scholarly journals Particularities of quality and safety control in cancer care (literature review)

2021 ◽  
Vol 65 (5) ◽  
pp. 492-497
Author(s):  
Dmitriy A. Andreev ◽  
Alexandr A. Zavyalov
Keyword(s):  
Cancer Care ◽  
Control Process ◽  
Quality And Safety ◽  
Safety Control ◽  
Outcome Indicators ◽  
Cancer Heterogeneity ◽  
Process Indicators ◽  
Pubmed Database ◽  
Current Medical Practice ◽  
Structural Indicators

Introduction. Last decade significant progress was made in the development of cancer care algorithms. In this regard, new challenges are constantly being presented to the quality control of medical activities in actual practice. Aims. To summarize the outlines regarding the most relevant criteria for assessing the quality in oncology. Material and methods. The PubMed database (Medline) was used to identify the relevant and reliable sources of literature. The thematic methodology for obtaining information was used. Results. In total, over 80 most significant publications were identified, thoroughly studied and analyzed. International experience indicates the advantages for assessing the quality of cancer care by determining and measuring certain indicators. The model for quality assessment proposed by Donabedian A. (1966) is broadly applied in current medical practice. This model distinguishes the following: 1) structural indicators, 2) process indicators, 3) outcome indicators. Feedback is critically important in the organization of the audit of medical activities. It allows one to adapt the assessment methods by focusing on the tasks immediately during the control process. Because of cancer heterogeneity, there are apart requirements for developing quality indicators for each specific type of cancer because of cancer heterogeneity. Conclusions. Monitoring of medical activities is a crucial pillar for a robust healthcare system. The introduction of essential, practical and specialized audit techniques helps to improve the quality and safety of medical technologies used in cancer care. There is an increasing need to develop optimal indicators and standard operating procedures for the control of cancer care.

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”.

scholarly journals Hyperspectral Imaging Applications in Agriculture and Agro-Food Product Quality and Safety Control: A Review

2013 ◽  
Vol 48 (2) ◽  
pp. 142-159 ◽  
Author(s):  
Laura M. Dale ◽  
André Thewis ◽  
Christelle Boudry ◽  
Ioan Rotar ◽  
Pierre Dardenne ◽  
...  
Keyword(s):  
Product Quality ◽  
Hyperspectral Imaging ◽  
Food Product ◽  
Quality And Safety ◽  
Safety Control ◽  
Product Quality And Safety

Quantum Safety Control System

2014 ◽  
Vol 496-500 ◽  
pp. 1941-1943
Author(s):  
Cheng Hong Zhou ◽  
Jun Hai Guo
Keyword(s):  
Control System ◽  
Quantum Entanglement ◽  
Control Process ◽  
Safety Control ◽  
Control Protocol ◽  
The Absolute

Range safety control system ends up with the task or test of aircraft when there is an irreparable fault during powered phase. The security and the reliability are vital for safety control system. Inspired by the principle of quantum entanglement, we put forward a theoretical quantum safety control protocol which is based on two-step command transmission. In the two-step protocol, a quantum switch and a classical switch are fixed in the safety control process. Quantum switch and the classical switch are in charge of the transmission of cryptogram command and the transmission of execution command respective. Quantum principle guarantees the absolute security of this protocol. Besides, this is the first quantum safety control system.

scholarly journals Influence of degree of wheat infestation with Fusarium on its technological quality and safety

2011 ◽  
pp. 61-72
Author(s):  
Elizabet Janic-Hajnal ◽  
Aleksandra Torbica ◽  
Jasna Mastilovic
Keyword(s):  
Climatic Conditions ◽  
Wheat Crop ◽  
Quality And Safety ◽  
Safety Control ◽  
Test Elisa ◽  
Upper Limits ◽  
Metabolic Products ◽  
Technological Quality

