Quality management system as a tool for managing a medical organization Lecture for doctors and nurses

Author(s):  
Korablev V.N. ◽  

2019 ◽  
Vol 1 (15) ◽  
pp. 53-56
Author(s):  
D. V. Melik-Guseinov ◽  
V. Emanuel ◽  
L. A. Khodyreva ◽  
P. S. Turzin ◽  
A. Emanuel

The problem of assessing and improving the quality of medical care in a medical organization is considered. Analyzed the management of medical organization processes. A scheme for managing these processes, a list of regulatory documents, types and methods for monitoring the effectiveness of their implementation are presented. Formed groups of criteria used to assess the quality of the medical organization. It is argued that the introduction of a quality management system for the provision of medical care in a medical organization increases the efficiency of its activities.



Author(s):  
Евгения Титенко ◽  
Evgeniya Titenko

The current global trend in healthcare is standardization and quality management issues. Tomsk region is one of the pilot regions in this matter. The article reflects the aspects of implementing a quality management system in healthcare. The issue of the implementation of the “Lean Polyclinic” project, as a QMS tool, is revealed. It was noted that in most organizations this project is far from being completed. The author identifies the main errors during the implementation of the project, and focuses on the process approach as the foundation of a quality management system. A properly built model of process interaction allows you to quickly and efficiently implement QMS in healthcare organizations. The author spelled out the steps for implementing the process approach, and also proposed a model of process management using the example of a medical organization.



2019 ◽  
Vol 61 (6) ◽  
pp. 309-315
Author(s):  
Dmitriy V. Kryuchkov ◽  
E. A. Batsina ◽  
Ia. V. Danil’Chenko ◽  
D. V. Karas’ ◽  
G. V. Artamonova

Introduction. During implementation of medical activity an uncertainty and increased risk are present. to manage these two conditions a single system of management is needed capable preventing negative risks even during period of planning. The article presents experience of medical organization of transition to risk-oriented model of quality management system in concordance to ISO 9001:2015. Material and methods. The study was carried out in quarter IV 2016-quarter I 2017 in the research institute of complex problems of cardio-vascular diseases (hereinafter referred to as the organization). In the capacity of study techniques audit, SWOT analysis and logical analysis were applied. Results. According to step-by-step transition to risk-oriented model of quality management system training of administrators and owners of processes was organized. The genuine methodology of risk evaluation was developed. The implemented audit established 11 risks through 14 processes and directions of activity of medical organization. Among causes of risks internal causes were mentioned in 90%, including human factor (half of cases) i.e. the personnel of organization. With purpose of management, all established risks were separated to critical and non-critical ones in functioning of institution. The percentage of risks of critical character made up to 26%. The application of SWOT analysis permitted to establish 80 factors of internal and external environment of the organization. The results of implemented activities concerning transition to the new risk-oriented model of quality management system permitted to revise the strategic map of achievement of targets of the management system of the organization subject to evaluation of risks and factors of internal and external environment of the organization. The outcome of implemented activity became a positive assessment of quality management system of the institution during external certification audit according requirements of standard ISO 9001:2015. Conclusion. The application of methodology of step-by-step transition to risk-oriented model of quality management system of medical organization made it possible to implement an in-depth analysis of strong and weak aspects, to identify risks, threats and possibilities oriented to achievement of strategic targets of organization.



2020 ◽  
Vol 66 (1) ◽  
pp. 8-8
Author(s):  
D.V. Karas ◽  
◽  
E.A. Batsina ◽  
A.N. Popsuyko ◽  
Y.V. Danilchenko ◽  
...  


