- Category: Magazine2022Volume1
- Written by: BSMJ
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CLINICAL AUDIT IN THE OBSTETRIC-GYNECOLOGICAL PRACTICE, Svetlana Radeva
Abstract: The definition of risk in a healthcare organization and its impact on the health
phenomenon determines the risky approach of management and behavior of subjects.
Preventable events are used as a measure of problems in individual sectors, in the organization
of work, which also determines the behavior of managers at various hierarchical levels. These
are events that will not occur if there is no strong impact of the factor or gaps in the standard
medical interventions or diagnostic and treatment activities and care.
The analysis of the inspections carried out by the regulatory authorities identified a number
of uncertainties regarding the causes and facts that led to the occurrence of incidents in
obstetric practice, primarily related to pregnancy, childbirth and the first care of a newborn.
These events can vary depending on the level of urgency, the readiness of medical specialists
to master and manage the problem, the accompanying circumstances and concomitant
pathology, not least the behavior of the subjects themselves. The last year and a half have
further revealed the shortcomings of the sector and asked many questions to the legislative
authorities and control bodies.
Conducting obstetric care requires a continuous audit of activities, compliance with the
prescribed rules for all possible and rare situations, in accordance with the established
guidelines and rules of conduct of leading organizations in the field, in accordance with the
legislation defining medical practice.
Key words: risk, obstetrics, responsibilities, audit, quality