Astrakhan, Russian Federation
Among the key performance indicators of the health care system, the priority is to ensure the quality and safety of medical care. State regulation of these aspects of medical activity is certainly necessary, however, the regulations adopted at this level define the principles and foundations, which, in order to ensure their rigorous implementation, in most cases are subject to substantive detailing and development in local acts. In practice, the creation of comprehensive standards for each specific treatment and diagnostic process and operation is the prerogative and duty of the management of medical institutions. With the adoption in 2021 of sanitary and epidemiological requirements for the prevention of infectious diseases, the obligation to standardize operational processes is enshrined in law. At the same time, due to the lack of an approved development procedure and the form of standard operating procedures, the search for an optimal approach to the implementation of this quality management tool continues. The authors believe that the implementation of the development of standards of operating procedures should be carried out on the basis of the regulations for interaction within the framework of diagnostic and treatment processes, in turn, formed in accordance with the current state regulations in the direction of medical care. According to the authors, the effectiveness of standards of operating procedures in terms of ensuring the quality and safety of medical care and the introduction of the principle of lean operation into the work of a medical organization, among other things, largely depends on the regulation of the training processes for performers, control and evaluation system for the performance of standards of operating procedures. The paper presents a possible approach to the process of developing a standard of operating procedures as the basis of a quality management system for medical care
hospital hygiene, standards of operating procedures, quality and safety of medical care, prevention of healthcare-associated infections, lean operation
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