<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">rfhealth</journal-id><journal-title-group><journal-title xml:lang="ru">Здравоохранение Российской Федерации</journal-title><trans-title-group xml:lang="en"><trans-title>Health care of the Russian Federation</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0044-197X</issn><issn pub-type="epub">2412-0723</issn><publisher><publisher-name>Federal Scientific Center of Hygiene named after F.F. Erisman</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.46563/0044-197X-2020-64-4-209-213</article-id><article-id custom-type="elpub" pub-id-type="custom">rfhealth-197</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Вопросы повышения безопасности пациентов в контексте предотвращения врачебных ошибок (аналитический обзор)</article-title><trans-title-group xml:lang="en"><trans-title>Issues of patient safety in the context of preventing medical errors (analytical review)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1958-8655</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Олимов</surname><given-names>Д. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Olimov</surname><given-names>Davlatmurod A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7095-792X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ходжамуродов</surname><given-names>Гафур Мухсинович</given-names></name><name name-style="western" xml:lang="en"><surname>Khodzhamurodov</surname><given-names>Gafur M.</given-names></name></name-alternatives><email xlink:type="simple">gafur@tojiriston.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5518-6258</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Турсунов</surname><given-names>Р. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Tursunov</surname><given-names>Rustam A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Служба государственного надзора здравоохранения и социальной защиты населения Республики Таджикистан<country>Россия</country></aff><aff xml:lang="en">State Health and Social Protection Supervision Service of the Republic of Tajikistan<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">ГУ «Таджикский НИИ профилактической медицины»; ГОУ «Таджикский национальный университет»<country>Россия</country></aff><aff xml:lang="en">Tajik Scientific Research Institute of Preventive Medicine; Tajik National University<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>08</day><month>09</month><year>2020</year></pub-date><volume>64</volume><issue>4</issue><fpage>209</fpage><lpage>213</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Олимов Д.А., Ходжамуродов Г.М., Турсунов Р.А., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Олимов Д.А., Ходжамуродов Г.М., Турсунов Р.А.</copyright-holder><copyright-holder xml:lang="en">Olimov D.A., Khodzhamurodov G.M., Tursunov R.A.</copyright-holder><license license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.rfhealth.ru/jour/article/view/197">https://www.rfhealth.ru/jour/article/view/197</self-uri><abstract><sec><title>Введение</title><p>Введение. Безопасность пациента - это отсутствие предотвратимого вреда для пациента в процессе медицинского обслуживания и снижение риска ненужного вреда, связанного с медицинским обслуживанием, до приемлемого минимума.</p><p>Цель исследования - анализ современной научной литературы по проблемам клинической безопасности, глобального бремени от причинения вреда пациентам.</p></sec><sec><title>Материал и методы</title><p>Материал и методы. Использованы результаты современных исследований по выявлению причин врачебных ошибок и поиску путей их предотвращения.</p></sec><sec><title>Результаты и обсуждение</title><p>Результаты и обсуждение. В мире растет стремление повышать уровень безопасности и качество медицинской помощи. Первостепенное значение будут иметь меры по измерению безопасности медицинской помощи и ее качества. «Золотого стандарта» или установленного набора показателей качества для измерения качества и безопасности медицинской помощи не существует. Тем не менее многие показатели были разработаны, а некоторые даже были проверены для измерения конкретных аспектов качества и безопасности пациентов. Такие исследования востребованы для достижения клинически значимого снижения частоты возникновения медицинской ошибки.</p></sec><sec><title>Заключение</title><p>Заключение. Несмотря на растущее признание роли человеческой и врачебной ошибки в медицине для предотвращения или смягчения их последствий, требуется поиск адекватных путей как на индивидуальном, так и на системном уровне.