INJURY AS A COMPONENT OF OPERATIONAL MANAGEMENT UNIT OF THE INFORMATION CENTER WHEN IMPLEMENTING LEAN PRODUCTION IN A MEDICAL ORGANIZATION PROVIDING PRIMARY HEALTH CARE. SYSTEMATIC REVIEW
Significance. At the moment, the methodological framework for assessing compliance of medical organizations with the definition of a “new model” is being actively developed. The Federal Center for Primary Care Organization of the Department of Organization of Health Care and Sanatorium Treatment of the Ministry of Health of the Russian Federation has identified 22 criteria for the new model of medical organization, among which visualization of the process management through organization of information centers in a health care facility is considered one of the most difficult to implement. Purpose. To study possibility of including quantitative and qualitative evaluation of injury among patients and employees of medical organizations as a safety criterion of the operational management unit of the information center when implementing lean production. Material and Methods. The study presents a literature review of frequency of various traumatic situations in medical organizations in the Russian Federation and the established practice of their registration. Possible application of the accumulated material to create information centers on the principles of lean production in the healthcare system have been explored. A total of 78 publications were analyzed, mainly in the PubMed and E-library databases. 33 publications were selected for the article, containing content analysis substantiating development of the system of operational registration of injury in medical organizations. Results. To implement an effective injury prevention program in a medical organization, high-quality and realistic reporting is required to help understand where to start making changes and what needs to be done to reduce the injury frequency. It is introduction of the injury registration system (frequency, mechanism, place of occurrence, causes, consequences, damage) that will allow for a real understanding of the problems. The information center as a lean production tool visualizes the reported data and increases transparency and efficiency of management decision making. Conclusion. The literature data indicate that inclusion in the safety block of the SQDCM system of the information center of indicators of injury among patients and personnel of the medical organization, as well as results of a special environmental safety assessment conducted as part of the organization of work environment and workplaces using lean 5C method, will contribute to the formation of a functional, viable and constantly improving system for analyzing performance of a medical organization and managing processes of safe care delivery to population.