Quality management in medical organization: evaluation categories for internal control effectiveness

Abstract

Introduction. The creation and administration of internal control system for quality and safety of medical activities (internal control, IC) is an essential step of the management cycle in any medical organization. IC system is one of the most discussed types of control in the Russian healthcare today. At the same time, management of this local system in medical organization remains the subject of discussion. Objective. To analyze the impact of the completeness and intensity of activities carried out at medical organization (hereinafter referred to as MO) on the results of internal control. Materials and methods. Authors conducted a sociological study with a formalized questionnaire (checklist) to identify evaluation categories for the internal control effectiveness. The study participants were the internal control managers from 89 state MOs of the Chelyabinsk Region. Results. Increasing the stability of the internal control system as a mandatory and continuous activity for any MO requires the development of additional management measures, including creating a unified information framework, reducing the information gap between MOs within a region, expanding the use of incident and risk-based internal control technologies as well as analyzing the resources and staffing of IC subjects. For citation: Kuchin NЕ, Tyukov YuА. Quality management in a medical organization: evaluation categories for internal control effectiveness. City Healthсare. 2023;4(1): 50-60 doi: 10.47619/2713-2617.zm.2023.v.4i1;50-60.