemic. Conclusions. The measures taken proved to be effective, allowing a full provision of emergency medical care throughout the epidemic period, and resuming the provision of planned care in a full volume without reducing the safety of patients' stay in the hospital. Differentiation of patients flows, constant monitoring of the body temperature in both patients and medical workers themselves, constant use of PPE and motivated disinfection, regular check of employees for coronavirus infection (nasopharyngeal smear for COVID-2019 as well as blood ELISA for this infection) permitted to minimize the risks of spreading coronavirus infection in conditions of medical organization.

scholarly journals Sanitary Aspects of Countering the Spread of COVID-19 in Russia

2021 ◽  
Vol 18 (23) ◽  
pp. 12456
Author(s):  
Elena Belova ◽  
Ekaterina Shashina ◽  
Denis Shcherbakov ◽  
Yury Zhernov ◽  
Vitaly Sukhov ◽  
...  
Keyword(s):  
Medical Care ◽  
Significant Risk ◽  
Medical Personnel ◽  
Transmission Risk ◽  
Management Decision ◽  
Public Authorities ◽  
Risk Levels ◽  
Management Decision Making ◽  
Coronavirus Infection ◽  
Risk Categories

Due to the conditions that cause the spread of COVID-19, national health systems worldwide are under severe strain. Most countries face similar difficulties such as a lack of medical personnel and equipment and tools for diagnosis and treatment, overrun hospitals, and forced restriction of planned medical care. Public authorities in healthcare take the following measures due to increased pressure: limiting the transmission and spread of the virus (social distancing and quarantine), mobilizing medical personnel, ensuring the availability of diagnostic and treatment tools, and providing a sufficient number of premises, which are not always suitable for the provision of medical care (buildings and structures). To date, the stages of management decision-making to counter coronavirus infection and the risk of COVID-19 transmission at various facilities have not been analyzed. The authors propose a methodology for assessing the COVID-19 transmission risk at various social and transport facilities. A survey of 1325 respondents from Moscow demonstrated the most significant risk factors, such as visitation avoidance, infection risk, and facemask wearing. Risk categories were determined and objects classified according to high, medium, and low-risk levels.

Incidence of COVID-19 in outpatient healthcare workers

2021 ◽  
Vol 61 (8) ◽  
pp. 540-545
Author(s):  
Sergey A. Suslin ◽  
Maiia L. Sirotko ◽  
Marina N. Bochkareva ◽  
Sergey A. Babanov
Keyword(s):  
Medical Care ◽  
Health Workers ◽  
Medical Personnel ◽  
Expert Assessment ◽  
Outpatient Basis ◽  
Medical Organization ◽  
Occupational Infection ◽  
Increased Risk ◽  
Need Support ◽  
Coronavirus Infection

Currently, work in any medical organization carries a risk of coronavirus infection, and, first of all, this applies to medical organizations dealing with the treatment of patients infected with coronavirus. Medical workers are a group at increased risk of infection with the SARS-CoV-2 virus in the provision of medical care in modern conditions, which determines their incidence of COVID-19 [1-3]. The aim of the study is to explore the prevalence of cases of COVID-19 infection in medical workers providing medical care on an outpatient basis. Materials and methods. The analysis of the incidence of COVID-19 medical workers in one of the large medical organizations of the Samara region during the period of the pandemic was carried out. The medical staff of the medical organization includes 207 doctors. There are 11 subdivisions in the structure of the medical and prophylactic institution. Research methods: content analysis of the modern regulatory framework (2020-2021), statistical, expert. For the period from May 2020 to March 2021 71 cases of infection of medical workers on an outpatient basis with SARS-CoV-2 were identified, of which 32 doctors (45%) and 39 people (55%) nurses. Based on the results of the expert assessment, the insurance nature of the infection case was established in 50 people (70%). Among the medical and nursing categories of medical workers, the largest number of cases was made by doctors and nurses of primary contact - specialists of the district service: general practitioners (40%), pediatricians (32%), doctors - obstetricians-gynecologists (12%), nurses adults (76%) and children (20%) polyclinic departments. A third of health workers received inpatient treatment for severe COVID-19, an average of 60 days. Conclusion. Medical workers are a risk group of COVID-19 who need support measures, since the possibility of occupational infection has been sufficiently proven, and the risk probably depends on the work performed and the conditions of direct contact of medical personnel, which requires further study in the current persisting epidemic conditions.

