Wednesday 27 April 2011

Under the negligence of a medical ...

Under the negligence in medical practice mean the lack of inspection or failure of special studies, lack of organization of the therapeutic process, non-existing medical instructions and orders. Up to a third of writs and judgments in favor of the patient due to shortcomings in informing patients. The Fundamentals of Legislation on Health Protection of 22.07.1993 states that "patients are guaranteed the right to voluntary and informed consent to medical intervention and to refuse medical intervention." The Letter of the Ministry of Health and the Federal Compulsory Medical Insurance Fund of the Russian Federation of 29.10.1999 № 5460/30-3 was given the explanation that "informed consent (disagreement)" means the patient made in written form solutions to the patient's medical intervention in the medical records (medical history, patient card), which shall be signed by the patient (his / her legal representative) and the physician. Informed voluntary consent of the patient should include substantiation of treatment, ie, prognosis of the disease without this intervention, the premises (clinical and laboratory indications) for the use of the recommended treatment method, the main expected outcomes of treatment and discussion of those moments (co-morbidities, patient compliance regime and the special rules, etc.) that may affect the outcome , the main risk of treatment, including the likelihood, severity and time of onset of possible side effects, discussion of alternative treatment methods. At trial, almost 70% of claims acutely the question arose of improper conduct by primary documentation. For Russian vessels gaps in registration records are an occasion for making decisions in favor of patients. Correctly as compiled medical records may serve as conclusive evidence of accomplishment full of the necessary manipulations and informing patients. Examples of such records can serve the following form 1 (filled by the appointment of treatment) and Form 2 (to be filled at discharge the patient). Thus, patients' rights in Russia attracts much attention. However, unfortunately, to date there is no effective system of protection of human health care worker. Form 1 Form 2 Summary of Remarks at a press conference on "Legal instruments for the protection of professional activity of the doctor."


The results of implementing coordinated traffic control system in a medical emergency


Bakiyev SS Samarkand branch of the Republican scientific center for emergency medical care (Director Sadykov RA), Samarkand saidazim@email.ru Ambulance (SMP) is one of the hardest parts of health. Organization MSP population was constructed, starting from the first years of health development in accordance with the basic principles - state, free and public availability of qualified medical care, close connection with the practice of medical science.

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