Information collection and analysis of all ...

Collection and analysis of all three blocks gives an estimate of the quality of care. For monitoring, assessing and solving problems of quality of care in hospitals "process for: United Quality Committee (USA) developed desyatishagovy process, harmonized at present with international requirements. This process includes the elements of a permanent continuous monitoring of the treatment (background control), selective review of the treatment (extra control), identify gaps and adoption as appropriate management decisions. Process is an ongoing cyclical. We want to share experience in providing quality management of medical care, functioning at our station for many years, seeing it on the basis of the foregoing step process. Step One: Identify the experts responsible for supervising the quality of care. At the station there is a tiered system of monitoring quality control and management decisions, which correspond to certain experts or a group of experts. Background control is performed by senior physicians, heads of sub-stations and the operations department, an additional - Senior Specialist, Deputy. Chief doctor of medical work, chief medical officer, the experts invited from other medical institutions. Managerial decisions on the identified defects conducts the administration of plant-based solutions therapeutic Control Commission (LEK), commission to review complaints and appeals, as well as the Commission on mortality. Step Two: Definition of diagnosis and treatment, as well as tactics for emergency medical care at the prehospital stage. The key is to "Clinical and tactical standartySMP" approved by the Health Department of the Perm region. Step Three: Determine the most important problems of diagnosis and treatment, with a high risk of death or disability, the complexity of diagnosis of pre-hospital or using special methods of treatment. For this purpose, approved by the "standards" are marked clinical and statistical groups, with increasing significance of the situation from 1 to 5. Step Four: Identifying indicators or quality indicators. Among them are marked: 1.Operativnye indicators and 2. The indicators characterizing the quality of medical care on outcome. Step five: Setting the thresholds, or standards of controlled parameters or indicators. Usually, the standard takes an average annual rate based on an analysis of the station for the earlier years. Step Six: Collect and organize data relevant to the indicator or indicators. These issues are addressed by experts and the statistical department of the station using the automated system for quality in the software complex "AFIS". Step Seven: Assessing the quality of emergency medical services prehospital based on the approved standard and development of the Center of the quality and qualifications "of the St. Petersburg Institute of Cardiology, with a special classification of detected defects and the possibility of automated processing for each employee, separate substations and stations as a whole.