ON THE ISSUE OF PREPARING STANDARDS OF OPERATING PROCEDURES IN THE ASPECTS OF ENSURING THE SAFETY OF MEDICAL CARE

A. Perminov, I. A. Kudryasheva, V. Kolomin, Natalya Fomenko
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Abstract

Among the key performance indicators of the health care system, the priority is to ensure the quality and safety of medical care. State regulation of these aspects of medical activity is certainly necessary, however, the regulations adopted at this level define the principles and foundations, which, in order to ensure their rigorous implementation, in most cases are subject to substantive detailing and development in local acts. In practice, the creation of comprehensive standards for each specific treatment and diagnostic process and operation is the prerogative and duty of the management of medical institutions. With the adoption in 2021 of sanitary and epidemiological requirements for the prevention of infectious diseases, the obligation to stand ardize operational processes is enshrined in law. At the same time, due to the lack of an approved development procedure and the form of standard operating procedures, the search for an optimal approach to the implementation of this quality management tool continues. The authors believe that the implementation of the development of standards of operating procedures should be carried out on the basis of the regulations for interaction within the framework of diagnostic and treatment processes, in turn, formed in accordance with the current state regulations in the direction of medical care. According to the authors, the effectiveness of standards of operating procedures in terms of ensuring the quality and safety of medical care and the introduction of the principle of lean operation into the work of a medical organization, among other things, largely depends on the regulation of the training processes for performers, control and evaluation system for the performance of standards of operating procedures. The paper presents a possible approach to the process of developing a standard of operating procedures as the basis of a quality management system for medical care
关于在确保医疗安全方面制定操作程序标准的问题
在医疗卫生体系的关键绩效指标中,确保医疗质量和安全是重中之重。国家对医疗活动的这些方面进行监管当然是必要的,但是,在这一级通过的监管规定了原则和基础,为了确保这些原则和基础得到严格执行,在大多数情况下,这些原则和基础需要在地方法律中进行实质性的细化和发展。在实践中,为每一个具体的治疗和诊断过程和操作制定综合标准是医疗机构管理层的特权和职责。随着2021年通过了预防传染病的卫生和流行病要求,法律规定了规范业务流程的义务。同时,由于缺乏经过批准的开发程序和标准操作程序的形式,对实施这一质量管理工具的最佳方法的探索仍在继续。作者认为,实施制定的操作程序标准,应在规章制度的基础上进行相互作用,在诊疗流程的框架内,依次按照国家现行规章制度形成医疗护理方向。作者认为,除其他外,操作程序标准在确保医疗质量和安全以及将精益操作原则引入医疗机构工作方面的有效性在很大程度上取决于对表演者的培训过程的规定,操作程序标准绩效的控制和评估体系。本文提出了一种可能的方法来制定一个标准的操作程序,作为医疗质量管理体系的基础
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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