How to write recommendations (suggestions) in a diploma? Practical recommendations for organizing internal quality control and safety of medical activities in a clinic Proposals and practical recommendations for organizing

Dasha, you are also super smart! They amazed me with their super attentiveness. It’s also so convenient to read a diploma: everything is in one file, everything is meticulously licked! How easy it is for me to be with you: once I wrote on the blog, everything was corrected together! By the way, although Marinka lags behind us, she reads the blog carefully and doesn’t immediately make mistakes!

And now I’m reading your work and I see that all my work is not in vain. You took into account every point of the recommendations :). And from the first time everything was perfected :). Cool:).

By the way, you, Dash, have the coolest ABSTRACT of all three. Although all girls have it super)).

I was impressed by the phrase in the INTRODUCTION that the diploma was written not just because it occurred to you to choose a topic, but according to the LETTER ORDER of the enterprise. Cool! Now you see that the psychology of information perception works? That while I was scrolling through your diplomas at night, I caught the key phrases with my eyes, and I remember the END and the BEGINNING of what was written. In addition, I carefully read the conclusions, introduction, recommendations and abstract again. After all, reading a couple of pages is not reading the entire diploma.

I keep scrolling - and the inside of your diploma is licked so elegantly! I was hooked by the list of laws on the basis of which the regulations were developed :). I wonder if this diploma is honored at the company? There really are a lot of useful things in it, and they are quite implementable at this enterprise. It is more difficult to implement KSYu there due to the specifics of the company. And you state enterprise and many things are quite feasible, the only thing is that the management has motivation.

The second section attracted attention where the plate describes the products, attractiveness for the client, lack of developed trademark, in general, financial indicators about profitability, etc. A very holistic and practical diploma. Your second section is just awesome and it infuriates me to remember that it was you that the prof was picking on!!! It is your second part of the diploma that is written CLASSICALLY. If the girls there have some deviations from the accepted classics of writing scientific papers, then you have it right!! I have a question: what kind of lard did Prof. buy his doctorate?!!! It infuriates me that he doesn’t look at the meaning of the diploma at all!! Nobody forces him to read them in detail like I read them!! Just open your eyes and scan the diploma diagonally using speed reading!! Everything is clear - PERFECT!

Damn, the third part of the diploma is perfect! No water! I have a feeling that it’s impossible to write better diplomas. My diploma would be worse than yours, to be honest, girls..)). Nobody taught us how to write a thesis, and they didn’t explain anything at all.

What a gorgeous style. And what a gorgeous END and BEGINNING of all the points and components of the diploma design! Absolutely everything is impressive and confirms the practicality of the diploma.

In the list of references, Internet sources are ideally presented. Cool. I’ll give this as an example to my 4th year students who are writing coursework. I'm tough on the coursework))), it was easier for you))). It’s just that the capabilities of this blog now allow all students to give full attention. I’m even sure that without this blog we wouldn’t have gotten such great diplomas. All work was automated and in a short time I was able to pay attention to everyone. It makes the job a lot easier if you tell one person what to fix, and the others immediately take it into account. I’m even sure that now I didn’t sleep until the morning, but I wrote everything I could about defending and preparing a speech, slides and presentation - now you have methodological recommendations and you’ll do everything superbly the first time. We don’t even need to meet before defending my thesis, as I planned. After all, there was no blog then. It was very difficult. Now there is an archive and you can read everything if necessary.

I am looking at your diploma APPENDICES!!! Don’t be offended by Ksyu and Sveta, but Dasha’s are twice as cool. In addition to the unnecessary balance for anyone, there is a ton of interesting information, both practical and theoretical. Just look at this comparison table: Comparative table of the main models of the marketing mix. By the way, she was the one who impressed me the most. Therefore, I would not say that I would say that you have only one quality that is clearly expressed - super attentiveness and responsibility. You are also a great analyst. I think that you are not inferior to Sveta. I just remember that Sveta’s coursework back then was the coolest, both in terms of analytics and logical consistency. Most likely this also left an imprint. But now I can say, Dasha, you are a super cool specialist and you can always count on my recommendations! I wish to realize myself harmoniously in all areas, including professionally. So that you enjoy your work and are valued. So that this would be expressed both morally and financially

FEDERAL SERVICE FOR SUPERVISION IN THE SPHERE OF HEALTHCARE

Federal State budgetary institution"Center for Monitoring and Clinical and Economic Expertise" of Roszdravnadzor

BY ORGANIZATION

INTERNAL QUALITY AND SAFETY CONTROL

MEDICAL ACTIVITY

IN A MEDICAL ORGANIZATION (HOSPITAL)

Moscow, 2015

INTRODUCTION 2

ABBREVIATIONS 3

1. ORGANIZATION OF INTERNAL QUALITY AND SAFETY CONTROL OF MEDICAL ACTIVITIES IN A MEDICAL ORGANIZATION 5

1.1 PRACTICAL IMPLEMENTATION OF INTERNAL QUALITY AND SAFETY CONTROL IN A MEDICAL ORGANIZATION 5

1.2 SOURCES OF INFORMATION USED WHEN CONDUCTING INTERNAL CONTROL 7

1.3 DOCUMENTATION REQUIREMENTS FOR STANDARD OPERATING PROCEDURES 7

1.4 REQUIREMENTS FOR MEDICAL CARE ALGORITHMS 8

2. MAIN SECTIONS OF INTERNAL QUALITY CONTROL AND SAFETY OF MEDICAL ACTIVITIES IN A MEDICAL ORGANIZATION (HOSPITAL) 11

2.1 PERSONNEL MANAGEMENT. MEDICAL PERSONNEL. COMPETENCE AND COMPETENCY. 11

2.2 PATIENT IDENTIFICATION 20

2.3 EPIDEMIOLOGICAL SAFETY (PREVENTION OF INFECTIONS ASSOCIATED WITH MEDICAL CARE (HAI)) 23

2.4 DRUG SAFETY. PHARMACOVIGILANCE 48

2.5 CONTROL OF QUALITY AND SAFETY OF MEDICAL DEVICES 61

2.6 ORGANIZATION OF EMERGENCY AND EMERGENCY CARE IN THE HOSPITAL. ORGANIZATION OF WORK OF THE ADMISSION DEPARTMENT 69

2.7 CONTINUITY OF MEDICAL CARE. TRANSFER OF CLINICAL RESPONSIBILITY FOR THE PATIENT. ORGANIZATION OF TRANSFER OF PATIENTS WITHIN ONE MO AND TRANSFER TO OTHER MOs 79