scholarly journals THE ANALYSIS OF THE EFFECTIVENESS OF THE PERINATAL CENTER IN PROVIDING QUALITY MEDICAL CARE

2019 ◽  
Vol 62 (6) ◽  
pp. 304-309
Author(s):  
V. N. Rasskazova ◽  
Pavel F. Kiku ◽  
T. Yu. Kurleeva ◽  
G. N. Bondar ◽  
O. A. Izmaylova ◽  
...  
Keyword(s):  
Medical Care ◽  
Qualitative Evaluation ◽  
Financial Economic ◽  
Management Decision ◽  
Effective Management ◽  
Highly Qualified ◽  
Medical Organization ◽  
Specialized Care ◽  
Management Decision Making ◽  
Perinatal Center

Introduction. Among the problems of health care during the reform period, the problem of quality management of medical care and effective management of the medical organization is particularly highlighted. The purpose of the study is to determine the main priorities of effective management of the medical organization of obstetric and gynecological profile to ensure the proper quality of medical care to the population. Materials and methods. We carried out quantitative and qualitative evaluation of the perinatal center in the period 2015-2017. Studied the efficiency of the administration of the human resources capacity of health organizations quality indicators of the hospital bed Fund and the financial-economic activity of enterprises. Results. The effective activity of the institution in the conditions of the established perinatal center is Shown due to the chosen strategy and tactics of the phased development of new obstetric, neonatal, inpatient-replacement technologies, the provision of highly specialized care with the use of modern equipment and medicines, which allowed to expand the range and volume of Advisory and diagnostic and treatment services, to reduce the level of perinatal and maternal losses. Discussion. The strengths of the organizational activities of the perinatal center management include: the inclusion of women’s consultation in the structure of the perinatal center, ensuring the continuity of care for gynecological and pregnant patients; state social support for motherhood and childhood, changing the conditions and procedure for the provision of free medical care to the population; functioning on the basis of the perinatal center of the Department of pathology of newborns, Department of resuscitation and intensive care of newborns, consultative and diagnostic and gynecological departments. The weak side of the organization can be attributed to the shortage of highly qualified personnel (doctors, nurses and Junior medical staff). Conclusion. In order to effectively use the resources of the institution, it is important to change the approach to the provision of material resources and their rational use in the process of the institution’s activities. The chosen strategy and tactics of management decision-making makes it possible to improve the quality and availability of medical care for pregnant women, mothers, maternity and newborn children.

Recommendations of the Ministry of Health of the Russian Federation on the formation of a temporary staff table of a medical organization providing medical care to citizens with coronavirus infection COVID-19

2020 ◽  
pp. 5-12
Author(s):  
Olga Shinkareva
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Medical Organization ◽  
Ministry Of Health ◽  
Organization Of Work ◽  
Coronavirus Infection ◽  
The Russian Federation

Article is devoted to the analysis of the Order of the Russian Ministry of Health of 19.03.2020 № 198n (an edition of 29.04.2020) “About a temporary order of the organization of work of the medical organizations for implementation of measures for prevention and reduction of risk of spread of a new koronavirusny infection of COVID19” regarding formation of the temporary staff list of the division of the medical organization providing medical care to citizens with a koronavirusny infection of COVID-19 and also the requirement with the staff of this division. The criteria recommended by the Ministry of Health of the Russian Federation for determining the number of rates of medical workers in these divisions, requirements for medical workers of the division have been considered, a practical example of calculation of rates has been given.

