Abstract
The work analysed the impact of macro factors on effectiveness of medical care safety management system implementation in a medical organization. The authors show that existing macro factors in Russia hinder objective assess the amount of damage associated with the provision of medical care. In addition, they do not allow for setting up an effective system for adverse events risk management in medicine. Foremost, it is an imperfect economic model of the state health care system in Russia, the crisis of medical education system, government regulation of the industry, which does not take into account the main scope of medical workers activities. Formation of a general negative image of health care system in the media and the growing practice of criminal prosecution of doctors is important. It is shown that the solution of the described problems is impossible without effective interaction between the state, health care authorities, society and medical organizations. The economic model of state health care should be changed on a state level. The legislative and executive bodies should adopt a series of normative legal acts. Those acts should recognize the inevitability of adverse events, define their true causes, and classify health care as a high-risk service sector. They should also ensure rights and freedoms for health care providers, as well as formalize rights and obligations of patients. At the level of the health care authorities, national security programs should be developed, state regulation of the industry should be optimized and profound reform of the medical education system should be carried out. The latter implies the creation of university clusters, a change of the paradigm of value formation in health care and a change of models of competencies for graduate and specialist doctors. At the societal level, an open discussion regarding medical care safety should be organized and every effort should be made to create a unified team in safety management consisting of health care providers, patients, and their families.
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References
The head of the Ministry of Health announced the statistics: medical failures lead to complications in 70 thousand patients a year. Interfax, 08 February 2020. https://www.interfax.ru/russia/694577
Medvestnik: The number of complaints to the Investigative Committee against doctors doubled in 2019 (2019). https://medvestnik.ru/content/news/Chislo-jalob-grajdan-v-Sledstvennyi-komitet-na-deistviya-vrachei-v-2019-godu-vyroslo-vdvoe.html
League of Patients’ Advocates. Reasons for citizens’ appeals to the Patients’ League: http://ligap.ru/articles/analitika/uroven/prichina/
Voskanyan, Y., Shikina, I., Kidalov, F., Davidov, D.: Medical care safety - problems and perspectives. In: Lecture Notes in Networks and Systems, vol. 78, pp. 291–304 (2020). https://doi.org/10.1007/978-3-030-22493-6_26
Zegers, M., Bruijne, M.C., Wagner, C., et al.: Adverse events and potentially preventable deaths in Dutch hospitals: results of a retrospective patient record review study. Qual. Saf. Health Care. 18, 297–302 (2009)
Nilson, L., Risberg, M.B., Montgomery, A., Sjodahl, R., Schldmeijer, K., Rutberg, A.: Preventable adverse events in surgical care in Sweden. A nationwide review of patient notes medicine. Med. (Baltim.) 95(11), (2016). https://doi.org/10.1097/md.0000000000003047
Halfon, P., Staines, A., Burnand, B.: Adverse events related to hospital care: a retrospective medical records review in a Swiss hospital. Int. J. Qual. Health Care 29(4), 527–533 (2017). https://doi.org/10.1093/intqhc/mzx061
Rafter, N., Hickey, A., Conroy, R.M., Condell, S., O’Connor, P., Vaughan, D., Walsh, G., Williams, D.J.: The Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals - a retrospective record review study. BMJ Qual Saf. 26(2), 111–119 (2017)
Atkinson, M.K., Schuster, M.A., Feng, J.Y., Akinola, T., Clark, K.L., Sommers, B.D.: Adverse events and patient outcomes among hospitalized children cared for by general pediatricians vs hospitalists. JAMA Netw. Open. 1(8), e185658 (2018). https://doi.org/10.1001/jamanetworkopen.2018.5658
Forster, A.J., Huang, A., Lee, T.C., Jennings, A., Choudhri, O., Backman, C.: Study of a multisite prospective adverse event surveillance system. BMJ Qual. Saf. 1–9 (2019). https://doi.org/10.1136/bmjqs-2018-008664
Makary, M.A., Daniel, M.: Medical error—the third leading cause of death in the US. BMJ 353(3), 1–5 (2016)
Report on the results of the expert and analytical event “Evaluation of spending efficiency in 2018–2019, federal budget funds allocated to develop the material and technical base of children’s clinics and children’s clinics departments of medical organizations providing primary health care”. Bulletin of the Accounts Chamber of the Russian Federation, no. 2 (2020)
Healthcare in Russia: Statistical collection (2019)
Ulumbekova, G.E.: Healthcare of Russia. What to do?, 3rd edn. Moscow (2019)
Sonkina, A.A.: Skills of professional communication in doctor’s work. ORGZDRAV: News. Opinions. Teaching. Herald Higher School, no. 1(1) (2015)
Colla, J.B., Bracken, A.C., Kinney, L.M., Weeks, W.B.: Measuring patient safety climate: a review of surveys. BMJ Qual. Saf. 14(5), 364–366 (2005)
Mintzberg, G.: Management: nature and structure of organizations. Moscow (2018). (in Russian)
O’Hagan, J., MacKinnon, N.J., Persaud, D., Etchegary, H.: Self-reported medical errors in seven countries: implications for Canada healthcare quarterly 12(Sp), 55–61 (2009). https://doi.org/10.12927/hcq.2009.2096
Antipova, T., Shikina, I.: Informatic indicators of efficacy cancer treatment. In: 12th Iberian Conference on Information Systems and Technologies (CISTI) Lisbon, Portugal, 21–24 June 2017, pp. 1–5. https://doi.org/10.23919/cisti.2017.7976049. http://ieeexplore.ieee.org/document/7976049/
Malignant neoplasms in Russia in 2018 (morbidity and mortality)/Under edition of A.D. Kaprin, V.V. Starinskiy, G.V. Petrova. Herzen Research Institute, Branch of FSBI “National Medical Research Radiological Center” of the Ministry of Health of the Russia, Moscow (2019)
Act on Patient Safety in the Danish Health Care System ACT No. 429 of 10/06/20037
Macchi, L., Pietikäinen, E., Reiman, T., Heikkilä, J., Ruuhilehto, K.: Patient safety management. Available model and system. VTT Technical Research Centre of Finland (2011)
Nordin, A.: Patient safety culture in hospital setting. Measurements, health care staff perceptions and suggestions for improvement. Karlstad University, Faculty of Health, Science and Technology Department of Health Sciences, Sweden (2015)
WHO patient safety curriculum guide: multi-professional edition. World Health Organization (2011)
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Voskanyan, Y., Shikina, I., Kidalov, F., Andreeva, O., Makhovskaya, T. (2021). Impact of Macro Factors on Effectiveness of Implementation of Medical Care Safety Management System. In: Antipova, T. (eds) Integrated Science in Digital Age 2020. ICIS 2020. Lecture Notes in Networks and Systems, vol 136. Springer, Cham. https://doi.org/10.1007/978-3-030-49264-9_31
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