On the issue of supplementing the risk criteria of the federal state control (supervision) of the quality and safety of medical activity

Abstract

Introduction. In the first quarter of the 21st century, the healthcare sector underwent a transition to a risk-based control model, however, the scientific community notes the lack of completeness and validity of risk criteria that must comply with the principles of the rule of law and the need for dynamic adaptation to the conditions of medical care.
The purpose of the study: to identify areas for supplementing the current list of risk criteria for federal state control (supervision) of the quality and safety of medical activities.
Materials and methods. A content analysis of regulations containing requirements for risk indicators in the context of medical activity has been performed. Results. Risk criteria are a measure of assessing its significance, they must be reliable, accessible, measurable, sensitive to a high probability of harm to health, and contain a description of the objects of control (production facility, activity, or its result). Currently, the risk criteria approved for the federal state control (supervision) of the quality and safety of medical activities do not fully reflect the potential diversity of control objects, which suggests that there is potential for their improvement in the form of appropriate additional parameters.
Conclusion. In medicine, a sufficient amount of knowledge has been accumulated about the causes and conditions contributing to the occurrence of harm to the life or health of patients, which made it possible to level out the objective difficulties of formalizing manageable risk factors, which is a key preliminary stage for developing appropriate criteria.