scholarly journals FEATURES OF RESPONSIBILITY OF A MEDICAL ORGANIZATION FOR CAUSING THE PATIENT'S HEALTH

2021 ◽  
Vol 38 (2) ◽  
pp. 73-80
Author(s):  
Yu.N. Slepenok ◽  
◽  
G.V. Stankevich ◽  
L.P. Stepanova ◽  
◽  
...  
Keyword(s):  
Medical Care ◽  
Causal Relationship ◽  
Civil Liability ◽  
Medical Personnel ◽  
Medical Services ◽  
Medical Organization ◽  
Approximate Order ◽  
Average Sample

The article discusses the particular conditions of holding medical organizations accountable for causing harm to the health of patients. The conditions of civil liability, as well as the degree of responsibility of a medical organization in the provision of medical services, are analyzed. The authors are of the opinion that medical care should be organized in accordance with the procedures, conditions and standards for the provision of such care, however, the standards cannot cover all the options that may arise during the provision of medical care, therefore they are aimed at creating an average “sample”, to determine the approximate order of possible actions carried out by medical personnel. Attention is also paid to the consideration of the features of causing harm to the patient’s health, depending on whether the harm was caused in the provision of medical care or medical services. In conclusion, it was concluded that the conditions for bringing medical organizations to justice should include: unlawful action (inaction), harm, a causal relationship between unlawful action and harm, as well as the fault of the injurer.

Organization of primary health care and specialized medical care for patients with prostate cancer in the Nizhny Novgorod Region

2021 ◽  
pp. 20-31
Author(s):  
Egor Aleksandrovich Perevezentsev ◽  
Maya Andreevna Kuzmina ◽  
Dariya Dmitrievna Vasina ◽  
Denis Igorevich Volodin
Keyword(s):  
Prostate Cancer ◽  
Health Care ◽  
Primary Health Care ◽  
Medical Care ◽  
Medical Personnel ◽  
Malignant Neoplasms ◽  
Medical Organization ◽  
Primary Health ◽  
High Level ◽  
Nizhny Novgorod Region

At present, the quality and availability of medical care are the aspects to which close attention is paid in the system of organizing medical care. One of the ways to achieve a high level of quality and accessibility of medical care is building up human resources, i.e. the presence of highly qualified general practitioners, sub-specialties and middle medical personnel in sufficient numbers in a medical organization. Currently, the oncological service of Russia has been assigned tasks to fulfill the instructions from the State Program for the Development of Health Care. The results of the work should lead to a decrease in mortality and an increase in the quality of life of the population. To address the issue of reducing mortality from malignant neoplasms, in particular from prostate cancer, a three-level system of oncological care has been created on the territory of the Nizhny Novgorod Region, including 1 regional center, 2 interdistrict cancer centers, 88 primary oncology rooms and 96 examination rooms. The tasks set to reduce morbidity and mortality from oncological diseases can be realized only with close interaction of the oncological service with the primary health care sector, in which the prevention should be the priority direction of work.

scholarly journals Medico-social study of the opinions of parents (legal representatives) on the medical care for children with cancer in the Russian Federation

2021 ◽  
Vol 66 (1) ◽  
pp. 87-93
Author(s):  
M. Yu. Rykov ◽  
O. A. Manerova ◽  
I. A. Turabov ◽  
V. V. Kozlov ◽  
V. A. Reshetnikov
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Treatment Success ◽  
Social Study ◽  
Medical Personnel ◽  
Medical Organization ◽  
Children With Cancer ◽  
Oncological Diseases ◽  
The Russian Federation ◽  
To Receive