2.8 SURGICAL SAFETY. PREVENTION OF RISKS ASSOCIATED WITH OPERATIVE INTERVENTIONS 86

2.9 PREVENTION OF RISKS ASSOCIATED WITH THE TRANSFUSION OF DONOR BLOOD AND ITS COMPONENTS, PREPARATIONS FROM DONOR BLOOD 94

2.10 ENVIRONMENTAL SAFETY IN A MEDICAL ORGANIZATION. 107

ORGANIZATION OF PATIENT CARE. PREVENTION OF BEDSORES. PREVENTION OF FALLS 107

2.11 ORGANIZATION OF MEDICAL CARE BASED ON EVIDENCE-BASED MEDICINE DATA. COMPLIANCE WITH CLINICAL GUIDELINES (TREATMENT PROTOCOLS) 122

CONCLUSION 127

INTRODUCTION

The proposals were developed by the Federal State Budgetary Institution “TsMIKEE” of Roszdravnadzor within the framework of a state assignment using published materials devoted to issues of quality and safety of medical activities.

11 main areas have been identified to ensure the quality and safety of medical activities. For each of the main areas, indicators have been identified (combined into groups), which are both targets for the daily work of a medical organization and criteria for their evaluation.

In addition to qualitative indicators, quantitative indicators are proposed that can be used to form a system for monitoring the quality and safety of medical activities in a medical organization.

October 10–11, 2019 in Moscow at the congress center of the Federal State Institution “National Medical Research Center of Neurosurgery named after Academician N.N. Burdenko" of the Ministry of Health of Russia (4th Tverskaya-Yamskaya St., 16) the V All-Russian Scientific and Practical Conference " Integrated approach to the construction of a quality management system for a medical organization. Russian and foreign experience"

June 28-29, 2019 The III interregional conference of the Northwestern Federal District “Medicine and quality. Ensuring the quality and safety of medical activities"

June 25, 2019 A practical conference “State control (supervision), control measures of Roszdravnadzor, audits of aesthetic medicine clinics was held in Moscow: typical problems, violations, ways to eliminate them, recommendations for compliance with mandatory requirements"

June 21, 2019 The international conference “The Art of Management and Spiritual Culture in Medicine” was held at the Federal State Institution “National Medical Research Center for Neurosurgery named after N.N. Burdenko” of the Ministry of Health of Russia.

September 28, 2018 In the conference hall of the National Medical Research Center for Preventive Medicine of the Ministry of Health of Russia (Moscow), a working meeting of participants in the project “Implementation of Proposals (practical recommendations) of Roszdravnadzor on organizing internal quality control and safety of medical activities in a medical organization was held.”

The first educational day of the VI shift of the All-Russian Youth Educational Forum brought together experts from various fields: scientists, officials, doctors and teachers. Together with young doctors, they immersed themselves in the modern healthcare system and determined the main vectors of development.

March 23-26, 2016 The Congress of Leaders took place in Moscow medical institutions regions of Russia and the countries of the EAEU, in which the deputy general director FSBI "TsMIKEE" Roszdravnadzor Oleg Rudolfovich Shvabsky.

March 17, 2016 at the Government Analytical Center Russian Federation The first of a series of practical seminars "Exchange of best practices in applying a risk-based approach and assessing effectiveness in control and supervisory activities" was held, dedicated to priority areas for improvement state control and supervision. Members of the partnership took part in its work.

March 10, 2016 A round table “Electronic healthcare in Russia: current status and development prospects” was held at the Analytical Center under the Government of the Russian Federation at 12, Moscow, Academician Sakharov Avenue. During the event, experts discussed issues related to e-health, its economic and social significance.

From 8 to 10 March 2016 The IX meeting of the international organization IMDRF (International Medical Device Regulators Forum) took place in Brasilia (Brazil). The meeting was chaired by Brazil.

March 1, 2016 The Third National Scientific and Practical Conference “Internal Control and Audit in Russia: New Prospects and Opportunities” was held in Moscow at the Press Center of MIA “Russia Today” at Zubovsky Boulevard, Building 4. The conference was organized by the Non-Profit Partnership “National Association of Internal Auditors and Controllers” (NP “NOVAK”) with the support of the Federal Treasury and a number of the largest Russian companies.

February 25, 2016 The conference “Reserve School for Heads of Medical Institutions of JSC Russian Railways” took place, which was attended by representatives of the Scientific and Clinical Center of JSC Russian Railways and the Federal State Budgetary Institution “TsMIKEE” of Roszdravnadzor.

December 18, 2015 a webinar “Improving the system of internal quality control and safety of medical activities” was held. Representatives of the department for monitoring the organization and implementation of departmental and internal control of the quality and safety of medical activities of Roszdravnadzor took part in the webinar.

List of regulatory legal acts on quality control and safety of medical activities

At the sectional session “Quality Control and Safety of Medical Activities” of the PharmMedAppeal 2013 conference, held in Moscow at the end of October 2013, two fundamental reports were given on the stated topic.