Система забезпечення безпеки персоналу і пацієнтів у лікарняних закладах: стратегія удосконалення

O. P.  Yavorovsky; M. M. Rygan; A. V. Ivanko; Yu. M. Skaletsky; R. P. Brukhno; P. M. Mikhailenko; T. A. Zinchenko; M. I. Badiuk

doi:10.46847/ujmm.2021.2(2)-023

O. P. Yavorovsky Bogomolets National Medical University https://orcid.org/0000-0002-4573-8039
M. M. Rygan Center for Sports Traumatology and Rehabilitation Medicine of the National University of Physical Education and Sport of Ukraine https://orcid.org/0000-0003-1244-9801
A. V. Ivanko KNP «Kyiv City Clinical Hospital №1 of the Executive Body of the Kyiv City Council» https://orcid.org/0000-0002-7015-7340
Yu. M. Skaletsky SI «Institute of Public Health named afte O.N. Marzeev of National Academy of Medical Sciences of Ukraine» https://orcid.org/0000-0001-7527-6827
R. P. Brukhno Bogomolets National Medical University https://orcid.org/0000-0002-6666-397X
P. M. Mikhailenko State Institution “Institute of Public Health named afte O.N. Marzeev of National Academy of Medical Sciences of Ukraine” https://orcid.org/0000-0002-4802-2407
T. A. Zinchenko Bogomolets National Medical University https://orcid.org/0000-0002-6652-2800
M. I. Badiuk Ukrainian Military Medical Academy https://orcid.org/0000-0002-2995-0910

DOI: https://doi.org/10.46847/ujmm.2021.2(2)-023

Keywords: patient safety, occupational safety and health, integration, health care facilities, safety culture

Abstract

The purpose: to assess the state of integration of patient safety and safety of medical staff in domestic hospitals and consider ways to strengthen their relationship and interaction in order to minimize the risks of the hospital environment.

Material and methods. Analyzed declarations, WHO strategies, individual countries, other documents and thematic scientific publications. The domestic regulatory framework and partially the practice of forming a safe hospital environment in 4 health care facilities have been studied. Research methods: bibliosemantic, hygienic, systems approach, analytical, statistical and mathematical.

Results. The state of integration of issues of patient safety and safety of medical staff in domestic hospitals is assessed. It has been established that the prevention of occupational injuries and patient safety incidents in domestic hospitals is carried out autonomously according to various plans and programs and is ineffective, as evidenced by the growth of accidents in domestic hospitals and inpatient and postoperative mortality. Approaches to the transformation of the structure and functions of security units of health care facilities in order to create a safe hospital environment based on safety culture are proposed.

Conclusions. The integration of patient safety and safety of medical staff in single programs is a strategic direction and best practice in creating a safe hospital environment abroad and it is advisable to implement it in our country. Domestic regulations and practices provide for autonomous and separate solutions to safety problems for patients, medical staff and the environment. Transformation of the structure and functions of the units of health care institutions involved in ensuring the safety of patients, medical staff, environmental safety, according to a single agreed strategy will contribute to the formation of a safe hospital environment based on safety culture.

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The system of safety support for staff and patients in hospitals: improvement strategy

Abstract

References

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