SOG‘LIQNI SAQLASH MUASSASALARIDA SIFATNI BOSHQARISH VA NAZORAT TIZIMI.
Keywords:
tibbiy xizmat sifati, sifat menejmenti, bemor xavfsizligi, tibbiy audit, raqamlashtirish, nosokomial infeksiyalar, xatarlarni boshqarish.Abstract
Sog‘liqni saqlash muassasalaridagi eskirgan boshqaruv mexanizmlari bemorlar xavfsizligiga jiddiy xavf tug‘dirib, iqtisodiy yo‘qotishlarga olib keladi. Ushbu tadqiqot yirik shifoxonalarda qog‘ozbozlikka asoslangan an'anaviy nazoratdan raqamli integratsiyalashgan Sifat menejmenti tizimiga (SMT) o‘tishning klinik samaradorligini baholaydi. 2024-2025 yillar oralig‘ida 14 250 nafar stasionar bemor ishtirokida o‘tkazilgan kvazi-eksperimental tadqiqotda JCI va ISO 9001:2015 standartlariga asoslangan avtomatlashtirilgan audit tizimi joriy etildi. Natijada dori vositalarini qo‘llashdagi xatolar 1000 bemor-kuniga 4,8 dan 1,6 gacha keskin qisqardi (Nisbiy xavf 0,33; p < 0,001). Jarrohlik bo‘limlarida yara infeksiyalari 3,7% dan 1,8% gacha pasaydi, klinik protokollarga rioya etish darajasi esa 42,6% ga oshdi. Markazlashtirilgan SMT tibbiy xatolarni proaktiv tarzda bartaraf etadi. Ushbu tizimni amaliyotga to‘liq joriy etish tibbiy resurslarni tejash va iatrogen xavflarning oldini olishda asosiy strategik yechim hisoblanadi.
References
World Health Organization. Global Patient Safety Action Plan 2021–2030: Towards eliminating avoidable harm in health care. Geneva: WHO; 2021.
Joint Commission International. Joint Commission International Accreditation Standards for Hospitals, 7th Edition. Oak Brook, IL: JCI; 2020.
Bates DW, Singh H. Two decades since To Err Is Human: An assessment of progress and emerging priorities in patient safety. Health Aff (Millwood). 2018;37(11):1736-1743.
Asadov DA, Aripov TY. Modern paradigms of health care management and organization in transition economies. Cent Asian J Med Sci. 2021;14(2):88-95.
Panagioti M, Khan K, Keers RN, et al. Prevalence, severity, and nature of preventable patient harm across medical care settings: Systematic review and meta-analysis. BMJ. 2019;366:l4185.
Dixon-Woods M, McNicol S, Martin G. Ten challenges in improving quality in healthcare: Lessons from the Health Foundation's programme evaluations and relevant literature. BMJ Qual Saf. 2022;31(10):764-773.