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Introduction</title><p>Introduction. Patient safety is the absence of preventable harm to the patient in the course of medical care and the reduction of the risk of unnecessary harm associated with medical care to an acceptable minimum. Over the past two decades, the problem of patient safety has become the object and target area of public health for specific efforts to improve it.</p><p>The study aims to analyze modern scientific literature to consider problems related to clinical safety, the global burden of harming patients.</p></sec><sec><title>Material and methods</title><p>Material and methods. In the context of studying the problem, the results of modern research were used to identify the causes of medical errors and to find ways to prevent them.</p></sec><sec><title>Results</title><p>Results. The desire to improve the level of safety and the quality of medical care is growing in the world. Consequently, significant measures to evaluate the safety of medical care and its quality will be of paramount importance. To date, there is no gold standard or established array of quality indices (QI) for measuring the quality and safety of medical care. However, many indices have been developed, and some have even been tested to measure specific aspects of patient quality and safety. Such studies are in demand to achieve a clinically significant reduction in the incidence of medical errors.</p></sec><sec><title>Conclusion</title><p>Conclusion. Despite the growing recognition of the role of human medical error in medicine, to prevent or mitigate their consequences requires the search for adequate ways both at the individual and systemic levels.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>клиническая безопасность пациентов</kwd><kwd>врачебная ошибка</kwd><kwd>причинение вреда пациенту</kwd><kwd>медицинские/диагностические/лекарственные ошибки</kwd><kwd>обзор</kwd></kwd-group><kwd-group xml:lang="en"><kwd>clinical safety of patients</kwd><kwd>medical error</kwd><kwd>harm to the patient</kwd><kwd>medical/diagnostic/drug errors</kwd><kwd>overview</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Health Care Services; Board on Global Health; Committee on Improving the Quality of Health Care Globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide. Washington, DC: National Academies Press (US); 2018.</mixed-citation><mixed-citation xml:lang="en">National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Health Care Services; Board on Global Health; Committee on Improving the Quality of Health Care Globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide. Washington, DC: National Academies Press (US); 2018.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">World Health Organization. Patient Safety: Making Health Care Safer. Geneva; 2017.</mixed-citation><mixed-citation xml:lang="en">World Health Organization. Patient Safety: Making Health Care Safer. Geneva; 2017.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Makary M.A. Daniel M. Medical error – the third leading cause of death in the US. BMJ. 2016; 353: i2139. https://doi.org/10.1136/bmj.i2139</mixed-citation><mixed-citation xml:lang="en">Makary M.A. Daniel M. Medical error – the third leading cause of death in the US. BMJ. 2016; 353: i2139. https://doi.org/10.1136/bmj.i2139</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Molloy G.J., O’Boyle C.A. The SHEL model: a useful tool for analyzing and teaching the contribution of Human Factors to medical error. Acad. Med. 2005; 80(2): 152–5. https://doi.org/10.1097/00001888-200502000-00009</mixed-citation><mixed-citation xml:lang="en">Molloy G.J., O’Boyle C.A. The SHEL model: a useful tool for analyzing and teaching the contribution of Human Factors to medical error. Acad. Med. 2005; 80(2): 152–5. https://doi.org/10.1097/00001888-200502000-00009</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Doupi P., Svaar H., Bjørn B., Deilkås E., Nylén U., Rutberg H. Use of the Global Trigger Tool in patient safety improvement efforts: Nordic experiences. Cogn. Technol. Work. 2015; 17(1): 45-54.</mixed-citation><mixed-citation xml:lang="en">Doupi P., Svaar H., Bjørn B., Deilkås E., Nylén U., Rutberg H. Use of the Global Trigger Tool in patient safety improvement efforts: Nordic experiences. Cogn. Technol. Work. 2015; 17(1): 45-54.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Меньшиков В.