USE OF QUALITY CRITERIA IN ORDER TO ASSESS THE MEDICAL CARE IN «TOXICOLOGY»

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In accordance with Federal and Departmental documents, a set of characteristics reflecting the timeliness of medical care including toxicological care and the degree of achievement of the planned result is given, the organization and the need for departmental control of quality and safety of medical activities, which consists of documentary and targeted audits, are presented.
Experts assessing the quality of care in toxicology (time characteristic of the provision of medical services, consultation with specialists, classification of the diagnosis, timeliness of care, use of antidote therapy and chemical toxicological diagnostics) rely on the procedure, standards, protocols, recommendations and national guidance. The knowledge by doctors of various specialties of the criteria for providing assistance assessing the quality of the provision of medical services to patients with acute chemical trauma are necessary to improve their competencies and prevent unwanted complications.

作者简介

Yu. Ostapenko

Scientific and Practical Toxicological Center of Federal Medical and Biological Agency, 129090, Moscow

编辑信件的主要联系方式.
Email: fake@neicon.ru
Остапенко Юрий Николаевич (Ostapenco Yuri Nikolayevich), к.м.н., ФГБУ НПТЦ ФМБА России, доцент, главный токсиколог Минздрава России, член Правления Всероссийской общественной организации токсикологов, член Европейской ассоциации токсикологических центров и клинических токсикологов, заслуженный врач РФ

俄罗斯联邦

B. Yatsinyuk

Khanty-Mansiysk State Medical Academy, 628011, Khanty-Mansiysk

Email: tocsboris@mail.ru
Яцинюк Борис Борисович (Yatsinyuk Boris Borisovich), кандидат медицинских наук, заведующий кафедрой анестезиологии-реаниматологии, скорой медицинской помощи и клинической токсикологии  俄罗斯联邦

S. Vasil’ev

I.I. Mechnikov North-Western State Medical University, 191015, Saint Petersburg

Email: fake@neicon.ru
Васильев Сергей Анатольевич (Sergey Anatolyevich Vasil’ev), д.м.н., профессор кафедры токсикологии, экстремальной и водолазной медицины  俄罗斯联邦

A. Laptev

Khanty-Mansiysk State Medical Academy, 628011, Khanty-Mansiysk

Email: fake@neicon.ru
Лаптев Алексей Михайлович (Laptev Alexey Michailovich), ассистент кафедры анестезиологии-реаниматологии, скорой медицинской помощи и клинической токсикологии  俄罗斯联邦

P. Gavrikov

Khanty-Mansiysk State Medical Academy, 628011, Khanty-Mansiysk

Email: fake@neicon.ru
Гавриков Павел Павлович (Gavrikov Pavel Pavlovich), ассистент кафедры анестезиологии-реаниматологии, скорой медицинской помощи и клинической токсикологии 俄罗斯联邦

参考

  1. Federal act from 21.11.2011 № 323 «About bases of citizens’ healthprotection in Russian Federation» (as revised in 07.03.2018) (in Russian).
  2. Regulation about Ministry of health, adopted by government decree from 19.06.2012 № 608 (in Russian).
  3. Order of Ministry of health from 21.12.2012 №1340n «About approved arrangement of organization and holding of administrative monitoring of quality and safety health activity» (in Russian).
  4. Order of Ministry of health from 10.05.2017№203n «About approvedcriteria of quality assessment of medical assistance» (in Russian).
  5. Order of Ministry of health from 15.11.2012№925n «About approved arrangement ofmedical assistance of ill persons with sharp chemical toxification» (in Russian).
  6. E.A. Lugnikov, as revised in Medical toxicology: National governance. Moscow. GEOTAR-Media; 2014 – page 928 (in Russian).
  7. Letter of Ministry of health from 30.04.2013№13-2/10/2-3113 «About usage of medical assistancestandards and arrangements» (in Russian).
  8. Order of Federal Compulsory Medical Insurance Fundfrom 01.12.2010№230 as revised in 22.02.2017) «About approved arrangement of organization and holding of monitoring amount, terms, qualities of medical assistance with the usage of medical insurance» (in Russian).
  9. Sabaev A.V., Livanov A.S., Bonitenko E.Y. Alcohol toxic effect: Federal clinical guidelines. Clinicaltoxicologist association. Moscow.; 2013 – page 50 (in Russian).
  10. Ilyashenko K.K., Brusin K.M. Ermokhina T.V. Intoxicationcaused by cocaine and psychostimulantaddicted drugs: Federal clinical guidelines. Clinicaltoxicologist association. Moscow.; 2013 – page 50 (in Russian).
  11. Ilyashenko K.K., Bochkov I.V., Emtsov V.I. Intoxication by narcotics and psychedelic drugs: Federal clinical guidelines. Clinicaltoxicologist association. Moscow.; 2013 – page 40 (in Russian).
  12. Livanov G.A., Vasilyev S.A., Batotsyreniv B.V. Intoxication bypsychopharmaceuticals which are not classified in other sections: Federal clinical guidelines. Clinicaltoxicologist association. Moscow.; 2013 – page 38 (in Russian).
  13. Sivoraksha G.V. Bonitenko E.U. Livanov A.S. Toxic effect of methanol and glycohol alcohol: Federal clinical guidelines. Clinicaltoxicologist association. Moscow.; 2013 – page 38 (in Russian).
  14. Zobnin Y.V., Lezhenina N.F., Sukhodolova G.N. Carbonic oxide toxic effect: Federal clinical guidelines. Clinicaltoxicologist association. Moscow.; 2013 – page 39 (in Russian).
  15. Sentsov V.G., Yatsinyuk B.B., Afanasyev V.V. Intoxicationby medications which effect on cardiovascular system: Federal clinical guidelines. Clinicaltoxicologist association. Moscow.; 2013 – page 77 (in Russian).
  16. Prokhorovskaya A.G., Kuvakova R.I., Mokrushin A.V. The corrosivetoxic effect, toxic effect of soaps anddetergents: Federal clinical guidelines. Clinicaltoxicologist association. Moscow.; 2013 – page 42 (in Russian).
  17. Musselius S.G., Ryk A.A., Lezhenina N.F. Toxic effect of others toxicant substances containing in eaten mushrooms: Federal clinical guidelines. Clinicaltoxicologist association. Moscow.; 2013 – page 37 (in Russian).
  18. Brusin K.M., Ilyashenko K.K., Ermokhina T.V. Intoxication byanticonvulsant, sedative, hypnagogue and antiparkinsonian medications: Federal clinical guidelines. Clinicaltoxicologist association. Moscow.; 2013 – page 45 (in Russian).
  19. Letter of Federal Compulsory Medical Insurance Fund№8240/30-5/n from 31.12.2015«About usage of clinical guidelines in quality control of medical assistance» (in Russian).
  20. Letter of Federal Compulsory Medical Insurance Fund from 25.06.2015№3994/30-5/I «About illustrative arrangement of hospitalization assessment and about usage of institution of representatives medical insurance organization in medical organizations, also supplemental materials for common use of practical policies for survey questionnaire of the insured in compulsory health insurance sphere, approved by order Federal Compulsory Medical Insurance Fund from 11.06.2015 № 103 (in Russian).
  21. Russian medicinal preparationregister. Encyclopedia of medication and pharmacy staff.Aviable at: https://www.rlsnet.ru
  22. Order of Ministry of health from 27.01.2006№40 «About organization of carrying of chemical-toxicological research of analytic diagnoses of existence alcohol, narcotic drugs and psychotropic substances and other toxic stuffs in a human body (in Russian).

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