ORGANIZATION OF INTERNAL QUALITY CONTROL AND SAFETY OF MEDICAL ACTIVITIES. PROBLEMS AND WAYS TO SOLUTION

Abstract

The relevance of this topic is due to a number of requirements for the organization of internal quality control and safety of medical activities at the level of the Legislation of the Russian Federation. In our opinion, when implementing internal quality control measures, special attention should be paid to managing the quality of medical care. The purpose of this work is an attempt to prove a scientifically based approach to the need for the organization of internal quality control and safety of medical activities in a multidisciplinary hospital, as well as the creation of uniform criteria for evaluating the therapeutic and diagnostic process. The materials were the analysis of databases of a multidisciplinary hospital in St. Petersburg, with a bed capacity of more than 1,000 beds. The absence of a universal model for the organization of internal control only makes it possible to subjectively assess the level and condition of medical care. A retrospective analysis of the quality of medical care has shown that the lack of standardization of the processes of the medical organization at all stages of medical care creates the possibility of undesirable events, omissions in diagnosis and treatment, as well as irrational use of hospital resources.