В. Клиническая безопасность пациента и достоверность лабораторной информации (лекция). Клиническая лабораторная диагностика. 2013; (6): 29-36.</mixed-citation><mixed-citation xml:lang="en">Men’shikov V.V. The clinical safety of patient and reliability of laboratory information. Klinicheskaya laboratornaya diagnostika. 2013; (6): 29-36. (in Russian)</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Vincent C.A., Coulter A. Patient safety: what about the patient? Qual. Saf. Health Care. 2002; 11(1): 76-80. https://doi.org/10.1136/qhc.11.1.76</mixed-citation><mixed-citation xml:lang="en">Vincent C.A., Coulter A. Patient safety: what about the patient? Qual. Saf. Health Care. 2002; 11(1): 76-80. https://doi.org/10.1136/qhc.11.1.76</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Шикина И.Б., Вардосанидзе С.Л., Восканян Ю.Э., Соро­кина Н.В., Рябцева Е.В., Кошель В.И. Обеспечение безопасности пациентов в многопрофильном стационаре. Международный журнал медицинской практики. 2005; (6): 39-44.</mixed-citation><mixed-citation xml:lang="en">Shikina I.B., Vardosanidze S.L., Voskanyan Yu.E., Sorokina N.V., Ryabtseva E.V., Koshel’ V.I. Ensuring the safety of patients in a multidisciplinary hospital. Mezhdunarodnyy zhurnal meditsinskoy praktiki. 2005; (6): 39-44. (in Russian)</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Priscila G., Luke S., María S., Merce C., Kathy D., Xavir C. A retrospective review of medical errors adjudicated in court between 2002 and 2012 in Spain. Int. J. Qual. Health Care. 2016; 28(1): 33-9. https://doi.org/10.1093/intqhc/mzv089</mixed-citation><mixed-citation xml:lang="en">Priscila G., Luke S., María S., Merce C., Kathy D., Xavir C. A retrospective review of medical errors adjudicated in court between 2002 and 2012 in Spain. Int. J. Qual. Health Care. 2016; 28(1): 33-9. https://doi.org/10.1093/intqhc/mzv089</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Collins S., Couture B., Dykes P., Schnipper J., Fagan M., Benneyan J., et al. Implementation, evaluation, and recommendations for extension of AHRQ Common Formats to capture patient- and carepartner-generated safety data. JAMIA Open. 2018; 1(1): 205. https://doi.org/10.1093/jamiaopen/ooy004</mixed-citation><mixed-citation xml:lang="en">Collins S., Couture B., Dykes P., Schnipper J., Fagan M., Benneyan J., et al. Implementation, evaluation, and recommendations for extension of AHRQ Common Formats to capture patient- and carepartner-generated safety data. JAMIA Open. 2018; 1(1): 205. https://doi.org/10.1093/jamiaopen/ooy004</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">De Feijter J.M., De Grave W.S., Muijtjens A.M., Scherpbier A.J., Koopmans R.P. A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths. PLoS One. 2012; 7(2): e31125. https://doi.org/10.1371/journal.pone.0031125</mixed-citation><mixed-citation xml:lang="en">De Feijter J.M., De Grave W.S., Muijtjens A.M., Scherpbier A.J., Koopmans R.P. A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths. PLoS One. 2012; 7(2): e31125. https://doi.org/10.1371/journal.pone.0031125</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">James J.T. A new, evidence-based estimate of patient harms associated with hospital care. J. Patient Saf. 2013; 9(3): 122–8. https://doi.org/10.1097/PTS.0b013e3182948a69</mixed-citation><mixed-citation xml:lang="en">James J.T. A new, evidence-based estimate of patient harms associated with hospital care. J. Patient Saf. 2013; 9(3): 122–8. https://doi.org/10.1097/PTS.0b013e3182948a69</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Krause T.R., Bell K.F., Pronovost P., Etchegaray J.M. Measurement as a performance driver: the case for a national measurement system to improve patient safety. J. Patient Saf. 2017; https://doi.org/10.1097/PTS.0000000000000315</mixed-citation><mixed-citation xml:lang="en">Krause T.R., Bell K.F., Pronovost P., Etchegaray J.M. Measurement as a performance driver: the case for a national measurement system to improve patient safety. J. Patient Saf. 2017; https://doi.org/10.1097/PTS.0000000000000315</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Landrigan C.P., Parry G.J., Bones C.B., Hackbarth A.D., Goldmann D.A., Sharek P.J. Temporal trends in rates of patient harm resulting from medical care. N. Engl. J. Med. 2010; 363(22): 2124–34. https://doi.org/10.1056/NEJMsa1004404</mixed-citation><mixed-citation xml:lang="en">Landrigan C.P., Parry G.J., Bones C.B., Hackbarth A.D., Goldmann D.A., Sharek P.J. Temporal trends in rates of patient harm resulting from medical care. N. Engl. J. Med. 2010; 363(22): 2124–34. https://doi.org/10.1056/NEJMsa1004404</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Emond Y.E., Stienen J.J., Wollersheim H.C., Bloo G.J., Damen J., Westert G.P., et al. Development and measurement of perioperative patient safety indicators. Br. J. Anaesth. 