PROSPECTS FOR THE USE OF STANDARDS FOR QUALITY MANAGEMENT SYSTEMS IN HEALTHCARE INSTITUTIONS
DOI:
https://doi.org/10.11603/1681-2786.2019.3.10590Keywords:
standard, quality management system, healthcare institutions, healthcareAbstract
Purpose: to determine the differences in the requirements of the standard "DSTU EN 15224: 2019 (EN 15224: 2016, IDT). Quality management systems. EN ISO 9001: 2015 for healthcare" from the requirements of the universal standard "DSTU ISO 9001: 2015 (ISO 9001: 2015, IDT). Quality management systems. Requirements".
Materials and Methods. Scientific literary sources, domestic and international documents, standards for quality management systems were used. Methods of a systematic approach, systemic and comparative analysis, content analysis, graphic were applied.
Results. The characteristics of the quality of medical care are presented in more detail (appropriate, correct care, accessibility, continuity of care, effectiveness, efficiency, equity, patient safety, timeliness, evidence/knowledge based care, patient centred care, patient involvement) in a standard specific to the healthcare sector, unlike the existing ones (efficiency, effectiveness, patient focus, patient safety, timeliness). The concept of patient needs for medical care is specified as the deviation of the current state of health from the desired. It is noted that the process approach in a healthcare institution should be focused on clinical processes, and risk-based thinking should be directed to patient safety and the development of preventive measures. It is recommended that clinical processes should be managed based on the Deming Cycle (PDCA). The structure of the processes is represented by clinical processes, resource management processes, management, research and educational processes. The importance of the formation, accumulation and use of their own knowledge base in a health care institution was emphasized.
Conclusions. The studied standard, specific to the healthcare sector, will complement the arsenal of management tools for the development, implementation and support of the functioning of quality management systems for medical care in healthcare institutions after they have been put into effect in Ukraine.
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