2016 № 8 Postanalytical Phase: Management of Quality of Clinical Laboratory Tests
This article presents the experience of the clinical and diagnostic laboratory of the Federal State Publicly-Financed Institution «Federal Center for Traumatology, Orthopedics and Endoprosthesis Replacement» Under the Ministry of Health of the Russian Federation (Cheboksary) on improvement of the quality on postanalytical phase on the basis of identification and analysis of the most important criteria of the postanalytical phase quality under the conditions of hospital of the traumatology and orthopedics profile. Through the introduction and continuous improvement in the framework of ISO 9001 of the system of management of laboratory service quality, the criteria, which significantly increase (affect) quality of provided services, were identified. Improvement of the most important quality indicators, such as total time of analysis, selection of interpretation criteria and critical values of test results, procedure of information processing with the formation of laboratory test form helped to optimize and use efficiently material and human resources for healthcare.
2019 № 4 The experience and results of lean manufacturing introduction in health care
The World Health Organization gives notice an increasing demand for medical service on the one hand and a tendency toward deterioration of financial conditions in the healthcare system on the other that is the cause of the main concern in modern medical management. The article is considerate feasibility of using principles and methods of lean production for the purposes of organizing practical healthcare. Analyzed the results of lean production implementation of over the past few decades, the main early successes achieved using the tools and methods of lean production, as well as the basic limitations of the application are evaluated. Special attention is given to potential roles of the leader of healthcare institutions in lean production adaptation as well as evaluating the success of a strategy. A deep analysis of modern economic indicators of lean production successful implemen- tation in medical clinics abroad is presented, the key points of the effective introduction of lean production are being updated. In additional to economic indicators, the impact of lean production implementation in medical organizations on reducing mortality rates, transmission of nosocomial infections, mortality from hospital infections, reducing waiting times for medical services (especially in the admission department) is estimated. The current task facing the health care system in the Russian Federation is updated. The main conclusion is made about a huge amount of positive results after introducing lean production, including the positive economic effect and the increase in the quality of medical care after the introduction of the principles and methods of lean production, and also the entity of lean production as a separate method of organizing processes.
2014 № 6 Measures to prevent the entry of substandard and counterfeit medicines in medical organizations (Center for Quality Assurance and Certification of drugs <Trans-Baikal Territory, Chita, Russia; Irkutsk State Medical Academy of Continuing Education, Irkutsk, Russia)
The article presents practical approaches to implementation of individual measures on the safety of medicines in the medical organization. Shows the organizational technology to prevent receipt of substandard and counterfeit medicines in medical organization.