Step Eight: Specific actions ...

Step Eight: Specific actions or management decisions are being made to correct the problem or defect occurred at a deviation from the set of indicators or indices. Step Nine: Evaluate the actions or management decisions and record improvements. Step Ten: Summary and Conclusions. Several dwell on the indicator or indicators of quality and try to get the whole process with 4 steps. As mentioned above, we distinguish two groups of indicators. The first group - operational performance. This waiting time service calls and provide a pretext for specialized teams (Table 1). The second group of indicators, based on the following data: 1. Analysis of exit documentation: results of service call (the patient or victim is left in place, hospitalized, transferred to another service or active brigade visits by a specialized team or physician-expert), evaluation criteria - compliance with the standard service call, the control background, an additional control to a specific employee, if found defects - exit at the appropriate management solution (Fig. 2) a statement of death before the arrival of the brigade or the brigade, the control background (Fig. 1), repeated the call during the day, the control background (Fig. 2). 2. Claims from the public on the quality of care. All cases of income claims are recorded and transmitted to the "Complaints Commission" to make subsequent management decisions. 3. Claims of medical workers of health facilities at work outreach NSR. All cases and claims are recorded according to their nature are transferred to parse at LEK or "Complaints Commission" to make subsequent management decisions. 4. The discrepancy between the diagnoses in the direction of the admissions teams SMP offices and hospitals for tear-off coupons F-114u. The ratio - the annual average, control of background: the discrepancy between the diagnoses of admissions for the day, month, year, tear-off coupons F-114u for 3 months, 6 months, year. Assessment shall be separate staff, substation, a station as a whole. Allocated nosologic units with gross diagnostic errors. 5. The discrepancy between the pathological diagnoses with diagnoses napravitelnymi SMEs, as well as analysis dosutochnoy mortality according to hospital. The ratio - the annual average, the control background - 1 time per month, per year. Thus, quality means the degree of perfection, but improvement of the quality should not be regarded only as a measure of administrative control. This is a complex, dynamic process and quality need not discuss it after our actions, but before they begin, it is necessary to plan, to move from controlling individual components of the diagnostic and treatment process, a system of continuous improvement of the individual doctor, visiting teams, sub-stations and the station as a whole. Table 2 of the managerial decision-making in the identified defects on-site analysis of documentation (for senior doctors, heads of sub-stations, senior specialists) 1.