Articles with tag: «quality control»

    Management in health care
  • 2020 № 1 Aspects of medical rehabilitation in the reform of psychiatric services

    This article examines the medical documentation of patients and materials of the medical rehabilitation depart¬ment at the base of the Psychiatric Hospital of the Moscow Department of Health for the period April-December 2018. The results of the quality of treatment of 352 patients who were treated in the medical and rehabilitation department of the psychiatric hospital № 13 were evaluated.

    Authors: Grishina N. K. [6] Belostotskiy A. V. [3] A. Yu. Ter-Israelyan [3] Zagoruychenko A. A. [8]

    Tags: cognitive function1 medical care and rehabilitation department1 psychiatric rehabilitation1 quality control4 rehabilitation programs1

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  • 2016 № 9 Modern approaches to an estimation of efficiency and an assessment of quality of medical diagnostic researches

    Perfection of the medical diagnostic help, including its pre-hospital level, demands the working out and the realization of a series of measures on diagnostic interventions’ management and their quality assessment. The list of the common and specific indicators of efficiency of diagnostics is developed on the basis of the researches made and offered, modern approaches to quality management, carrying out of internal and external quality assurance are described, the problems demanding the decision for the further increase of efficiency and quality of medical diagnostics are defined.

    Authors: Son I. M. [41] Vyalkov A. I. [2] Skvirskaja G. P. [1] Serjogina I. F. [1] Bilalov F. K. [1]

    Tags: diagnostic researches1 efficiency indicators2 internal and external quality assessments1 medical1 quality control4 social and economic efficiency1

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  • Informatization of healthcare
  • 2023 № 7 The use of artificial intelligence technologies as a way to ensure the quality of chest radiography.

    When performing radiographic studies, errors may occur that reduce the diagnostic value of the radiographs and complicate their interpretation by radiologists and diagnostic software based on artificial intelligence technology. The creation of automated quality assessment systems will optimize this process, especially in conditions of increased workload of medical personnel.
    Purpose: development of an automated quality control tool for chest radiographs, which allows for quality control of the patient’s positioning and the correctness of filling in meta-information about the study.
    Material and methods. To train and test automated quality control models, were used 61505 chest radiographs, obtained from open datasets and the Unified Radiological Information Service of the Unified Medical Information Analysis System of the City of Moscow. To create models we used transfer training of deep neural network architectures VGG19 and ResNet152V2.
    Results. 7 models were created: a model for determining the anatomical area of study, a model for determining projection, a model for determining photometric interpretation, models for determining incomplete visualization of the anatomical area on the frontal and lateral projections of the chest radiographs, a model for determining rotation on the lateral projection of the chest radiographs. All created models have diagnostic accuracy metrics above 95%, which allows them to be used in clinical practice. Based on the developed models, a web-based quality control tool of the chest radiographs was created, which allows analyzing the quality of X-ray datasets.
    Conclusion. The active use of this quality control tool will optimize the process of assessing the quality of diagnostic studies and facilitate the processes of classification of studies and the formation of datasets. Also, this tool can be used to support the decision-making of an X-ray technician and assess the quality of the study before sending the study for processing to artificial intelligence-based services.

    Authors: Arzamasov K. M. [4] Omelyanskaya O. V. [3] Borisov A. A. [1] Vasiliev Yu. A. [1] Vladzymyrskyy [1] A. V. [1] Kirpichev Yu. S. [1]

    Tags: artificial intelligence8 chest x-rays1 deep learning1 quality control4

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  • Focus of problem
  • 2017 № 10 Criteria for assessing the quality of health care: what to consider and how to ensure compliance in a healthcare organization

    The issue deals with the organization of work on the application of criteria to assess the quality of care in a medical organization. The authors pay attention to a number of characteristics that must be taken into account specified criteria, including note that work on their application not only largely concerned, but also overlap with the functions of the medical Commission of the medical organization. The article shows that the use in a medical organization criteria for evaluating the quality of medical care is one of the tools that ensures the continuity of inter¬nal control of the quality and safety of medical activities with the departmental and state control of the quality and security of medical activity

    Authors: Piven D. V. [59] Kitsul I. S. [59] Ivanov I. V. [30]

    Tags: criteria6 medical commission6 medical organization53 quality and safety of medical activity11 quality control4

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