牙科医疗活动的安全

Andreeva S.N., Furchakova A.V.
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引用次数: 0

摘要

今天,确保病人和医务人员的安全是医疗实践的一个组成部分。在牙科领域,这个问题尤其重要,因为在被起诉的医生中,牙医的职业失误频率最高,病人对医疗质量的投诉频率也最高。本文讨论了医疗活动的安全性和医疗机构的医疗安全,一般来说,特别是在牙科领域,对与这些概念相关的监管文件进行了分析,并考虑了术语问题。对文献资料的分析表明,今天对“医疗活动安全”概念的解释存在不确定性,因为缺乏对这一概念的立法规定。关于牙科执业,医疗活动的安全包括病人的安全、医务人员的安全、提供牙科护理的环境的安全,以及药品和医疗牙科设备的安全。组织、法律、人员和经济安全也可视为医疗活动安全的组成部分。同时,对医疗活动安全、医疗护理安全、医疗服务安全、医疗环境安全等概念之间的关系也没有明确的认识。迄今尚未解决的一项重要任务是确定评估医疗活动安全的标准。考虑到医疗活动安全概念的多样性和医疗活动的特殊性,有必要为包括牙科在内的每个专业制定评估医疗活动安全的标准。似乎所有医疗活动的评估结构应该是统一的,但应包括个别专业医疗活动安全的具体要素和标准。
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SAFETY OF MEDICAL ACTIVITY IN DENTISTRY
Today, ensuring the safety of patients and medical personnel is an integral part of medical practice. In dentistry, this problem is especially relevant, given the fact that dentists occupy one of the leading places in terms of the frequency of professional errors among doctors who have been sued, as well as the frequency of complaints from patients about the quality of medical care. This article discusses the safety of medical activities and the safety of medical care in medical organizations, in general, and in dentistry in particular, an analysis of the regulatory documentation in relation to these concepts is carried out, and issues of terminology are considered. Analysis of literary sources shows that today there is uncertainty in the interpretation of the concept of "safety of medical activity" due to the lack of a legislatively enshrined definition of this concept. With regard to dental practice, the safety of medical activities includes the safety of the patient, the safety of medical personnel, the safety of the environment in which dental care is provided, as well as the safety of pharmaceuticals and medical dental equipment. Organizational, legal, personnel and economic security can also be considered as constituent parts of the safety of medical activities. At the same time, there is no unambiguous understanding of the relationships between the concepts of safety of medical activity, safety of medical care, safety of medical services, safety of the medical environment. An important unresolved to date task is to determine the criteria for assessing the safety of medical activities. Taking into account the versatility of the concept of the safety of medical activities and the specifics of medical activities, it is necessary to develop criteria for assessing the safety of medical activities for each specialty, including dentistry. It seems that the assessment structure should be uniform for all medical activities, but include specific elements with criteria for the safety of medical activities in individual specialties.
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