2021 ◽  
Vol 22 (2) ◽  
pp. 132-135
Author(s):  
S. V. Lapik ◽  

Aim. To explore the organization of the activities of nurses in the prevention of falls and injuries of patients in the multidisciplinary hospital for compliance with the requirements of the quality management system. Materials and methods. Retrospective analysis of 1600 medical records of patients admitted to the surgical and therapeutic department of the multidisciplinary hospital, assessment of the risk of falls using the Morse scale, interviews of medical personnel, audit of the hospital using quality management system approaches. Results. Most of the patients in the hospital, despite of the profile, have a low and medium risk of falls, regardless of age, but due to the underlying disorders and concomitant diseases, as well as restrictions imposed by the disease, the presence of falls in the anamnesis. To assess the risk of falls in a medical organization for adult patients, it is advisable to use the Morse Fall Scale (MFS) in dynamics with fixation in the medical documentation in accordance with the adopted regulations. We have confirmed 70% compliance of the fall prevention program in the multidisciplinary hospital with the practical guidelines of Roszdravnadzor for the safety of medical care. Conclusions. In the context of limited resources, a differentiated approach to the prevention of falls in the medical organization will contribute to the decrease and absence of injuries.



2021 ◽  
Vol 10 (3) ◽  
pp. 56-64
Author(s):  
D. V. Karas ◽  
Y. V. Danilchenko ◽  
E. A. Batsina ◽  
A. N. Popsuyko ◽  
D. V. Kilizhekova ◽  
...  

Aim. To assess the effectiveness of QMS implemented by Research Institute for Complex Issues of Cardiovascular Diseases (NII KPSSZ) in 2020 and determine the impact of force majeure event (COVID-19 pandemic) on the achievement of the goals and objectives of the organization.Methods. 11 QMS processes of the NII KPSSZ in 2020 were analyzed according to 98 performance criteria. The following general scientific methods were used for the assessment of QMS: analysis, synthesis, structural and systems analysis.Results. The overall effectiveness of the QMS in 2020 was 83.5%, for the individual processes it varies from 57% to 100%. Achievement of target indicators in accordance with the criteria reflects the effectiveness of risk management in QMS processes. 27 criteria were added (9 of which were reformulated) as a result of the development of the system and the analysis of work experience in unusual circumstances for year 2021. At the end of 2021, QMS will be analyzed according to 117 criteria for the processes effectiveness.Conclusion. The presented experience of quality management system functioning in 2020 highlights the significant roles of monitoring of the main processes and performance indicators analysis of scientific and medical organization in the ongoing COVID-19 pandemic. Such analysis is a necessary for decision-making because it allows the organization to fulfill the obligations, maintain conditions for increasing stakeholder satisfaction, monitor risks and assess opportunities associated with the environment and objectives of the organization, and ensure compliance with the standard requirements, regulations and legislation.



2018 ◽  
Vol 3 (01) ◽  
pp. 45
Author(s):  
Nur Hidayat ◽  
Indah Kusuma Hayati

Recently, the evolvement of globalization era has been the global challenges that cannot be avoided either by private or government sectors, and they are requested to be survived encountering such the condition. The implementation of Quality Management System (QMS) in the operational company is the way how to guarantee the quality of products or services offered to the people. One of the purposes of QMS implementation is to provide a prime satisfaction to the customers. The impact of QMS implementation is expected to increase job performance of the employees. Besides the implementation of Quality Management System (QMS), the impact of global challenges has been increasing the competitive efforts to execute more effective production process. However, it has required manpower protection accordingly. This research aims to find out whether the implementation of quality management system and safety and healthy at work management system have impacted on the job performance of employees. Objects of this research are the employees in the production department at PT Guna Senaputra Sejahtera Plant 1 Bogor. Data analysis technique of this research has applied software Smart PLS (Partial Least Square). PLS has estimated a model of correlation among the latent variables and correlation between latent variables and its indicators. Result of data processing has indicated that the implementation of Quality Management System (QMS) and system of safety and healthy at work have positively and significantly impacted job performance of employees.Keywords : Quality Management System (QMS), Safety and Healthy at Work System ( SHWS / SMK3), and Job Performance of Employees



2012 ◽  
pp. 1083-1088
Author(s):  
O.H. Ando Junior ◽  
M.O. Oliveira ◽  
J.M. Neto ◽  
A.D. Spacek ◽  
R.C.B. Leborgne ◽  
...  


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