Organization of internal control of the quality and safety of medical activities in the framework of the pilot project of the Federal Service for Surveillance in Healthcare (Roszdravnadzor) in FBHI VDMC FMBA of Russia

2020 ◽  
pp. 29-37
Author(s):  
M. Doronina
Keyword(s):  
Quality Control ◽  
Internal Control ◽  
Pilot Project ◽  
Regulatory Framework ◽  
Internal Quality Control ◽  
Internal Quality ◽  
Quality And Safety ◽  
Medical Organization

The article is devoted to the problem of organization of internal quality control in a multidisciplinary medical organization. The author describes the experience of standardization of this activity in accordance with modern requirements of the regulatory framework.

scholarly journals Evaluation of the effectiveness of internal quality control of medical care during control and supervision activities in medical organizations

2021 ◽  
Vol 2 (3) ◽  
pp. 6-16
Author(s):  
Sergey Yu. Morozov ◽  
Natalya N. Kamynina ◽  
Andrey V. Andrey V. Vorykhanov ◽  
Marina V. Smirnova ◽  
Alexey A. Lobachev ◽  
...  
Keyword(s):  
Quality Control ◽  
Comparative Analysis ◽  
Medical Care ◽  
Internal Control ◽  
Internal Quality Control ◽  
Assessment Criteria ◽  
Insurance Companies ◽  
Internal Quality ◽  
Quality And Safety ◽  
Level System

Introduction. Currently, medical organizations of Moscow Healthcare Department have a three-level system of internal control for assessing the quality and safety of medical activities. At the same time, insurance companies have adopted a logically consistent, alternating multi-level system of inspections (medical and economic control) and evaluations (medical and economic evaluation, quality of medical care evaluation). Methods, techniques, criteria and guidelines for external and internal control of the quality and safety of medical activities are different. In this regard, assessment of the effectiveness of internal quality control of medical care in medical organizations during control and supervision activities is an important task that requires an evidence-based decision. Objectives. To provide evidence for the effectiveness of assessment criteria when conducting internal quality control of medical care and to determine their impact on effective performance of medical organizations. Materials and methods. The authors studied the results of 10 inspections and 36 evaluations of regulatory and supervisory authorities (insurance companies, Federal Service for Surveillance in Healthcare (Roszdravnadzor), etc.) and systematized the reasons for applying deductions and penalties. We performed a comparative analysis with evaluation criteria used by the heads of structural divisions (departments, laboratories) of City Clinical Hospital named after brothers Bakhrushin of Moscow Healthcare Department, as well as other private medical organizations. Authors studied technical capabilities of various automated information systems (Megaclinic, Asklepius, Doctor’s Automated Workstation, EMIAS for polyclinics and hospitals, etc.). Results. Authors performed comparative analysis of criteria used in inspections and evaluations of external and internal control of the quality and safety of medical activities. Analysis showed that the currently used assessment criteria do not fully ensure fulfillment of requirements and guidelines, violation of which entails financial sanctions (deductions, fines). Conclusion. It is necessary to develop and implement methods for organizing and conducting internal control of quality and safety of medical activities to create «effective criteria» that will minimize financial sanctions (deductions, fines) applied during various inspections (evaluations) of control and supervisory authorities.

System of quality and safety management in medical organization. Modern state

2019 ◽  
Vol 2019 (6) ◽  
pp. 15-23 ◽  
Author(s):  
Игорь Иванов ◽  
Igor' Ivanov
Keyword(s):  
Medical Care ◽  
Internal Control ◽  
Safety Management ◽  
Internal Quality ◽  
Modern State ◽  
Quality And Safety ◽  
Main Attention ◽  
Medical Organization ◽  
Safety Control

The article presents main approaches to provision of quality and safety of medical organization’s activities. The main attention is focused on the issues of implementation of the Suggestions (recommended practice) of Roszdravnadzor on organization of the internal quality and safety control of medical activities, as well as particular points of the Order of June 7, 2019 No. 381n “On Approval of Requirements for organization and conduction internal control of the quality and safety of medical care in hospitals”.

Quality control as a fundamental institute of medical activities (review of literary sources)

2021 ◽  
pp. 39-48
Author(s):  
Larisa Arkadyevna Karaseva ◽  
Tatyana Vladimirovna Bessonova
Keyword(s):  
Quality Of Life ◽  
Quality Control ◽  
Medical Care ◽  
Internal Quality Control ◽  
Internal Quality ◽  
Quality And Safety ◽  
Professional Activities ◽  
Literary Sources ◽  
High Level

The aim of the study, analyze and evaluate the quality control and safety of medical activities carried out in medical organizations. Results: the essence of the concept of quality control in the field of medical care was determined, criteria for assessing the quality of medical activities were identified, the main aspects of developing a program for internal quality control and safety of medical activities were characterized, key risks existing in medical activities were identified, directions for improving the quality and safety of professional activities of medical workers. Conclusion: modern approaches to the organization of quality control and safety of medical activities make it possible to ensure a high level of medical care provided to the population and improve the quality of life of the population as a whole.

