[The modern approaches to the organization of the expertize of the quality of medical care in the multi-type hospital].
The issue of revealing the risks ans losses applying the target analysis of every particular case with no expected outcome is discussed. The major role in the success of the total quality management system is played by factor of personnel attitude to searching and revealing the risks and losses at their own work places. The need to establish at the level of administrative management of the organization the system of motivating the personnel to actively participate in the process of controlling the losses and the resource economy in their working zone. The conclusion is made that the orientation towards the Heinrich Law actualizes the issue of revealing the risks (in public health it is the divergence from the technological standards) and the losses (i.e. the obvious defects in the curative diagnostic process). The implementation of the Heinrich Law inputs the technique of controlling the risks and the discrepancies (the deviations). Imminent is the need to modify the principles of the expertize of the total quality management, its optimization and transformation from the establishing system to effectual one targeted not to looking for and punishing the culpables but to elaborating the correctional and preventives activities for the purpose of minimizing the risks and continuous enhancing the processes.
Breskina
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D006298:Health Services Administration; D006769:Hospitals, General / Q000592:standards*; D006801:Humans; D018570:Risk Assessment; D012426:Russia; D017749:Total Quality Management / Q000379:methods*