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Medical Care Safety - Problems and Perspectives

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Integrated Science in Digital Age (ICIS 2019)

Part of the book series: Lecture Notes in Networks and Systems ((LNNS,volume 78))

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Abstract

The article presents modern views on the essence of the term “medical care safety”, and describes the relevance of the topic, systemic approaches to adverse event risk management in medicine. The authors consider the term “medical care safety” as the ratio of the benefit for the patients and the risk of harm to the patient and medical staff, as well as the risk of unfavorable changes in the internal and external environment. Additional harm related to medical care (adverse events) is observed in 10.6% of hospitalized patients. Medical errors, as a cause of preventable harm, account for 45.5% of cases, other adverse events are classified as unpreventable. The cumulative probability of severe harm among patients with medical care-related complications is 11.8%, of unexpected death – 5.3%. Deaths due to adverse events account for 24.9% of hospital mortality and 9.7% of population deaths. High percentage of deaths unrelated to the progression of the underlying disease and comorbidities allows the authors to define medical care as a high-risk type of services. Systemic causes of medical care-related additional harm are latent threats that are constantly present and subsequently transformed into incidents and adverse events at the level of medical staff, patients and the environment in which medical care is provided. Identification of all latent threats and subsequent management of their transformation is the basis of the modern strategy of medical care safety management. It is impossible to ensure high level of safety in medical facilities without formation of a new culture not only at the level of an individual medical facility but also at the level of the government, the entire medical care system and the society.

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Author information

Authors and Affiliations

  1. Russian Medical Academy of Continuing Professional Education, Ministry of Health of Russia, 2/1 Barrikadnaya Street, Building 1, Moscow, 125993, Russia

    Yuriy Voskanyan

  2. Central Research Institute for Organization and Informatization of Medical Care, Ministry of Health of Russia, 11 Dobrolyubova Street, Moscow, 127254, Russia

    Irina Shikina & David Davidov

  3. Central State Medical Academy Office of the President of the Russian Federation, 19 Marshala Timoschenko Street, Building 1A, Moscow, 121359, Russia

    Irina Shikina

  4. State Government Institution of Moscow City “Informational-Analytical Center” for Medical Care, 10 Basmannaya Novaya Street, Building 1, Moscow, 107078, Russia

    Fedor Kidalov

Authors
  1. Yuriy Voskanyan
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  2. Irina Shikina
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  3. Fedor Kidalov
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  4. David Davidov
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Corresponding author

Correspondence to Irina Shikina .

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Editors and Affiliations

  1. Institute of Certified Specialists (ICS), Perm, Russia

    Tatiana Antipova

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Voskanyan, Y., Shikina, I., Kidalov, F., Davidov, D. (2020). Medical Care Safety - Problems and Perspectives. In: Antipova, T. (eds) Integrated Science in Digital Age. ICIS 2019. Lecture Notes in Networks and Systems, vol 78. Springer, Cham. https://doi.org/10.1007/978-3-030-22493-6_26

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