scholarly journals Experience of education of the residents physician at the non-state expert institution

2020 ◽  
pp. 39-43
Author(s):  
Z. Yu. Sokolova ◽  
P. A. Rozumnyj ◽  
I. A. Evteeva
Keyword(s):  
Conflict Resolution ◽  
Forensic Medicine ◽  
Non Profit ◽  
Resident Physicians ◽  
Medical Documents ◽  
Quality Of Medical Care ◽  
Forensic Expert ◽  
Medical University ◽  
Teaching Resident

An autonomous non-profit organization “Center for Conflict Resolution in Medicine” is an independent forensic expert organization licensed to carry out medical activities and to conduct assessments of the quality of medical care on criminal and civil cases. It is also the clinical base of the Department of Forensic Medicine of the Pirogov Russian National Research Medical University, where the resident physicians are trained. In 2018-2019, the Center for Conflict Resolution in Medicine made 105 forensic examinations of case materials and medical documents. The organization successfully combines forensic examinations and teaching resident physicians.

scholarly journals ON THE QUESTION ORTHODONTIC MEDICAL RECORDS COMPLETION WHEN DENTOALVEOLAR ANOMALIES AND DEFORMATIONS DIAGNOSING

2017 ◽  
Vol 25 (2) ◽  
pp. 279-288
Author(s):  
A. K. Lapina ◽  
O. N. Arharova ◽  
T. S. Rodina ◽  
V. D. Vagner
Keyword(s):  
Medical Care ◽  
Medical Records ◽  
Treatment Plan ◽  
Medical Documentation ◽  
Conflict Situations ◽  
Quality Of Medical Care ◽  
Main Instrument ◽  
The Moment ◽  
Medical University

Correct registration of primary medical documentation is very important for storage of diagnostic information, the treatment plan, information about the carrying out of medical manipulations for the elimination of dentofacial anomalies, for examination of quality of medical care in conflict situations. Medical card of the orthodontic patient (form 043- 1/у), approved by order of Ministry of Health of the Russian Federation On approval of unified forms of medical records used in medical organizations providing medical care in outpatient conditions and procedures for their filling from 15.12.2014, №834 is the main document of the orthodontist. At the moment, two years after the release of the order, you need to find out whether approved new medical report form in hospitals with orthodontic care, to determine the property of filling as the main instrument used for examination of quality of medical care provided. The article presents the results of the retrospective analysis of medical cards of the patients receiving orthodontic treatment in the dental clinic at Ryazan State Medical University. Found that detailed and properly designed, only 16,0% of medical cards. Orthodontists don't pay enough attention to the medical history, examination of patients, the conduct of clinical trials and the use of special additional methods of examination of patients, such as cephalometry and functional diagnostics.

scholarly journals Optimization of the work of a nutritionist physician using tools of lean technologies in a simulated clinic

2020 ◽  
Vol 15 (4) ◽  
pp. 283-289
Author(s):  
Oleg Lisovskii ◽  
◽  
Alexandr Gostimskii ◽  
Ivan Lisitsa ◽  
Anna Zavyalova ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Personnel ◽  
Medical Organization ◽  
Training Centre ◽  
Saint Petersburg ◽  
Quality Of Medical Care ◽  
The Individual ◽  
Medical University ◽  
Priority Project

The article presents the possibilities of implementing the priority project “New model of medical organization providing primary health care” aimed at increasing the accessibility and satisfaction of patients with the quality of medical care. An example of an outpatient dietary consultation shows the resources for detecting medical losses and ways of optimizing the activities of medical personnel using the tools of lean technologies. The article reflects the experience of the Training Centre for lean technologies in health care of the Saint Petersburg State pediatric medical university, created in 2018 with the aim of training medical workers of different specialties to use tools of economical production in conditions of simulated clinic. The conduct of business games and “The Factories of Processes” makes it possible to reconstruct the work of the individual office or the entire polyclinic. The possibility of standardization of medical processes, use of check-lists in the work and organization of each cabinet, introduction of the system “5S” and identification of medical losses with subsequent optimization of the initial reception is presented. In this work “The Process Factory” “The optimization of the appointment of a doctor-specialist” is presented, allowing to make a detailed analysis of the duration and structure of the reception, to perform the mapping of medical processes and to use visual management, considering the efficiency, Safety and quality of the doctor’s work. The acquired skills in simulated conditions help to implement this methodology and effectively use the tools of lean technologies in practice.

