Analysis of medical records as an element of quality control and safety of medical activities

Izmaĭlova Z.M.; Vagner V.D.; Kuzin A.V.

doi:https://doi.org/10.17116/stomat2022101021100

Izmaĭlova Z.M.

Central Research Institute of Dentistry and Maxillofacial Surgery

Vagner V.D.

Central Research Institute of Dentistry and Maxillofacial Surgery

ORCID: 0000-0002-0293-6940

Kuzin A.V.

Russian Medical Academy of Continuous Professional Education;
A.V. Nassonova Research Institute of Rheumatology

Analysis of medical records as an element of quality control and safety of medical activities

Authors:

Izmaĭlova Z.M., Vagner V.D., Kuzin A.V.

More about the authors

Journal: Stomatology. 2022;101(2): 100‑105

DOI: 10.17116/stomat2022101021100

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To cite this article:

Izmaĭlova ZM, Vagner VD, Kuzin AV. Analysis of medical records as an element of quality control and safety of medical activities. Stomatology. 2022;101(2):100‑105. (In Russ.)
https://doi.org/10.17116/stomat2022101021100

Подписка 2026 Стоматология (Stomatology)

Использование инфографики авторами научных работ

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OBJECTIVE

Studying the issue of quality control and safety of medical activities.

MATERIAL AND METHODS

The analysis of domestic literature on the quality of filling out medical documentation has been carried out.

RESULTS

A dental patient’s medical record (ICSD) is not only the most important legal document, but also a certain indicator of the level of professional competence of a dentist. To find out all sorts of reasons that led to professional errors and adverse consequences after the provision of dental care, a thorough study and general analysis of medical documentation is of great importance, the maintenance and correct execution of which is also necessary for solving a number of other, including legal issues. The most common drawbacks in the design of a dental patient’s medical record have been identified, which indicates a decrease in the quality of medical care provided to patients.

CONCLUSION

At the moment, there are still unresolved issues related to complete completion of medical documentation. When analyzing the literature, we did not find a purposeful study of the medical history of a dental patient during surgical treatment, which requires further research.

Keywords:

medical activities quality and safety control

medical care quality expert study

patient file of a stomatological parient

oral surgery

Authors:

Izmaĭlova Z.M.

Central Research Institute of Dentistry and Maxillofacial Surgery

Vagner V.D.

Central Research Institute of Dentistry and Maxillofacial Surgery

ORCID: 0000-0002-0293-6940

Kuzin A.V.

Russian Medical Academy of Continuous Professional Education;
A.V. Nassonova Research Institute of Rheumatology

Received:

26.03.2021

Accepted:

04.05.2021

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