2015; 114(6): 963-72. https://doi.org/10.1093/bja/aeu561</mixed-citation><mixed-citation xml:lang="en">Emond Y.E., Stienen J.J., Wollersheim H.C., Bloo G.J., Damen J., Westert G.P., et al. Development and measurement of perioperative patient safety indicators. Br. J. Anaesth. 2015; 114(6): 963-72. https://doi.org/10.1093/bja/aeu561</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Hoffmann B., Rohe J. Patient safety and error management: What causes adverse events and how can they be prevented? Dtsch. Arztebl. Int. 2010; 107(6): 92–9. https://doi.org/10.3238/arztebl.2010.0092</mixed-citation><mixed-citation xml:lang="en">Hoffmann B., Rohe J. Patient safety and error management: What causes adverse events and how can they be prevented? Dtsch. Arztebl. Int. 2010; 107(6): 92–9. https://doi.org/10.3238/arztebl.2010.0092</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Giraldo P., Sato L., Castells X. The impact of incident disclosure behaviors on medical malpractice claims. J. Patient Saf. 2017; https://doi.org/10.1097/PTS.0000000000000342</mixed-citation><mixed-citation xml:lang="en">Giraldo P., Sato L., Castells X. The impact of incident disclosure behaviors on medical malpractice claims. J. Patient Saf. 2017; https://doi.org/10.1097/PTS.0000000000000342</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Stelfox H.T., Palmisani S., Scurlock C., Orav E.J., Bates D.W. The “To Err is Human” report and the patient safety literature. Qual. Saf. Health Care. 2006; 15(3): 174–8. https://doi.org/10.1136/qshc.2006.017947</mixed-citation><mixed-citation xml:lang="en">Stelfox H.T., Palmisani S., Scurlock C., Orav E.J., Bates D.W. The “To Err is Human” report and the patient safety literature. Qual. Saf. Health Care. 2006; 15(3): 174–8. https://doi.org/10.1136/qshc.2006.017947</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Ram K., Boermeester M.A. Surgical safety. Br. J. Surg. 2013; 100(10): 1257–9. https://doi.org/10.1002/bjs.9162_1</mixed-citation><mixed-citation xml:lang="en">Ram K., Boermeester M.A. Surgical safety. Br. J. Surg. 2013; 100(10): 1257–9. https://doi.org/10.1002/bjs.9162_1</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Chu M.W., Stitt L.W., Fox S.A., Kiaii B., Quantz M., Guo L. Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac surgical procedures. Arch. Surg. 2011; 146(9): 1080–5. https://doi.org/10.1001/archsurg.2011.121</mixed-citation><mixed-citation xml:lang="en">Chu M.W., Stitt L.W., Fox S.A., Kiaii B., Quantz M., Guo L. Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac surgical procedures. Arch. Surg. 2011; 146(9): 1080–5. https://doi.org/10.1001/archsurg.2011.121</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">De Vries E.N., Prins H.A., Crolla R.M., Den Outer A.J., Van Andel G., Van Helden S.H., et al. Effect of a comprehensive surgical safety system on patient outcomes. N. Engl. J. Med. 2010; 363(20): 1928–7. https://doi.org/10.1056/NEJMsa0911535</mixed-citation><mixed-citation xml:lang="en">De Vries E.N., Prins H.A., Crolla R.M., Den Outer A.J., Van Andel G., Van Helden S.H., et al. Effect of a comprehensive surgical safety system on patient outcomes. N. Engl. J. Med. 2010; 363(20): 1928–7. https://doi.org/10.1056/NEJMsa0911535</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Восканян Ю.В. Безопасность пациентов и связанные с ней неблагоприятные события в медицине. Ангиология и сосудистая хирургия. 2018; 24(4): 11-8.</mixed-citation><mixed-citation xml:lang="en">Voskanyan Yu.V. Safety of patients and adverse events related thereto in medicine. Angiologiya i sosudistaya khirurgiya. 2018; 24(4): 11-8. (in Russian)</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Лудупова Е.Ю. Врачебные ошибки. Литературный обзор. Вестник Росздравнадзора. 2016; (2): 6-15.</mixed-citation><mixed-citation xml:lang="en">Ludupova E.Yu. Medical errors. Literature review. Vestnik Roszdravnadzora. 2016; (2): 6-15. (in Russian)</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru"></mixed-citation><mixed-citation xml:lang="en"></mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