scholarly journals Motivation and working capacityof medical workersin the sphere of psychic healthcare as a predictor of their psychological well-being

2020 ◽  
pp. 53-62
Author(s):  
V.V. Chоrna ◽  
Keyword(s):  
Medical Care ◽  
Preventive Measures ◽  
Arithmetic Mean ◽  
Professional Activity ◽  
Working Capacity ◽  
Non Profit ◽  
Quality Of Medical Care ◽  
Female Nurses ◽  
External Motivation

Objective: We defined the internal and external motivation features, performed a differential assessment of the states of reduced working capacity in medical workers of the Vinnytsia O.I. Yushchenko Regional Clinical Psychoneurological Hospital, Vinnytsia Regional Council (Communal Non-Profit Enterprise) and developed the preventive measures. Materials and methods: 224 medical workers (15.2% of males and 84.8% of females) of the Clinical Psychoneurologic Hospital (Communal Non-Profit Enterprise) took part in the study. 38.8% of the doctors, 61.2% of the nurses took part in the survey. The length of service in the professional activity was (19.7+12.3) years among doctors and (15.5+11.1) years among nurses. The average age of the doctors made up (44.6+12.2) years, nurses – (37.2+11.4) years. We carried out a survey on the motivation of the professional activity of doctors and nurses by the methodology of K. Zamfir in the modification of A. Rean and a study based on the technique of A. Leonov, S. Velichkovskaya regarding the differential assessment of the states of reduced working capacity (DOSR) of workers of health care institutions. To calculate the arithmetic mean, standard arithmetic mean error, we processed the results with the help of the Statistica 6.1 for Windows licensed standardized package. In the study, we used the analysis of the work of domestic and foreign scientific sources, biblio-semantic, analytical, and statistical research methods. Results: The data of the survey of the psychoneurologic hospital medical workers regarding doctors' internal and external motivation and nurses' professional activity are presented in the article. Three types of motivation and the motivation complexes in healthcare workers were determined, the following classification of motivational factors were used: «motivators» and «context factors», or «hygienic factors», which provoke negative stress affecting the quality of medical care. Analysis of the survey data shows that the external negative motivation exceeds the external positive one in male doctors and female nurses – (3.2+0.8) and (3.0+1.2) points, respectively. That’s why these medical workers have a decrease in their interest in work, lack of striving for career growth, lack of self-perception, and an indifference to work, to patients, which can negatively affect the quality of medical care and interpersonal relationships the team and at home. The questionnaire results regarding the differential assessment of the states of the reduced working capacity of the psychoneurologic hospital workers have been analyzed. The results demonstrate a high level of oversaturation index in female doctors - 3.2% and female nurses - 1.6% and a high degree of fatigue - 4.8% and 3.9%, respectively, which can be assessed as a pre-disease state in women. The preventive measures to overcome these states and to improve the psychosocial environment for the quality performance of the professional duties and satisfaction with the work are proposed.

scholarly journals ORGANIZATION OF INTERNAL CONTROL OF QUALITY OF MEDICAL CARE (FACULTY CLINICS OF IRKUTSK STATE MEDICAL UNIVERSITY)

2017 ◽  
Vol 2 (3) ◽  
pp. 63-69
Author(s):  
Гайдар Гайдаров ◽  
Gaidar Gaidarov ◽  
Наталья Алексеева ◽  
Natalya Alekseeva ◽  
Наталья Сафонова ◽  
...  
Keyword(s):  
Medical Care ◽  
Internal Control ◽  
Quality Of Medical Care ◽  
Medical University

Monitoring the opinions of resident physicians on the state of healthcare system, quality of medical care, and readiness for professional activity in current conditions

2020 ◽  
Vol 26 (4) ◽  
pp. 205-210
Author(s):  
Nataliya A. Kasimovskaya
Keyword(s):  
Medical Care ◽  
Healthcare System ◽  
Medical Profession ◽  
Medical Personnel ◽  
Professional Activity ◽  
System Quality ◽  
Resident Physicians ◽  
Regional Health Care ◽  
Quality Of Medical Care

Despite the ongoing reforms, the staff shortage in the healthcare system and the loss of medical personnel in the field still negatively affect the quality of medical care. The article presents the results of monitoring the opinions of future resident physicians of the current organization and the quality of medical care and their readiness for professional activity, as well as their views to the healthcare system needs. It has been established that every third graduate was not ready for the profession before entering the residency, 36.7% considered their future profession to be nonprestigious, only half of the residents (50.3%) considered the medical profession to be highly paid, and personal aptitude (53%) and abilities (40%) were considered the leading factors in choosing the profession. The residents evaluated the quality of medical care at a high level only in a clinical setting (69.7%), and they do not plan to work in regional health care but prefer to stay in Moscow (60.3%). To preserve the healthcare system human resources, it is advisable to develop a program for managing risk factors for the professional environment, starting with training of personnel at the institute of higher education.

