Experience of quality management system neurological care in the city of Togliatti
Science Articles / / August 12, 2017
Hutorskoy ML Toreeva E, K. City Hall Health Department, Tolyatti
Under the conditions of the existing financial shortfall the main task of the health care system -. To ensure stable and efficient its functioning on the basis of rational use of resources.
quality health care - a complex category, which is defined by many parameters, and requires a special control technology to the quality of the beginning of work, based on a systematic approach.
For management purposes, requires monitoring of quality indicators, among which are particularly relevant outcome indicators - indicators of the degree of achievement of expected results.
to indicators of quality we assign statistical indicators of hospitals according to the accounting documents and indicators obtained during the automated examination of the quality of care.
necessary to share such things as the quality of medical services and quality of care.If the quality of medical services is the task of the medical institution, which can and should
Work on the creation of a system to improve the quality neurological care in Togliatti started with the selection of a number of important issues that which has the greatest significance for the offering of harm to patients at cost and feasibility.This problem was the quality of care for patients with acute ischemic stroke.
work to analyze the situation to determine health care as reasons improper stroke patients was carried out for two years.the deviation of the actual state of the object to the desired, developed and implemented management solutions to bring the object control to the desired state, carries out constant coordination and supervision of works for the implementation of management decisions and by closing the management cycle, conducted the situation analysis have been identified to assess the effectiveness of the measures anddefinition of the next plan.
As a result of the work it became clear that the Department of Health adopted the mayoralty of Tolyatti management decision aimed at strengthening cooperation between the ambulance, outpatient care and hospitals of the city in the provision of medical care to patients with acute ischemic stroke were successful, thatIt confirmed the practical disappearance of continuity errors.Medical care provided to patients with strokes, has been made available, as patients become timely diagnostic tests and specialized care in a hospital, and a safe, as it significantly reduced the number of medical errors.
When analyzing the data of statistical reports marked increase in the number of treated patients with acute ischemic stroke in a hospital 1.5 times, due to changes in the organization of work emergency.Outside the hospital in 2001, died 39,3% of the working age population from among all patients, while the figure was over 50% in recent years.
This work has shown the real possibility of controlling the quality neurological care, which is determined by optimal technology choice ensures the best results with economical expenditure of funds and minimize medical errors.
further neurological problems, the most urgent for the city, is the problem of the pathology of the nervous system in newborns and infants.
in Tolyatti prevalence of perinatal pathology of the central nervous system is 2003 to 1000 children under 1 year, t. E. Patients are every 2 out of 10 children.The pathological conditions originating in the perinatal period, up 62.6% in the structure of neonatal pathology.60.0% in the structure of child disability takes cerebral palsy.
Meanwhile, in the city there are hospitals that can provide highly skilled, specialized care for this category of children.These are two well-equipped hospital, neonatal intensive care unit, children's neurology department, clinic, rehabilitation center for children "Ariadne" and the children's sanatorium.
group of experts is currently working on a clinical and organizational guidelines for the management of patients with perinatal encephalopathy, which will determine the appropriate clinical actions taken by medical staff when a patient administered with perinatal encephalopathy, lead to a uniform interpretation of terms and diagnosis.The next step will be the development and management decisions aimed at establishing a quality health care system.