USE OF INTERNAL QUALITY CONTROL CARDS FOR EXAMINATION OF MEDICAL CARE IN PSYCHIATRIC PRACTICE
Introduction: The use of internal quality control cards in the provision of specialized medical care to patients in psychiatric practice helps to improve its quality. Purpose: s to assess the quality of medical care provided to patients in a psychiatric hospital using internal quality control cards. Materials and methods: Examination of 282 internal quality control cards of patients hospitalized in the psychiatric hospital GBUZ "Psychiatric Clinical Hospital No. 4" of the Moscow City Department of Health (hereinafter - GBUZ "PKB No. 4" DZM) in three stages: 45 cards (16.0%) from 2015 to 2016, 123 cards (43.6%) from 2017 to 2018. and 114 Results and discussion: At two levels of quality control of the provided medical care, an examination was carried out with an assessment of each point from 0 to 1 point, for each of which a general quality coefficient was further calculated with a description of the defects found in the provision of medical care. During calculations, the author's automated assessment of internal quality control indicators was applied. Level 2 quality factor in 2015-2016 was not defined in any patient. The median quality factor of level 2 for 2017-2018. is determined at 1.0, and in 2019 - 0.86. Quality coefficient at level 2 in 2017-2018 statistically higher than in 2019 (p = 0.011). A comparison of the number of described defects in 2017-2018 and 2019 showed that in 2017-2018 a significantly smaller number of internal quality control cards contained a description of defects in the treatment and diagnostic process compared to 2019 (2 cards out of 123 (1.6%) in 2017-2018. compared to 108 cards out of 114 (94.7%) in 2019, p < 0.001). The obtained results indicate an increase in cases of detection of defects of the therapeutic and diagnostic process when using internal quality control cards. Conclusion. The results of the study indicate the need for internal monitoring of the quality of medical care provided in a psychiatric hospital using automated assessment of indicators of internal quality control cards, which contributes to improving the quality of medical care provided, timely detection and reduction of the number of defects in the medical and diagnostic process, and making sound organizational and managerial decisions.