THE ROLE OF PATIENT SAFETY IN IMPROVING THE QUALITY OF CAR
Patient safety is a priority issue for health care systems in both developed and developing countries, examining how to reduce risks to patients in the delivery of health care. Accreditation standards in Kazakhstan introduced the term "safety culture" and established requirements for medical organization management to implement and maintain a safety culture, encourage the detection of incidents, and take systematic measures to improve performance. The purpose of our study is to examine the role of nurses in creating a culture of patient safety in a healthcare organization. Information search in the databases PubMed, Web of Science, Scopus, Google Scholar was carried out. Articles, WHO methodological recommendations, normative documents of the Republic of Kazakhstan in open access from 2012 to 2022 were analyzed. Exclusion criteria: summaries of materials (reports, abstracts and newspaper articles, conference proceedings and publications of poor methodological quality) that did not reflect the main significance, with unclear conclusions. Creating a culture of patient safety will reduce adverse events, and the role of nurses is important because of the nature of their work, which includes continuous monitoring of patients and coordination of care. A culture of safety is associated with creating an open and trusting environment, building a system for collecting reports of adverse events, conducting root cause analyses of medical incidents, and developing preventive and corrective measures. Insufficient staffing of nursing staff or their workload affects the provision of patient safety standards. It was also found that schools of medical specialties do not sufficiently incorporate patient safety into their educational programs. Nurses play an important role in improving patient safety processes, healthcare managers need to pay attention to nursing staff time burden, develop open stakeholder feedback to improve patient safety culture, while educational organizations need to implement patient safety programs.