.Objective. To study the opinion of parents (legal representatives) on the problems of medical care for children with oncological diseases.Methods. The study was based on the Questionnaire for parents (legal representatives) on medical care children with cancer. The questionnaire consisted of 27 questions, the respondents were asked to choose one or several answers or to enter their own option.Results. This medical and social study demonstrated that 81.1±1.9% of respondents are not satisfied with the attitude of doctors and nurses towards them and their children, 15.9±1.8% of respondents are partially satisfied and only 3±0.8% of respondents are fully satisfied. The reasons for dissatisfaction were as follows: rude communication (35.8±2.4%), inadequate attention of medical personnel (21.3±2.0%) and lack of interest in the treatment success (19.7±2.0%). The combination of these options was noted by 23.2±2.0% of the respondents. 63.7±2.4% of respondents would prefer to treat their children at a medical organization of federal subordination, 33.9±2.4% – at medical organization outside the territory of the Russian Federation, of which 57.4±2.4% would like to receive a patient-oriented service and simplified routing between medical organizations during treatment. 12.7±1.6% mistrust in the qualifications of medical personnel in the Russian Federation, 11.8±1.6% of respondents indicated the lack of comfortable conditions for examination and treatment, 5.3±1.1% of respondents indicated the lack of necessary diagnostic and treatment methods and 12.8 1.6% of respondents indicated a combination of the above options.Conclusion. The results obtained indicate the need to implement patient-oriented approaches and to improve the routing of children with cancer.

Contents of the preparing a deceased coronavirus (covid-19) patient’s body for transfer to the pathology department by an authorized healthcare provider standard operating procedure

2020 ◽  
pp. 18-20
Author(s):  
Natalya Radulova
Keyword(s):  
Healthcare Provider ◽  
Operating Procedure ◽  
Standard Operating Procedure ◽  
The Body ◽  
Medical Organization ◽  
Deceased Person ◽  
Pathology Department ◽  
Standard Operating ◽  
Coronavirus Infection

This standard operating procedure (SOP) determines the procedure for preparing the body of a deceased person with a coronavirus infection (COVID-19) for transfer to a pathological department of the authorized medical organization.

About medical personnel

1930 ◽  
Vol 26 (4) ◽  
pp. 405-411
Author(s):  
E. M. Lepsky
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Central Committee ◽  
Medical Personnel ◽  
Health Departments ◽  
Medical Worker ◽  
Medical Organization ◽  
The Press ◽  
New Formation ◽  
Insufficient Number

Medical personnel have long been one of the weaknesses of our medical organization; their insufficient number, their uneven distribution throughout the country, and the inadequacy of their preparation to the requirements of life, were repeatedly discussed at congresses and in the press. But at the present time, when the cultural growth of the population and the socialist restructuring of the economy and everyday life have further increased the need for medical care and made a demand for a medical worker of a new formation, our old need has become especially acute. The December decree of the Central Committee of the All-Union Communist Party of Bolsheviks on medical care for workers and peasants, the decision of the Council of People's Commissars of the RSFSR dated January 28, 1930, the orders of the NKZ issued in development of these decisions, and finally, the decisions adopted in March this year. At the All-Russian Congress of Health Departments and at a methodological meeting under the Glavprofobra, the reorganization of health care was greatly advanced and at the same time not only put the issue of medical personnel on the order of the day, but also largely determined the ways of its solution.

Analysis of the nursing staff selection system by the example of a stationary medical organization

2021 ◽  
pp. 59-67
Author(s):  
Svetlana Viktorovna Arkhipova ◽  
Tatyana Vladimirovna Bessonova
Keyword(s):  
Health Care ◽  
Human Resources ◽  
Nursing Staff ◽  
Medical Personnel ◽  
Selection System ◽  
Rational Selection ◽  
Medical Organization ◽  
Effective Use ◽  
Selection Of

The aim of the study was to search for effective forms of selection of nursing personnel and their placement in a medical organization. Results: the analysis and study of the reasons for the turnover of nursing staff were carried out, effective forms of selection and placement of personnel in the organization were recommended. Conclusion: a qualitatively new level of development of the health care system cannot be achieved without the effective use of human resources. The study showed the role of personnel management, effective use of «human resources», rational selection of medical personnel.

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