scholarly journals INTERNAL QUALITY CONTROL OF FORENSIC MEDICAL EXAMINATIONS IN CASES INVOLVING FAILURE TO PROVIDE MEDICAL CARE

2020 ◽  
Vol 6 (1) ◽  
pp. 46-50
Author(s):  
E. Kh. Barinov ◽  
N. A. Mikheeva ◽  
R. E. Kalinin ◽  
N. V. Tarasova
Keyword(s):  
Quality Control ◽  
Medical Care ◽  
Internal Control ◽  
Criminal Liability ◽  
Preliminary Investigation ◽  
Primary Source ◽  
Internal Quality Control ◽  
Internal Quality ◽  
Scientific Validity ◽  
Medical Examinations

The poor quality of expert reports prepared at the stage of preliminary investigation constitutes the main reason for summoning expert witnesses to testify before a court of law and posing numerous questions to them. The same applies to the examinations conducted on case materials, both in the course of criminal and civil proceedings. Тhe lack of internal quality control over forensic medical examinations in cases related to inadequate medical care may compromise the reliability and scientific validity of conclusions. Forensic medical examinations related to the cases of inadequate medical care constitute the primary source of evidence affecting the validity and legitimacy of decisions made by law enforcement agencies about the criminal liability of medical staff. In addition, scientifically unfounded expert conclusions may lead to investigative and judicial errors.Conclusion. Strict internal control over the forensic medical examinations is necessary to ensure that state forensic medical institutions produce expert reports fully compliant with the requirements of Law No. 73-FZ, which naturally should begin with a self-check.

THE BASICS OF MEDICAL CARE QUALITY AND SAFETY PROVISION

2020 ◽  
Author(s):  
Mikhail Murashko ◽  
Igor Ivanov ◽  
Nadezhda Knyazyuk
Keyword(s):  
Quality Control ◽  
Control System ◽  
Medical Care ◽  
Russian Federation ◽  
Current Issue ◽  
Care Quality ◽  
Internal Quality ◽  
Quality And Safety ◽  
Medical Organization ◽  
Safety Control

SUMMARY Current monograph represents and reviews key approaches to creating an effective internal quality and safety control system for an organization, based on patient-oriented approach, process approach, risk management, continuous process improvement and other methods including definition of all applied terms, a number of examples and step by step manuals on executing key measures and events to create and develop a quality control system and local documentation samples. Target audience for this monograph: hospital leadership, including CMO, deputy CMO on quality, head of quality control committee or designated quality control specialist, other medical workers. ABOUT «THE BASICS OF MEDICAL CARE QUALITY AND SAFETY PROVISION» All changes and reforms in healthcare should provide for medical care quality improvement, preservation of life and health of all citizens. Once an abstract word “quality” has its’ own specific meaning today, acquired by means of legislative validation of the term “medical care quality and safety”. Providing healthcare quality and safety is one of the key priorities within the confines of Russian Federation national policy for citizens’ health protection. Current issue represents actual knowledge and practical experience in terms of medical care quality and safety control, continuous medical organization efficiency improvement. Current issue addresses the matters of theoretical and practical aspects of introducing management and internal quality and safety control system in medical care. It also contains the methodological description of Proposals (practical recommendations) of Federal Service for Supervision in the Sphere of Healthcare, developed based on global experience generalization, adapted to Russian specificity, aimed at quality and safety provision. Current issue represents a large number of samples, examples, templates and check-list tables. Data, accumulated in the monograph, allows the reader create a proper system of measures in a medical organization to comply with the order № 381-н of Ministry of Health of Russian Federation «On approving Requirements towards organizing and executing medical care internal quality and safety control». TARGET AUDIENCE Current issue is intended for a wide range of readers, interested in management: for healthcare organization leaders, CMOs and deputy CMOs, deputy CMOs on quality, quality control committee leaders or designated quality control specialists, physicians, nurses, medical academicians and students, and all specialists, interested in medical organizations’ stable development and improvement.

scholarly journals IMPLEMENTATION OF TQM PRINCIPLES IN THE SYSTEM OF INTERNAL QUALITY AND SAFETY CONTROL OF MEDICAL PRACTICE ON THE EXAMPLE OF SAMARA REGIONAL CLINICAL ONCOLOGY DISPENSARY

2016 ◽  
Vol 1 (4) ◽  
pp. 31-35
Author(s):  
A E Orlov ◽  
V V Pavlov ◽  
O A Proshina
Keyword(s):  
Medical Practice ◽  
Internal Control ◽  
External Control ◽  
Internal Quality ◽  
Quality And Safety ◽  
Quality Service ◽  
Total Quality ◽  
Medical Organization ◽  
Safety Control ◽  
Coordination Center

Introduction. The article presents an example of implementation of the principles of total quality management (TMQ) in the system of internal quality and safety control of medical practice in a large medical organization. Results. The dispensary has established a unified quality service that unites all the structures of the clinic involved in the implementation of internal control and interaction with the subjects of external control, thus becoming a coordination center. Summary. The service functions include complex tasks, previously attributed to the functions of various divisions of the institution.

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