Medical Care Safety - Problems and Perspectives

  • Yuriy Voskanyan
  • Irina ShikinaEmail author
  • Fedor Kidalov
  • David Davidov
Conference paper
Part of the Lecture Notes in Networks and Systems book series (LNNS, volume 78)


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.


Medical care safety Adverse events Incident Unexpected death 


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Authors and Affiliations

  1. 1.Russian Medical Academy of Continuing Professional EducationMinistry of Health of RussiaMoscowRussia
  2. 2.Central Research Institute for Organization and Informatization of Medical CareMinistry of Health of RussiaMoscowRussia
  3. 3.Central State Medical Academy Office of the President of the Russian FederationMoscowRussia
  4. 4.State Government Institution of Moscow City “Informational-Analytical Center” for Medical CareMoscowRussia

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