Climatic conditions prior to wheat harvest 2010 were favorable for the development of field molds. The most important wheat contamination that should be determined is the presence and frequency of grain lots infected with Fusarium. This paper presents the results of content of fusarious kernels found in samples collected from all wheat growing regions of Serbia. Investigations were performed according to the regulations which foresee sensory determination of content of infected kernels. Determined average content of fusarious kernels was 6.01%, varying in range from 0% to 29.65 %. The obtained results, which exceeded the upper limits of permitted contents defined by national and EU regulations, pointed to the need for investigation of presence of Fusarium metabolic products, i.e. mycotoxins (zearalenone (ZEA) and deoxinivalenol (DON)) in wheat. Mycotoxin content was determined in average wheat samples and in wheat samples with increased content of fusarious kernels. Direct enzymatic immunoaffinity test (ELISA) was applied for determination of mycotoxin content. Although high content of fusarious kernels characterizes wheat crop in 2010, the determined quantities of two investigated mycotoxins did not exceed maximal permitted content. Consequences of unfavorable quantity and structure of total impurities in wheat crop in 2010 reflect decreased commercial and technological quality of wheat and point out to the need of necessary wheat safety control.

Quality and safety control of tumor-shrinking decoction (TSD): A Chinese herbal preparation for the treatment of uterine fibroids

2016 ◽  
Vol 64 (1) ◽  
pp. 126-133 ◽  
Author(s):  
Xiao-Xin Chen ◽  
Wai Ling Lin ◽  
Wing Fai Yeung ◽  
Tian-He Song ◽  
Li-Xing Lao ◽  
...  
Keyword(s):  
Uterine Fibroids ◽  
Quality And Safety ◽  
Herbal Preparation ◽  
Safety Control ◽  
Chinese Herbal

scholarly journals Adverse events in deceased hospitalised cancer patients as a measure of quality and safety in end-of-life cancer care

2020 ◽  
Author(s):  
Ellinor Christin Haukland ◽  
Christian von Plessen ◽  
Carsten Nieder ◽  
Barthold Vonen
Keyword(s):  
Palliative Care ◽  
Adverse Events ◽  
End Of Life ◽  
Cancer Patients ◽  
Cancer Care ◽  
Quality And Safety ◽  
Negative Consequences ◽  
Specialist Palliative Care ◽  
Early Integration ◽  
Anticancer Treatment

Abstract Background: Anticancer treatment exposes patients to negative consequences such as increased toxicity and decreased quality of life, and there are clear guidelines recommending limiting use of aggressive anticancer treatments for patients near end of life. The aim of this study is to investigate the association between anticancer treatment given during the last 30 days of life and adverse events contributing to death and elucidate how adverse events can be used as a measure of quality and safety in end-of-life cancer care Methods: Retrospective cohort study of 247 deceased hospitalised cancer patients at three hospitals in Norway. The Global Trigger Tool method were used to identify adverse events. We used Poisson regression and binary logistic regression to compare adverse events and association with use of anticancer treatment given during the last 30 days of life. Results: 30 % of deceased hospitalised cancer patients received some kind of anticancer treatment during the last 30 days of life, mainly systemic anticancer treatment. These patients had 62 % more adverse events compared to patients not being treated last 30 days, 39 vs. 24 adverse events per 1 000 patient days (p<0.001, OR 1.62 (1.23 – 2.15). They also had twice the odds of an adverse event contributing to death compared to patients without such treatment, 33 vs. 18 % (p=0.045, OR 1.85 (1.01 – 3.36)). Receiving follow up by specialist palliative care reduced the rate of AEs per 1 000 patient days in both groups by 29 % (p= 0.02, IRR 0.71, CI 95% 0.53 – 0.96). Conclusions: Anticancer treatment given during the last 30 days of life is associated with a significantly increased rate of adverse events and related mortality. Patients receiving specialist palliative care had significantly fewer adverse events, supporting recommendations of early integration of palliative care in a patient safety perspective.

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