On the possibilities of increasing the objectivity of the quality assessment of medical care in cases of the abdominal cavity acute surgical diseases

Tatarkin V. V., Movchan K. N., Yakovenko T. V., Morozov Yu. M., Chernov K. E., Tvorogov D. A., Yartsev M. M., Kovalenko S. A.

The significance of expert activity in the quality of medical care management system in the examination and treatment of patients with acute surgical diseases of the abdominal cavity was studied on the basis of the experience of healthcare professionals of St. Petersburg. Medical statistical information about 108.5 thousand cases of medical care metropolis residents hospitalized in 2012-2018 with pathology regarding to "abdominal surgery" was analyzed. Moreover, information on the results of targeted examinations and evaluation of the quality of medical care (including collective) for patients according to the profile of acute surgical diseases of the abdominal cavity 2017-2019 was studied. Correlation is traced to the statement of the negative consequences of  the defects in the treatment and diagnostic process in cases of lack of focused activity in clinical expert work, based on the results of the analysis of the quality of surgical care of nosological forms defined as the so-called «acute abdomen»,  . The ways of objectifying the control of the quality of medical care, which is provided to patients with acute surgical diseases of the abdominal cavity, are discussed. It is shown that with a generally positive dynamics in the development of abdominal surgery the need for a systematic approach to assessing the results of the activities of individual surgical teams and making timely management decisions aimed at achieving the level of proper quality of medical care and safety of medical activity is obvious.

Keywords:quality of medical care, acute diseases of the abdominal cavity, emergency abdominal surgery.