Роль лечебного контроля в повышении качества оказания медицинской помощи в Хабаровском филиале ФГАУ «МНТК «Микрохирургия глаза» им. акад. С.Н. Федорова» Минздрава России

[摘要] Purpose.Analysis of the quality of a medical ophthalmic care (QMOC), provided to patients at the Branch from 2010 to 2014.Material and methods . Evaluation of the QMOC was carried out on continuous selection of inpatients and outpatients for the period 2010-2014. Two basic components of clinical outcomes were assessed: the technology of treatment and functional results. The total quantity of the studied patients was 115394  persons. The assessment of quality in maintaining medical documentation was performed in the analysis of 106347 medical anamnesis and files of the patients who finished treatment at the Branch during 2010-2014. The patients’ satisfaction with QMOC was checked by an anonymous questionnaire using the assessment scale.  Results.The maximum clinical outcome (10 or 12 points) was achieved in the treatment process in the vast majority of patients (98.8%). The deviation from a standard of clinical result of treatment took place in 1.2% of cases. The review and analysis of the causes of deviations of the clinical outcome of treatment from the standard allowed significantly to reduce the quantity of complications within the postoperative follow-up period – 1.7 times. A systematic analysis of completeness of diagnostic examination, adequately chosen treatment allowed to reduce the number of complications in the postoperative period in 2 times. Analysis of all types of defects in maintaining primary medical documentation allowed to decrease them during 2010-2014 in 1.5 times. Despite the available defects, in general the QMOC was always highly evaluated by all categories of respondents and was fluctuated from 98.8% to 100%.Conclusion.The system of an assessment of clinical result of treatment of patients applied at the Branch and developed at the S. Fyodorov Eye Microsurgery Federal State Institution allows to reveal effectively defects of diagnostic examination and disturbance of technology in the treatment. Its use, according to the analysis for the period 2010-2014, allowed to reduce the frequency intra- and post-operative complications twice.

[学科分类] 眼科学

[关键词] quality of medical ophthalmic care;clinical and functional result of treatment;defects of maintaining of medical documentation;questioning of patients;качество медицинской офтальмологической помощи;клинический и функциональный результат лечения;дефекты ведения медицинской документации;анкетирование пациентов