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The Unit for control of services quality and patient safety
The Unit was established to improve the medical services quality management system, based on optimizing the internal processes of the center, aimed at ensuring the rights of patients to receive timely, high-quality and safe medical services in the required volume. The activity of the Unit is carried out through the “Program for the continuous improvement of quality and patient safety”, approved by the decision of the founder of The “Hospital Complex of Tomotherapy and Nuclear Medicine” LLP (hereinafter - the Center).
The result of the Program implementation will be:
Creation of an optimal model for managing the quality of medical care, consisting of systematic, independent and documented processes, continuous, interconnected actions aimed at ensuring the quality of medical services and safety for patients, increasing the competitiveness of the Center.
The program is mandatory for all staff of the Center, external consultants and employees of external contract organizations that provide services at the Center, as well as involves patients, family members and visitors.
The management of the Center is responsible for:
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identification of priority areas for improvement and measures to improve the quality and patient safety;
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determination of priority key performance indicators (KPIs) at the Center level;
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identification of high risk areas which cover indicators in clinical, management areas and international patient safety goals as required by the JCI standards;
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submission of proposals on issues requiring management decisions to improve processes, services quality and patient safety for discussion by the Medical Council with the participation of the founder.
Heads of departments are responsible for:
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maintenance and implementation of national and international JCI standards;
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identifying priority areas for improvement and indicators to measure them;
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identification of high-risk areas that may affect patients, family members and staff of the Center, as well as the quality and safety of treatment;
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determination of priorities for the implementation of clinical protocols, internal rules;
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determination of priorities for the implementation of projects to improve work efficiency.
The Quality Control Unit is responsible for:
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providing methodological assistance in the selection of indicators throughout the Center at the general hospital level, as well as at the level of departments of the Center;
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coordination and integration of measures for measuring indicators throughout the Center and data analysis;
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performing the integration of the incident reporting system, analyzing incidents and providing data to the Commissions, management for making decisions on improvements;
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coordination of data collection, validation, data analysis and transfer of accumulated (aggregated) data on quality indicators to the relevant Commissions, departments of the Center;
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provision of reports on quality indicators, achievement of key performance indicators and other data at general conferences;
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expertise of the services quality through internal audits, conducting tracers for patient safety;
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study of feedback through questionnaires, analysis of patient satisfaction with bringing the data to the management;
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training of personnel in the requirements of the developed standard operating procedures and policies.
The Center staff:
- observance of patient's rights, timely and high-quality performance of duties, execution of incident reports, participation in monitoring and data collection on indicators, patient / patient representatives training.
Patients / Representatives
- observance of the rights and obligations of the patient, training, compliance with the requirements of internal rules for international patient safety goals and internal regulations, participation in questionnaires, reporting incidents.
Contact phone numbers of the Unit for patients appeals
Registry 8 (7172) 95-44-84; internal phone 10-06; Quality Manager's phone number 8 701 407 52 64
