ASSESSMENT OF THE RISK OF MEDICAL ERRORS OF DOCTORS OF DIFFERENT PROFILES OF THE EASTERN KAZAKHSTAN REGION
Relevance. From a medical point of view, “medical error” is the impossibility of carrying out the necessary diagnosis or treatment within the framework of the clinical protocol for objective and subjective reasons. It is important to note that a large proportion of medical errors occur not because of the low professionalism of medical workers, but because of a failure in communication between doctors and patients and conflicts between them, therefore, the study of the risks of medical errors always remains relevant.
The aim of the study: to assess the risks of medical errors of doctors of different profiles of the East Kazakhstan region.
Materials and research methods. We analyzed the current legislation in the field of healthcare, as well as the annual reports of the Department for Quality Control and Safety of Goods and Services of the East Kazakhstan region (DQCSGS EKR) for the period 2014-2018.
Research results. As a result of the analysis of the annual reports of the (DQCSGS EKR) in the context of the specialties, it was revealed that in the appeals of individuals and legal entities for 2014-2018, the leading positions are held by examinations involving physicians - 199 cases (23,69%), surgeons 149 cases (17,74%) and obstetrician-gynecologists 115 (13,69%). Specialists: neuropathologists, neonatologists, and traumatologists were also often enough involved in conducting examinations - in 96 (11,43%), 58 (6,90%), 46 (5,48%) cases, respectively. Moreover, in all sections there are a large number of appeals for “poor-quality treatment”, “the validity of issuing a certificate of incapacity for work”, “violation of ethical and deontological standards”. It is worth noting that a larger number of examinations were recognized as “unfounded” in the verdict of an expert doctor, while “substantiated” and “partially justified” appeals of individuals and legal entities were registered in equal shares.
Conclusion. Thus, as a result of the study, it was found that the greatest attention is required for patients receiving therapeutic and surgical care both at the inpatient and outpatient levels. The quality of the services provided and the reasonable issuance of disability certificates should be monitored in medical institutions in several stages, which will reduce the number of requests for these reasons. Ethics and deontology, a topical issue in all specialties, periodic preventive discussions, trainings or trainings with the involvement of psychologists or psychotherapists at each stage of the work of medical institutions will help to establish a process of interaction and satisfy all patient expectations.
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Andreyeva O., Adylkhanov T., Rakhmankulova A., Uagyzkhankyzy Zh., Sayapina E., Kabykenova M., Ergaliyeva K., Assemzhanova A., Boranbayeva Zh., Tursymbayeva T., Kaldykulova A., Kamadanova D. Assessment of the risk of medical errors of doctors of different profiles of the Eastern Kazakhstan region // Nauka i Zdravookhranenie [Science & Healthcare]. 2020, (Vol.22) 3, pp. 105-118. doi 10.34689/SH.2020.22.4.011Related publications:
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