REVIEW OF INTERNATIONAL PRACTICE OF THE USE OF NATIONAL MEDICAL INCIDENT REPORTING SYSTEMS
Abstract
Analysis of adverse events that happen in medical organizations has proved to be a crucial instrument of improvement of quality and safety of healthcare. Foreign countries make ample use of national incident reporting systems for this aim. The work of national incident reporting systems involves not only leaders and managers of healthcare but the personnel of medical organizations as well. National systems accumulate information, analyze it and later based on this analysis the organizational decisions are being made, which are aimed at correction and prevention of future faults or associated problems in the medical organizations. Unified national system like this does not exist in the Russian Federation that is why the aim of this research was to analyze the foreign practice of using national incident reporting systems in order to form recommendations for the creation of similar system in the Russian Federation. In this study practical experience of Denmark, United Kingdom, China and Kazakhstan was described, the negative and positive aspects of the organizational decisions of these countries were highlighted, as well as the results of their performance were presented. Based on the given information the recommendations on the creation of a similar system in the Russian Federation were proposed including improvement of legislation norms, the use of digital solutions while designing and implementing the system, which will be improved regularly based on feedback and the results of performance check. It is also necessary to ensure that this system will be easy to use, transparent and fair.
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