医疗机构质量管理:内部控制有效性的评价类别

N. Kuchin, Y. Tyukov
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摘要

介绍。医疗活动质量和安全的内部控制系统(内部控制,IC)的创建和管理是任何医疗组织管理周期的重要步骤。IC系统是当今俄罗斯医疗保健中讨论最多的控制类型之一。与此同时,在医疗机构中对这种地方系统的管理仍然是讨论的主题。目标。分析医疗机构(以下简称MO)开展的活动的完整性和强度对内部控制结果的影响。材料和方法。作者运用一份正式的问卷(检查表)进行了社会学研究,以确定内部控制有效性的评价类别。研究的参与者是车里雅宾斯克地区89个州的内部控制经理。结果。提高内部控制系统的稳定性作为任何组织的强制性和持续性活动,需要制定额外的管理措施,包括建立统一的信息框架,缩小区域内组织之间的信息差距,扩大使用基于事件和风险的内部控制技术,以及分析内部控制主体的资源和人员配备。引用:Kuchin NЕ, Tyukov YuА。医疗机构的质量管理:内部控制有效性的评价类别。城市卫生с。2023;4(1): 50-60 doi: 10.47619/2713-2617.zm.2023.v. 411;50-60。
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Quality management in medical organization: evaluation categories for internal control effectiveness
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.
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