An Overview of Facilities Providing Clinical Services for Persons Who Stutter in Kuwait

2016 ◽  
Vol 1 (4) ◽  
pp. 79-95
Author(s):  
Latifa Alsalmi ◽  
Robert Mayo
Keyword(s):  
Special Education ◽  
Department Heads ◽  
Clinical Services ◽  
Medical Settings ◽  
Non Profit ◽  
Future Studies ◽  
Language Services ◽  
Medical Centers ◽  
Clinical Directors

Presently, no clear picture is available about the facilities providing clinical services for persons who stutter (PWS) in Kuwait. This information is crucial for any awareness program to be established in the future. The purpose of this study was to identify clinical facilities and speech-language personnel that provide services for PWS in Kuwait. Participants consisted of 21 clinical directors of governmental medical centers, non-profit clinics, and private clinics as well as department heads of governmental school clinics where speech-language services were provided. Participants were interviewed regarding the availability of speech-language services within their centers and whether or not PWS receive services. The results revealed that four out of five governmental medical centers with a total of 32 speech-language pathologists (SLPs) provided services for PWS. Additionally, 12 schools of special education were found to have 62 SLPs on their staff providing fluency services for students. Finally, two stand-alone private clinics and one non-profit clinic provided services for PWS. Results indicated an overall shortage of SLPs in the country, especially in medical settings. This study sets the foundation for a series of future studies investigating the type and quality of stuttering services provided by the identified facilities in Kuwait.

REORGANIZATION OF A MULTI-SPECIALTY HOSPITAL IN AN UNFAVORABLE EPIDEMIOLOGICAL SITUATION

2020 ◽  
pp. 43-46
Author(s):  
Nikitin A.E. ◽  
Znamenskiy I.А ◽  
Shikhova Yu.A. ◽  
Kuzmina I.V. ◽  
Melchenko D.S. ◽  
...  
Keyword(s):  
Contact Time ◽  
Laboratory Diagnostics ◽  
Protective Equipment ◽  
Timely Manner ◽  
High Quality ◽  
Institu Tions ◽  
Quality Of Medical Care ◽  
Spread Of Infection ◽  
Epidemiological Situation

This study provides a retrospective analysis of work to ensure high quality of medical care in an unfavorable epidemic situation. The consequence of COVID-19 was the implementation of a program to prevent the spread of infection, the re-profiling of medical institu-tions, and the introduction of restrictive and anti-epidemic measures. The experience of our work has shown the effectiveness of changing the order of med-ical care, the organization of the functioning of de-partments and patient routing. The study reflects the measures implemented in the hospital departments, the Department of clinical and laboratory diagnostics, radiation diagnostics and pathology Department. To ensure the safety of patients, it was decided to place patients on a single bed according to the type of infec-tious boxes. The safety of employees was ensured by the use of personal protective equipment, minimiza-tion of contact time with patients, and preventive weekly examination of staff for SARS-CoV-2 infection. The organized and well-coordinated work of the en-tire staff of the institution made it possible to prevent the spread of COVID-19 among employees, to detect cases of infection in a timely manner, and to carry out appropriate isolation and monitoring measures. At the time of completion of infectious diseases departments, the mortality rate among patients was less than 9%. Our experience in reorganizing a multi-specialty facil-ity can be used in the future when working with pa-tients who have undergone COVID-19, as well as in the context of a worsening epidemic situation.

Responsibility for a quality of medical care provided via telemedicine

2018 ◽  
Vol 2018 (1-2) ◽  
pp. 9-15
Author(s):  
Morozov S.P. ◽  
◽  
Vladzymyrskyy A.V. ◽  
Varyushin M.S. ◽  
Aronov A.V. ◽  
...  
Keyword(s):  
Medical Care ◽  
Quality Of Medical Care
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